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Solvi AS, Råbu M, Røseth I. "You think lots of love will heal the child, but it requires a lifetime of patience". Foster parents' intrapersonal and interpersonal struggles. CHILD ABUSE & NEGLECT 2024; 154:106947. [PMID: 39018750 DOI: 10.1016/j.chiabu.2024.106947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 07/01/2024] [Accepted: 07/13/2024] [Indexed: 07/19/2024]
Abstract
BACKGROUND Foster parents can be placed under significant demands when caring for foster children with extensive needs. Coming to terms with the challenges they have to face can be a daunting prospect. To examine foster parents' experiences is vital with a view to enhancing their resilience amid sustained demands and improving the professional support offered to them. OBJECTIVE This study explores foster parents' lived experience of caring for foster children with mental illness and attachment difficulties. PARTICIPANTS AND SETTINGS Twenty-two foster parents, caring for foster children aged 2-17, were recruited from a mental health clinic providing assessment and treatment to children. METHODS In this qualitative study, in-depth interviews were conducted and analyzed using a descriptive phenomenological psychological approach. RESULTS Our analysis revealed four interrelated constituents describing the foster parents' experiences: 1) Wanting to help a child, 2) Adjustments were harder than expected, 3) Sacrifices and suppression of needs, and 4) Commitment and love mixed with ambivalence. CONCLUSION The findings highlight that being a foster parent for children with mental illness and attachment difficulties demands heightened patience, knowledge and understanding. It also involves a substantial emotional investment. This underscores the importance of addressing feelings of love, shame, and guilt in this context. Balancing the needs of the foster child with the well-being of the foster family can be challenging. Foster parents may need extensive support from professionals who are familiar with their unique circumstances to increase their feeling of self-efficacy and reduce ambivalent feelings regarding their role as caregivers.
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Affiliation(s)
- Anette S Solvi
- Department of Child and Adolescent Mental Health Care, Telemark Hospital Trust, Skien, Norway; Department of Psychology, University of Oslo, Norway.
| | - Marit Råbu
- Department of Psychology, University of Oslo, Norway.
| | - Idun Røseth
- Department of Child and Adolescent Mental Health Care, Telemark Hospital Trust, Skien, Norway; Department of Psychosocial Health, University of Agder, Kristiansand, Norway.
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Allen V, Mahieu A, Kasireddy E, Shouman W, Pourrahmat MM, Collet JP, Cherkas A. Humanistic burden of pediatric type 1 diabetes on children and informal caregivers: systematic literature reviews. Diabetol Metab Syndr 2024; 16:73. [PMID: 38515123 PMCID: PMC10956250 DOI: 10.1186/s13098-024-01310-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Accepted: 03/09/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Diagnosis of children with type 1 diabetes (T1D) imposes an unprecedented burden on children and their caregivers. OBJECTIVE To assess the burden of T1D on children and their informal caregivers, both after a recent diagnosis or after a longer duration of disease. METHODS A series of systematic literature reviews were performed to explore the burden of T1D on children with the disease and their primary informal caregivers, based on the time of diagnosis. After the extraction of the qualitative and quantitative data from the included studies, two literature-based conceptual frameworks were developed: on the burden of pediatric T1D on children, and on informal caregivers. A third conceptual framework on the shared burden of pediatric T1D on both children and informal caregivers as part of the same family unit was also developed. RESULTS The review of literature has identified a series of factors that affect the quality of life of children with T1D and their informal caregivers, with a direct impact on physical, emotional, and social outcomes. Generally, female patients and older adolescents experience more worry and stress that affects their quality of life. Other categories of factors affecting the child's and caregiver's burden include social, emotional, and physical factors, treatment-related and disease-related factors, as well as their coping abilities. Anxiety, depression, stress, and worry were commonly found among children and caregivers, starting with the diagnosis of T1D and continuing over time in relation to new challenges pertaining to aging or the disease duration. CONCLUSION T1D causes a significant burden to affected children and their caregivers, both independently and through transactional interaction within the family unit. Disease burden can be reduced by strengthening individuals for the benefit of the whole family.
