Skip to main content
Top
Gepubliceerd in: Quality of Life Research 6/2015

01-06-2015

Support and negativity in interpersonal relationships impact caregivers’ quality of life in pediatric food allergy

Auteurs: Natalie A. Williams, Maren Hankey

Gepubliceerd in: Quality of Life Research | Uitgave 6/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

This study examined interpersonal relationship processes as they relate to health-related quality of life (HRQL) in caregivers of food-allergic children. Research questions explored the relative contributions of social support and social negativity to caregivers’ adaptation as well as mechanisms of moderation, mediation, and moderated mediation through which these influences affect the association of time since children’s food allergy diagnosis to caregivers’ HRQL.

Methods

Caregivers (N = 299) of food-allergic children were recruited from parent groups associated with a food allergy nonprofit organization. Participants completed web-based questionnaires assessing demographics and child allergy characteristics, the extent of support and negativity experienced in their social relationships related caregiving, and their HRQL. Multiple regression analyses were used to examine relations among time since diagnosis, interpersonal relationship processes, and caregiver HRQL.

Results

Social negativity was directly related to diminished caregiver HRQL and was a stronger predictor of caregiver HRQL than social support. The effect of time since diagnosis on caregiver HRQL was indirect through social support, and this mediating effect did not depend on caregivers’ experience of social negativity.

