Top

Gepubliceerd in:

03-09-2015 | Original Paper

Parenting Stress and Quality of Life in Pediatric Obesity: The Mediating Role of Parenting Styles

Auteurs: Roberta Frontini, Helena Moreira, Maria Cristina Canavarro

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2016

Abstract

Pediatric obesity is a serious health condition associated with lower psychosocial adjustment in children/adolescents and their families. Mothers of children/adolescents with obesity usually present higher levels of parenting stress, and investigation shows that the authoritarian and permissive parenting styles are more used by those mothers. However, little is known about the influence of parental variables on children/adolescent outcomes. This study intended to: (1) investigate differences in the quality of life (QoL) between children/adolescents with obesity and healthy weight, (2) investigate differences between mothers regarding parenting stress and parenting styles, and (3) assess the mediating role of parenting styles in the relationship between parenting stress and the QoL of children/adolescents with obesity. The sample comprised 223 children/adolescents and their mothers (125 children/adolescents with a healthy weight and 98 with obesity). Children/adolescents completed measures of QoL (KIDSCREEN-10) and mothers completed measures of parenting stress (Parenting Stress Index) and parenting styles (Parenting Styles and Dimensions Questionnaire). Mothers of children/adolescents with obesity presented higher levels of parenting stress than mothers of children/adolescents with healthy weight. Mothers of adolescents with obesity used more a permissive parenting style than mothers of adolescents with healthy weight. Higher levels of parenting stress were associated with poorer QoL in children/adolescents through the use of permissive parenting style. This study emphasizes the connection between parenting stress, parenting styles and children’s/adolescent’s QoL, providing innovative input to the field by identifying mechanisms that might account for the link between family and child variables.

vorige artikel Parent-Involved Prevention of Child Sexual Abuse: A Qualitative Exploration of Parents’ Perceptions and Practices in Beijing

volgende artikel Youth Emotional Reactivity, Interparental Conflict, Parent Hostility, and Worrying Among Children with Substance-Abusing Parents

Abidin, R. R. (1995). Parenting Stress Index: Professional manual (3rd ed.). Odessa, FL: Psychological Assessment Resources Inc.

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.

Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviour and preschoolers’ social competence and behaviour problems in the classroom. Infant and Child Development, 14, 133–154. doi:10.1002/icd.385.CrossRef

Barlow, S. E., & Committee, Expert. (2007). Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report. Pediatrics, 120, S164–S192. doi:10.1542/peds.2007-2329C. Supplement 4.CrossRefPubMed

Barlow, S. E., & Dietz, W. H. (1998). Obesity evaluation and treatment: Expert committee recommendations: The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics, 102, E29. doi:10.1542/peds.102.3.e29.CrossRefPubMed

Baumrind, D. (1971). Current patterns of parental authority. Developmental Psychology Monograph, 4, 101–103.

Baumrind, D. (1989). Rearing competent children. In W. Damon (Ed.), Child development today and tomorrow (pp. 349–378). San Francisco, CA: Jossey-Bass.

Beck, J., Schaefer, C. A., Nace, H., Steffen, A. D., Nigg, C., Brink, L., et al. (2012). Accuracy of self-reported height and weight in children aged 6 to 11 years. Preventing Chronic Disease, 9, E119. doi:10.5888/pcd9.120021.PubMedCentralPubMed

Birch, L. L., Fisher, J. O., & Davison, K. K. (2003). Learning to overeat: Maternal use of restrictive feeding practices promotes girls’ eating in the absence of hunger. American Journal of Clinical Nutrition, 78, 215–220.PubMedCentralPubMed

Blissett, J., Haycraft, E., & Farrow, C. (2010). Inducing preschool children’s emotional eating: Relations with parental feeding practices. The American Journal of Clinical Nutrition, 92, 359–365. doi:10.3945/ajcn.2010.29375.CrossRefPubMed

Brener, N. D., McManus, T., Galuska, D. A., Lowry, R., & Wechsler, H. (2003). Reliability and validity of self-reported height and weight among high school students. Journal of Adolescent Health, 32, 281–287. doi:10.1016/S1054-139X(02)00708-5.CrossRefPubMed

Burke, L. (2003). The impact of maternal depression on familial relationships. International Review of Psychiatry, 15, 243–255. doi:10.1080/0954026031000136866.CrossRefPubMed

Carapito, E., Pedro, M., & Ribeiro, M. T. (2008). Questionário de Dimensões e Estilos Parentais (QDEP): Adaptação para o contexto português [Parenting Styles and Dimensions Questionnaire (PSDQ): Adaptation for the Portuguese context]. Actas da XIII Conferência Internacional “Avaliação Psicológica: Formas e Contextos”, Universidade do Minho.

