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Shen Y, Chen D, Guo J, Zheng Y, Zhang J, Zhan S, You J. Co-developmental trajectories of suicidal ideation and non-suicidal self-injury among Chinese adolescents: Transdiagnostic predictors and association with suicide attempts. Suicide Life Threat Behav 2024; 54:632-648. [PMID: 38529888 DOI: 10.1111/sltb.13074] [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: 10/07/2023] [Revised: 02/18/2024] [Accepted: 03/13/2024] [Indexed: 03/27/2024]
Abstract
INTRODUCTION Adolescent suicidal ideation (SI) and non-suicidal self-injury (NSSI) are crucial public health issues, yet their co-developmental trajectories during early adolescence and their associations with predictors and outcomes are unclear. This study aimed to (a) identify heterogeneous co-developmental trajectories of SI and NSSI, (b) explore associations between transdiagnostic predictors and trajectories, and (c) assess suicide attempt risk across trajectories. METHODS Four hundred fifty-three adolescents (Mage = 12.35 years, 48.3% boys) completed surveys at 6-month intervals across 2 years. At Time 1 (Nov 2020), participants completed surveys encompassing SI, and NSSI, along with family, peer, and individual predictors. Subsequent surveys (Times 2-4) measured SI and NSSI, with suicide attempts queried at Time 4. RESULTS Parallel process latent class growth models revealed three co-developmental groups (i.e., Stable low NSSI and SI; Moderate-NSSI and high-SI, parallel decreasing; High-NSSI and moderate-SI, parallel increasing). Multivariate logistic regression indicated that group membership was predicted by parental rejection, parental warmth, bullying victimization, depressive and anxiety symptoms, thwarted belongingness, and perceived burdensomeness. Adolescents in the "High-NSSI and moderate-SI, parallel increasing" group reported the highest suicide attempt frequency. CONCLUSION These findings underscore subgroup distinctions and transdiagnostic predictors in comprehending SI and NSSI progression, emphasizing the necessity of dynamic monitoring and tailored interventions for distinct subgroup characteristics.
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Affiliation(s)
- Yunhong Shen
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, & School of Psychology, South China Normal University, Guangzhou, China
| | - Danrui Chen
- Psychological Counseling Centre, Chang'an University, Xi'an, China
| | - Jiaqi Guo
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, & School of Psychology, South China Normal University, Guangzhou, China
| | - Yue Zheng
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, & School of Psychology, South China Normal University, Guangzhou, China
| | - Jiajing Zhang
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, & School of Psychology, South China Normal University, Guangzhou, China
| | - Shiting Zhan
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, & School of Psychology, South China Normal University, Guangzhou, China
| | - Jianing You
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, & School of Psychology, South China Normal University, Guangzhou, China
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Huang J, Deng J, Wang Y. Mindful parenting and closeness in Chinese mother-adolescent dyads: The mediating role of adolescent self-disclosure. FAMILY PROCESS 2024; 63:865-878. [PMID: 36973041 DOI: 10.1111/famp.12879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 12/07/2022] [Accepted: 03/05/2023] [Indexed: 06/18/2023]
Abstract
Although having strong influences on adolescents' optimal development, mother-adolescent closeness is greatly challenged in early adolescence. Mindful parenting may be a protective factor for relational adjustment to early adolescence, but its connection with closeness within the mother-adolescent dyad has not been adequately examined in the literature. This study aimed to investigate the effects of how mindful parenting on the day-to-day mother-adolescent relationship dynamics, evaluating the relations between mindful parenting and mother-adolescent closeness and the mediating role of adolescent self-disclosure. A total of 76 Chinese mother-adolescent dyads completed a baseline measure of mindful parenting and 14-day measures of adolescent-report self-disclosure, mother-perceived closeness, and adolescent-perceived closeness. Mindful parenting significantly predicted both mother-perceived and adolescent-perceived closeness, with adolescent self-disclosure serving as a mediator. Adolescent self-disclosure predicted higher mother-adolescent closeness on the same day, but such effects did not carry over to the next day. Our findings provided evidence supporting mindful parenting as a resource for facilitating mother-adolescent closeness in early adolescence. This investigation also encouraged future studies to employ more intensive ambulatory assessments to clarify the daily process of how mindful parenting shapes mother-adolescent relationship dynamics.
