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Gepubliceerd in: Child Psychiatry & Human Development 6/2022

16-06-2021 | Original Article

Is Overparenting Associated with Adolescent/Young Adult Emotional Functioning and Clinical Outcomes Following Concussion?

Auteurs: Alicia M. Trbovich, Jonathan Preszler, Kouros Emami, Paul Cohen, Shawn Eagle, Michael W. Collins, Anthony P. Kontos

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 6/2022

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Abstract

Overparenting (O-P), or “helicopter” parenting, has warranted increased attention across the past decade. It is characterized as being overly involved, protective, and low on granting autonomy, and is associated with deleterious psychosocial outcomes outside of the concussion literature. This study examined the association of overparenting and patient emotional distress and clinical outcomes (i.e., symptoms, neurocognitive test scores, recovery time) post-concussion. Adolescents/young adult concussion patients (injury < 30 days) and parents (N = 101 child-parent dyads) participated. Patient participants completed measures of depression, anxiety, stress, and concussion clinical outcomes while parents concurrently completed an overparenting measure. Results of a general linear model found that overparenting was associated with higher anxiety and stress report of the child. Overparenting had a significant positive correlation with concussion recovery, although of a small magnitude. Emotional distress level, but not overparenting, was moderately associated with worse performance on clinical outcomes, including neurocognitive testing, vestibular/ocular motor dysfunction, and concussion symptom severity.
Literatuur
1.
go back to reference Bakhos LL et al (2010) Emergency department visits for concussion in young child athletes. Pediatrics 126(3):e550–e556PubMedCrossRef Bakhos LL et al (2010) Emergency department visits for concussion in young child athletes. Pediatrics 126(3):e550–e556PubMedCrossRef
3.
go back to reference Kontos AP et al (2019) Recovery following sport-related concussion: integrating pre-and postinjury factors into multidisciplinary care. J Head Trauma Rehabil 34(6):394–401PubMedCrossRef Kontos AP et al (2019) Recovery following sport-related concussion: integrating pre-and postinjury factors into multidisciplinary care. J Head Trauma Rehabil 34(6):394–401PubMedCrossRef
4.
go back to reference Rose SC et al (2015) The diagnosis and management of concussion in children and adolescents. Pediatr Neurol 53(2):108–118PubMedCrossRef Rose SC et al (2015) The diagnosis and management of concussion in children and adolescents. Pediatr Neurol 53(2):108–118PubMedCrossRef
6.
go back to reference Barlow KM et al (2010) Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics 126(2):e374–e381PubMedCrossRef Barlow KM et al (2010) Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics 126(2):e374–e381PubMedCrossRef
8.
go back to reference Miller JH et al (2016) Predictors of delayed recovery following pediatric sports-related concussion: a case-control study. J Neurosurg Pediatr 17(4):491–496PubMedCrossRef Miller JH et al (2016) Predictors of delayed recovery following pediatric sports-related concussion: a case-control study. J Neurosurg Pediatr 17(4):491–496PubMedCrossRef
9.
go back to reference McCrea M et al (2013) Incidence, clinical course, and predictors of prolonged recovery time following sport-related concussion in high school and college athletes. J Int Neuropsychol Soc 19(01):22–33PubMedCrossRef McCrea M et al (2013) Incidence, clinical course, and predictors of prolonged recovery time following sport-related concussion in high school and college athletes. J Int Neuropsychol Soc 19(01):22–33PubMedCrossRef
10.
go back to reference Iverson GL et al (2017) Predictors of clinical recovery from concussion: a systematic review. Br J Sports Med 51(12):941–948PubMedCrossRef Iverson GL et al (2017) Predictors of clinical recovery from concussion: a systematic review. Br J Sports Med 51(12):941–948PubMedCrossRef
11.
go back to reference Zemek R et al (2016) Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED. JAMA 315(10):1014–1025PubMedCrossRef Zemek R et al (2016) Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED. JAMA 315(10):1014–1025PubMedCrossRef
12.
go back to reference Charek DB et al (2019) Preliminary evidence of a dose-response for continuing to play on recovery time after concussion. J Head Trauma Rehabil 35(2):85–91CrossRef Charek DB et al (2019) Preliminary evidence of a dose-response for continuing to play on recovery time after concussion. J Head Trauma Rehabil 35(2):85–91CrossRef
13.