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Affiliation(s)
| | | | | | - Walid Shouman
- Evidinno Outcomes Research Inc., Vancouver, BC, Canada
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Sabah A, Aljaberi MA, Lee KH, Lin CY. Psychometric Properties of the Perceived Collective Family Efficacy Scale in Algeria. Healthcare (Basel) 2023; 11:2691. [PMID: 37830728 PMCID: PMC10572840 DOI: 10.3390/healthcare11192691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 09/20/2023] [Accepted: 09/27/2023] [Indexed: 10/14/2023] Open
Abstract
The Perceived Collective Family Efficacy Scale is a tool utilized to assess the effectiveness of a family as a functioning system. The scale has a single-factor structure with good validity and reliability. However, there is a shortage of psychometric evidence of the scale in an Arab context. This study aimed to assess the psychometric properties of the Perceived Collective Family Efficacy Scale among Algerian students. A cross-sectional study was conducted to recruit 300 students from Algerian universities. The students completed the 20-item Perceived Collective Family Efficacy Scale, Arabic version, to measure their beliefs regarding collective efficacy within families. Confirmatory factor analysis (CFA) and the Rasch model were employed to assess the psychometric properties and unidimensionality of the scale. Both CFA and Rasch findings supported the single-factor structure for the Perceived Collective Family Efficacy Scale. Specifically, the CFA indicated that the data aligned with a one-dimensional model. The Rasch analysis revealed favorable indicators of unidimensionality for the scale. Moreover, a thorough examination of the Principal Component Analysis of the Rasch residuals confirmed the existence of a single dimension, which is consistent with the original structure of the Perceived Collective Family Efficacy Scale. These findings provide scientific evidence for the validity and unidimensional nature of the Perceived Collective Family Efficacy Scale. Specifically, the satisfactory psychometric properties findings indicate that the Perceived Collective Family Efficacy Scale could be applied in an Arab context (i.e., in Algerian). The scale's unidimensional structure underscores its effectiveness in measuring beliefs in collective efficacy within families. These results enhance our understanding of family dynamics and provide a reliable measurement tool for assessing family efficacy in similar cultural contexts.
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Affiliation(s)
- Aiche Sabah
- Faculty of Human and Social Sciences, Hassiba Benbouali University of Chlef, Chlef 02076, Algeria
| | | | - Kuo-Hsin Lee
- Department of Emergency Medicine, E-Da Dachang Hospital, I-Shou University, Kaohsiung 824, Taiwan
- School of Medicine, College of Medicine, I-Shou University, No. 8, Yi-Da Road, Jiao-Su Village, Yan-Chao District, Kaohsiung 824, Taiwan
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan;
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Daks JS, Peltz JS, Rogge RD. The impact of psychological flexibility on family dynamics amidst the COVID-19 pandemic: A longitudinal perspective. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2022; 26:97-113. [PMID: 36105870 PMCID: PMC9461241 DOI: 10.1016/j.jcbs.2022.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 08/29/2022] [Accepted: 08/30/2022] [Indexed: 12/01/2022]
Abstract
Background Health risks associated with contracting COVID-19, stay-at-home orders, and pandemic-related economic and social hardships created unique challenges for individuals throughout the pandemic, and in particular for families whose daily routines were disrupted at the start of the pandemic. This study applied a contextual behavioral science lens to Family Systems Theory to examine the impact of COVID-19 stressors on family and individual functioning. Methods A sample of 742 coparents (86% married/engaged; 84% Caucasian; 71% female; M = 40.7 years old, SD = 8.1; M income = $82,435, SD income = $27,604) of school-aged children (5-18 years old) completed a baseline survey from late March to late April 2020. Of the initial sample, 556 coparents completed weekly diaries for 8 weeks. Results Mediation models were tested within a multilevel path modeling framework to evaluate both the stable, between-family differences (i.e., at level 2) and the within-family changes from week to week (i.e., at level 1). Across both levels of the model, parent psychological inflexibility was robustly linked to poorer functioning across all levels of the family system, showing direct links to a majority of the processes assessed. The results further supported a top-down spillover cascade in which parent inflexibility was proximally linked to greater COVID-19 related stress and parent depressive symptoms, which were proximally linked to poorer romantic functioning (greater negative conflict, lower satisfaction), which were proximally linked to poorer family functioning (greater coparent discord and family chaos), which were proximally linked to poorer parenting (greater angry/reactive parenting), which was proximally linked to greater child distress. Multi-group models suggested that the results were largely stable across (1) parent race (white vs non-white), (2) family size (1 child vs 2 or more), (3) child age (less than 10 years old vs 10 or older), (4) parent age (under 40 vs. 40 or older), (5) perceived COVID-19 risk, (6) parent gender (mothers vs fathers), (7) household income groups (less than $100k vs $100k or more), and (8) perceived economic stress/uncertainty (low vs high). However, a handful of moderated effects emerged from those multi-group models suggesting that fathers might be slightly more prone to negative spillover effects across the family systems and that wealthier families might have experienced the stress of new demands (e.g., homeschooling, remote working) as more disruptive. Conclusions Results highlight the crucial role parental psychological flexibility and inflexibility play in families managing the stress of COVID-19, as well as key mechanisms for how those stressors may either reverberate or become dampened throughout the family system.
