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Thomas JA, Ditchman NM, Guidotti Breting L, Narayanan J. Quality of life in people with epilepsy: The associations of anti-seizure medications and biopsychosocial variables. Epilepsy Behav 2024; 152:109664. [PMID: 38320411 DOI: 10.1016/j.yebeh.2024.109664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 01/22/2024] [Accepted: 01/23/2024] [Indexed: 02/08/2024]
Abstract
People with epilepsy, on average, experience lower quality of life (QOL) than healthy controls. This study examined the associations between specific anti-seizure medications, biopsychosocial factors, and QOL in people with epilepsy. Analysis of covariance revealed that individuals taking three or more anti-seizure medications had significantly lower QOL than those taking levetiracetam. Findings also demonstrated that when examining biopsychosocial factors as predictors of QOL in hierarchical regression, anxiety, depression, and daytime sleepiness were significant predictors of QOL. Once these factors were entered into the model, number of medications was no longer significant. The final model predicted 59.6% of the variance in QOL. In clinical settings, providers should take a patient-centered approach that includes regular assessment of QOL and an emphasis on good psychological care for those coping with anxiety, depression, and sleep difficulty. These findings underscore the importance of addressing psychological health and sleep factors within the epilepsy population.
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Affiliation(s)
- Julia A Thomas
- Illinois Institute of Technology, 3424 S. State St, Chicago, IL 60616, United States; Barrow Neurological Institute, 222 W. Thomas Road, Ste. 315, Phoenix, AZ 85013, United States.
| | - Nicole M Ditchman
- Illinois Institute of Technology, 3424 S. State St, Chicago, IL 60616, United States.
| | - Leslie Guidotti Breting
- NorthShore University Health System, 909 Davis St, Ste. 160, Evanston, IL 60201, United States.
| | - Jaishree Narayanan
- NorthShore University Health System, 909 Davis St, Ste. 160, Evanston, IL 60201, United States; Tulane University School of Medicine, New Orleans, LA, United States.
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Sherrard A, Tan CC. Children's eating behavior and weight-related outcomes: A latent profile analysis of parenting style and coparenting. Eat Behav 2024; 52:101845. [PMID: 38324958 DOI: 10.1016/j.eatbeh.2024.101845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 11/29/2023] [Accepted: 01/17/2024] [Indexed: 02/09/2024]
Abstract
Parenting style is associated with children's eating behavior, yet less is known about how parenting style and coparenting are both related to children's eating behavior (food approach behavior and palatable food intake) and weight-related outcomes (concern about child weight and perceived child weight). The aims of the current research were 1) to determine family profiles based on parenting style and coparenting, 2) to examine whether the family profiles were associated with parent (sex, BMI, age) and child (sex, age) characteristics, and 3) to examine whether the family profiles differed in children's outcomes. Parents (n = 185; Mage = 36.38 years, SD = 7.69) of 3- to 8-year-old children completed an online survey. Latent profile analysis revealed three family profiles: 1) Responsive and Cooperative, 2) Minimally Structured, and 3) Demanding and Competitive. The family profiles were not related to any parent or child characteristics. The Responsive and Cooperative family profile was associated with the lowest food approach behavior, palatable food intake, and weight-related outcomes, followed by the Minimally Structured family profile, and finally the Demanding and Competitive family profile with the highest scores. These findings suggest family dynamics play an important role in children's propensity to engage in food approach behavior and palatable food intake.
