Relationship between parenting measures and parents and child psychopathological symptoms: a cross-sectional study.
Child behavior checklist
Developmental psychopathology
Family functioning
Family life questionnaire
Internalizing and externalizing disorders
Mediation analysis
Parenting behaviours
Rehabilitation
Risk factors
Treatment
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
17 07 2020
17 07 2020
Historique:
received:
21
05
2019
accepted:
05
07
2020
entrez:
19
7
2020
pubmed:
19
7
2020
medline:
30
12
2020
Statut:
epublish
Résumé
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. 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. 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. 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.
Sections du résumé
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.
Identifiants
pubmed: 32680486
doi: 10.1186/s12888-020-02778-8
pii: 10.1186/s12888-020-02778-8
pmc: PMC7367317
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
377Subventions
Organisme : Ministero della Salute
ID : GR-2010-2316745
Pays : International
Organisme : Ministero della Salute
ID : RF-2016-02364582
Pays : International
Organisme : Ministero della Salute
ID : Ricerca Corrente 2018-2019 MIMOSA504
Pays : International
Références
J Child Psychol Psychiatry. 2000 Jul;41(5):645-55
pubmed: 10946756
Child Dev. 2008 Sep-Oct;79(5):1395-414
pubmed: 18826532
Child Psychiatry Hum Dev. 2012 Jun;43(3):376-92
pubmed: 22120423
Eur Child Adolesc Psychiatry. 2017 May;26(5):549-557
pubmed: 27844161
Epidemiol Psychiatr Sci. 2013 Mar;22(1):63-73
pubmed: 22794669
Clin Child Fam Psychol Rev. 2006 Mar;9(1):1-21
pubmed: 16636897
J Child Psychol Psychiatry. 2015 Mar;56(3):345-65
pubmed: 25649325
J Interpers Violence. 2016 Jul;31(11):2102-26
pubmed: 25724875
Electron Physician. 2017 Jun 25;9(6):4497-4502
pubmed: 28848622
J Am Acad Child Adolesc Psychiatry. 2008 Apr;47(4):379-389
pubmed: 18388766
Soc Psychiatry Psychiatr Epidemiol. 2006 Jul;41(7):509-14
pubmed: 16572271
Soc Dev. 2009 Feb 18;19(2):326-347
pubmed: 20376201
Psychol Bull. 1994 Jul;116(1):55-74
pubmed: 8078975
Dev Psychol. 2017 May;53(5):873-932
pubmed: 28459276
J Affect Disord. 2016 May 15;196:181-9
pubmed: 26922147
Eur Child Adolesc Psychiatry. 2013 Apr;22(4):235-46
pubmed: 23138539
Epidemiol Psychiatr Sci. 2017 Aug;26(4):395-402
pubmed: 26786507
Dev Psychopathol. 2015 Nov;27(4 Pt 1):953-68
pubmed: 26439056
Arch Gen Psychiatry. 2000 Sep;57(9):859-66
pubmed: 10986549
Clin Psychol Rev. 2010 Apr;30(3):363-9
pubmed: 20149945
Parent Sci Pract. 2010 Jan 1;10(1):43-59
pubmed: 25067912
J Abnorm Child Psychol. 2017 Oct;45(7):1259-1270
pubmed: 28058518
Curr Opin Psychol. 2017 Jun;15:19-25
pubmed: 28813261
Arch Womens Ment Health. 2009 Jun;12(3):123-34
pubmed: 19337701
J Psychopathol Behav Assess. 2015 Jun;37(2):171-183
pubmed: 29805197
Br J Psychiatry. 2012 Apr;200(4):290-9
pubmed: 22403085
N Engl J Med. 2015 May 21;372(21):2029-38
pubmed: 25992747
J Fam Psychol. 2012 Feb;26(1):115-23
pubmed: 22142253
Eur Child Adolesc Psychiatry. 2009 Apr;18(4):217-26
pubmed: 19165539
Dev Psychol. 2006 Sep;42(5):819-32
pubmed: 16953689
J Abnorm Child Psychol. 2014;42(5):705-15
pubmed: 24150864
Infant Child Dev. 2012;21(1):67-84
pubmed: 22879800