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Ragni B, Barni D, Bevilacqua F, Aite L, Bucci S, Gentile S, Grimaldi Capitello T, De Stasio S. Post-partum depressive dimensions, co-parenting, infants’ health, and sleep quality: how are they related in the first year postpartum? CHILDRENS HEALTH CARE 2022. [DOI: 10.1080/02739615.2022.2110496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
| | - Daniela Barni
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | | | - Lucia Aite
- Unit of Clinical Psychology, Bambino Gesù Children’s Hospital, Rome, Italy
| | - Silvia Bucci
- Unit of Clinical Psychology, Bambino Gesù Children’s Hospital, Rome, Italy
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6
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Wong RS, Tung KTS, Li X, Chui CS, Tso WWY, Lee TMC, Chan KL, Wing YK, Fu KW, Wong ICK, lp P. Examining family pre-pandemic influences on adolescent psychosocial wellbeing during the COVID-19 pandemic. CURRENT PSYCHOLOGY 2022:1-11. [PMID: 35095244 PMCID: PMC8783174 DOI: 10.1007/s12144-022-02736-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2022] [Indexed: 11/21/2022]
Abstract
During the COVID-19 lockdown, with social distancing measures in place and a decrease in social activities, emotional states are more likely to be transferred between family members via increased interactions and communication. However, longitudinal evidence, particularly for early adolescents, is lacking. This study investigated family pre-pandemic influences on parental stress and adolescent psychosocial wellbeing during the COVID-19 pandemic. Data were collected from 233 adolescents and their parents before and during the initial phase of the pandemic. Parents reported their own stress level and perception of adolescent adjustment problems, whereas adolescents reported their own psychological distress level. In addition, adolescents also reported their satisfaction with family life in the pre-pandemic survey. Cross-lagged path models indicated reciprocal associations between parental stress and perception of adolescent adjustment problems. Compared to adolescents low in pre-pandemic family life satisfaction, those adolescents with higher levels of family life satisfaction before the pandemic reported lower levels of anxiety and stress only when parental stress showed no increase during the pandemic. Findings provide support for the mutual influences between parental stress and perceived adolescent adjustment problems during the pandemic. Special attention should be paid to those adolescents who undergo significant family life changes during the pandemic.
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Affiliation(s)
- Rosa S. Wong
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
| | - Keith T. S. Tung
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
| | - Xue Li
- Department of Medicine, The University of Hong Kong, Hong Kong SAR, China
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
| | - Celine S. Chui
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
| | - Winnie W. Y. Tso
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, China
| | - Tatia M. C. Lee
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, China
- Laboratory of Neuropsychology, The University of Hong Kong, Hong Kong SAR, China
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Yun K. Wing
- Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - King Wa Fu
- Journalism and Media Studies Centre, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Ian C. K. Wong
- Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China
- Research Department of Practice and Policy, UCL School of Pharmacy, London, UK
| | - Patrick lp
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
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Pollard AE, Rogge RD. Love in the Time of COVID-19: A Multi-Wave Study Examining the Salience of Sexual and Relationship Health During the COVID-19 Pandemic. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:247-271. [PMID: 35083594 PMCID: PMC8791703 DOI: 10.1007/s10508-021-02208-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 10/15/2021] [Accepted: 10/25/2021] [Indexed: 06/02/2023]
Abstract
The current study used Family Systems Theory as a framework to clarify the impact of the COVID-19 pandemic on sexual, romantic, and individual functioning. Specifically, sexual and romantic functioning were modeled as key mechanisms linking COVID-19 related stressors (as predictors) to aspects of individual functioning over time (as outcomes). A sample of 1,241 sexually active adults in relationships (47% married/engaged) was recruited from March 5 to May 5, 2020: 82% White, 66% women, M = 34 years old, 58% heterosexual. All participants completed a baseline survey and 642 participants completed at least one of the six, monthly, follow-up surveys. Multilevel SEM models evaluated the model both at the level of stable between-person differences (i.e., level 2) and at the level of within-person change across time (i.e., level 1). The findings suggested that COVID-19 related stress was predictive of lower sexual, romantic, and individual functioning in both levels of the model. Significant indirect paths supported the proposed mediation at the level of within-person change across time: elevations in COVID-19 stress within specific months predicted corresponding drops in sexual functioning, which in turn predicted corresponding drops in romantic functioning, which in turn predicted corresponding drops in individual well-being (highlighting points of intervention). In contrast, at the level of between-person differences, stable levels of sexual and relationship satisfaction across the 6 months of the study were not associated with stable levels of COVID-19 stressors (representing sources of resilience that promoted well-being) and stable levels of stress from social isolation predicted stably higher amounts of communicating affection to one's loved ones (suggesting a need for affiliation in the face of chronic stress) whereas stable difficulties with orgasms were linked to stable irritability toward partners and depressive symptoms. Multigroup analyses suggested that the findings generalized across gender, age, race/ethnicity, sexual orientation, relationship stage, and cohabitation groups. Spillover effects within a Family Systems Theory framework clarify how upheaval of the COVID-19 pandemic could have impacted sexual, romantic, and individual functioning in a process-oriented framework, highlighting sources of resilience (sexual satisfaction, communicating affection) and risk (orgasm difficulties).
