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Relationships between parenting and illness factors and child behaviour difficulties in children with asthma and/or
Alina Morawska1, Evren Etel2, Amy E Mitchell1,3
1Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD, Australia.
Insights
Parenting styles and parental self-efficacy significantly impact child behavior and emotional well-being in children with asthma and eczema. These modifiable parenting factors are key targets for interventions.
Area of Science:
- Pediatric Psychology
- Child Health Outcomes
- Family Studies
Background:
- Chronic childhood conditions like asthma and eczema present significant psychosocial challenges for families.
- Understanding the interplay between parenting and child adjustment in chronic illness is crucial but incompletely understood.
- Parenting variables are implicated in child health, yet specific modifiable factors require further investigation.
Purpose of the Study:
- To investigate the influence of modifiable parenting factors on child behavior and emotional problems.
- To examine the roles of parenting style, parental self-efficacy, and parent adjustment.
- To differentiate the impact of parenting on general versus illness-specific child difficulties.
Main Methods:
- Parents (N=107) of children with asthma, eczema, or both completed validated measures.
- Assessed parenting style, parental self-efficacy, parent adjustment, and child behavior/emotional problems.
- Statistical analyses examined the contribution of parenting factors to child outcomes.
Main Results:
- Parental self-efficacy in managing child behaviors (internalizing, asthma/eczema-related) was a significant predictor.
- Parent adjustment and the use of ineffective parenting strategies also contributed to explaining variance in child behavior.
- Parenting variables explained more variance in child behavior difficulties than demographic or illness factors.
Conclusions:
- Modifiable parenting factors, particularly parental self-efficacy and adjustment, are critical in addressing child behavioral and emotional issues.
- These parenting variables represent important targets for therapeutic interventions aimed at improving outcomes for children with chronic conditions.
- Interventions focusing on enhancing parental self-efficacy and adjustment may improve child adjustment in pediatric chronic illness.
Abstract:
Chronic health conditions such as asthma and eczema are common and are associated with significant psychosocial sequelae for children and their families. A number of parenting variables have been implicated in child health outcomes; however, there are gaps in understanding of the relationships between parenting and child adjustment in the context of chronic illness. This study examined the role that modifiable parenting factors including parenting style, self-efficacy, and adjustment play in explaining general and illness-related child behaviour and emotional problems. Parents (N = 107) of children diagnosed with asthma only (n = 22), eczema only (n = 59), or both conditions (n = 26) completed a range of parenting and child adjustment measures. The majority of the modifiable parenting factors (parents' self-efficacy with managing their child's internalising, asthma-related, and eczema-related behaviours; parent adjustment; and use of ineffective parenting strategies) made significant contributions to explaining variance child behaviour. Parenting variables consistently explained greater proportions of variance in general and illness-related child behaviour difficulties compared to demographic and illness factors and represent important intervention targets.
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