Abstract
Methods: Internalizing and externalizing symptoms in 272 clinically-referred subjects (mean age = 14.5 ± 2.3; F = 23.5%) and their parents (mothers n = 272, fathers n = 242) were assessed through the Child Behavior Checklist and the Adult Self Report; four areas of parenting behaviours were investigated through the Family Life Questionnaire. Multiple mediation models were built, considering mother and father psychopathology scales as independent variables, parenting measures and family functioning as mediators (Affirmation, Rules, Discipline and Special Allowances), child psychopathology scales as dependent variables and demographic variables as covariates.
Results: Regression models showed a significant effect of maternal internalizing symptomatology on child externalizing behavioral problems; high levels of maternal pathology predicted high levels of children's psychopathology. A total mediating effect of parenting measures was found: high levels of internalizing symptoms in mothers predicted low levels of affirmation, which in turn predicted high levels of externalizing psychopathology in children.
Conclusions: Our study results confirmed the existence of interdependent links between mothers' psychiatric symptomatology, parenting behaviour and offspring outcomes, specifically in an Italian context. On a clinical and rehabilitation basis, this work offers suggestions about parenting practices, specifically maternal, involved in the maintenance of child psychopathology.
Original language | English |
---|---|
Article number | 377 |
Number of pages | 11 |
Journal | BMC Psychiatry |
Volume | 20 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2020 |
Fingerprint
Dive into the research topics of 'Relationship between parenting measures and parents and child psychopathological symptoms: A cross-sectional study'. Together they form a unique fingerprint.Cite this
- APA
- Standard
- Harvard
- Vancouver
- Author
- BIBTEX
- RIS
Relationship between parenting measures and parents and child psychopathological symptoms: A cross-sectional study. / Bellina, M.; Grazioli, S.; Garzitto, M.; Mauri, M.; Rosi, E.; Molteni, M.; Brambilla, P.; Nobile, M.
In: BMC Psychiatry, Vol. 20, No. 1, 377, 2020.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - Relationship between parenting measures and parents and child psychopathological symptoms: A cross-sectional study
AU - Bellina, M.
AU - Grazioli, S.
AU - Garzitto, M.
AU - Mauri, M.
AU - Rosi, E.
AU - Molteni, M.
AU - Brambilla, P.
AU - Nobile, M.
N1 - Export Date: 13 October 2020 References: Frigerio, A., Rucci, P., Goodman, R., Ammaniti, M., Carlet, O., Cavolina, P., De Girolamo, G., Molteni, M., Prevalence and correlates of mental disorders among adolescents in Italy: The PrISMA study (2009) Eur Child Adolesc Psychiatry, 18 (4), pp. 217-226. , 19165539; Polanczyk, G.V., Salum, G.A., Sugaya, L.S., Caye, A., Rohde, L.A., Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents (2015) J Child Psychol Psychiatry, 56 (3), pp. 345-365. , 25649325; Erskine, H.E., Baxter, A.J., Patton, G., Moffitt, T.E., Patel, V., Whiteford, H.A., Scott, J.G., The global coverage of prevalence data for mental disorders in children and adolescents (2017) Epidemiol Psychiatr Sci, 26 (4), pp. 395-402. , 1:STN:280:DC%2BC28nitVGqtQ%3D%3D 26786507; Olfson, M., Druss, B.G., Marcus, S.C., Trends in mental health care among children and adolescents (2015) N Engl J Med, 372 (21), pp. 2029-2038. , 25992747; Nobile, M., Colombo, P., Bellina, M., Molteni, M., Simone, D., Nardocci, F., Carlet, O., Battaglia, M., Psychopathology and adversities from early-to late-adolescence: A general population follow-up study with the CBCL DSM-oriented scales (2013) Epidemiol Psychiatr Sci, 22 (1), pp. 63-73. , 1:STN:280:DC%2BC38jpvVyluw%3D%3D 22794669; McLaughlin, K.A., Gadermann, A.M., Hwang, I., Sampson, N.A., Al-Hamzawi, A., Andrade, L.H., Angermeyer, M.C., Kessler, R.C., Parent psychopathology and offspring mental disorders: Results from the WHO world mental health surveys (2012) Br J Psychiatry, 200 (4), pp. 290-299. , 22403085 3317036; Wan, M.W., Green, J., The impact of maternal