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Affiliation(s)
- Agnieszka E Pollard
- Department of Psychology, University of Rochester, 462 Meliora Hall; RC Box 270266, Rochester, NY, 14627-0266, USA
| | - Ronald D Rogge
- Department of Psychology, University of Rochester, 462 Meliora Hall; RC Box 270266, Rochester, NY, 14627-0266, USA.
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A Systematic Review on Foster Parents' Psychological Adjustment and Parenting Style-An Evaluation of Foster Parents and Foster Children Variables. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010916. [PMID: 34682659 PMCID: PMC8535523 DOI: 10.3390/ijerph182010916] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 10/04/2021] [Accepted: 10/14/2021] [Indexed: 01/04/2023]
Abstract
The current systematic review aimed to evaluate the variables influencing foster parents’ parenting stress, distress and parenting style, thereby supporting their adjustment and well-being as well as that of foster children. A PRISMA-guided search was conducted in three databases. Observational studies examining parenting stress, parenting distress (subsuming anxiety, depression and stress symptoms) and parenting style—all assessed through validated tools—were considered. A total of 16 studies were included, comprising N = 1794 non-relative foster parents (age range = 30–67 years). Results showed heightened parenting stress over time, both overall and compared to parents at large. Neither foster parents’ nor foster children’s socio-demographic characteristics significantly contributed to the increase in parenting stress; yet child-related stress and children’s externalizing problems were its main predictors. Foster parents’ couple cooperation was associated with reduced parenting stress. Moreover, the authoritative parenting style was associated with parental warmth, while the authoritarian style was associated with foster parents’ greater perceived burden, greater criticism and rejection toward the foster child. Evidence supports the mutual influence between foster parents and children. Foster care services should support foster parents’ needs within a concentric modular system, to ultimately provide better care for both foster parents and children.
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Peltz J, Rogge R. Adolescent and parent sleep quality mediates the impact of family processes on family members' psychological distress. Sleep Health 2021; 8:73-81. [PMID: 34625392 DOI: 10.1016/j.sleh.2021.08.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 08/16/2021] [Accepted: 08/26/2021] [Indexed: 01/18/2023]
Abstract
OBJECTIVE To examine the role of adolescents' and their parents' sleep quality as mediators of family-level processes and family members' psychological distress (ie, anxiety/depressive symptoms). DESIGN Short-term prospective design with an initial survey followed by a 7-day twice-daily (morning and evening) diary. SETTING Online survey for high school students and their parents across the United States. PARTICIPANTS A total of 193 adolescent (Mage = 15.7 years old, standard deviation = 0.94; 54.4% female) and parent (Mage = 47.6 years old, standard deviation = 5.4; 80% female) dyads. MEASUREMENT In the initial survey, adolescents reported on family dysfunction, parent-child relationship quality, and parents reported on their own romantic relationship satisfaction. Both adolescents and parents reported their daily levels of sleep quality (morning diaries) and their psychological distress (evening diaries) for 7 days. RESULTS At the level of between-family differences, parents' sleep quality mediated the association between their baseline reports of romantic relationship satisfaction and daily levels of psychological distress. In addition, adolescents' sleep quality mediated the association between family-level dysfunction and their own psychological distress. After controlling for between-family associations, spikes in parents' and/or adolescents' sleep quality on specific mornings predicted corresponding drops in parents' evening reports of psychological distress on those same days. Finally, parents' and adolescents' sleep quality demonstrated significant levels of concordance across the 7 days of the daily diary. CONCLUSIONS Findings underscore the dynamic and tightly related processes within the family system and the important role that sleep plays in linking them with family members' psychological distress.