Conclusions

Interpersonal relationship processes appear influential in the adaptation of caregivers in the context of pediatric food allergy. Psychosocial interventions targeting support and negativity in caregivers’ social relationships may help improve their HRQL.
Literatuur
1.
go back to reference Branum, A. M., & Lukacs, S. L. (2009). Food allergy among children in the United States. Pediatrics, 124(6), 1549–1555.PubMedCrossRef Branum, A. M., & Lukacs, S. L. (2009). Food allergy among children in the United States. Pediatrics, 124(6), 1549–1555.PubMedCrossRef
2.
go back to reference Gupta, R. S., Springston, E. E., Warrier, M. R., et al. (2011). The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics, 128(1), e9–e17. Gupta, R. S., Springston, E. E., Warrier, M. R., et al. (2011). The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics, 128(1), e9–e17.
3.
go back to reference Cummings, A. J., Knibb, R. C., King, R. M., & Lucas, J. S. (2010). The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: A review. Allergy, 65(8), 933–945.PubMedCrossRef Cummings, A. J., Knibb, R. C., King, R. M., & Lucas, J. S. (2010). The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: A review. Allergy, 65(8), 933–945.PubMedCrossRef
4.
go back to reference Bacal, L. R. (2013). The impact of food allergies on quality of life. Pediatric Annals, 42(7), 141–145.PubMedCrossRef Bacal, L. R. (2013). The impact of food allergies on quality of life. Pediatric Annals, 42(7), 141–145.PubMedCrossRef
5.
go back to reference Lieberman, J. A., & Sicherer, S. H. (2011). Quality of life in food allergy. Current opinion in Allergy and Clinical Immunology, 11(3), 236–242.PubMedCrossRef Lieberman, J. A., & Sicherer, S. H. (2011). Quality of life in food allergy. Current opinion in Allergy and Clinical Immunology, 11(3), 236–242.PubMedCrossRef
6.
go back to reference Flokstra-de Blok, B. M. J., Dubois, A. E., Vlieg-Boerstra, B. J., Oude Elberink, J. N. G., Raat, H., et al. (2010). Health-related quality of life of food allergic patients: Comparison with the general population and other diseases. Allergy, 65(2), 238–244.PubMedCrossRef Flokstra-de Blok, B. M. J., Dubois, A. E., Vlieg-Boerstra, B. J., Oude Elberink, J. N. G., Raat, H., et al. (2010). Health-related quality of life of food allergic patients: Comparison with the general population and other diseases. Allergy, 65(2), 238–244.PubMedCrossRef
7.
go back to reference van der Velde, J. L., Dubois, A. E., & Flokstra-de Blok, B. M. (2013). Food allergy and quality of life: What have we learned? Current Allergy and Asthma Reports, 13(6), 651–661.PubMedCrossRef van der Velde, J. L., Dubois, A. E., & Flokstra-de Blok, B. M. (2013). Food allergy and quality of life: What have we learned? Current Allergy and Asthma Reports, 13(6), 651–661.PubMedCrossRef
8.
go back to reference Palamaro Munsell, E., Kilmer, R. P., Cook, J. R., & Reeve, C. L. (2012). The effects of caregiver social connections on caregiver, child, and family well-being. American Journal of Orthopsychiatry, 82(1), 137–145.PubMedCrossRef Palamaro Munsell, E., Kilmer, R. P., Cook, J. R., & Reeve, C. L. (2012). The effects of caregiver social connections on caregiver, child, and family well-being. American Journal of Orthopsychiatry, 82(1), 137–145.PubMedCrossRef
9.
go back to reference Raina, P., O’Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., et al. (2004). Caregiving process and caregiver burden: Conceptual models to guide research and practice. BMC Pediatrics, 4, 1.PubMedCentralPubMedCrossRef Raina, P., O’Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., et al. (2004). Caregiving process and caregiver burden: Conceptual models to guide research and practice. BMC Pediatrics, 4, 1.PubMedCentralPubMedCrossRef
10.
go back to reference Gillespie, C. A., Woodgate, R. L., Chalmers, K. I., & Watson, W. T. A. (2007). “Living with risk”: Mothering a child with food-induced anaphylaxis. Journal of Pediatric Nursing, 22(1), 30–42.PubMedCrossRef Gillespie, C. A., Woodgate, R. L., Chalmers, K. I., & Watson, W. T. A. (2007). “Living with risk”: Mothering a child with food-induced anaphylaxis. Journal of Pediatric Nursing, 22(1), 30–42.PubMedCrossRef
11.
go back to reference Mandell, D., Curtis, R., Gold, M., & Hardie, S. (2005). Anaphylaxis: How do you live with it? Health and Social Work, 30(4), 325–335.PubMedCrossRef Mandell, D., Curtis, R., Gold, M., & Hardie, S. (2005). Anaphylaxis: How do you live with it? Health and Social Work, 30(4), 325–335.PubMedCrossRef