go back to reference McCrory P et al (2017) Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, october 2016. Br J Sports Med 51(11):838–847PubMed McCrory P et al (2017) Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, october 2016. Br J Sports Med 51(11):838–847PubMed
14.
go back to reference Sandel N et al (2017) Anxiety and mood clinical profile following sport-related concussion: from risk factors to treatment. Sport Exerc Perform Psychol 6(3):304PubMedPubMedCentral Sandel N et al (2017) Anxiety and mood clinical profile following sport-related concussion: from risk factors to treatment. Sport Exerc Perform Psychol 6(3):304PubMedPubMedCentral
15.
go back to reference Broshek DK, De Marco AP, Freeman JR (2015) A review of post-concussion syndrome and psychological factors associated with concussion. Brain Inj 29(2):228–237PubMedCrossRef Broshek DK, De Marco AP, Freeman JR (2015) A review of post-concussion syndrome and psychological factors associated with concussion. Brain Inj 29(2):228–237PubMedCrossRef
17.
18.
go back to reference Shaffer M et al (2020) A-39 vestibular and ocular motor symptoms and impairment associated with post-concussion anxiety. Arch Clin Neuropsychol 35(5):635–635CrossRef Shaffer M et al (2020) A-39 vestibular and ocular motor symptoms and impairment associated with post-concussion anxiety. Arch Clin Neuropsychol 35(5):635–635CrossRef
19.
go back to reference Albanese BJ et al (2017) Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample. Psychiatry Res 252:242–246PubMedPubMedCentralCrossRef Albanese BJ et al (2017) Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample. Psychiatry Res 252:242–246PubMedPubMedCentralCrossRef
20.
go back to reference Maerlender A et al (2010) Examination of the construct validity of ImpactTM computerized test, traditional, and experimental neuropsychological measures. Clin Neuropsychol 24(8):1309–1325PubMedPubMedCentralCrossRef Maerlender A et al (2010) Examination of the construct validity of ImpactTM computerized test, traditional, and experimental neuropsychological measures. Clin Neuropsychol 24(8):1309–1325PubMedPubMedCentralCrossRef
21.
go back to reference Padilla-Walker LM, Nelson LJ (2012) Black hawk down?: establishing helicopter parenting as a distinct construct from other forms of parental control during emerging adulthood. J Adolesc 35(5):1177–1190PubMedCrossRef Padilla-Walker LM, Nelson LJ (2012) Black hawk down?: establishing helicopter parenting as a distinct construct from other forms of parental control during emerging adulthood. J Adolesc 35(5):1177–1190PubMedCrossRef
22.
go back to reference LeMoyne T, Buchanan T (2011) Does “hovering” matter? Helicopter parenting and its effect on well-being. Sociol Spectr 31(4):399–418CrossRef LeMoyne T, Buchanan T (2011) Does “hovering” matter? Helicopter parenting and its effect on well-being. Sociol Spectr 31(4):399–418CrossRef
23.
go back to reference Shoup R, Gonyea RM, Kuh GD (2009) Helicopter parents: examining the impact of highly involved parents on student engagement and educational outcomes. In: 49th Annual Forum of the Association for Institutional Research, Atlanta, Georgia. http://cpr.iub.edu/uploads/AIR. Accessed 10 Mar 2021 Shoup R, Gonyea RM, Kuh GD (2009) Helicopter parents: examining the impact of highly involved parents on student engagement and educational outcomes. In: 49th Annual Forum of the Association for Institutional Research, Atlanta, Georgia. http://​cpr.​iub.​edu/​uploads/​AIR. Accessed 10 Mar 2021
24.
go back to reference Segrin C et al (2012) The association between overparenting, parent-child communication, and entitlement and adaptive traits in adult children. Fam Relat 61(2):237–252CrossRef Segrin C et al (2012) The association between overparenting, parent-child communication, and entitlement and adaptive traits in adult children. Fam Relat 61(2):237–252CrossRef
25.
go back to reference Schiffrin HH et al (2014) Helping or hovering? The effects of helicopter parenting on college students’ well-being. J Child Fam Stud 23(3):548–557CrossRef Schiffrin HH et al (2014) Helping or hovering? The effects of helicopter parenting on college students’ well-being. J Child Fam Stud 23(3):548–557CrossRef
26.
go back to reference Segrin C et al (2013) Parent and child traits associated with overparenting. J Soc Clin Psychol 32(6):569–595CrossRef Segrin C et al (2013) Parent and child traits associated with overparenting. J Soc Clin Psychol 32(6):569–595CrossRef
27.
go back to reference Segrin C et al (2015) Overparenting is associated with child problems and a critical family environment. J Child Fam Stud 24(2):470–479CrossRef Segrin C et al (2015) Overparenting is associated with child problems and a critical family environment. J Child Fam Stud 24(2):470–479CrossRef