psychopathology on child-mother attachment (2009) Arch Womens Ment Health, 12 (3), pp. 123-134. , 19337701; Barnett, M.A., Shanahan, L., Deng, M., Haskett, M.E., Cox, M.J., Independent and interactive contributions of parenting behaviors and beliefs in the prediction of early childhood behavior problems (2010) Parent Sci Pract, 10 (1), pp. 43-59. , 25067912 4109827; Gustafsson, H.C., Cox, M.J., Blair, C., Maternal parenting as a mediator of the relationship between intimate partner violence and effortful control (2012) J Fam Psychol, 26 (1), pp. 115-123. , 22142253; Hardaway, C.R., Wilson, M.N., Shaw, D.S., Dishion, T.J., Family functioning and externalizing behaviour among low-income children: Self-regulation as a mediator (2012) Infant Child Dev, 21 (1), pp. 67-84. , 22879800; Lee, S.M., Daniels, M.H., Kissinger, D.B., Parental influences on adolescent adjustment: Parenting styles versus parenting practices (2006) TFJ, 14 (3), pp. 253-259; Moilanen, K., Shaw, D., Dishion, T., Gardner, F., Wilson, M., Predictors of longitudinal growth in inhibitory control in early childhood (2009) Soc Dev, 19 (2), pp. 326-347. , 20376201 2850123; Eisenberg, N., Taylor, Z.E., Widaman, K.F., Spinrad, T.L., Externalizing symptoms, effortful control, and intrusive parenting: A test of bidirectional longitudinal relations during early childhood (2015) Dev Psychopathol, 27 (4), pp. 953-968. , 26439056; Lengua, L., Growth in temperament and parenting as predictors of adjustment during children's transition to adolescence (2006) Dev Psychol, 42 (5), pp. 819-832. , 16953689 4108242; Johnson, M., Maas, M., Moorhead, S., (2000) Nursing Outcomes Classification, , Elsevier Amsterdam; Last, A., Miles, R., Wills, L., Brownhill, L., Ford, T., Reliability and sensitivity to change of the family life questionnaire in a clinical population (2012) Child Adolesc Ment Health, 17 (2), pp. 121-125; Aunola, K., Ruusunen, A.K., Viljaranta, J., Nurmi, J.E., Parental affection and psychological control as mediators between parents' depressive symptoms and child distress (2015) J Fam Issues, 36 (8), pp. 1022-1042; Grasso, D.J., Henry, D., Kestler, J., Nieto, R., Wakschlag, L.S., Briggs-Gowan, M.J., Harsh parenting as a potential mediator of the association between intimate partner violence and child disruptive behavior in families with young children (2016) J Interpers Violence, 31 (11), pp. 2102-2126. , 25724875; Lieb, R., Wittchen, H.U., Höfler, M., Fuetsch, M., Stein, M.B., Merikangas, K.R., Parental psychopathology, parenting styles, and the risk of social phobia in offspring: A prospective-longitudinal community study (2000) Arch Gen Psychiatry, 57 (9), pp. 859-866. , 1:STN:280:DC%2BD3cvktFOiuw%3D%3D 10986549; Vostanis, P., Graves, A., Meltzer, H., Goodman, R., Jenkins, R., Brugha, T., Relationship between parental psychopathology, parenting strategies and child mental health (2006) Soc Psychiatry Psychiatr Epidemiol, 41 (7), pp. 509-514. , 16572271; Baiocco, R., Manzi, D., Lonigro, A., Petrocchi, N., Laghi, F., Ioverno, S., Ottaviani, C., A kid-friendly tool to assess rumination in children and early adolescents: Relationships with mother psychopathology and family functioning (2017) J Child Fam Stud, 26 (10), pp. 2703-2715; Smetana, J.G., Current research on parenting styles, dimensions, and beliefs (2017) Curr Opin Psychol, 15, pp. 19-25. , 28813261; Achenbach, T.M., Rescorla, L., (2001) ASEBA School-age Forms & Profiles, , University of Vermont Burlington; Achenbach, T.M., Rescorla, L.A., (2003) Manual for the ASEBA Adult Forms & Profiles, , University of Vermont Burlington; Bianchi, V., Brambilla, P., Garzitto, M., Colombo, P., Fornasari, L., Bellina, M., Bonivento, C., Nobile, M., Latent classes of emotional and behavioural problems in epidemiological and referred samples and their relations to DSM-IV diagnoses (2017) Eur Child Adolesc Psychiatry, 26 (5), pp. 549-557. , 27844161; Hollingshead, A.B., (1975) Four Factor Index of Social Status, , Yale University, Department of Sociology. Unpublished paper New Haven; Ivanova, M.Y., Achenbach, T.M., Rescorla, L.A., Turner, L.V., Ahmeti-Pronaj, A., Avila