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Chen M, Ren L, Jiang H, Wang Y, Zhang L, Dong C. Discrepancies in perceived family resilience between adolescents with chronic illness and parents: using response surface analysis to examine the relationship with adolescents' psychological adjustment. BMC Psychiatry 2024; 24:475. [PMID: 38937737 PMCID: PMC11210177 DOI: 10.1186/s12888-024-05917-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 06/17/2024] [Indexed: 06/29/2024] Open
Abstract
BACKGROUND This study aimed to explore discrepancies in adolescents with chronic illness and their parents' perceptions of family resilience, as well as the relationship between these differences and the psychological adjustment of adolescents with chronic illness. METHODS A cross-sectional study was conducted. A total of 264 dyads of parents (77.7% mothers, mean age 41.60 years, SD = 6.17) and adolescents (48.5% girls, mean age 12.68 years, SD = 2.11) with chronic illness were recruited through convenience sampling from three children's hospitals in Wenzhou, Hangzhou, and Shanghai, China between June 2022 and May 2023. The Chinese version of the Family Resilience Scale and the Psychological Adjustment Scale, which are commonly used measures with good reliability and validity, were employed to assess family resilience and psychological adaption, respectively. The data were analyzed using polynomial regression and response surface analysis. RESULTS Adolescents with chronic illness reported higher family resilience than their parents (t=-2.80, p < 0.05). The correlations between family resilience and adolescents' psychological adjustment reported by the adolescents (r = 0.45-0.48) were higher than parents (r = 0.18-0.23). In the line of congruence, there were positive linear (a1 = 1.09-1.60, p < 0.001) and curvilinear (a2=-1.38∼-0.72, p < 0.05) associations between convergent family resilience and adolescents' psychological adjustment. In the line of incongruence, when adolescents reported lower family resilience than parents, adolescents had a lower level of psychological adjustment (a3=-1.02∼-0.45, p < 0.05). Adolescents' sociability decreased when the perceived family resilience of parent-adolescent dyads converged (a4 = 1.36, p < 0.01). CONCLUSION The findings highlighted the importance of considering the discrepancies and congruence of family resilience in the parent-child dyads when developing interventions to improve the psychological adjustment of adolescents with chronic illness. Interventions aimed at strengthening family communication to foster the convergence of perceptions of family resilience in parent-adolescent dyads were warranted.
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Affiliation(s)
- Meijia Chen
- The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China
- School of Nursing, Wenzhou Medical University, University Town, Chashan, Wenzhou, 325035, China
| | - Liya Ren
- School of Nursing, Wenzhou Medical University, University Town, Chashan, Wenzhou, 325035, China
| | - Hao Jiang
- School of Nursing, Wenzhou Medical University, University Town, Chashan, Wenzhou, 325035, China
| | - Yuxin Wang
- School of Nursing, Wenzhou Medical University, University Town, Chashan, Wenzhou, 325035, China
| | - Liping Zhang
- The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
- Clinical Skills Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuan West Road, Wenzhou, 325027, China.
| | - Chaoqun Dong
- Clinical Skills Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuan West Road, Wenzhou, 325027, China.
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Parent-Child Discrepancies in Perceived Parental Emotion Socialization: Associations with Children's Internalizing and Externalizing Problems in Chinese Families. J Youth Adolesc 2023; 52:547-560. [PMID: 36427160 DOI: 10.1007/s10964-022-01711-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 11/09/2022] [Indexed: 11/27/2022]
Abstract
Parental emotion socialization is highly associated with children's internalizing and externalizing problems. However, research on parent-child discrepancies in parental emotion socialization perceptions and their relationship with children's developmental outcomes remains limited. This study explores the relationship between parent-child discrepancies in their reports of parental emotion socialization and children's internalizing/externalizing problems in Chinese families. The participants were 390 children (55% girls, Mage = 11.70 years, SDage = 1.17) and their primary caregivers (68% mother, Mage = 39.52 years, SDage = 5.23). A latent profile analysis identified three profiles of parent-child discrepancies in supportive parental emotion socialization and four profiles in non-supportive parental emotion socialization. Children with more negative perceptions of parental emotion socialization than their parents exhibited the most internalizing and externalizing problems. The parent-child perception difference of the supportive dimension connected to internalizing and externalizing problems, while the perception difference of the non-supportive dimension connected only to internalizing problems. These findings advocate for the conceptualization of perceptions of parent-child discrepancies within family dynamics, which may predict children's developmental outcomes.