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Affiliation(s)
- Jiasheng Huang
- Department of Psychology, Sun Yat-sen University, Guangzhou, China
| | - Ju Deng
- Department of Psychology, Sun Yat-sen University, Guangdong, China
| | - Yuyin Wang
- Department of Psychology, Sun Yat-sen University, Guangzhou, China
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Abuhammad S, Bani Younis A, Ahmed AH. Impact of a structured sleep education program on mothers' knowledge and attitudes toward infant sleeping. Heliyon 2024; 10:e29885. [PMID: 38711628 PMCID: PMC11070819 DOI: 10.1016/j.heliyon.2024.e29885] [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: 11/17/2023] [Revised: 04/17/2024] [Accepted: 04/17/2024] [Indexed: 05/08/2024] Open
Abstract
Introduction Sleeping is necessary for the infant growth and development. Sufficient and quality of sleep can have an impact on physical, cognitive, and emotional functioning. Infancy is a critical time for establishing healthy habits and routines. However, many infants were suffering from sleeping issues that impact their health. Objectives This study aims to evaluate the effect of educational programs given to mothers regarding their infants' sleep on mothers' knowledge and attitudes toward infant's sleeping. Method A quasi-experimental design for nonequivalent groups was used, and data was collected from 208 mothers with infants aged 5-12 months from all Jordanian governorates who had not been exposed to educational programs prior to this study. Data was collected in two stages: pre-test and post-test, with two weeks in between for both groups. Results The final results indicated that the educational intervention had a significant impact on mothers' knowledge over time. It was found that mothers in the intervention group had significantly higher mean of infant sleep health knowledge at follow up time compared to their baseline time (B = 0.236, P 0.001). Also, the yielded analysis showed that there was no significant change in mothers' mean attitudes toward infants sleeping over time (P = 0.011). The mothers' measured sleep health knowledge correlated positively and significantly statistically with their sleep health attitudes score (r = 0.436, P 0.010).
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Affiliation(s)
- Sawsan Abuhammad
- Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Alaa Bani Younis
- Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Azza H. Ahmed
- Purdue University School of Nursing, 502 North University Street, West Lafayette, IN 47907, United States
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Gilmore L, Cuskelly M. The Parenting Sense of Competence scale: Updating a classic. Child Care Health Dev 2024; 50:e13173. [PMID: 37812533 DOI: 10.1111/cch.13173] [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: 08/24/2022] [Revised: 07/02/2023] [Accepted: 08/21/2023] [Indexed: 10/11/2023]
Abstract
BACKGROUND The Parenting Sense of Competence (PSOC) is a self-report measure of parenting efficacy and satisfaction that is widely used by researchers and clinicians in many countries. Despite its popularity, there have been some criticisms of the instrument. The aims of the current study were to identify and address shortcomings of the PSOC and to produce a revised measure that reflected the original constructs and that demonstrated robust psychometric properties. METHODS The researchers examined the original PSOC and proposed changes to overcome identified issues. A sample of 3056 Australian mothers provided data for the revised instrument's factor structure and psychometric analyses. RESULTS We identified a number of problems with the original instrument, including factorial inconsistency, and multipart or potentially ambiguous questions. Of particular concern was the fact that all negatively worded items load onto one subscale and all positively worded questions load onto the other subscale. In addressing these issues, we produced a 16-item instrument (the Parenting Sense of Competence-Revised; PSOC-R) with strong internal consistency, excellent test-retest reliability and good evidence of construct validity including factorial validity and criterion-related validity. CONCLUSIONS The PSOC-R maintains the intent of the original measure in assessing parenting Efficacy (10 items) and Satisfaction (6 items). It represents improvements in item construction including reductions in complexity, with no multipart items and a lower reading level requirement than previously. Data across four child age groups enhance the instrument's clinical utility.
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Affiliation(s)
- Linda Gilmore
- School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| | - Monica Cuskelly
- School of Education, College of Arts, Law & Education, University of Tasmania, Hobart, Tasmania, Australia
- School of Education, University of Queensland, Brisbane, Queensland, Australia
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Nomaguchi K, Allen A. Mother-Child Relationship Quality from Preschool to Adolescence: Variation by Maternal Education. PERSONAL RELATIONSHIPS 2023; 30:399-418. [PMID: 37485043 PMCID: PMC10361254 DOI: 10.1111/pere.12475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 01/04/2023] [Indexed: 07/25/2023]
Abstract
Using longitudinal data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1,088), we examine changes in maternal perception of closeness and conflict in the mother-child relationship from the child's preschool to adolescent years, with attention to variation by maternal education. Analyses using individual growth models show that mother-child closeness increases, while mother-child conflict decreases from preschool to first grade. From first grade to age 15, mother-child closeness decreases, while mother-child conflict increases, both gradually. The decrease in mother-child conflict from preschool to first grade and the increases in mother-child conflict from first to fifth grade, sixth grade, and age 15 are less steep for mothers with a college degree than for mothers without a college degree. These findings underscore the importance of examining changes in parent-child relationships using longitudinal data across children's developmental stages and their variations by parental social and economic status.