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Hentges RF, Davies PT, Sturge-Apple ML. Domain specificity of differential susceptibility: Testing an evolutionary theory of temperament in early childhood. Dev Psychopathol 2023; 35:1515-1528. [PMID: 35550240 DOI: 10.1017/s0954579422000256] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
According to differential susceptibility theory (DST), some children may be more sensitive to both positive and negative features of the environment. However, research has generated a list of widely disparate temperamental traits that may reflect differential susceptibility to the environment. In addition, findings have implicated these temperament × environment interactions in predicting a wide variety of child outcomes. This study uses a novel evolutionary model of temperament to examine whether differential susceptibility operates in a domain-general or domain-specific manner. Using a racially and socioeconomically diverse sample of 243 preschoolers and their parents (56% female; 48% African American), we examined the interactions between maternal and paternal parenting quality and two evolutionary informed temperament profiles (i.e., Hawks and Doves) in predicting changes in teacher-reported conduct problems and depressive symptoms from preschool to first grade. Results suggest that differential susceptibility operates in a domain-specific fashion. Specifically, the "Hawk" temperament was differentially susceptible to maternal parenting in predicting externalizing problems. In contrast, the "Dove" temperament was susceptible to both paternal and maternal parenting quality in predicting changes in depressive symptoms. Findings provide support for an integrative framework that synthesizes DST with an evolutionary, function-based approach to temperament.
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Affiliation(s)
- Rochelle F Hentges
- Strong BRAIN Institute, East Tennessee State University, Johnson City, TN, USA
| | - Patrick T Davies
- Department of Psychology, University of Rochester, New York, NY, USA
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Zhao F, Wu H, Li Y, Zhang H, Hou J. The Association between Coparenting Behavior and Internalizing/Externalizing Problems of Children and Adolescents: A Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10346. [PMID: 36011980 PMCID: PMC9407961 DOI: 10.3390/ijerph191610346] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 08/11/2022] [Accepted: 08/12/2022] [Indexed: 06/15/2023]
Abstract
This study aimed to determine the association between coparenting behavior and children's externalizing and internalizing problems and possible factors that may moderate their associations. A meta-analysis of 93 studies involving 41,207 participants found that coparenting behavior was slightly and significantly related to externalizing problems, r = -0.17, 95% CI [-0.194, -0.15], and internalizing problems, r = -0.16, 95% CI [-0.18, -0.14]. In addition, coparenting integrity, cooperation, conflict, competitiveness, and triangulation were significantly related to externalizing and internalizing problems. Moderation analyses revealed the following findings: (a) data reporter moderated the association between coparenting and internalizing problems, with children-report coparenting showing a significantly stronger relation with internalizing symptom than father-report coparenting; (b) developmental stage was found to moderate the association between coparenting behavior and externalizing problems, with stronger association found in childhood than in toddlerhood; (c) female percentage, individualism-collectivism culture, research methods, and publication year were not found to moderate the association between coparenting behavior and externalizing or internalizing problems. These findings help summarize the previous studies and provide an empirical basis for the relation between coparenting and child externalizing/internalizing problems, and benefits targeted interventions towards coparenting behaviors.
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Affiliation(s)
- Fengqing Zhao
- School of Education, Zhengzhou University, Zhengzhou 450001, China
| | - Haomeng Wu
- School of Education, Zhengzhou University, Zhengzhou 450001, China
| | - Yixuan Li
- Department of Psychology, Renmin University of China, Beijing 100872, China
| | - Huifang Zhang
- School of Education, Zhengzhou University, Zhengzhou 450001, China
| | - Jie Hou
- School of Education, Zhengzhou University, Zhengzhou 450001, China
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Altenburger LE, Schoppe-Sullivan SJ. Contributions of Parenting Quality and Coparenting Relationship Quality to the Development of Child Executive Functioning. EARLY CHILDHOOD RESEARCH QUARTERLY 2021; 57:133-143. [PMID: 36313214 PMCID: PMC9615140 DOI: 10.1016/j.ecresq.2021.05.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Executive functioning (EF) skills contribute positively to mental and physical health across the lifespan. High-quality parenting is associated with better child EF. However, research has largely focused on the contributions of mothers' parenting and failed to apply a family systems perspective to more comprehensively consider the consequences of parenting quality and coparenting relationship quality for the development of children's EF. This study examined the independent and joint contributions of mothers' observed parenting, fathers' observed parenting, and supportive coparenting during infancy to children's attention in toddlerhood (26 months) and aspects of EF (i.e., inhibitory control and impulsivity) at 7.5 years of age. Data came from a study of 166 families who participated in a larger longitudinal study. Assessments were conducted at 9-months postpartum (n = 158), 26-months postpartum (n = 114), and when children were 7.5 years of age (n = 100). Results indicated statistically significant associations between fathers' parenting quality at 9-months postpartum and greater child inhibitory control at 7.5 years of age. Mothers' parenting quality at 9-months postpartum was associated with better child attention in toddlerhood. Supportive coparenting was not directly associated with toddler or child EF. However, supportive coparenting moderated the association between fathers' parenting quality and child impulsivity, such that the adjusted effect of fathers' parenting on child impulsivity was negative when supportive coparenting was high. Findings highlight the importance of considering the development of child EF within a family systems framework.