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Caqueo-Urízar A, Urzúa A, Villalonga-Olives E, Atencio-Quevedo D, Irarrázaval M, Flores J, Ramírez C. Children’s Mental Health: Discrepancy between Child Self-Reporting and Parental Reporting. Behav Sci (Basel) 2022; 12:bs12100401. [PMID: 36285970 PMCID: PMC9598658 DOI: 10.3390/bs12100401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 10/14/2022] [Accepted: 10/17/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Discrepancies between children’s self-reports and their parents’ reports on mental health indicators are associated with measurement errors or informant bias. However, they are a valuable tool in understanding the course of child psychopathology. This study aims to determine the level of discrepancies between parents’ perceptions and children’s self-reports in mental health indicators in Northern Chile. (2) Methods: A System of Evaluation of Children and Adolescents self-report (Sistema de Evaluación de Niños y Adolescentes, SENA) was responded to by 408 students between 8 and 13 years old and their parents. (3) Results: Children reported a significantly higher frequency of emotional problems, defiant behavior, and executive functions as compared to their parents’ responses. (4) Conclusions: There is a disjunction between the report of parents and children, which could originate in poor family communication.
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Affiliation(s)
- Alejandra Caqueo-Urízar
- Instituto de Alta Investigación, Universidad de Tarapacá, Arica 1000000, Chile
- Correspondence: ; Tel.: +56-58-2-205-079
| | - Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270460, Chile
| | - Ester Villalonga-Olives
- Pharmaceutical Health Services Research Department, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA
| | - Diego Atencio-Quevedo
- Escuela de Psicología y Filosofía, Universidad de Tarapacá, Arica 1000000, Chile
- Centro de Justicia Educacional (CJE), Pontificia Universidad Católica de Chile, Santiago 8940855, Chile
| | - Matías Irarrázaval
- Departamento de Psiquiatría, Facultad de Medicina, Hospital Clínico Universidad de Chile, Santiago 8380453, Chile
- Institute for Depression and Personality Research (MIDAP), Santiago 8380453, Chile
| | - Jerome Flores
- Escuela de Psicología y Filosofía, Universidad de Tarapacá, Arica 1000000, Chile
- Centro de Justicia Educacional (CJE), Pontificia Universidad Católica de Chile, Santiago 8940855, Chile
| | - Cristian Ramírez
- Escuela de Psicología y Filosofía, Universidad de Tarapacá, Arica 1000000, Chile
- Centro de Justicia Educacional (CJE), Pontificia Universidad Católica de Chile, Santiago 8940855, Chile
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Welch TS, Brosi M, Jessell B, Shuler J. Discrepancies in Relationship Satisfaction and the Working Alliance: Application of the Latent Congruence Model. CONTEMPORARY FAMILY THERAPY 2021. [DOI: 10.1007/s10591-021-09608-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Tagliabue S, Zambelli M, Sorgente A, Sommer S, Hoellger C, Buhl HM, Lanz M. Latent Congruence Model to Investigate Similarity and Accuracy in Family Members' Perception: The Challenge of Cross-National and Cross-Informant Measurement (Non)Invariance. Front Psychol 2021; 12:672383. [PMID: 34456789 PMCID: PMC8385144 DOI: 10.3389/fpsyg.2021.672383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 06/29/2021] [Indexed: 02/01/2023] Open
Abstract
Several methods are available to answer questions regarding similarity and accuracy, each of which has specific properties and limitations. This study focuses on the Latent Congruence Model (LCM; Cheung, 2009), because of its capacity to deal with cross-informant measurement invariance issues. Until now, no cross-national applications of LCM are present in the literature, perhaps because of the difficulty to deal with both cross-national and cross-informant measurement issues implied by those models. This study presents a step-by-step procedure to apply LCM to dyadic cross-national research designs controlling for both cross-national and cross-informant measurement invariance. An illustrative example on parent–child support exchanges in Italy and Germany is provided. Findings help to show the different possible scenarios of partial invariance, and a discussion related to how to deal with those scenarios is provided. Future perspectives in the study of parent–child similarity and accuracy in cross-national research will be discussed.