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Affiliation(s)
- Kei Nomaguchi
- Department of Sociology, Bowling Green State University
| | - Amira Allen
- Study of Culture and Society, Drake University
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Perceived social support in solo women seeking treatment with donor gametes and in women in heterosexual couples seeking IVF-treatment with own gametes. Sci Rep 2023; 13:2733. [PMID: 36792663 PMCID: PMC9931690 DOI: 10.1038/s41598-023-29441-y] [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: 12/12/2021] [Accepted: 02/06/2023] [Indexed: 02/17/2023] Open
Abstract
Solo motherhood is a family constellation that is becoming increasingly common in high income countries. The demographic characteristics of solo women entering treatment with donated sperm or embryo have been shown to be different from that of cohabiting women. The general importance of perceived social support is frequently amplified when health and quality of life are concerned, and positively affects mental health status, experienced stress, perceived self-efficacy during the transition to parenthood and during parenthood itself. The objective of the present study was to compare demographic characteristics, social network and perceived social support among solo women and cohabiting women awaiting fertility treatment. This objective was explored with a study-specific demographic and background questionnaire as well as through questions on access to practical support and the Multidimensional Scale of Perceived Social Support (MSPSS) assessing different sources of support. This study is a part of a longitudinal prospective multicenter study of solo women who awaited donation treatment in six Swedish public and private fertility clinics and a comparison group of women who were cohabiting/married to male partner and awaited in vitro fertilization (IVF) treatment with the couple's own gametes. A total of 670 women were invited and 463 accepted participation (69% response rate); 207 solo women (study group) and 256 cohabiting women (comparison group). The results show significant differences in age, education, and employment between the groups. Solo women were on average 3.6 years older, had a higher level of education, a higher-income profession, and were more frequently working full time. Solo women perceived an equally high degree of social support from their families, significantly higher levels of support from friends and significantly lower support from a significant other compared to cohabiting women. Solo women expected their mother to be the most supportive person in future parenthood, while cohabiting women most often stated their cohabiting partner to fill that role. The study adds to the body of knowledge of solo women as a sociodemographic distinct group going at motherhood alone, stating a high degree of currently perceived and expected social support. The previously studied negative impact that lack of a co-parent might have, may be attenuated by the expected and perceived social support from family and friends.
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Reciprocal relationships between time pressure and mental or physical health in Australian mothers of preschool aged children. Soc Sci Med 2022; 301:114937. [PMID: 35366458 DOI: 10.1016/j.socscimed.2022.114937] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 02/17/2022] [Accepted: 03/18/2022] [Indexed: 11/23/2022]
Abstract
The associations between time pressure and health are typically conceptualised and examined as unidirectional. This study examined the reciprocal relationships between time pressure and mental and physical health amongst working mothers of preschool children; a high-risk group for feeling time pressured. Using 5 waves of a panel study of Australian mothers when their children were aged 0-4 (n = 3878) and cross-lagged structural equation models, we find strong significant negative reciprocal associations between time pressure and mental and physical health, although these reciprocal associations were stronger and more consistent over time for mental health. Our results indicate that physical health takes a couple of years to deteriorate to a point where the reciprocal effects with time pressure become apparent, but for mental health the reciprocal effects are immediate, present at all time points and consistently strong. Findings suggest there are significant reciprocal health consequences of the time pressure experienced by working mothers and government policy encouraging mothers back into the workforce without adequate supports may be harmful for health.
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Shim JY, Lee S, Lee IH, Jeong YM. The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents. Healthcare (Basel) 2021; 9:healthcare9091171. [PMID: 34574945 PMCID: PMC8470521 DOI: 10.3390/healthcare9091171] [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: 06/14/2021] [Revised: 08/30/2021] [Accepted: 08/31/2021] [Indexed: 11/16/2022] Open
Abstract
This study aimed to analyze the moderating effect of sleep quality and the moderated moderation effect of education level on the relationship between depression and suicidal ideations among middle-aged parents of adolescent children. This is a secondary analysis of a survey collected from a cross-sectional study. The inclusion criteria were middle-aged parents of adolescent children in D city, South Korea, who answered the survey questionnaires. A total of 178 completed questionnaires were used for the analysis. The moderating effect of sleep quality (B = -0.03, p = 0.736) and education level (B = -1.80, p = 0.029) on the relationship between depression and suicidal ideations was shown. It was confirmed that the moderating effect of sleep quality on the effect of depression on suicidal ideations differed according to the subject's education level. The findings have implications for mental healthcare providers who can be educated on sleep hygiene based on the subject's education level.
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Affiliation(s)
- Ji Yeon Shim
- College of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan-si 31116, Korea; (J.Y.S.); (S.L.)
| | - Sook Lee
- College of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan-si 31116, Korea; (J.Y.S.); (S.L.)
| | - Il Hyun Lee
- Knowledge Industry Center 174, StatEdu Institute of Statistics 514, Iksan-si 54630, Korea;
| | - Yoo Mi Jeong
- College of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan-si 31116, Korea; (J.Y.S.); (S.L.)