28.
go back to reference Zemek R et al (2013) Parental anxiety at initial acute presentation is not associated with prolonged symptoms following pediatric concussion. Acad Emerg Med 20(10):1041–1049PubMedCrossRef Zemek R et al (2013) Parental anxiety at initial acute presentation is not associated with prolonged symptoms following pediatric concussion. Acad Emerg Med 20(10):1041–1049PubMedCrossRef
29.
go back to reference Hatfield E, Cacioppo JT, Rapson RL (1993) Emotional contagion. Curr Dir Psychol Sci 2(3):96–100CrossRef Hatfield E, Cacioppo JT, Rapson RL (1993) Emotional contagion. Curr Dir Psychol Sci 2(3):96–100CrossRef
30.
go back to reference Findler P (2015) Should kids play (American) football? J Philos Sport 42(3):443–462CrossRef Findler P (2015) Should kids play (American) football? J Philos Sport 42(3):443–462CrossRef
31.
go back to reference Murphy AM, Askew KL, Sumner KE (2017) Parents’ intentions to allow youth football participation: perceived concussion risk and the theory of planned behavior. Sport Exerc Perform Psychol 6(3):230 Murphy AM, Askew KL, Sumner KE (2017) Parents’ intentions to allow youth football participation: perceived concussion risk and the theory of planned behavior. Sport Exerc Perform Psychol 6(3):230
32.
go back to reference Kroshus E et al (2018) Threat, pressure, and communication about concussion safety: implications for parent concussion education. Health Educ Behav 45(2):254–261PubMedCrossRef Kroshus E et al (2018) Threat, pressure, and communication about concussion safety: implications for parent concussion education. Health Educ Behav 45(2):254–261PubMedCrossRef
33.
go back to reference Lovibond PF, Lovibond SH (1995) The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33(3):335–343PubMedCrossRef Lovibond PF, Lovibond SH (1995) The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33(3):335–343PubMedCrossRef
34.
go back to reference Randall D et al (2017) Depression Anxiety Stress Scales (DASS-21): factor structure in traumatic brain injury rehabilitation. J Head Trauma Rehabil 32(2):134–144PubMedCrossRef Randall D et al (2017) Depression Anxiety Stress Scales (DASS-21): factor structure in traumatic brain injury rehabilitation. J Head Trauma Rehabil 32(2):134–144PubMedCrossRef
35.
go back to reference Lovibond SH, Lovibond PF (1995) Manual for the Depression Anxiety Stress Scales, 2nd edn. Psychology Foundation, Sydney Lovibond SH, Lovibond PF (1995) Manual for the Depression Anxiety Stress Scales, 2nd edn. Psychology Foundation, Sydney
36.
go back to reference Antony MM et al (1998) Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess 10(2):176CrossRef Antony MM et al (1998) Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess 10(2):176CrossRef
37.
go back to reference Henry JD, Crawford JR (2005) The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 44(2):227–239PubMedCrossRef Henry JD, Crawford JR (2005) The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 44(2):227–239PubMedCrossRef
38.
go back to reference Szabo M (2010) The short version of the Depression Anxiety Stress Scales (DASS-21): factor structure in a young adolescent sample. J Adolesc 33(1):1–8PubMedCrossRef Szabo M (2010) The short version of the Depression Anxiety Stress Scales (DASS-21): factor structure in a young adolescent sample. J Adolesc 33(1):1–8PubMedCrossRef
39.
go back to reference Schatz P et al (2006) Sensitivity and specificity of the ImPACT test battery for concussion in athletes. Arch Clin Neuropsychol 21(1):91–99PubMedCrossRef Schatz P et al (2006) Sensitivity and specificity of the ImPACT test battery for concussion in athletes. Arch Clin Neuropsychol 21(1):91–99PubMedCrossRef
40.
go back to reference Lovell MR et al (2006) Measurement of symptoms following sports-related concussion: reliability and normative data for the post-concussion scale. Appl Neuropsychol 13(3):166–174PubMedCrossRef Lovell MR et al (2006) Measurement of symptoms following sports-related concussion: reliability and normative data for the post-concussion scale. Appl Neuropsychol 13(3):166–174PubMedCrossRef
41.
go back to reference Kontos AP et al (2012) A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors. Am J Sports Med 40(10):2375–2384PubMedCrossRef Kontos AP et al (2012) A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors. Am J Sports Med 40(10):2375–2384PubMedCrossRef
42.
go back to reference Mucha A et al (2014) A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions preliminary findings. Am J Sports Med 42(10):2479–2486PubMedPubMedCentralCrossRef Mucha A et al (2014) A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions preliminary findings. Am J Sports Med 42(10):2479–2486PubMedPubMedCentralCrossRef