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Affiliation(s)
- Semira Tagliabue
- Department of Psychology, Università Cattolica del Sacro Cuore, Brescia, Italy
| | - Michela Zambelli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Angela Sorgente
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Sabrina Sommer
- Department of Psychology, Paderborn University, Paderborn, Germany
| | | | - Heike M Buhl
- Department of Psychology, Paderborn University, Paderborn, Germany
| | - Margherita Lanz
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
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Exenberger S, Riedl D, Rangaramanujam K, Amirtharaj V, Juen F. A cross-sectional study of mother-child agreement on PTSD symptoms in a south Indian post-tsunami sample. BMC Psychiatry 2019; 19:414. [PMID: 31864344 PMCID: PMC6925879 DOI: 10.1186/s12888-019-2408-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 12/12/2019] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Few studies examine caregiver-child agreement on posttraumatic stress disorder (PTSD) symptoms in non-Western cultures. The present study investigated mother-child agreement for PTSD symptoms in a South Indian sample, which was affected by the Indian Ocean Tsunami in 2004. METHODS Data was collected four years post-disaster. In total, 80 mothers rated PTSD symptoms for their 164 children and gave information about their own trauma symptoms. In addition, the children aged 8 to 17 reported about their own PTSD symptoms. RESULTS Results showed that mother-child agreement on posttraumatic stress symptoms was poor, and a child's age, gender and living situation (fishing village vs. family-based out-of-home care) did not positively influence this concordance. Moreover, mothers' own posttraumatic symptoms were strongly related to maternal reports of the child's PTSD symptoms. Multivariate analyses showed that mothers' PTSD symptoms were the only significant predictor for discrepancies in the rating of the child's PTSD symptoms. That means, if mothers reported clinically relevant PTSD symptoms, the likelihood for disagreement on the child's PTSD ratings more than doubled. Neither age, nor gender nor the living situation had an influence on children's self-rated posttraumatic stress reactions. CONCLUSIONS In general, long-term monitoring of posttraumatic stress symptoms of mothers and children should be planned by relief actions as recovery processes are decelerated through lacking resources in developing countries such as India. Specifically, the assessment of mothers' trauma symptoms is inevitable because the mothers' own responses to disaster highly influence their assessment of their children's symptoms. Mother-child agreement is discussed against the background of socio-cultural aspects.
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Affiliation(s)
- Silvia Exenberger
- Department of Medical Psychology, Medical University of Innsbruck, Speckbacherstr, 23/3, 6020, Innsbruck, Austria.
| | - David Riedl
- 0000 0000 8853 2677grid.5361.1Department of Medical Psychology, Medical University of Innsbruck, Speckbacherstr, 23/3, 6020 Innsbruck, Austria
| | - Kumuthavalli Rangaramanujam
- 0000 0001 2152 9956grid.412517.4Department of Social Work, Pondicherry University, Pondicherry, 605014 India
| | - Vijai Amirtharaj
- 0000 0001 2152 9956grid.412517.4Department of Social Work, Pondicherry University, Pondicherry, 605014 India
| | - Florian Juen
- 0000 0001 2151 8122grid.5771.4Department of Psychology, University of Innsbruck, Bruno-Sander-Haus, Innrain 52f, 6020 Innsbruck, Austria
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Pérez JC, Coo S, Irarrázaval M. Is maternal depression related to mother and adolescent reports of family functioning? J Adolesc 2018; 63:129-141. [DOI: 10.1016/j.adolescence.2017.12.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Revised: 11/29/2017] [Accepted: 12/21/2017] [Indexed: 11/27/2022]
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Parent-Adolescent Discrepancies in Reports of Parenting and Adolescent Outcomes in Mexican Immigrant Families. J Youth Adolesc 2017; 47:430-444. [PMID: 28689348 DOI: 10.1007/s10964-017-0717-1] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Accepted: 06/24/2017] [Indexed: 10/19/2022]
Abstract
Parents and adolescents often have discrepant views of parenting which pose challenges for researchers regarding how to deal with information from multiple informants. Although recent studies indicate that parent-adolescent discrepancies in reports of parenting can be useful in predicting adolescent outcomes, their findings are mixed regarding whether discrepancies relate to more positive or more negative adolescent outcomes. This study examined the longitudinal implications of parent-adolescent discrepancies in reports of parenting (warmth, monitoring, and reasoning) on adolescent behavioral, psychological, academic, and physical health outcomes among Mexican immigrant families in the United States. Participants were 604 adolescents (54% female, M age.wave1 = 12.41 years) and their parents. Taking a person-centered approach, this study identified distinct patterns of parent-adolescent discrepancies in parenting and their different associations with later adolescent outcomes. Adolescents' more negative perceptions of parenting relative to parents were associated with more negative adolescent outcomes, whereas adolescents' more positive perceptions relative to parents related to more positive adolescent outcomes. There were also variations in discrepancy patterns and their associations with adolescent outcomes between mother-adolescent vs. father-adolescent dyads. Findings of the current study highlight individual variations of discrepancies among parent-adolescent dyads and the importance of considering both the magnitude and direction of discrepancies regarding their associations with adolescent well-being.
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