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Affiliation(s)
- Lauren E Altenburger
- Department of Human Development and Family Studies, Pennsylvania State University - Shenango, 147 Shenango Avenue, Sharon, PA 16146
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Nandy A, Nixon E, Quigley J. Observed and reported coparenting and toddlers' adaptive functioning. INFANT AND CHILD DEVELOPMENT 2021. [DOI: 10.1002/icd.2226] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Altenburger LE, Gugiu PC, Schoppe-Sullivan SJ. Measuring Maternal Gatekeeping: A Rasch Analysis of the Parental Regulation Inventory. JOURNAL OF FAMILY STUDIES 2020; 28:1355-1376. [PMID: 36866116 PMCID: PMC9977166 DOI: 10.1080/13229400.2020.1825229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 09/14/2020] [Indexed: 06/18/2023]
Abstract
To understand factors that may influence father involvement, researchers have increasingly considered maternal gatekeeping, or the extent to which mothers might attempt to regulate (i.e., encourage, discourage) fathers' involvement in childrearing. Although several theoretical models of maternal gatekeeping have been advanced in recent years, maternal gatekeeping measurement has lagged significantly behind developments in gatekeeping theory. Rasch analysis offers a useful framework for conducting item-level analyses to evaluate measurement validity and identify areas of improvement for measurement scales. In the present study, Rasch analysis techniques were implemented to 1) illustrate how modern psychometric methods can be applied to validate measures in family psychology and 2) examine the validity of the Parental Regulation Inventory, a commonly used maternal gatekeeping measure (PRI; Van Egeren, 2000). Results indicated that the PRI exhibited adequate construct validity; however, measurement could be improved by including additional items on the PRI subscales. In particular, Rasch analyses indicated floor effects on fathers' reports of maternal gate closing, floor and ceiling effects on fathers' reports of maternal gate opening, and floor and ceiling effects on fathers' reports of maternal communication at 3- and 9- months postpartum. Recommendations for improving maternal gatekeeping measurement and implications for maternal gatekeeping theory are discussed.
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Affiliation(s)
- Lauren E Altenburger
- Department of Human Development and Family Studies, Pennsylvania State University - Shenango, Sharon, PA 16146
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Dyer WJ, Fagan J, Kaufman R, Pearson J, Cabrera N. Self-perceived Coparenting of Nonresident Fathers: Scale Development and Validation. FAMILY PROCESS 2018; 57:927-946. [PMID: 29143335 DOI: 10.1111/famp.12331] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study reports on the development and validation of the Fatherhood Research and Practice Network coparenting perceptions scale for nonresident fathers. Although other measures of coparenting have been developed, this is the first measure developed specifically for low-income, nonresident fathers. Focus groups were conducted to determine various aspects of coparenting. Based on this, a scale was created and administered to 542 nonresident fathers. Participants also responded to items used to examine convergent and predictive validity (i.e., parental responsibility, contact with the mother, father self-efficacy and satisfaction, child behavior problems, and contact and engagement with the child). Factor analyses and reliability tests revealed three distinct and reliable perceived coparenting factors: undermining, alliance, and gatekeeping. Validity tests suggest substantial overlap between the undermining and alliance factors, though undermining was uniquely related to child behavior problems. The alliance and gatekeeping factors showed strong convergent validity and evidence for predictive validity. Taken together, results suggest this relatively short measure (11 items) taps into three coparenting dimensions significantly predictive of aspects of individual and family life.