43.
go back to reference Thomas DG et al (2015) Benefits of strict rest after acute concussion: a randomized controlled trial. Pediatrics 135(2):213–223PubMedCrossRef Thomas DG et al (2015) Benefits of strict rest after acute concussion: a randomized controlled trial. Pediatrics 135(2):213–223PubMedCrossRef
44.
go back to reference Hatfield E, Rapson RL, Le Y-CL (2011) Emotional contagion and empathy. The MIT Press, Cambridge Hatfield E, Rapson RL, Le Y-CL (2011) Emotional contagion and empathy. The MIT Press, Cambridge
45.
go back to reference Dressing M et al (2020) A scale measuring academic-related anxiety following concussion. J Clin Sport Psychol 1(aop):1–11 Dressing M et al (2020) A scale measuring academic-related anxiety following concussion. J Clin Sport Psychol 1(aop):1–11
46.
go back to reference Hannah T et al (2020) Assessing the predictive value of primary evaluation with the immediate post-concussion assessment and cognitive test following head injury. J Neurosurg Pediatr 26(2):171–178PubMedCrossRef Hannah T et al (2020) Assessing the predictive value of primary evaluation with the immediate post-concussion assessment and cognitive test following head injury. J Neurosurg Pediatr 26(2):171–178PubMedCrossRef
47.
go back to reference Kontos A et al (2012) Depression and neurocognitive performance after concussion among male and female high school and collegiate athletes. Arch Phys Med Rehabil 93(10):1751–1756PubMedCrossRef Kontos A et al (2012) Depression and neurocognitive performance after concussion among male and female high school and collegiate athletes. Arch Phys Med Rehabil 93(10):1751–1756PubMedCrossRef
48.
go back to reference Riegler KE, Guty ET, Arnett PA (2019) Neuropsychological test performance in depressed and nondepressed collegiate athletes following concussion. Neuropsychology 34(1):63PubMedCrossRef Riegler KE, Guty ET, Arnett PA (2019) Neuropsychological test performance in depressed and nondepressed collegiate athletes following concussion. Neuropsychology 34(1):63PubMedCrossRef
49.
go back to reference Hixson KM et al (2017) Is state anxiety, trait anxiety, or anxiety sensitivity a clinical predictor of symptoms in those presenting with mild traumatic brain injury or concussion? J Sport Rehabil 26(6):588–594PubMedCrossRef Hixson KM et al (2017) Is state anxiety, trait anxiety, or anxiety sensitivity a clinical predictor of symptoms in those presenting with mild traumatic brain injury or concussion? J Sport Rehabil 26(6):588–594PubMedCrossRef
50.
go back to reference Sommerfeldt SL et al (2016) Executive attention impairment in adolescents with major depressive disorder. J Clin Child Adolesc Psychol 45(1):69–83PubMedCrossRef Sommerfeldt SL et al (2016) Executive attention impairment in adolescents with major depressive disorder. J Clin Child Adolesc Psychol 45(1):69–83PubMedCrossRef
52.
go back to reference Kontos A et al (2019) Sport-related concussion clinical profiles: clinical characteristics, targeted treatments, and preliminary evidence. Curr Sports Med Rep 18(3):82–92PubMedCrossRef Kontos A et al (2019) Sport-related concussion clinical profiles: clinical characteristics, targeted treatments, and preliminary evidence. Curr Sports Med Rep 18(3):82–92PubMedCrossRef
54.
go back to reference Hansen BH et al (2016) Non-obsessive–compulsive anxiety disorders in child and adolescent mental health services—are they underdiagnosed, and how accurate is referral information? Nord J Psychiatry 70(2):133–139PubMedCrossRef Hansen BH et al (2016) Non-obsessive–compulsive anxiety disorders in child and adolescent mental health services—are they underdiagnosed, and how accurate is referral information? Nord J Psychiatry 70(2):133–139PubMedCrossRef
55.
go back to reference Covassin T et al (2017) A review of psychological issues that may be associated with a sport-related concussion in youth and collegiate athletes. Sport Exerc Perform Psychol 6(3):220 Covassin T et al (2017) A review of psychological issues that may be associated with a sport-related concussion in youth and collegiate athletes. Sport Exerc Perform Psychol 6(3):220
Metagegevens
Titel
Is Overparenting Associated with Adolescent/Young Adult Emotional Functioning and Clinical Outcomes Following Concussion?
Auteurs
Alicia M. Trbovich
Jonathan Preszler
Kouros Emami
Paul Cohen
Shawn Eagle
Michael W. Collins
Anthony P. Kontos
Publicatiedatum
16-06-2021
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 6/2022
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-021-01204-8

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