Carona, C., Silva, N., & Moreira, H. (2014). Applying a developmental approach to quality of life assessment in children and adolescents with psychological disorders: Challenges and guidelines. Expert Review of Pharmacoeconomics and Outcomes Research, iFirst,. doi:10.1586/14737167.2015.972377.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.

Crnic, K., Gaze, C., & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: Relations to maternal parenting and child behavior at age five. Infant and Child Development, 14, 117–132. doi:10.1002/icd.384.CrossRef

Crnic, K., & Low, C. (2002). Everyday stresses and parenting. In M. H. Bornstein (Ed.), Handbook of parenting (Vol. 5, pp. 243–267)., Practical issues in parenting Mahwah, N.J.: Erlbaum.

Currie, C., Zanotti, C., Morgan, A., Currie, D., Looze, M., Roberts, C. Samdal, O., Smith, O.R.F. & Barnekow, V. (Eds.). (2012). Social determinants of health and well-being among young people. Health behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 survey. Copenhagen, WHO Regional Office for Europe (Health Policy for Children and Adolescents, No. 6).

Davison, K. K., & Birch, L. L. (2001). Weight status, parent reaction, and self-concept in five-year-old girls. Pediatrics, 107, 46–53. doi:10.1542/peds.107.1.46.PubMedCentralCrossRefPubMed

Deater-Deckard, K. (1998). Parenting stress and child adjustment: Some old hypotheses and new questions. Clinical Psychology: Science and Practice, 5, 314–332. doi:10.1111/j.1468-2850.1998.tb00152.x.

Deater-Deckard, K. (2004). Parenting stress and child adjustment: Some old hypotheses and new questions. Clinical Psychology: Science and Practice, 5, 314–332. doi:10.1111/j.1468-2850.1998.tb00152.x.

Deater-Deckard, K., & Scarr, S. (1996). Parenting stress among dual-earner mothers and fathers: Are there gender differences? Journal of Family Psychology, 10, 45–59. doi:10.1037/0893-3200.10.1.45.CrossRef

Dwyer, J., Needham, L., Simpson, J. R., & Heeney, E. S. (2008). Parents report interpersonal and environmental barriers to supporting healthy eating and physical activity among their preschoolers. Applied Physiology, Nutrition and Metabolism, 33, 338–346. doi:10.1139/H07-195.CrossRef

Epstein, L. H., Paluch, R. A., Roemmich, J. N., & Beecher, M. D. (2007). Family-based obesity treatment, then and now: Twentyfive years of pediatric obesity treatment. Health Psychology, 26, 381–391. doi:10.1037/0278-6133.26.4.381.PubMedCentralCrossRefPubMed

Erikson, E. (1982). The life cycle completed. New York: Norton.

Falkner, N. H., Neumark-Sztainer, D., Story, M., Jeffrey, R. W., Beuhring, T., & Resnick, M. D. (2001). Social, educational, and psychological correlates of weight status in adolescents. Obesity Research, 9, 32–42.CrossRefPubMed

Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239. doi:10.1111/j.1467-9280.2007.01882.x.PubMedCentralCrossRefPubMed

Gaspar, T., & Matos, M. G. (Eds.). (2008). Qualidade de vida em crianças e adolescentes: Versão portuguesa dos instrumentos KIDSCREEN-52. Cruz Quebrada: Aventura Social e Saúde.

Golan, M. (2006). Parents as agents of change in childhood obesity—from research to practice. International Journal of Pediatric Obesity, 1, 66–76.CrossRefPubMed

Golan, M., & Weizman, A. (2001). Familial approach to the treatment of childhood obesity: Conceptual model. Journal of Nutrition Education and Behavior, 33, 102–107. doi:10.1016/S1499-4046(06)60173-5.CrossRef

Griffiths, L. J., Parsons, T. J., & Hill, A. J. (2010). Self-esteem and quality of life in obese children and adolescents: A systematic review. International Journal of Pediatric Obesity, 5, 282–304. doi:10.3109/17477160903473697.CrossRefPubMed

Guilfoyle, S. M., Zeller, M. H., & Modi, A. C. (2010). Parenting stress impacts obesity-specific health-related quality of life in a pediatric obesity treatment-seeking sample. Journal of Developmental and Behavioral Pediatrics, 31, 1–14. doi:10.1097/DBP.0b013e3181c73641.CrossRef

Haskett, M. E., Ahern, L. S., Ward, C. S., & Allaire, J. C. (2006). Factor structure and validity of the parenting stress index-short form. Journal of Clinical Child and Adolescent Psychology, 2, 302–312. doi:10.1207/s15374424jccp3502_14.CrossRef

Haycraft, E., & Blisset, J. (2011). Predictors of paternal and maternal controlling feeding practices with 2- to 5-year-old children. Journal of Nutrition Education and Behavior, 44, 390–397. doi:10.1016/j.jneb.2010.03.001.CrossRefPubMed

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York, NY: The Guilford Press.