- Correspondence: ; Tel.: +82-41-550-1458
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Nowland R, Thomson G, McNally L, Smith T, Whittaker K. Experiencing loneliness in parenthood: a scoping review. Perspect Public Health 2021; 141:214-225. [PMID: 34286652 PMCID: PMC8580382 DOI: 10.1177/17579139211018243] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIMS Chronic loneliness is experienced by around a third of parents, but there is no comprehensive review into how, why and which parents experience loneliness. This scoping review aimed to provide insight into what is already known about parental loneliness and give directions for further applied and methodological research. METHODS Searches for peer-reviewed articles were undertaken in six databases: PsycINFO, Medline, CINAHL, Embase, Web of Science and Scopus, during May 2019 to February 2020. We searched for English studies which examined loneliness experienced during parenthood, including studies that involved parents with children under 16 years and living at home and excluding studies on pregnancy, childbirth or postbirth hospital care. RESULTS From 2566 studies retrieved, 133 were included for analysis. Most studies (n = 80) examined the experience of loneliness in specific groups of parents, for example, teenage parents, parents of a disabled child. Other studies examined theoretical issues (n = 6) or health and wellbeing impacts on parents (n = 16) and their offspring (n = 17). There were 14 intervention studies with parents that measured loneliness as an outcome. Insights indicate that parental loneliness may be different to loneliness experienced in other cohorts. There is evidence that parental loneliness has direct and intergenerational impacts on parent and child mental health. Some parents (e.g. with children with chronic illness or disability, immigrant or ethnic minority parents) also appear to be at increased risk of loneliness although evidence is not conclusive. CONCLUSION This work has identified key gaps with further international, comparative and conceptual research needed.
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Affiliation(s)
- R Nowland
- School of Community Health and Midwifery, University of Central Lancashire Brooke Building, Preston PR2 1HE, UK
| | - G Thomson
- University of Central Lancashire, Preston, UK
| | - L McNally
- University of Central Lancashire, Preston, UK
| | - T Smith
- University of Central Lancashire, Preston, UK
| | - K Whittaker
- University of Central Lancashire, Preston, UK
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The Relationship between Familizing and Individualizing Policies and Mental Health in Parents in Europe. SOCIAL SCIENCES 2021. [DOI: 10.3390/socsci10020055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Previous studies suggest the relative importance of the impact of childcare policies on mental health in parents. There have also been studies showing that welfare states have differing policy packages, consisting of a mixture of familizing and individualizing policy measures. This study builds on and extends this knowledge by carrying out a European comparison of the association between mental well health and family policies. We use Lohmann and Zagel’s familizing and individualizing policy indices to describe family policies. Our main interest is differences in mental health depending on the country, household, and individual-level characteristics. Therefore, we apply a multilevel model to 26 countries included in the 2013 wave of the European Union Statistics on Income and Living Conditions survey (N = 141,648). The analysis found that, in general, parents of children under 13 have better mental health than other adults. We found individualizing policy measures to be positively related to mental health in parents, while familizing policies had a negative relationship. No evidence was found for the combined presence of individualizing and familizing policies making a difference to mental health in parents. These results suggest that welfare states could help parents by promoting individualizing policies to make parenthood a less stressful experience.
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Chae HK, East P, Delva J, Lozoff B, Gahagan S. Maternal Depression Trajectories Relate to Youths' Psychosocial and Cognitive Functioning at Adolescence and Young Adulthood. JOURNAL OF CHILD AND FAMILY STUDIES 2020; 29:3459-3469. [PMID: 33776389 PMCID: PMC7992359 DOI: 10.1007/s10826-020-01849-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
This study evaluated how patterns of mothers' depressive symptoms across their child's childhood relate to children's psychosocial adjustment at adolescence and young adulthood and to cognitive functioning at adolescence. Depressive symptoms were measured in 1,273 mothers when their children were 1, 5, 10, and 14.6 years of age. Children (53.5% male; n = 1,024) completed the Youth Self-Report at adolescence (M = 14.6y), and the Adult Self-Report in young adulthood (M = 20.5y; n = 817) to assess internalizing and externalizing symptoms. Adolescents also completed standardized cognitive tests to assess verbal and mathematical skills. Growth mixture modeling analyses identified four patterns of maternal depressive symptom trajectories: infrequent (55%), increasing at adolescence (20%), decreasing at adolescence (14%), and chronic severe (11%). Results indicated that exposure to maternal depression of any duration, severity or time period during childhood portended higher levels of externalizing and attention problems at both adolescence and adulthood and higher levels of internalizing problems at adulthood. Adolescents whose mothers had chronic severe depressive symptoms had lower language, vocabulary, reading comprehension and mathematical test scores than youth whose mothers had stable infrequent depressive symptoms. Findings illustrate the significance and long-term ramifications of mothers' depressed mood for their children's mental and psychosocial health into adulthood. Findings also demonstrate that the lower cognitive abilities among children of severely depressed mothers persist beyond childhood and pertain to a broad range of cognitive abilities.