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Affiliation(s)
- Jack Peltz
- Daemen College Psychology, Amherst, New York, USA.
| | - Ronald Rogge
- University of Rochester, Department of Psychology, Rochester, NY, USA.
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Gao D, Liu J, Bullock A, Li D, Chen X. Transactional models linking maternal authoritative parenting, child self-esteem, and approach coping strategies. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 2021. [DOI: 10.1016/j.appdev.2021.101262] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Examining the correlates of psychological flexibility in romantic relationship and family dynamics: A meta-analysis. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2020. [DOI: 10.1016/j.jcbs.2020.09.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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12
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Phan JM, Van Hulle CA, Shirtcliff EA, Schmidt NL, Goldsmith HH. Longitudinal effects of family psychopathology and stress on pubertal maturation and hormone coupling in adolescent twins. Dev Psychobiol 2020; 63:512-528. [PMID: 32862448 DOI: 10.1002/dev.22028] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2019] [Revised: 07/11/2020] [Accepted: 08/04/2020] [Indexed: 01/06/2023]
Abstract
Adolescents experience profound neuroendocrine changes, including hormone "coupling" between cortisol, testosterone, and dehydroepiandrosterone. Emerging research has only begun to elucidate the role of hormone coupling, its genetic and environmental etiology, and the extent to which coupling is impacted by gender, puberty, and family context. We included measures on parent and child mental health, parenting stress, and family conflict of 444 twin pairs and their parents across two timepoints, when youth were on average 8 and 13 years old, respectively. Structural equation models examined the impact of family context effects on coupling during adolescence. Biometric twin models were then used to probe additive genetic, shared, and non-shared environmental effects on hormone coupling. Hormones were more tightly coupled for females than males, and coupling was sensitive to parental depression and co-twin psychopathology symptoms and stress exposure in females. The association between family context and coupling varied across specific neuroendocrine measures and was largely distinct from pubertal maturation. Biometric models revealed robust shared and non-shared environmental influences on coupling. We found that family antecedents modify the strength of coupling. Environmental influences account for much of the variation on coupling during puberty. Gender differences were found in genetic influences on coupling.
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Affiliation(s)
- Jenny M Phan
- Department of Human Development and Family Studies, Iowa State University, Ames, IA, USA.,Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Elizabeth A Shirtcliff
- Department of Human Development and Family Studies, Iowa State University, Ames, IA, USA
| | - Nicole L Schmidt
- Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | - H Hill Goldsmith
- Waisman Center, University of Wisconsin-Madison, Madison, WI, USA.,Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
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Stapp EK, Mendelson T, Merikangas KR, Wilcox HC. Parental bipolar disorder, family environment, and offspring psychiatric disorders: A systematic review. J Affect Disord 2020; 268:69-81. [PMID: 32158009 PMCID: PMC7175999 DOI: 10.1016/j.jad.2020.03.005] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Revised: 01/27/2020] [Accepted: 03/02/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Our objective was to systematically review non-experimental studies of parental bipolar disorder (BD), current family environment, and offspring psychiatric disorders to identify characteristics of family environment associated with parental BD and risk for offspring psychiatric disorders. METHODS CINAHL, Embase, PsycINFO, and PubMed were searched using MeSH terms to identify studies on offspring of BD parents published through September 2017. We followed PRISMA guidelines and used the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS). We calculated prevalence ratios and 95% confidence intervals to compare offspring psychiatric disorders within and across studies. RESULTS Of 10,454 unique documents retrieved, we included 13 studies. The most consistent finding was lower parent-reported cohesion in families with a BD parent versus no parental psychiatric disorders. Family environment did not differ between BD parents and parents with other disorders. Offspring of BD parents had higher prevalence of psychiatric disorders than offspring of parents without psychiatric disorders but did not differ from offspring of parents with other disorders. Families with a BD child had higher conflict than families without a BD child. LIMITATIONS Comparisons between studies were qualitative. A single reviewer conducted screening, data extraction, and bias assessment. CONCLUSIONS Family environment in families with a BD parent is heterogeneous. The pattern of findings across studies also suggests that family problems may be associated with parental psychiatric illness generally rather than parental BD in particular. Few studies included offspring-reported measures. Given the association of family conflict with offspring mood disorders, further study is merited on children's perceptions of the family environment in the BD high-risk context.