12.
go back to reference Gupta, R. S., Kim, J. S., Barnathan, J. A., Amsden, L. B., Tummala, L. S., et al. (2008). Food allergy knowledge, attitudes and beliefs: Focus groups of parents, physicians and the general public. BMC Pediatrics, 8, 36.PubMedCentralPubMedCrossRef Gupta, R. S., Kim, J. S., Barnathan, J. A., Amsden, L. B., Tummala, L. S., et al. (2008). Food allergy knowledge, attitudes and beliefs: Focus groups of parents, physicians and the general public. BMC Pediatrics, 8, 36.PubMedCentralPubMedCrossRef
13.
go back to reference Ravid, N. L., Annuniziato, R. A., Ambrose, M. A., Chuang, K., Mullarkey, C., Sicherer, S. H., et al. (2012). Mental health and quality-of-life concerns related to the burden of food allergy. Immunology and Allergy Clinics of North America, 32(1), 83–95.PubMedCrossRef Ravid, N. L., Annuniziato, R. A., Ambrose, M. A., Chuang, K., Mullarkey, C., Sicherer, S. H., et al. (2012). Mental health and quality-of-life concerns related to the burden of food allergy. Immunology and Allergy Clinics of North America, 32(1), 83–95.PubMedCrossRef
14.
go back to reference Okun, M. A., & Lockwood, C. M. (2003). Does level of assessment moderate the relation between social support and social negativity?: A meta-analysis. Basic and Applied Social Psychology, 25(1), 15–35.CrossRef Okun, M. A., & Lockwood, C. M. (2003). Does level of assessment moderate the relation between social support and social negativity?: A meta-analysis. Basic and Applied Social Psychology, 25(1), 15–35.CrossRef
15.
go back to reference Brooks, K. P., & Dunkel Schetter, C. (2011). Social negativity and health: Conceptual and measurement issues. Social and Personality Psychology Compass, 5(11), 904–918.CrossRef Brooks, K. P., & Dunkel Schetter, C. (2011). Social negativity and health: Conceptual and measurement issues. Social and Personality Psychology Compass, 5(11), 904–918.CrossRef
16.
go back to reference Rook, K. S. (1984). The negative side of social interaction: Impact on psychological well-being. Journal of Personal and Social Psychology, 46(5), 1097–1108.CrossRef Rook, K. S. (1984). The negative side of social interaction: Impact on psychological well-being. Journal of Personal and Social Psychology, 46(5), 1097–1108.CrossRef
17.
go back to reference Horton, T. V., & Wallander, J. L. (2001). Hope and social support as resilience factors against psychological distress of mothers who care for children with chronic physical conditions. Rehabilitation Psychology, 46(4), 382–399.CrossRef Horton, T. V., & Wallander, J. L. (2001). Hope and social support as resilience factors against psychological distress of mothers who care for children with chronic physical conditions. Rehabilitation Psychology, 46(4), 382–399.CrossRef
18.
go back to reference Hatzmann, J., Maurice-Stam, H., Heymans, H. S., & Grootenhuis, M. A. (2009). A predictive model of health related quality of life of parents of chronically ill children: The importance of care-dependency of their child and their support system. Health and Quality of Life Outcomes, 7, 72.PubMedCentralPubMedCrossRef Hatzmann, J., Maurice-Stam, H., Heymans, H. S., & Grootenhuis, M. A. (2009). A predictive model of health related quality of life of parents of chronically ill children: The importance of care-dependency of their child and their support system. Health and Quality of Life Outcomes, 7, 72.PubMedCentralPubMedCrossRef
19.
go back to reference Muñoz-Furlong, A. (2003). Daily coping strategies for patients and their families. Pediatrics, 111(Supplement 3), 1654–1661.PubMed Muñoz-Furlong, A. (2003). Daily coping strategies for patients and their families. Pediatrics, 111(Supplement 3), 1654–1661.PubMed
20.
go back to reference Valentine, A. Z., & Knibb, R. C. (2011). Exploring quality of life in families of children living with and without a severe food allergy. Appetite, 57(2), 467–474.PubMedCrossRef Valentine, A. Z., & Knibb, R. C. (2011). Exploring quality of life in families of children living with and without a severe food allergy. Appetite, 57(2), 467–474.PubMedCrossRef
21.
go back to reference Alloway, R., & Bebbington, P. (1987). The buffer theory of social support—A review of the literature. Psychological Medicine, 17(1), 91–108.PubMedCrossRef Alloway, R., & Bebbington, P. (1987). The buffer theory of social support—A review of the literature. Psychological Medicine, 17(1), 91–108.PubMedCrossRef
22.