Holmbeck, G. N. (2002). A developmental perspective on adolescent health and illness: An introduction to the special issues. Journal of Pediatric Psychology, 27, 409–416. doi:10.1093/jpepsy/27.5.409.CrossRefPubMed

Janicke, D. M., Marciel, K. K., Ingerski, L. M., Novoa, W., Lowry, K. W., Sallinen, B. J., & Silverstein, J. H. (2007). Impact of psychosocial factors on quality of life in overweight youth. Obesity, 15, 1799–1807. doi:10.1038/oby.2007.214.CrossRefPubMed

Jelalian, E., & Hart, C. N. (2009). Pediatric obesity. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (pp. 446–463). New York: The Guilford Press.

Kotchick, B. A., & Forehand, R. (2002). Putting parenting in perspective: A discussion of the contextual factors that shape parenting practices. Journal of Child and Family Studies, 11, 255–269. doi:10.1023/A:1016863921662.CrossRef

Kremers, S. P., Brug, J., de Vries, H., & Engels, R. C. M. E. (2003). Parenting style and adolescent fruit consumption. Appetite, 41, 43–50. doi:10.1016/S0195-6663(03)00038-2.CrossRefPubMed

Kuczmarski, R. J., Ogden, C. L., Guo, S. S., et al. (2000). CDC growth charts for the United States: Methods and development: National Center for Health Statistics. Vital and Health Statistics Series 11, 246, 1–190.

La Greca, A. M., & Mackey, E. R. (2009). Adherence to pediatric treatment regimens. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (4th ed., pp. 130–152). New York: Guilford Press.

Lengua, L. J., Honorado, E., & Bush, N. (2007). Contextual risk and parenting as predictors of effortful control and social competence in preschool children. Journal of Applied Developmental Psychology, 28, 40–55. doi:10.1016/j.appdev.2006.10.001.PubMedCentralCrossRefPubMed

Lohaus, A., Vierhaus, M., & Ball, J. (2009). Parenting styles and health related behavior in childhood and early adolescence: Results of a longitudinal study. Journal of Early Adolescence, 29, 449–475. doi:10.1177/0272431608322954.CrossRef

Mash, E. J., & Dozois, D. J. (2003). Child psychopathology: A developmental systems perspective. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 3–71). New York: Guilford.

Matos, M. G., Gaspar, T., & Simões, C. (2010). Health-related quality of life in Portuguese children and adolescents. Psicologia: Reflexão e Crítica, 25, 230–237.

Matos, M.G., Gaspar, T., Tomé, G., Santos, T.C., Ferreira, M., (Ed.), & Equipa A.S. (2013). O Manual Tempest—Estratégias de apoio para uma alimentação saudável dos adolescentes [The Tempest Manual—Support strategies for adolescents healthy eating]. Lisboa: Aventura Social.

Modi, A. C., Guilfoyle, S. M., & Zeller, M. H. (2009). Impaired health-related quality of life in caregivers of youth seeking obesity treatment. Journal of Pediatric Psychology, 34, 147–155. doi:10.1093/jpepsy/jsn070.PubMedCentralCrossRefPubMed

Moens, E., Braet, C., Bosmans, G., & Rosseel, Y. (2009). Unfavourable family characteristics and their associations with childhood obesity: A cross-sectional study. European Eating Disorders Review, 17, 315–323. doi:10.1002/erv.940.CrossRefPubMed

Moreira, H., Carona, C., Silva, N., Frontini, R., Bullinger, M., & Canavarro, M. C. (2013). Psychological and quality of life outcomes in pediatric populations: A parent–child perspective. Journal of Pediatrics, 163, 1471–1478. doi:10.1016/j.jpeds.2013.06.028.CrossRefPubMed

Ohleyer, V., Freddo, M., & Bagner, D. M. (2007). Disease-related stress in parents of children who are overweight: Relations with parental anxiety and childhood psychosocial functioning. Journal of Child Health Care, 11, 132–142.CrossRefPubMed

Ottova, V., Erhart, M., Rajmil, L., Dettenborn-Betz, L., & Ravens-Sieberer, U. (2012). Overweight and its impact on the health-related quality of life in children and adolescents: Results from the European KIDSCREEN survey. Quality of Life Research, 21, 59–69. doi:10.1007/s11136-011-9922-7.CrossRefPubMed

Pereira, A. I. F., Canavarro, M. C., Cardoso, M. F., & Mendonça, D. (2009). Patterns of parental rearing styles and child behaviour problems among portuguese school-aged children. Journal of Child and Family Studies, 18, 454–464. doi:10.1007/s10826-008-9249-3.CrossRef