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Affiliation(s)
- Heekyung K Chae
- Department of Pediatrics, University of California, San Diego. 9500 Gilman Drive, Mail Code 0927, La Jolla, CA 92093-0927
| | - Patricia East
- Department of Pediatrics, University of California, San Diego, La Jolla, CA
| | - Jorge Delva
- School of Social Work, Boston University, Boston, MA
| | - Betsy Lozoff
- Department of Pediatrics, University of Michigan, Ann Arbor, MI
| | - Sheila Gahagan
- Department of Pediatrics, University of California, San Diego, La Jolla, CA
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Salomon RE, Crandell J, Muscatell KA, Santos HP, Anderson RA, Beeber LS. Two Methods for Calculating Symptom Cluster Scores. Nurs Res 2020; 69:133-141. [PMID: 31804434 DOI: 10.1097/nnr.0000000000000412] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Symptom clusters are conventionally distilled into a single score using composite scoring, which is based on the mathematical assumption that all symptoms are equivalently related to outcomes of interest; this may lead to a loss of important variation in the data. OBJECTIVES This article compares two ways of calculating a single score for a symptom cluster: a conventional, hypothesis-driven composite score versus a data-driven, reduced rank regression score that weights the symptoms based on their individual relationships with key outcomes. METHODS We conducted a secondary analysis of psychoneurological symptoms from a sample of 356 low-income mothers. Four of the psychoneurological symptoms (fatigue, cognitive dysfunction, sleep disturbance, and depressed mood) were measured with the Center for Epidemiological Studies Depression Scale; the fifth (pain) was measured using an item from the Medical Outcomes Study 12-item Short Form Health Survey (SF-12). Mothers' function was measured using the 12-item Short Form Health Survey. The composite score was calculated by summing standardized scores for each individual psychoneurological symptom. In contrast, reduced rank regression weighted the individual symptoms using their respective associations with mothers' function; the weighted individual symptom scores were summed into the reduced rank regression symptom score. RESULTS The composite score and reduced rank regression score were highly correlated at .93. The cluster of psychoneurological symptoms accounted for 53.7% of the variation in the mothers' function. Depressed mood and pain accounted for almost all the explained variation in mothers' function at 37.2% and 15.0%, respectively. DISCUSSION The composite score approach was simpler to calculate, and the high correlation with the reduced rank regression score indicates that the composite score reflected most of the variation explained by the reduced rank regression approach in this data set. However, the reduced rank regression analysis provided additional information by identifying pain and depressed mood as having the strongest association with a mother's function, which has implications for understanding which symptoms to target in future interventions. Future studies should also explore composite versus reduced rank regression approaches given that reduced rank regression may yield different insights in other data sets.
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Affiliation(s)
- Rebecca E Salomon
- Rebecca E. Salomon, PhD, RN, PMHNP-BC, is Postdoctoral Fellow, University of California San Francisco School of Nursing. At the time this research was completed, she was a Predoctoral Trainee at the University of North Carolina at Chapel Hill School of Nursing. Jamie Crandell, PhD, is Research Assistant Professor, University of North Carolina at Chapel Hill School of Nursing and Department of Biostatistics, Gillings School of Global Public Health, Chapel Hill, North Carolina. Keely A. Muscatell, PhD, is Assistant Professor, Department of Psychology and Neuroscience, College of Arts and Sciences, University of North Carolina at Chapel Hill, with a dual appointment at the Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina. Hudson P. Santos, Jr., PhD, RN, is Assistant Professor; Ruth A. Anderson, PhD, RN, FAAN, is the Kenan Distinguished Professor and Associate Dean for Research; and Linda S. Beeber, PhD, PMHCNS-BC, FAAN, is Professor and Assistant Dean, PhD Division and PhD Program, University of North Carolina at Chapel Hill School of Nursing
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Nomaguchi K, Milkie MA. Parenthood and Well-Being: A Decade in Review. JOURNAL OF MARRIAGE AND THE FAMILY 2020; 82:198-223. [PMID: 32606480 PMCID: PMC7326370 DOI: 10.1111/jomf.12646] [Citation(s) in RCA: 138] [Impact Index Per Article: 34.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 10/14/2019] [Indexed: 05/19/2023]
Abstract
Understanding social aspects of parental well-being is vital, because parents' welfare has implications not only for parents themselves but also for child development, fertility, and the overall health of a society. This article provides a critical review of scholarship on parenthood and well-being in advanced economies published from 2010 to 2019. It focuses on the role of social, economic, cultural, and institutional contexts of parenting in influencing adult well-being. We identify major themes, achievements, and challenges and organize the review around the demands-rewards perspective and two theoretical frameworks: the stress process model and life course perspectives. The analysis shows that rising economic insecurities and inequalities and a diffusion of intensive parenting ideology were major social contexts of parenting in the 2010s. Scholarship linking parenting contexts and parental well-being illuminated how stressors related to providing and caring for children could unjustly burden some parents, especially mothers, those with fewer socioeconomic resources, and those with marginalized statuses. In that vein, researchers continued to emphasize how stressors diverged by parents' socioeconomic status, gender, and partnership status, with new attention to strains experienced by racial/ethnic minority, immigrant, and LGBTQ parents. Scholars' comparisons of parents' positions in various countries expanded, enhancing knowledge regarding specific policy supports that allow parents to thrive. Articulating future research within a stress process model framework, we showed vibrant theoretical pathways, including conceptualizing potential parental social supports at multiple levels, attending to the intersection of multiple social locations of parents, and renewing attention to local contextual factors and parenting life stages.
