How-to parenting program: A randomized controlled trial evaluating its impact on parenting

The Relationship Between Perceived Parenting Practices and Anxiety in Adults With Congenital Heart Disease

BACKGROUND

Patients with congenital heart disease (CHD) and their parents face challenges throughout their lives that can lead to anxiety lasting into adulthood. We aim to assess the association between perceived parenting practices and anxiety beyond paediatric medical-surgical histories in adults with CHD.

METHODS

A cross-sectional study of adults with CHD was conducted at the Montreal Heart Institute (MHI). Perception of parental practices during childhood was retrospectively assessed with the use of validated self-report questionnaires, and anxiety in adulthood was assessed with the use of the Hospital Anxiety and Depression Scale. Sociodemographic and medical information were collected from a questionnaire and medical records. Hierarchic multiple linear regression was conducted.

RESULTS

Of the 223 participants, the mean age was 46 ± 14 years and 59% were female. Perceived parenting practices explained more variance (11%) in the anxiety score than paediatric medical-surgical history (2%). In our final model, anxiety was significantly associated with age, parental history of anxiety, and positive parenting practices, but not with overprotection.

CONCLUSIONS

Parenting practices are associated with anxiety in adults with CHD beyond paediatric medical-surgical history and sociodemographic. Positive parenting practices may be protective against anxiety in adulthood. Longitudinal studies are needed to determine causality.

Balancing listening and action is key to supportive parenting

Parents convey high-quality listening when they pay close attention and show acceptance and comprehension of what their child expresses. These behaviors are fundamental to supporting closeness and autonomy, increasing well-being, and fostering future self-disclosures. Whether and how parental listening is balanced with action may depend on the domain of interaction. When children and parents are exploring each other's perspectives or sharing, and when children are seeking comfort for worries or sadness (attachment), listening dominates. When parents are called to discipline or keep safe, listening helps inform parents' actions, but may need to be curtailed to ensure effective action. Models of parental listening and action represent a next step in the literature and inform research in self-determination theory and perceived parent responsiveness.