Top

Gepubliceerd in:

01-06-2011 | Original Article

Mothers’ Resolution of Their Young Children’s Psychiatric Diagnoses: Associations with Child, Parent, and Relationship Characteristics

Auteurs: Joan A. Kearney, Preston A. Britner, Anne F. Farrell, JoAnn L. Robinson

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 3/2011

Abstract

Maternal resolution of a child’s diagnosis relates to sensitive caregiving and healthy attachment. Failure to resolve is associated with maternal distress, high caregiving burden, and the quality of marital and social support. This study examined maternal resolution of diagnosis in a child psychiatric population utilizing the Reaction to Diagnosis paradigm. Thirty-three mothers of children ages 2–7 years with psychiatric disorders were interviewed using the Reaction to Diagnosis Interview. Slightly over half of the sample was classified as resolved. Associations between maternal resolution status, maternal depression, childrearing stress, and child functioning were examined and a predictive model for maternal resolution status was tested. Specific findings included a significant association between childrearing stress and maternal resolution status with support for some additional predictive power for maternal depression on resolution status. Child functioning was not significantly associated with resolution status, and may exert influence indirectly through its association with childrearing stress. There were no significant associations between maternal or child demographic characteristics and maternal resolution status. Clinical and research implications are discussed.

vorige artikel Maternal Anxiety, Behaviors, and Expectations During a Behavioral Task: Relation to Children’s Self-Evaluations

volgende artikel Reliability and Validity Evidence of Scores on the Slovene Version of the Questionnaire About Interpersonal Difficulties for Adolescents

Marvin RS, Pianta RC (1996) Mothers’ reactions to their child’s diagnosis: relations with security of attachment. J Clin Child Psychol 25:436–445CrossRef

Pianta RC, Marvin RS, Britner PA, Borowitz KC (1996) Mothers’ resolution of their children’s diagnosis: organized patterns of caregiving representations. Inf Mntl Health J 17:239–256CrossRef

Sheeran T, Marvin RS, Pianta RC (1997) Mothers’ resolution of their child’s diagnosis and self-reported measures of parenting stress, marital relations, and social support. J Pediatr Psychol 22:197–212PubMed

McDonald TP, Poertner J, Pierpont J (1999) Predicting caregiver stress: an ecological perspective. Am J Orthopsychiatry 69:100–109PubMedCrossRef

Sales E et al (2004) Maternal caregiving strain as a mediator in the relationship between child and mother mental health problems. Soc Work Research 28:211–223

Early TJ, Gregoire TK, McDonald TP (2002) Child functioning and caregiver well-being in families of children with emotional disorders: a longitudinal analysis. J Family Issues 23:374–391CrossRef

Rosenzweig JM, Brennan EM, Ogilvie A (2002) A work-family fit: voices of parents of children with emotional and behavioral disorders. Soc Work 47:415–424PubMed

Folkman S (2009) Commentary on the special section “Theory-based approaches to stress and coping”: questions, answers, issues, and next steps in stress and coping research. Eur Psychologist 14:72–77CrossRef

Lazarus R, Folkman S (1984) Stress, appraisal and coping. Springer, New York

10.

Pianta RC, Marvin RS (1992) The reaction to diagnosis classification system. University of Virginia, Charlottesville

11.

Pianta RC, Marvin RS (1992) Manual for Classification of the Reaction to Diagnosis Interview. University of Virginia, Charlottesville

12.

Barnett D, Clements M, Kaplan-Estrin M, McCaskill JW, Hunt KH, Butler CM (2006) Maternal resolution of child diagnosis: stability and relations with child attachment across the toddler to preschooler transition. J Fam Psychol 20:100–107PubMedCrossRef

13.

McCaskill JW (1998) Maternal grief reactions to their children’s birth defects: factors influencing grief resolution. Dissertation abstracts international, 58(11-B):6240

14.

Burden R, Thomas DA (1986) A further perspective on parental reaction to handicap. Exceptional Child 33:140–145

15.

Waisbren SE (1980) Parents’ reactions after the birth of a developmentally disabled child. Am J Mental Defic 84:345–351

16.

Cicchetti D, Toth SL (1998) Developmental processes in maltreated children. In: Hansen DJ (ed) Nebraska symposium on motivation, vol 46, motivation and child maltreatment. University of Nebraska Press, NE, pp 85–160

17.

Howes PW, Cicchetti D, Toth SL, Rogosch FA (2000) Affective, organizational, and relational characteristics of maltreating families: a system’s perspective. J Fam Psychol 14:95–110PubMedCrossRef

18.

Shields A, Cicchetti D (1998) Reactive aggression among maltreated children: the contributions of attention and emotion dysregulation. J Clin Child Psychol 27:381–395PubMedCrossRef

19.

Emde RN, Bingham RD, Harmon RJ (1993) Classification and the diagnostic process. In: Zeanah CH Jr (ed) Handbook of infant mental health. Guilford Press, New York, pp 225–235

20.

Kim-Cohen J, Arseneault L, Caspi A, Tomas MP, Taylor A, Moffitt TE (2005) Validity of DSM-IV conduct disorder in 41/2–5-year-old children: a longitudinal epidemiological study. Am J Psychiatry 162:1108–1117PubMedCrossRef

21.

Lavigne JV, Gibbons RD, Christoffel KK, Arend R, Rosenbaum D, Binns H et al (1996) Prevalence rates and correlates of psychiatric disorders among preschool children. J Am Acad Child Adolesc Psychiatry 35:204–214PubMedCrossRef

22.

Mathiesen KS, Sanson A (2000) Dimensions of early childhood behavior problems: stability and predictors of change from 18 to 30 months. J Abnorm Child Psychol 28:15–31PubMedCrossRef

23.

