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Gepubliceerd in:

01-12-2014

A closer look at the developmental interplay between parenting and perceived health in adolescents with congenital heart disease

Auteurs: Jessica Rassart, Koen Luyckx, Eva Goossens, Silke Apers, Philip Moons

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2014

Abstract

The present study examined associations between parenting and perceived health in adolescents with congenital heart disease (CHD) using a longitudinal trajectory approach. Adolescents with CHD were selected from the database of pediatric and congenital cardiology of the University Hospitals Leuven. A total of 429 adolescents (M _age = 16 at T1) participated in the present study, comprising four measurement waves spanning approximately 3 years. Latent class growth analysis was used to identify trajectory classes of parenting and perceived health. Whereas adolescents from democratic households reported the most favorable health outcomes, adolescents from authoritarian, overprotective, and psychologically controlling families (all characterized by relatively high levels of psychological control) showed an increased risk for poor perceived health over time. Hence, the present study found substantial developmental associations between parenting and perceived health in adolescents with CHD. Future research should investigate whether working on the parent–adolescent relationship can foster patients’ health.

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The odds of being in the poor perceived health class as compared to the optimal perceived health class were 7.36 times higher for patients in authoritarian class, 7.80 times higher for patients in the psychologically controlling class, and 8.43 times higher for patients in the overprotective class as compared to patients in the indulgent class. In addition, the odds of being classified in the moderate perceived health class as compared to the optimal perceived health class were 4.52 times higher for patients in the authoritarian class, 3.84 times higher for patients in the psychologically controlling class, and 3.70 times higher for patients in the overprotective class as compared to patients in the indulgent class. Furthermore, the odds of being classified in the moderate perceived health class as compared to the optimal perceived health class were 2.97 times higher for patients in the psychologically controlling class, 3.49 times higher for patients in the authoritarian class, and 2.86 times higher for patients in the overprotective as compared to patients in the uninvolved class.

The odds of being in the poor perceived health class as compared to the optimal perceived health class were 2.46 times lower for patients in the indulgent class, 15.14 times lower for patients in the uninvolved class, 7.15 times lower for patients in the authoritarian class, and 7.96 times lower for patients in the overprotective class as compared to patients in the psychologically controlling class. Furthermore, the results showed that the odds of being classified in the moderate perceived health class as compared to the optimal perceived health class were 5.39 times lower for patients in the uninvolved class and 4.17 times lower for patients in the overprotective class as compared to patients in the psychologically controlling class.

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Titel: A closer look at the developmental interplay between parenting and perceived health in adolescents with congenital heart disease
Auteurs: Jessica Rassart
Koen Luyckx
Eva Goossens
Silke Apers
Philip Moons
Publicatiedatum: 01-12-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 6/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-014-9569-2

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