go back to reference Quittner, A. L., Glueckauf, R. L., & Jackson, D. N. (1990). Chronic parenting stress: Moderating versus mediating effects of social support. Journal of Personal and Social Psychology, 59(6), 1266–1278.CrossRef Quittner, A. L., Glueckauf, R. L., & Jackson, D. N. (1990). Chronic parenting stress: Moderating versus mediating effects of social support. Journal of Personal and Social Psychology, 59(6), 1266–1278.CrossRef
23.
go back to reference Karazsia, B. T., Berlin, K. S., Armstrong, B., Janicke, D. M., & Darling, K. E. (2014). Integrating mediation and moderation to advance theory development and testing. Journal of Pediatric Psychology, 39(2), 163–173.PubMedCrossRef Karazsia, B. T., Berlin, K. S., Armstrong, B., Janicke, D. M., & Darling, K. E. (2014). Integrating mediation and moderation to advance theory development and testing. Journal of Pediatric Psychology, 39(2), 163–173.PubMedCrossRef
24.
go back to reference Chase Goodman, C. (1991). Perceived social support for caregiving. Journal of Gerontological Social Work, 16(3–4), 63–175. Chase Goodman, C. (1991). Perceived social support for caregiving. Journal of Gerontological Social Work, 16(3–4), 63–175.
25.
go back to reference Cohen, B. L., Noone, S., Munoz-Furlong, A., & Sicherer, S. H. (2004). Development of a questionnaire to measure quality of life in families with a child with food allergy. The Journal of Allergy and Clinical Immunology, 114(5), 1159–1163.PubMedCrossRef Cohen, B. L., Noone, S., Munoz-Furlong, A., & Sicherer, S. H. (2004). Development of a questionnaire to measure quality of life in families with a child with food allergy. The Journal of Allergy and Clinical Immunology, 114(5), 1159–1163.PubMedCrossRef
26.
go back to reference Knibb, R. C., & Stalker, C. (2013). Validation of the food allergy quality of life parental burden questionnaire on a UK sample. Quality of Life Research, 22, 1841–1849.PubMedCrossRef Knibb, R. C., & Stalker, C. (2013). Validation of the food allergy quality of life parental burden questionnaire on a UK sample. Quality of Life Research, 22, 1841–1849.PubMedCrossRef
27.
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
29.
go back to reference Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717–731.PubMedCrossRef Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717–731.PubMedCrossRef
30.
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in simple mediation models. Behavior Research Methods, 40, 879–891.PubMedCrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in simple mediation models. Behavior Research Methods, 40, 879–891.PubMedCrossRef
31.
go back to reference MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.PubMedCentralPubMedCrossRef MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.PubMedCentralPubMedCrossRef
32.
go back to reference Williams, J., & MacKinnon, D. P. (2008). Resampling and distribution of the product methods for testing indirect effects in complex models. Structural Equation Modeling, 15, 23–51.PubMedCentralPubMedCrossRef Williams, J., & MacKinnon, D. P. (2008). Resampling and distribution of the product methods for testing indirect effects in complex models. Structural Equation Modeling, 15, 23–51.PubMedCentralPubMedCrossRef
33.
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef
34.
go back to reference Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco, CA: Jossey-Bass. Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco, CA: Jossey-Bass.
35.
go back to reference Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420.CrossRef Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420.CrossRef
36.
go back to reference Zhao, X., Lynch, J. G., & Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37(2), 197–206.CrossRef Zhao, X., Lynch, J. G., & Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37(2), 197–206.CrossRef
37.
go back to reference Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and meditational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.PubMedCrossRef Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and meditational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.PubMedCrossRef
38.
go back to reference Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227.CrossRef Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227.CrossRef
39.