Maese, C., Bellina, M., Zasȩpa, E., Syndromes of self-reported psychopathology for ages 18-59 in 29 societies (2015) J Psychopathol Behav Assess, 37 (2), pp. 171-183. , 29805197; Goodman, R., Ford, T., Richards, H., Gatward, R., Meltzer, H., The development and well-being assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology (2000) J Child Psychol Psychiatry, 41 (5), pp. 645-655. , 1:STN:280:DC%2BD3M%2Fks1WnsQ%3D%3D 10946756; øe, T.B., Sivertsen, B., Heiervang, E., Goodman, R., Lundervold, A.J., Hysing, M., Socioeconomic status and child mental health: The role of parental emotional well-being and parenting practices (2014) J Abnorm Child Psychol, 42 (5), pp. 705-715. , 24150864; Elgar, F.J., Waschbusch, D.A., Dadds, M.R., Sigvaldason, N., Development and validation of a short form of the Alabama parenting questionnaire (2007) J Child Fam Stud, 16, pp. 243-259; Frigerio, A., Cattaneo, C., Cataldo, M., Schiatti, A., Molteni, M., Battaglia, M., Behavioral and emotional problems among Italian children and adolescents aged 4 to 18 years as reported by parents and teachers (2004) Eur J of Psychol Assess, 20 (2), pp. 124-133; Bellina, M., Brambilla, P., Garzitto, M., Negri, G.A., Molteni, M., Nobile, M., The ability of CBCL DSM-oriented scales to predict DSM-IV diagnoses in a referred sample of children and adolescents (2013) Eur Child Adolesc Psychiatry, 22 (4), pp. 235-246. , 23138539; (2019) The Jamovi Project (Version 1.0.7.0), , https://www.jamovi.org, [Computer Software], Accessed 6 Oct 2019; (2016) R: A Language and Environment for Statistical Computing [Computer Software], , https://cran.r-project.org/, R Core Team R Foundation for Statistical Computing, Vienna, Austria; Karimzadeh, M., Rostami, M., Teymouri, R., Moazzen, Z., Tahmasebi, S., The association between parental mental health and behavioral disorders in pre-school children (2017) Electron Physician, 9 (6), pp. 4497-4502. , 28848622 5557127; Dishion, T.J., Shaw, D., Connell, A., Gardner, F., Weaver, C., Wilson, M., The family check- Up with high- risk indigent families: Preventing problem behavior by increasing parents' positive behavior support in early childhood (2008) Child Dev, 79 (5), pp. 1395-1414. , 18826532 2683384; Vera, J., Granero, R., Ezpeleta, L., Father's and mother's perceptions of parenting styles as mediators of the effects of parental psychopathology on antisocial behavior in outpatient children and adolescents (2012) Child Psychiatry Hum Dev, 43 (3), pp. 376-392. , 22120423; Narayanan, M.K., Nærde, A., Associations between maternal and paternal depressive symptoms and early child behavior problems: Testing a mutually adjusted prospective longitudinal model (2016) J Affect Disord, 196, pp. 181-189. , 26922147; Flouri, E., Fathers' behaviors and children's psychopathology (2010) Clin Psychol Rev, 30 (3), pp. 363-369. , 20149945; Lamb, M.E., (2010) The Role of the Father in Child Development, , 5th ed. Hoboken: Wiley; Parent, J., Forehand, R., Pomerantz, H., Peisch, V., Seehuus, M., Father participation in child psychopathology research (2017) J Abnorm Child Psychol, 45 (7), pp. 1259-1270. , 28058518 5498275; Rothbaum, F., Weisz, J.R., Parental caregiving and child externalizing behavior in nonclinical samples: A meta-analysis (1994) Psychol Bull, 116 (1), pp. 55-74. , 1:STN:280:DyaK2czmtVSgsw%3D%3D 8078975; Lewis, C., Lamb, M.E., Fathers' influences on children's development: The evidence from two-parent families (2003) EJPE, 18, pp. 211-228; Pinquart, M., Associations of parenting dimensions and styles with externalizing problems of children and adolescents: An updated meta-analysis (2017) Dev Psychol, 53 (5), pp. 873-932. , 28459276; Morsbach, S.K., Prinz, R.J., Understanding and improving the validity of self-report of parenting (2006) Clin Child Fam Psychol Rev, 9 (1), pp. 1-21. , 16636897; Gunlicks, M.L., Weissman, M.M., Change in child psychopathology with improvement in parental depression: A systematic review (2008) J Am Acad Child Adolesc Psychiatry, 47 (4), pp. 379-389. , 18388766
PY - 2020
Y1 - 2020