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Affiliation(s)
- Kei Nomaguchi
- Department of Sociology, Bowling Green State University, 231 Williams Hall, Bowling Green, OH 43403
| | - Melissa A Milkie
- Department of Sociology, University of Toronto, 725 Spadina Ave., Toronto, ON M5S 2J4 Canada
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Osuorah CI, Ndu I, Nwaneli E, Ekwochi U, Asinobi I, Iloh K, Nduagubam O. Psychosocial burden of caregivers taking care of children in the children's emergency room of two tertiary hospitals in Southeast Nigeria. SOCIAL HEALTH AND BEHAVIOR 2020. [DOI: 10.4103/shb.shb_47_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Oerther S, Shattell M. Depression in Parents Who Live in Rural Communities: What Do We Know? J Psychosoc Nurs Ment Health Serv 2019; 57:2-3. [DOI: 10.3928/02793695-20191016-01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Sarah Oerther
- Jonas Policy Scholar, Psychiatric, Mental Health & Substance Abuse Expert Panel, 2017-2019 Saint Louis University School of Nursing St. Louis, Missouri
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Ciciolla L, Luthar SS. Invisible Household Labor and Ramifications for Adjustment: Mothers as Captains of Households. SEX ROLES 2019; 81:467-486. [PMID: 34177072 DOI: 10.1007/s11199-018-1001-x] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
We address the issue of invisible labor in the home by examining how the distribution of the mental and emotional labor inherent to managing the household between spouses may be linked with women's well-being, including their satisfaction with life, partner satisfaction, feelings of emptiness, and experiencing role overload. In a sample of 393 U.S. married/partnered mothers, mostly of upper-middle class backgrounds with dependent children at home, results showed that a majority of women reported that they alone assumed responsibility for household routines involving organizing schedules for the family and maintaining order in the home. Some aspects of responsibilities related to child adjustment were primarily handled by mothers, including being vigilant of children's emotions, whereas other aspects were shared with partners, including instilling values in the children. Responsibility was largely shared for household finances. Regression analyses showed that after controlling for dimensions of emotional and physical intimacy, feeling disproportionately responsible for household management, especially child adjustment, was associated with strains on mothers' personal well-being as well as lower satisfaction with the relationship. The implications of our work highlight the need to consider the burden of household management on mothers' well-being and speak to mothers' own needs for support and care as the primary manager of the household. In future research on division of labor, it will be useful to measure these critical but often neglected dimensions of who coordinates the household, given potential ramifications of this dimension for the quality of marriages and women's personal well-being.
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Sehn AS, Lopes RDCS. A Vivência Materna da Função de Cuidar no Período de Dependência da Criança. PSICOLOGIA: TEORIA E PESQUISA 2019. [DOI: 10.1590/0102.3772e35nspe8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Buscou-se investigar a vivência materna da função de cuidar no período de dependência da criança. Participaram desse estudo de caso múltiplo três duplas mãe-criança. Foram realizadas entrevistas semiestruturadas em seis momentos do desenvolvimento infantil (6º, 12º, 18º, 24º, 36º, 48º mês), cujos dados foram analisados por meio do relato clínico. Evidenciou-se que a função de cuidar exige grande disponibilidade materna, especialmente quanto aos movimentos de dependência e independência da criança. Apesar da satisfação ao cuidar, as mães se depararam com dificuldades e cansaço. Ainda, encontraram a possibilidade de autocuidado e de reeditar os cuidados recebidos na infância ao cuidarem do bebê. Assim, destaca-se a importância de encorajar o saber materno e legitimar a vivência de sentimentos ambivalentes no cuidado com crianças.
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Mapping developmental changes in perceived parent–adolescent relationship quality throughout middle school and high school. Dev Psychopathol 2018; 31:1541-1556. [DOI: 10.1017/s0954579418001219] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractThis study examined changes in adolescents’ perceived relationship quality with mothers and fathers from middle school to high school, gender differences, and associated mental health consequences using longitudinal data from the New England Study of Suburban Youth cohort (n = 262, 48% female) with annual assessments (Grades 6–12). For both parents, alienation increased, and trust and communication decreased from middle school to high school, with greater changes among girls. Overall, closeness to mothers was higher than with fathers. Girls, compared to boys, perceived more trust and communication and similar levels of alienation with mothers at Grade 6. Girls perceived stronger increases in alienation from both parents and stronger declines in trust with mothers during middle school. Increasing alienation from both parents and less trust with mothers at Grade 6 was associated with higher levels of anxiety at Grade 12. Less trust with both parents at Grade 6 and increasing alienation and decreasing trust with mothers in high school were associated with higher levels of depressive symptoms at Grade 12. Overall, girls reported having higher levels of anxiety at Grade 12 compared to boys. Findings on the course of the quality of parent–adolescent relationships over time are discussed in terms of implications for more targeted research and interventions.