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Affiliation(s)
- Emma K Stapp
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Genetic Epidemiology Branch, Intramural Research Program, National Institute of Mental Health, Bethesda, MD, USA.
| | - Tamar Mendelson
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Kathleen R Merikangas
- Genetic Epidemiology Branch, Intramural Research Program, National Institute of Mental Health, Bethesda, MD, USA
| | - Holly C Wilcox
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Predictive Factors of Toddlers' Sleep and Parental Stress. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072494. [PMID: 32268482 PMCID: PMC7177928 DOI: 10.3390/ijerph17072494] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 03/30/2020] [Accepted: 03/31/2020] [Indexed: 11/24/2022]
Abstract
Background: Although most infants consolidate their sleep habits during the first year of life, for many children, sleep is described as disrupted during toddlerhood. Along with individual child variables such as temperamental characteristics, parenting behaviors play a key role in determining children’s sleep–wake patterns. The aims of the current study were to evaluate the relationship among toddlers’ sleep quality, emotion regulation, bedtime routines, parental bedtime involvement, parental perceived social support and stress, and to integrate a novel combination of the aforementioned dimensions into predictive models of toddlers’ sleep quality and parental stress. Methods: One hundred and sixty parents with 2–3-year-old children filled out the following self-report questionnaires: the Parent–Child Sleep Interaction Scale; the Emotion Regulation Checklist; the Social Provisions Scale; and an ad-hoc questionnaire to assess parental involvement in everyday and bedtime care for children. Three multiple regression analyses were conducted by regressing maternal and paternal parenting stress and infant’s quality sleep onto the independent variables described above. Results: Toddlers’ emotion regulation and parental psychosocial functioning were related to parental stress. Toddlers’ night awakenings and the time required by toddlers to fall asleep were related to parental distress. Conclusions: The findings evidenced the bidirectional associations among the studied variables, highlighting the protective role of social support in reducing parenting stress and of paternal bedtime involvement in improving toddlers’ sleep quality.
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Stapp EK, Musci RJ, Fullerton JM, Glowinski AL, McInnis M, Mitchell PB, Hulvershorn LA, Ghaziuddin N, Roberts GM, Merikangas KR, Nurnberger JI, Wilcox HC. Patterns and predictors of family environment among adolescents at high and low risk for familial bipolar disorder. J Psychiatr Res 2019; 114:153-160. [PMID: 31078786 PMCID: PMC6546513 DOI: 10.1016/j.jpsychires.2019.05.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 04/10/2019] [Accepted: 05/02/2019] [Indexed: 01/31/2023]
Abstract
Children's perceptions are important to understanding family environment in the bipolar disorder (BD) high-risk context. Our objectives were to empirically derive patterns of offspring-perceived family environment, and to test the association of family environment with maternal or paternal BD accounting for offspring BD and demographic characteristics. Participants aged 12-21 years (266 offspring of a parent with BD, 175 offspring of a parent with no psychiatric history) were recruited in the US and Australia. We modeled family environment using latent profile analysis based on offspring reports on the Conflict Behavior Questionnaire, Family Adaptability and Cohesion Evaluation Scales, and Home Environment Interview for Children. Parent diagnoses were based on the Diagnostic Interview for Genetic Studies and offspring diagnoses were based on the Schedule for Affective Disorders and Schizophrenia for School-Aged Children. Latent class regression was used to test associations of diagnosis and family environment. Two-thirds of all offspring perceived well-functioning family environment, characterized by nurturance, flexibility, and low conflict. Two 'conflict classes' perceived family environments low in flexibility and cohesion, with substantial separation based on high conflict with the father (High Paternal Conflict), or very high conflict and rigidity and low warmth with the mother (High Maternal Conflict). Maternal BD was associated with offspring perceiving High Maternal Conflict (OR 2.8, p = 0.025). Clinical care and psychosocial supports for mothers with BD should address family functioning, with attention to offspring perceptions of their wellbeing. More research is needed on the effect of paternal BD on offspring and family dynamics.