N2 - Background: Increasing evidence suggests a complex role of family influences, such as the exposure to parent psychopathology through parenting behavior, in parent-to-child psychopathology transmission. Parenting behaviour could represent a relevant target of psychoeducative intervention. Given these premises, we aimed to evaluate homotypic and heterotypic relationships between parent and child psychopathology, mediated by parenting behaviours, taking into account the constructs of parent and offspring internalizing and externalizing psychopathology.Methods: Internalizing and externalizing symptoms in 272 clinically-referred subjects (mean age = 14.5 ± 2.3; F = 23.5%) and their parents (mothers n = 272, fathers n = 242) were assessed through the Child Behavior Checklist and the Adult Self Report; four areas of parenting behaviours were investigated through the Family Life Questionnaire. Multiple mediation models were built, considering mother and father psychopathology scales as independent variables, parenting measures and family functioning as mediators (Affirmation, Rules, Discipline and Special Allowances), child psychopathology scales as dependent variables and demographic variables as covariates.Results: Regression models showed a significant effect of maternal internalizing symptomatology on child externalizing behavioral problems; high levels of maternal pathology predicted high levels of children's psychopathology. A total mediating effect of parenting measures was found: high levels of internalizing symptoms in mothers predicted low levels of affirmation, which in turn predicted high levels of externalizing psychopathology in children.Conclusions: Our study results confirmed the existence of interdependent links between mothers' psychiatric symptomatology, parenting behaviour and offspring outcomes, specifically in an Italian context. On a clinical and rehabilitation basis, this work offers suggestions about parenting practices, specifically maternal, involved in the maintenance of child psychopathology.
AB - Background: Increasing evidence suggests a complex role of family influences, such as the exposure to parent psychopathology through parenting behavior, in parent-to-child psychopathology transmission. Parenting behaviour could represent a relevant target of psychoeducative intervention. Given these premises, we aimed to evaluate homotypic and heterotypic relationships between parent and child psychopathology, mediated by parenting behaviours, taking into account the constructs of parent and offspring internalizing and externalizing psychopathology.Methods: Internalizing and externalizing symptoms in 272 clinically-referred subjects (mean age = 14.5 ± 2.3; F = 23.5%) and their parents (mothers n = 272, fathers n = 242) were assessed through the Child Behavior Checklist and the Adult Self Report; four areas of parenting behaviours were investigated through the Family Life Questionnaire. Multiple mediation models were built, considering mother and father psychopathology scales as independent variables, parenting measures and family functioning as mediators (Affirmation, Rules, Discipline and Special Allowances), child psychopathology scales as dependent variables and demographic variables as covariates.Results: Regression models showed a significant effect of maternal internalizing symptomatology on child externalizing behavioral problems; high levels of maternal pathology predicted high levels of children's psychopathology. A total mediating effect of parenting measures was found: high levels of internalizing symptoms in mothers predicted low levels of affirmation, which in turn predicted high levels of externalizing psychopathology in children.Conclusions: Our study results confirmed the existence of interdependent links between mothers' psychiatric symptomatology, parenting behaviour and offspring outcomes, specifically in an Italian context. On a clinical and rehabilitation basis, this work offers suggestions about parenting practices, specifically maternal, involved in the maintenance of child psychopathology.
U2 - 10.1186/s12888-020-02778-8
DO - 10.1186/s12888-020-02778-8
M3 - Article
VL - 20
JO - BMC Psychiatry
JF - BMC Psychiatry
SN - 1471-244X
IS - 1
M1 - 377
ER -