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Controlling Parenting Behaviors in Parents of Children Born Preterm: A Meta-Analysis
Carolina Toscano1, Isabel Soares1, Judi Mesman2
1Psychology Research Center (CIPsi), School of Psychology, University of Minho, Braga, Portugal; and.
Insights
Parents of preterm children exhibit more controlling parenting behaviors than parents of full-term children. This highlights the need for psychosocial support for parents of preterm infants.
Area of Science:
- Developmental Psychology
- Pediatrics
- Family Studies
Background:
- Parenting styles significantly influence child development.
- Children born preterm may face unique challenges impacting parent-child interactions.
- Controlling parenting is a dimension of parenting behavior that can affect child outcomes.
Purpose of the Study:
- To determine if parents of preterm-born children differ from parents of full-term-born children in their level of controlling parenting.
- To synthesize existing research on parenting styles in families with preterm infants.
Main Methods:
- A meta-analysis was conducted, synthesizing data from 34 studies.
- Included 8053 participants: 3265 children born preterm and 4788 children born full-term.
- Searched multiple databases for relevant cross-sectional and longitudinal studies.
Main Results:
- Parents of preterm-born children were found to be more controlling than parents of full-term-born children (Hedges' g = 0.29, p < 0.001).
- Significant heterogeneity was observed across studies, but not explained by factors like gestational age, child gender, or study design.
- No moderation effects were found for child's age, birth weight, parental education, or type of parenting assessment.
Conclusions:
- Parents of preterm infants demonstrate a higher propensity for controlling parenting strategies.
- These findings underscore the critical need for targeted psychosocial support services for parents of preterm children.
- Early intervention and support can potentially mitigate risks associated with controlling parenting in this population.
Objective:
This meta-analysis tested whether parents of preterm-born children differ from parents of full-term-born children regarding controlling parenting.
Methods:
Databases of PubMed, Scopus, Web of Science, Open Access Theses and Dissertations, and Elton B. Stephens Company were searched for cross-sectional and prospective longitudinal studies examining controlling parenting in preterm-born children.
Results:
The meta-analysis included 27 independent data sets, derived from 34 studies, with a total of 8053 participants-3265 preterm and 4788 full-term children. Parents of children born preterm were more controlling than parents of children born full-term (Hedges' g = 0.29; 95% confidence interval: 0.19-0.39; z = 5.48; p < 0.001). Heterogeneity analysis indicated significant variation in effects between studies (Q = 148.46, p < 0.001), but the effects were not moderated by gestational age, birth weight, child age, child gender, parental education, type of parenting assessment method (observational vs parental self-report), parenting dimension measured (behaviors vs attitudes), type of controlling parenting (intrusiveness vs others), study design (cross-sectional vs longitudinal), year of publication, or geographical setting of the studies (America vs Europe).
Conclusion:
Findings suggest that parents of children born preterm are at higher risk for engaging in controlling parenting strategies, stressing the importance of psychosocial follow-up support for these parents.
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