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Affiliation(s)
- Emma K. Stapp
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA,National Institute of Mental Health, Bethesda, MD, USA
| | | | - Janice M. Fullerton
- Neuroscience Research Australia, Randwick, Sydney, NSW, Australia & School of Medical Sciences, University of New South Wales, Sydney, NSW, Australia
| | - Anne L. Glowinski
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO
| | - Melvin McInnis
- Department of Psychiatry and Depression Center, University of Michigan, Ann Arbor, MI
| | - Philip B. Mitchell
- School of Psychiatry, University of New South Wales, Sydney, NSW, Australia and Black Dog Institute, Sydney, NSW, Australia
| | - Leslie A. Hulvershorn
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Neera Ghaziuddin
- Department of Psychiatry and Depression Center, University of Michigan, Ann Arbor, MI
| | - Gloria M.P. Roberts
- School of Psychiatry, University of New South Wales, Sydney, NSW, Australia and Black Dog Institute, Sydney, NSW, Australia
| | | | - John I. Nurnberger
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA,Stark Neurosciences Research Institute, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Holly C. Wilcox
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA,Johns Hopkins School of Medicine, Baltimore, MD, USA
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Tomaz RVV, Santos VDA, Silva de Avó LRD, Germano CMR, Melo DG. [Impact of moderate intellectual disability on the dynamics and quality of family life: a qualitative clinical study]. CAD SAUDE PUBLICA 2017; 33:e00096016. [PMID: 29166480 DOI: 10.1590/0102-311x00096016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Accepted: 03/08/2017] [Indexed: 11/21/2022] Open
Abstract
This qualitative clinical study investigated the impact of moderate intellectual disability on family dynamics and quality of life. The data were collected using individual interviews with 15 mothers of children with intellectual disabilities, as a convenience sample, and examined with categorical thematic content analysis. The results were discussed using a comprehensive and interpretative approach. Analysis of the interviews showed that care for children with intellectual disabilities is centered on the mother, contributing to the change in family relations. Religious coping appeared as a common strategy for adjusting. Children with intellectual disabilities had less access to services and support than they needed in the areas of health, education, and leisure. Financial constraints and difficulties in community living had a negative impact on the quality of family life. Emotional and psychological support for all the family members, and practical and social support, including income distribution and access to adequate services, proved essential for the well-being of children with intellectual disabilities and their families.
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Affiliation(s)
| | | | | | | | - Débora Gusmão Melo
- Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, Brasil
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Brock RL, Kochanska G. Decline in the Quality of Family Relationships Predicts Escalation in Children's Internalizing Symptoms from Middle to Late Childhood. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2016; 43:1295-308. [PMID: 25790794 DOI: 10.1007/s10802-015-0008-9] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
An integration of family systems perspectives with developmental psychopathology provides a framework for examining the complex interplay between family processes and developmental trajectories of child psychopathology over time. In a community sample of 98 families, we investigated the evolution of family relationships, across multiple subsystems of the family (i.e., interparental, mother-child, father-child), and the impact of these changing family dynamics on developmental trajectories of child internalizing symptoms over 6 years, from preschool age to pre-adolescence. Parent-child relationship quality was observed during lengthy sessions, consisting of multiple naturalistic, carefully scripted contexts. Each parent completed reports about interparental relationship satisfaction and child internalizing symptoms. To the extent that mothers experienced a steeper decline in interparental relationship satisfaction over time, children developed internalizing symptoms at a faster rate. Further, symptoms escalated at a faster rate to the extent that negative mother-child relationship quality increased (more negative affect expressed by both mother and child, greater maternal power assertion) and positive mother-child relationship quality decreased (less positive affect expressed by both mother and child, less warmth and positive reciprocity). Time-lagged growth curve analyses established temporal precedence such that decline in family relationships preceded escalation in child internalizing symptoms. Results suggest that family dysfunction, across multiple subsystems, represents a driving force in the progression of child internalizing symptoms.
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Affiliation(s)
- Rebecca L Brock
- Department of Psychology, The University of Iowa, 11 Seashore Hall East, Iowa City, IA, 52242-1407, USA,
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18
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Bamberger KT. The Application of Intensive Longitudinal Methods to Investigate Change: Stimulating the Field of Applied Family Research. Clin Child Fam Psychol Rev 2016; 19:21-38. [PMID: 26541560 PMCID: PMC4755853 DOI: 10.1007/s10567-015-0194-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The use of intensive longitudinal methods (ILM)-rapid in situ assessment at micro timescales-can be overlaid on RCTs and other study designs in applied family research. Particularly, when done as part of a multiple timescale design-in bursts over macro timescales-ILM can advance the study of the mechanisms and effects of family interventions and processes of family change. ILM confers measurement benefits in accurately assessing momentary and variable experiences and captures fine-grained dynamic pictures of time-ordered processes. Thus, ILM allows opportunities to investigate new research questions about intervention effects on within-subject (i.e., within-person, within-family) variability (i.e., dynamic constructs) and about the time-ordered change process that interventions induce in families and family members beginning with the first intervention session. This paper discusses the need and rationale for applying ILM to family intervention evaluation, new research questions that can be addressed with ILM, example research using ILM in the related fields of basic family research and the evaluation of individual-based interventions. Finally, the paper touches on practical challenges and considerations associated with ILM and points readers to resources for the application of ILM.
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Affiliation(s)
- Katharine T Bamberger
- Department of Human Development and Family Studies, Bennett Pierce Prevention Research Center, Pennsylvania State University, 119 Health and Human Development Building, University Park, PA, 16802, USA.