go back to reference Newsom, J. T., Mahan, T. L., Rook, K. S., & Krause, N. (2008). Stable negative social exchanges and health. Health Psychology, 27(1), 78–86.PubMedCrossRef Newsom, J. T., Mahan, T. L., Rook, K. S., & Krause, N. (2008). Stable negative social exchanges and health. Health Psychology, 27(1), 78–86.PubMedCrossRef
40.
go back to reference Rook, K. S., Luong, G., Sorkin, D. H., Newsom, J. T., & Krause, N. (2012). Ambivalent versus problematic social ties: Implications for psychological health, functional health, and interpersonal coping. Psychology of Aging, 27(4), 912–923.CrossRef Rook, K. S., Luong, G., Sorkin, D. H., Newsom, J. T., & Krause, N. (2012). Ambivalent versus problematic social ties: Implications for psychological health, functional health, and interpersonal coping. Psychology of Aging, 27(4), 912–923.CrossRef
41.
go back to reference Holt-Lunstad, J., Uchino, B. N., Smith, T. W., & Hicks, A. (2007). On the importance of relationship quality: The impact of ambivalence in friendships on cardiovascular functioning. Annals of Behavioral Medicine, 33(3), 278–290.PubMedCrossRef Holt-Lunstad, J., Uchino, B. N., Smith, T. W., & Hicks, A. (2007). On the importance of relationship quality: The impact of ambivalence in friendships on cardiovascular functioning. Annals of Behavioral Medicine, 33(3), 278–290.PubMedCrossRef
42.
go back to reference Goode, K. T., Haley, W. E., Roth, D. L., & Ford, G. R. (1998). Predicting longitudinal changes in caregiver physical and mental health: A stress process model. Health Psychology, 17(2), 190–198.PubMedCrossRef Goode, K. T., Haley, W. E., Roth, D. L., & Ford, G. R. (1998). Predicting longitudinal changes in caregiver physical and mental health: A stress process model. Health Psychology, 17(2), 190–198.PubMedCrossRef
43.
go back to reference Teixeira, R. J., & Pereira, M. G. (2013). Psychological morbidity, burden, and the mediating effect of social support in adult children caregivers of oncological patients undergoing chemotherapy. Psychooncology, 22(7), 1587–1593.PubMedCrossRef Teixeira, R. J., & Pereira, M. G. (2013). Psychological morbidity, burden, and the mediating effect of social support in adult children caregivers of oncological patients undergoing chemotherapy. Psychooncology, 22(7), 1587–1593.PubMedCrossRef
44.
go back to reference Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., et al. (1996). Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with alzheimer’s disease. Journal of Consulting and Clinical Psychology, 64(1), 121–129.PubMedCrossRef Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., et al. (1996). Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with alzheimer’s disease. Journal of Consulting and Clinical Psychology, 64(1), 121–129.PubMedCrossRef
45.
go back to reference Idalski Carcone, A., Ellis, D.A., Weisz, A., & Naar-King, S. (2011). Social support for diabetes illness management: Supporting adolescents and caregivers. Journal of Developmental and Behavioral Pediatrics, 32(8), 581–590. Idalski Carcone, A., Ellis, D.A., Weisz, A., & Naar-King, S. (2011). Social support for diabetes illness management: Supporting adolescents and caregivers. Journal of Developmental and Behavioral Pediatrics, 32(8), 581–590.
46.
go back to reference LeBovidge, J. S., Timmons, K., Rich, C., Rosenstock, A., Fowler, K., et al. (2008). Evaluation of a group intervention for children with food allergy and their parents. Annals of Allergy, Asthma & Immunology, 101(2), 160–165.CrossRef LeBovidge, J. S., Timmons, K., Rich, C., Rosenstock, A., Fowler, K., et al. (2008). Evaluation of a group intervention for children with food allergy and their parents. Annals of Allergy, Asthma & Immunology, 101(2), 160–165.CrossRef
47.
go back to reference Baptist, A. P., Dever, S. I., Greenhawt, M. J., Polmear-Swendris, N., McMorris, M. S., et al. (2012). A self-regulation intervention can improve quality of life for families with food allergy. Journal of Allergy and Clinical Immunology, 30(1), 263–265.CrossRef Baptist, A. P., Dever, S. I., Greenhawt, M. J., Polmear-Swendris, N., McMorris, M. S., et al. (2012). A self-regulation intervention can improve quality of life for families with food allergy. Journal of Allergy and Clinical Immunology, 30(1), 263–265.CrossRef
Metagegevens
Titel
Support and negativity in interpersonal relationships impact caregivers’ quality of life in pediatric food allergy
Auteurs
Natalie A. Williams
Maren Hankey
Publicatiedatum
01-06-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0862-x

Andere artikelen Uitgave 6/2015

Quality of Life Research 6/2015 Naar de uitgave