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Meier A, Musick K, Fischer J, Flood S. Mothers' and Fathers' Well-Being in Parenting Across the Arch of Child Development. JOURNAL OF MARRIAGE AND THE FAMILY 2018; 80:992-1004. [PMID: 30220734 PMCID: PMC6136658 DOI: 10.1111/jomf.12491] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 02/22/2018] [Indexed: 05/29/2023]
Abstract
Limited research on parental well-being by child age suggests that parents are better off with very young children, despite intense time demands of caring for them. This study uses the American Time Use Survey Well-Being Module (N = 18,124) to assess how parents feel in activities with children of different ages. Results show that parents are worse off with adolescent children relative to young children. Parents report the lowest levels of happiness with adolescents relative to younger children, and mothers report more stress and less meaning with adolescents. Controlling for contextual features of parenting including activity type, solo parenting, and restorative time does not fully account for the adolescent disadvantage in fathers' happiness or mothers' stress. This study highlights adolescence as a particularly difficult stage for parental well-being, and it shows that mothers shoulder stress that fathers do not, even after accounting for differences in the context of their parenting activities.
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Affiliation(s)
- Ann Meier
- Department of Sociology and Minnesota Population Center, University of Minnesota,
| | - Kelly Musick
- Department of Policy Analysis and Management and Cornell Population Center, Cornell University,
| | - Jocelyn Fischer
- Department of Policy Analysis and Management, Department of Sociology and Cornell Population Center, Cornell University,
| | - Sarah Flood
- Minnesota Population Center, University of Minnesota,
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Wu V, East P, Delker E, Blanco E, Caballero G, Delva J, Lozoff B, Gahagan S. Associations Among Mothers' Depression, Emotional and Learning-Material Support to Their Child, and Children's Cognitive Functioning: A 16-Year Longitudinal Study. Child Dev 2018; 90:1952-1968. [PMID: 29664558 DOI: 10.1111/cdev.13071] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This study examined the associations among maternal depression, mothers' emotional and material investment in their child, and children's cognitive functioning. Middle-class Chilean mothers and children (N = 875; 52% males) were studied when children were 1, 5, 10, and 16 years (1991-2007). Results indicated that highly depressed mothers provided less emotional and material support to their child across all ages, which related to children's lower IQ. Children with lower mental abilities at age 1 received less learning-material support at age 5, which led to mothers' higher depression at child age 10. Mothers' low support was more strongly linked to maternal depression as children got older. Findings elucidate the dynamic and enduring effects of depression on mothers' parenting and children's development.
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Hein S, Stone L, Tan M, Barbot B, Luthar SS, Grigorenko EL. Child internalizing problems and mother-child discrepancies in maternal rejection: Evidence for bidirectional associations. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2018; 32:229-239. [PMID: 29658760 PMCID: PMC5906066 DOI: 10.1037/fam0000358] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
We investigated the bidirectional associations between mother-child discrepancies in their perceptions of maternal rejection and children's internalizing problems over 10 years from pre/early adolescence to early adulthood. Mothers' reports of rejection and involvement in the parent-child relationship, the children's perception of the mother's rejection, and children's self-report of internalizing problems were collected from a sample of 360 low-income ethnically diverse urban mother-child dyads at three time points (T1, T2, and T3) with 5-year intervals. Children were on average 12.6 years old at T1 (54% girls). Using a series of nested path analyses, we found that mother-child discrepancies while reporting maternal rejection at T1 were predictive of lower ratings of maternal involvement at T2 (β = -.14), which predicted higher levels of internalizing problems at T3 (β = -.16). The presence of mother's affective disorder was related to T1 mother-child discrepancies (β = .14). Regarding bidirectional associations, children's internalizing problems predicted maternal involvement across all time points, whereas T2 maternal involvement predicted T3 child internalizing problems. Discrepancies showed small associations with child internalizing problems both concurrently and over time. The findings highlight the importance of early discrepancies in the perception of maternal rejection for child internalizing symptoms. (PsycINFO Database Record
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Affiliation(s)
| | - Logan Stone
- University of Miami Miller School of Medicine, Miami, FL, USA
| | - Mei Tan
- University of Houston, Houston, TX, USA
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23
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Osher D, Cantor P, Berg J, Steyer L, Rose T. Drivers of human development: How relationships and context shape learning and development1. APPLIED DEVELOPMENTAL SCIENCE 2018. [DOI: 10.1080/10888691.2017.1398650] [Citation(s) in RCA: 71] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Affiliation(s)
| | - Pamela Cantor
- Turnaround for Children
- Harvard Graduate School of Education
| | | | | | - Todd Rose
- Harvard Graduate School of Education
- The Center for Individual Opportunity
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Ciciolla L, Curlee AS, Karageorge J, Luthar SS. When Mothers and Fathers Are Seen as Disproportionately Valuing Achievements: Implications for Adjustment Among Upper Middle Class Youth. J Youth Adolesc 2017; 46:1057-1075. [PMID: 27830404 PMCID: PMC5389911 DOI: 10.1007/s10964-016-0596-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 10/19/2016] [Indexed: 10/20/2022]
Abstract
High achievement expectations and academic pressure from parents have been implicated in rising levels of stress and reduced well-being among adolescents. In this study of affluent, middle school youth, we examined how perceptions of parents' emphases on achievement (relative to prosocial behavior) influenced youth's psychological adjustment and school performance, and examined perceived parental criticism as a possible moderator of this association. The data were collected from 506 (50 % female) middle school students from a predominately white, upper middle class community. Students reported their perceptions of parents' values by rank ordering a list of achievement- and prosocial-oriented goals based on what they believed was most valued by their mothers and fathers for them (the child) to achieve. The data also included students' reports of perceived parental criticism, internalizing symptoms, externalizing symptoms, and self-esteem, as well as school-based data on grade point average and teacher-reported classroom behavior. Person-based analyses revealed six distinct latent classes based on perceptions of both mother and father emphases on achievement. Class comparisons showed a consistent pattern of healthier child functioning, including higher school performance, higher self-esteem, and lower psychological symptoms, in association with low to neutral parental achievement emphasis, whereas poorer child functioning was associated with high parental achievement emphasis. In variable-based analyses, interaction effects showed elevated maladjustment when high maternal achievement emphasis coexisted with high (but not low) perceived parental criticism. Results of the study suggest that to foster early adolescents' well-being in affluent school settings, parents focus on prioritizing intrinsic, prosocial values that promote affiliation and community, at least as much as, or more than, they prioritize academic performance and external achievement; and strive to limit the amount of criticism and pressure they place on their children.