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Gurdal S, Lansford JE, Sorbring E. Parental perceptions of children´s agency: Parental warmth, school achievement and adjustment. EARLY CHILD DEVELOPMENT AND CARE 2015; 186:1203-1211. [PMID: 27570362 PMCID: PMC4999070 DOI: 10.1080/03004430.2015.1083559] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND The present study examined Swedish mothers' and fathers' warmth towards their children in relation to their children´s agency. It also examined the longitudinal relation between agency and children's externalizing, internalizing, and school achievement. METHODS Swedish children's mothers and fathers (N = 103) were interviewed at three time points (when children were 8, 9, and 10 years old) about their warmth towards their children, children's agency, and children's externalizing and internalizing behaviors and school achievement. RESULTS Parental warmth at Time 1 was significantly correlated with child agency at Time 2, which was significantly correlated with child externalizing and internalizing behaviors and academic achievement at Time 3. There were no differences between girls and boys. CONCLUSIONS Results from this study indicate that Swedish parents' warmth is directly related to subsequent perceptions of children's agency, which in turn are related to subsequently lower child externalizing and internalizing problems and higher academic achievement. These findings held in the context of a three-year longitudinal study and for both boys and girls, suggesting the importance of child agency in the link between parental warmth and children's adjustment.
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Affiliation(s)
- Sevtap Gurdal
- Centre for child and youth studies, University West, S - 461 86 Trollhättan, Sweden.
| | - Jennifer E Lansford
- Center for Child and Family Policy, Duke University, Box 90545, Durham, NC 27708.
| | - Emma Sorbring
- Centre for child and youth studies, University West, S-461 86 Trollhättan, Sweden.
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20
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Paschall KW, Gonzalez H, Mortensen JA, Barnett MA, Mastergeorge AM. Children's negative emotionality moderates influence of parenting styles on preschool classroom adjustment. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 2015. [DOI: 10.1016/j.appdev.2015.04.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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21
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Family Conflict, Emotional Security, and Child Development: Translating Research Findings into a Prevention Program for Community Families. Clin Child Fam Psychol Rev 2012; 15:14-27. [DOI: 10.1007/s10567-012-0112-0] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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22
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Fiese BH, Jones BL. Food and family: a socio-ecological perspective for child development. ADVANCES IN CHILD DEVELOPMENT AND BEHAVIOR 2012; 42:307-37. [PMID: 22675910 DOI: 10.1016/b978-0-12-394388-0.00009-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Using an ecological framework (Bronfenbrenner, 1979), and the specific concepts outlined in the "Six-C's Model" of contributors to child overweight and obesity by Harrison et al. (2011), this chapter reviews recent evidence linking the dynamics of food consumption to socialization practices, child health, media influences, and contextual factors such as poverty and culture. We discuss the multiple influences of food in a child's life, focusing on each of the different levels of the Six-C's Model, highlighting the influences of parental feeding practices, family mealtimes, and television viewing on food consumption. We provide examples of childhood obesity and household food insecurity to illustrate how food and family connect across different ecologies to result in either poor or optimal outcomes for children under different levels of risk. We conclude with recommendations for research, practice, and policy surrounding children's food consumption.
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Affiliation(s)
- Barbara H Fiese
- Department of Human and Community Development, Family Resiliency Center, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
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23
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Schermerhorn AC, Chow SM, Cummings EM. Developmental family processes and interparental conflict: patterns of microlevel influences. Dev Psychol 2010; 46:869-85. [PMID: 20604608 DOI: 10.1037/a0019662] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Although there are frequent calls for the study of effects of children on families and mutual influence processes within families, little empirical progress has been made. We address these questions at the level of microprocesses during marital conflict, including children's influence on marital conflict and parents' influence on each other. Participants were 111 cohabiting couples with a child (55 male, 56 female) age 8-16 years. Data were drawn from parents' diary reports of interparental conflict over 15 days and were analyzed with dynamic systems modeling tools. Child emotions and behavior during conflicts were associated with interparental positivity, negativity, and resolution at the end of the same conflicts. For example, children's agentic behavior was associated with more marital conflict resolution, whereas child negativity was linked with more marital negativity. Regarding parents' influence on each other, among the findings, husbands' and wives' influence on themselves from one conflict to the next was indicated, and total number of conflicts predicted greater influence of wives' positivity on husbands' positivity. Contributions of these findings to the understanding of developmental family processes are discussed, including implications for advanced understanding of interrelations between child and adult functioning and development.
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