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Abraham E, Gilam G, Kanat-Maymon Y, Jacob Y, Zagoory-Sharon O, Hendler T, Feldman R. The Human Coparental Bond Implicates Distinct Corticostriatal Pathways: Longitudinal Impact on Family Formation and Child Well-Being. Neuropsychopharmacology 2017; 42:2301-2313. [PMID: 28401924 PMCID: PMC5645748 DOI: 10.1038/npp.2017.71] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Revised: 03/28/2017] [Accepted: 03/30/2017] [Indexed: 01/05/2023]
Abstract
Alloparental care, the cooperative care of offspring by group members other than the biological mother, has been widely practiced since early hominin evolution to increase infant survival and thriving. The coparental bond-a relationship of solidarity and commitment between two adults who join their effort to care for children-is a central contributor to children's well-being and sociality; yet, the neural basis of coparenting has not been studied in humans. Here, we followed 84 first-time co-parents (42 couples) across the first 6 years of family formation, including opposite-sex and same-sex couples, measured brain response to coparental stimuli, observed collaborative and undermining coparental behaviors in infancy and preschool, assayed oxytocin (OT) and vasopressin (AVP), and measured coparenting and child behavior problems at 6 years. Across family types, coparental stimuli activated the striatum, specifically the ventral striatum and caudate, striatal nodes implicated in motivational goal-directed social behavior. Psychophysiological interaction analysis indicated that both nodes were functionally coupled with the vmPFC in support of the human coparental bond and this connectivity was stronger as collaborative coparental behavior increased. Furthermore, caudate functional connectivity patterns differentiated distinct corticostriatal pathways associated with two stable coparental behavioral styles; stronger caudate-vmPFC connectivity was associated with more collaborative coparenting and was linked to OT, whereas a stronger caudate-dACC connectivity was associated with increase in undermining coparenting and was related to AVP. Finally, dyadic path-analysis model indicated that the parental caudate-vmPFC connectivity in infancy predicted lower child externalizing symptoms at 6 years as mediated by collaborative coparenting in preschool. Findings indicate that the coparental bond is underpinned by striatal activations and corticostriatal connectivity similar to other human affiliative bonds; highlight specific corticostriatal pathways as defining distinct coparental orientations that underpin family life; chart brain-hormone-behavior constellations for the mature, child-orientated coparental bond; and demonstrate the flexibility of this bond across family constellations and its unique contribution to child well-being.
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Affiliation(s)
- Eyal Abraham
- Department of Psychology and The Gonda Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel
| | - Gadi Gilam
- Functional Brain Center, Wohl Institute of Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- School of Psychological Sciences, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Yael Jacob
- Functional Brain Center, Wohl Institute of Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
| | - Orna Zagoory-Sharon
- Department of Psychology and The Gonda Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel
| | - Talma Hendler
- Functional Brain Center, Wohl Institute of Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- School of Psychological Sciences, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
| | - Ruth Feldman
- Department of Psychology and The Gonda Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel
- Child Study Center, Yale University School of Medicine, New Haven, CT, USA
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Metz M, Colonnesi C, Majdandžić M, Bögels SM. When Father Steps Forward and Mother Steps Back: The Moderating Role of Simultaneity in Parents' Coparenting Behaviors in the Development of Anxiety in 4- to 30-Month-Olds. INFANCY 2017. [DOI: 10.1111/infa.12199] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Marijke Metz
- Research Priority Area Yield; University of Amsterdam; The Netherlands
| | | | | | - Susan M. Bögels
- Research Priority Area Yield; University of Amsterdam; The Netherlands
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