Pinquart, M. (2014). Associations of general parenting and parent-child relationship with pediatric obesity: A meta-analysis. Journal of Pediatric Psychology, 39, 381–393. doi:10.1093/jpepsy/jst144.CrossRefPubMed

Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., et al. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19, 1487–1500. doi:10.1007/s11136-010-9706-5.PubMedCentralCrossRefPubMed

Rhee, K. E., Lumeng, J. C., Appugliese, D. P., Kaciroti, N., & Bradley, R. H. (2006). Parenting styles and overweight status in first grade. Pediatrics, 117, 2047–2054. doi:10.1542/peds.2005-2259.CrossRefPubMed

Robinson, C., Mandleco, B., Olsen, S., & Hart, C. (2001). The Parenting Styles and Dimensions Questionnaire (PSDQ). In B. Perlmutter, J. Touliatos, & G. Holden (Eds.), Handbook of family measurement techniques (Vol. 3, pp. 319–321)., Instruments and index Thousand Oaks: Sage.

Rodgers, A. (1993). The assessment of variables related to the parenting behavior of mothers with young children. Children and Youth Services Review, 15, 385–402. doi:10.1016/0190-7409(93)90011-W.CrossRef

Santos, S.V. (2008). Forma reduzida do Parenting Stress Index (PSI): Estudo preliminar [Reduced form of the Parenting Stress Index (PSI): Preliminary study]. XIII Conferência Internacional Avaliação Formas e Contextos. Braga: Universidade do Minho.

Schmitz, K. H., Lytle, L. A., Phillips, G. A., Murray, D. M., Birnbaum, A. S., & Kubik, M. Y. (2002). Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: The teens eating for energy and nutrition at school study. Preventive Medicine, 34, 266–278. doi:10.1006/pmed.2001.0982.CrossRefPubMed

Shor, E. L., & American Academy of Pediatrics Task Force on the Family. (2003). Family pediatrics: Report of the Task Force on the Family. Pediatrics, 111, 1541–1571.

Steele, R. G., Nelson, T. D., & Jelalian, E. (2008). Pediatric obesity: Trends and epidemiology. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 3–10). New York: Springer.

Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115, 340–347. doi:10.1542/peds.2004-0678.CrossRefPubMed

Ventura, A. K., & Birch, L. L. (2008). Does parenting affect children’s eating and weight status? International Journal of Behavioral Nutrition and Physical Activity, 5, 1–12. doi:10.1186/1479-5868-5-15.CrossRef

Vivier, P., & Tompkins, C. (2008). Health consequences of obesity in children and adolescents. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 11–24). New York: Springer.

Walton, K., Simpson, J. R., Darlington, G., & Haines, J. (2014). Parenting stress: A cross-sectional analysis of associations with childhood obesity, physical activity, and TV viewing. BMC Pediatrics, 14, 1–7. doi:10.1186/1471-2431-14-244.CrossRef

Yang, X., Telama, R., Leskinen, E., Mansikkaniemi, K., Viikari, J., & Raitakari, O. T. (2007). Testing a model of physical activity and obesity tracking from youth to adulthood: The cardiovascular risk in young Finns study. International Journal of Obesity, 31, 521–527. doi:10.1038/sj.ijo.0803459.CrossRefPubMed

Zeller, M. H., & Modi, A. C. (2008). Psychosocial factors related to obesity in children and adolescents. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 25–42). New York: Springer.

Zeller, M. H., Reiter-Purtill, J., Modi, A. C., Gutzwiller, J., Vannatta, J., & Davies, W. H. (2007). Controlled study of critical parent and family factors in the obesigenic environment. Obesity, 15, 126–136.CrossRefPubMed

Zeller, M. H., Roehrig, H. R., Modi, A. C., Daniels, S. R., & Inge, T. H. (2006). Health-related quality of life and depressive symptoms in adolescents with extreme obesity presenting for bariatric surgery. Pediatrics, 117, 1155–1161.CrossRefPubMed

Titel: Parenting Stress and Quality of Life in Pediatric Obesity: The Mediating Role of Parenting Styles
Auteurs: Roberta Frontini
Helena Moreira
Maria Cristina Canavarro
Publicatiedatum: 03-09-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 3/2016
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-015-0279-3

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2016

The Impact of Latino Caregiver Acculturation on Treatment Engagement in Children’s Community Mental Health Services

Parent Programs for Reducing Adolescent’s Antisocial Behavior and Substance Use: A Randomized Controlled Trial

Mental Health Problems that Mediate Treatment Utilization Among Children in Foster Care

Client Report of Delivery of Common Elements in Usual Care and the Association to Satisfaction

Motivational Antecedents and Consequences of the Mother–Adolescent Communication

Brief Parenting Interventions for Children at Risk of Externalizing Behavior Problems: A Systematic Review