DeBar LL, Lynch T, Powell J, Gale J (2003) Use of psychotropic agents in preschool children: associated symptoms, diagnoses, and health care services in a health maintenance organization. Arch Pediatr Adolesc Med 157:150–157PubMed

24.

Cameron S, Snowdon A, Orr R (1992) Emotions experienced by mothers of children with developmental disabilities. Children’s Health Care 121:96–102CrossRef

25.

Stalets MM, Luby JL (2006) Preschool depression. Child Adolesc Psychiatr Clin N Am 15:899–917PubMedCrossRef

26.

Belden AC, Luby JL (2006) Preschoolers’ depression severity and behaviors during dyadic interactions: The mediating role of parental support. J Am Acad Child Adolesc Psychiatry 45:213–222PubMedCrossRef

27.

Belden AC, Sullivan JP, Luby JL (2007) Depressed and healthy preschoolers’ internal representations of their mothers’ caregiving: associations with observed caregiving behaviors one year later. Attach Hum Dev 9:239–254PubMedCrossRef

28.

Luby JL, Belden AC, Spitznagel E (2006) Risk factors for preschool depression: the mediating role of early stressful life events. J Child Psychol Psychiatry 47:1292–1298PubMed

29.

Campbell SB, Shaw DS, Gilliom M (2000) Early externalizing behavior problems: toddlers and preschoolers at risk for later maladjustment. Dev Psychopathol 12:467–488PubMedCrossRef

30.

Connell AM, Goodman SH (2002) The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 128:746–773PubMedCrossRef

31.

Bureau JF, Easterbrooks MA, Lyons-Ruth K (2009) Maternal depressive symptoms in infancy: unique contribution to children’s depressive symptoms in childhood and adolescence? Dev Psychopathol 21:519–537PubMedCrossRef

32.

Campbell SB, Pierce EW, March CL, Ewing LJ, Szumowski EK (1994) Hard-to-manage preschool boys: symptomatic behavior across contexts and time. Child Dev 65:836–851PubMedCrossRef

33.

Campbell SB, March CL, Pierce EW, Ewing LJ, Szumowski EK (1991) Hard to manage preschool boys: family context and the stability of externalizing behavior. J Abnorm Child Psych 19:301–318CrossRef

34.

Naerde A, Tambs K, Mathiesen K (2002) Child related strain and maternal mental health: a longitudinal study. Acta Psychiatr Scand 105:301–309PubMedCrossRef

35.

Schuengel C, Rentinck I, Stolk J, Voorman J, Loots G, Ketelaar M et al (2009) Parents’ reactions to the diagnosis of cerebral palsy: associations between resolution, age and severity of disability. Child Care Health Dev 35:673–680PubMedCrossRef

36.

Abidin R (1995) Parenting stress index-short form. Psychological Assessment Resources, Inc., Lutz

37.

Beck AT, Steer RA, Brown GK (1996) Beck depression inventory: manual, 2nd edn. Harcourt Brace, Boston

38.

Ogles BM, Melendez G, Davis DC, Lunnen KM (1999) The Ohio youth problem, functioning and satisfaction scales- short form. Ohio University, Athens, Ohio

39.

Beck AT (1961) Beck depression inventory. Center for Cognitive Therapy, Philadelphia

40.

Beck AT, Steer RA, Garbin MG (1988) Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Review 8:77–100CrossRef

41.

Haskett ME, Ahern LS, Ward CS, Allaire JC (2006) Factor Structure and Validity of the Parenting Stress Index-Short Form. J Clin Child Adolesc Psychol 35:302–312PubMedCrossRef

42.

Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H et al (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40:1228–1231PubMed

43.

Byrne C, Browne G, Roberts J, Mills M, Bell B, Gafni A et al (2006) Changes in children’s behavior and costs for service use associated with parents’ response to treatment for dysthymia. J Am Acad Child Adolesc Psychiatry 45:239–246PubMedCrossRef

44.

Pilowsky DJ, Wickramaratne P, Talati A, Tang M, Hughes CW, Garber J et al (2008) Children of depressed mothers 1 year after the initiation of maternal treatment: Findings from the STAR*D child study. Am J Psychiatry 165:1136–1147PubMedCrossRef

45.

Halfon NP (2000) Preschool and identification of mental health needs. Proceedings of The Report of the Surgeon General’s Conference on Children’s Mental Health: A National Action Agenda. US Dept of Health and.Human Services, Washington DC

46.

Belsky JK, Crnic K, Woodworth S (1995) Personality and parenting: Exploring the mediating role of transient mood and daily hassles. J Pers 63:905–929PubMedCrossRef

Titel: Mothers’ Resolution of Their Young Children’s Psychiatric Diagnoses: Associations with Child, Parent, and Relationship Characteristics
Auteurs: Joan A. Kearney
Preston A. Britner
Anne F. Farrell
JoAnn L. Robinson
Publicatiedatum: 01-06-2011
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 3/2011
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-011-0217-6

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2011

Atomoxetine and Methylphenidate Treatment in Children with ADHD: The Efficacy, Tolerability and Effects on Executive Functions

An Investigation of Control Among Parents of Selectively Mute, Anxious, and Non-Anxious Children

Maternal Anxiety, Behaviors, and Expectations During a Behavioral Task: Relation to Children’s Self-Evaluations

Reliability and Validity Evidence of Scores on the Slovene Version of the Questionnaire About Interpersonal Difficulties for Adolescents

Acetyl-L-Carnitine as an Adjunctive Therapy in the Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: A Placebo-Controlled Trial

Psychopathology in African Unaccompanied Refugee Minors in Austria