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Affiliation(s)
- Lucia Ciciolla
- Arizona State University, Tempe, AZ, USA.
- Oklahoma State University, Stillwater, OK, USA.
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Luthar SS, Eisenberg N. Resilient Adaptation Among At-Risk Children: Harnessing Science Toward Maximizing Salutary Environments. Child Dev 2017; 88:337-349. [PMID: 28144962 DOI: 10.1111/cdev.12737] [Citation(s) in RCA: 64] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Compiled in this Special Section are recommendations from multiple experts on how to maximize resilience among children at risk for maladjustment. Contributors delineated processes with relatively strong effects and modifiable by behavioral interventions. Commonly highlighted was fostering the well-being of caregivers via regular support, reduction of maltreatment while promoting positive parenting, and strengthening emotional self-regulation of caregivers and children. In future work, there must be more attention to developing and testing interventions within real-world settings (not just in laboratories) and to ensuring feasibility in procedures, costs, and assessments involved. Such movement will require shifts in funding priorities-currently focused largely on biological processes-toward maximizing the benefits from large-scale, empirically supported intervention programs for today's at-risk youth and families.
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Taylor ZE, Conger RD. Promoting Strengths and Resilience in Single-Mother Families. Child Dev 2017; 88:350-358. [DOI: 10.1111/cdev.12741] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Infurna FJ, Luthar SS. The multidimensional nature of resilience to spousal loss. J Pers Soc Psychol 2016; 112:926-947. [PMID: 27399253 DOI: 10.1037/pspp0000095] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Spousal loss can be one of the most devastating events to occur across one's life, resulting in difficulties across different spheres of adjustment; yet, past research on resilience to bereavement has primarily focused on single adjustment indicators. We applied growth mixture modeling to data from 421 participants from the Household Income and Labour Dynamics of Australia Study who experienced spousal loss during the course of the study to examine (a) the extent to which individuals appear to be resilient across 3 indicators of subjective well-being-life satisfaction, negative affect, and positive affect, and 2 indicators of health-perceptions of general health and physical functioning-and (b) factors that might promote resilience. Approximately 66%, 19% and 26% individuals showed resilient trajectories, respectively, for life satisfaction, negative affect, and positive affect, whereas 37% and 28% showed resilience, respectively, for perceptions of general health and physical functioning. When we considered all 5 indicators simultaneously, only 8% showed "multidimensional" resilience, whereas 20% showed a non-resilient trajectory across all 5 indicators. The strongest predictors of resilient trajectories were continued engagement in everyday life activities and in social relationships, followed by anticipation that people would comfort them in times of distress. Overall, our findings demonstrate that resilience in the face of spousal bereavement is less common than previously thought. More importantly, they underscore the critical importance of multidimensional approaches while operationalizing doing well in the context of serious life adversities. (PsycINFO Database Record
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Abstract
Developmental science is replete with studies on the impact of mothers on their children, but little is known about what might best help caregivers to function well themselves. In an initial effort to address this gap, we conducted an Internet-based study of over 2,000 mostly well-educated mothers, seeking to illuminate salient risk and protective processes associated with their personal well-being. When women's feelings in the parenting role were considered along with dimensions of personal support as predictors, the latter set explained at least as much variance-and often much more-across dimensions of mothers' personal well-being. Within the latter set of personal support predictors, findings showed that 4 had particularly robust links with mothers' personal adjustment: their feeling unconditionally loved, feeling comforted when in distress, authenticity in relationships, and satisfaction with friendships. Partner satisfaction had some associations with personal adjustment outcomes, but being married in itself had negligible effects. Findings are discussed in terms of implications for future research, and for interventions aimed at fostering resilience among mothers facing high level of stress in their role as parents. (PsycINFO Database Record
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