Parenting Stress and Dimensions of Parenting Behavior: Cross-Sectional and Longitudinal Links with Adolescents' Somatization

Abstract

Objective:

This study explored direct and indirect associations between adolescents' somatization, parenting stress, and three parenting dimensions (warmth, psychological control, and harsh punishment). First, the associations were explored cross-sectionally. Second, significant cross-sectional links were further examined longitudinally in order to decide upon temporality.

Method:

A total of 1499 adolescents and one of their parents (mostly the mother) agreed to participate. Questionnaires were administered when the child was respectively 12–13 (T1), 13–14 (T2), and 14–15 (T3) years old. Adolescents reported on their somatization, parents on their parenting behavior and parenting stress.

Results:

Cross-sectionally, indirect links were found between all parenting dimensions and adolescents' somatization, through parenting stress. Longitudinal examination revealed two key aspects. First, parenting stress significantly predicted somatization. Higher T1 parenting stress was predictive for higher T2 and T3 somatization. When controlled for T1 parenting stress, higher T2 parenting stress (or in other words increased parenting stress at T2) was predictive for lower T3 somatization. Second, parenting stress was found to significantly predict parenting behaviors. Higher T1 parenting stress was predictive for higher T2 and T3 harsh punishment but increased parenting stress at T2 was predictive for lower harsh punishment one year later. Higher T1 parenting stress significantly predicted higher T2 psychological control.

Conclusions:

Clinicians should be aware that parenting stress may be a risk factor for the development of somatization in early adolescence. However, in later adolescence, increased parenting stress might be protective.

Keywords

adolescents' somatization parenting stress parenting warmth/support parenting harsh punishment parenting psychological control indirect associations longitudinal study

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References

Lundqvist

Clench-Aas

Hofoss

Bartonova

. Self-reported headache in schoolchildren: Parents underestimate their children's headaches. Acta Paediatrica 2006; 95: 940–946. doi: 10.1080/08035250600678810.

Perquin

Hazebroek-Kampschreur

AAJM

Hunfeld

JAM

Bohnen

van Suijlekom-Smit

LWA

Passchier

van der Wouden

. Pain in children and adolescents: A common experience. Pain 2000; 87: 51–58. doi: 10.1016/S0304-3959(00) 00269-4.

Roth-Isigkeit

Thyen

Raspe

Stoven

Schmucker

. Reports of pain among German children and adolescents: An epidemiological study. Acta Paediatrica 2004; 93: 258–263. doi: 10.1111/j.1651-2227.2004.tb00717.x.

De Gucht

Fischler

. Somatization: A critical review of conceptual and methodological issues. Psychosomatics 2002; 43: 1–9. doi: 10.1176/appi.psy.43.1.1.

Campo

Comer

Jansen-McWilliams

Gardner

Kelleher

. Recurrent pain, emotional distress, and health service use in childhood. The Journal of Pediatrics 2002; 141: 76–83. doi: 10.1067/mpd.2002.125491.

Palermo

Eccleston

. Parents of children and adolescents with chronic pain. Pain 2009; 146: 15–17. doi: 10.1016/j.pain.2009.05.009.

Garralda

. Unexplained physical functional complaints. Pediatric Clinics of North America 2010; 58: 803–813. doi: 10.1016/j.pcl.2011.06.002.

Palermo

Chambers

. Parent and family factors in pediatric chronic pain and disability: An integrative approach. Pain 2005; 119: 1–4. doi: 10.1016/j.pain.2005.10.027.

Peterson

Rollins

. Parent-child socialization. In Sussman

Steinmetz

, editors. Handbook of marriage and the family. New York/London: Plenum Press, 1987: 471–507.

10.

Baumrind

. Parenting styles and adolescent development. In Brooks-Gunn

Lerner

Petersen

, editors. Encyclopedia of adolescence. New York, NY: Garland Publications, 1991: 746–758.

11.

MacCoby

Martin

. Socialization in the context of the family: Parent-child interaction. In Mussen

Hetherington

, editors. Handbook of child psychology. New York, NY: Wiley, 1983: 1–101.

12.

Rollins

Thomas

. Parental support power and control techniques in the socialization of children. In Burr

Hill

Nye

Reuss

, editors. Contemporary theories about the family. London, UK: Free Press, 1979: 317–364.

13.

Barber

. Parental psychological control: Revisiting a neglected construct. Child Development 1996; 67: 3296–3319. doi: 10.1111/j.1467-8624.1996.tb01915.x.

14.

Steinberg

. Autonomy conflict and harmony in the family relationship at the threshold: The developing adolescent. In Feldman

Elliott

, editors. At the threshold: The developing adolescent. Cambridge, MA: Harvard College, 1999: 255–276.

15.

Abidin

. The determinants of parenting behaviour. Journal of Clinical Child Psychology 1992; 21: 407–412. doi: 10.1207/s15374424jccp2104_12.

16.

Lazarus

Folkman

. Stress appraisal and coping. New York, NY: Springer, 1984.

17.

Fisher

Chalder

. Childhood experiences of illness and parenting in adults with chronic fatigue syndrome. Journal of Psychosomatic Research 2003; 54: 439–443.doi: 10.1016/S0022-3999(02)00458-0.

18.

Janssens

KAM

Oldehinkel

Rosmalen

. Parental overprotection predicts the development of functional somatic symptoms in young adolescents. The Journal of Pediatrics 2009; 154: 918–923. doi: 10.1016.j.jpeds.2008.12.023.

19.

Feldman

Ortega

Koinis-Mitchell

Kuo

Canino

. Child and family psychiatric and psychological factors associated with child physical health problems: Results from the Boricua youth study. The Journal of Nervous and Mental Disease 2010; 198: 272–279. doi: 10.1097/NMD.ob013e3181d61271.

20.

Kristjansdottir

Rhee

. Risk factors of back pain frequency in schoolchildren: A search for explanations to a public health problem. Acta Paediatrica 2002; 91: 849–854. doi: 10.1111/j.1651-2227.2002.tb03339.x.

21.

Rhee

Holditch-Davis

Miles

. Patterns of physical symptoms and relationships with psychosocial factors in adolescents. Psychosomatic Medicine 2005; 67: 1006–1012. doi: 10.1097/?01.psy.0000188404.02876.8b.

22.

Craig

Boardman

Mills

Daly-Jones

Drake

. The south London somatisation study I: Longitudinal course and the influence of early life experiences. British Journal of Psychiatry 1993; 163: 579–588. doi: 10.1192/bjp.163.5.579.

23.

Emiroglu

FNI

Kurul

Akay

Miral

Dirik

. Assessment of child neurology outpatients with headache dizziness and fainting. Journal of Child Neurology 2004; 19: 332–336. doi: 10.1177/088307380401900505.

24.

Juang

Wang

Fuh

Chen

. Association between adolescent chronic daily headache and childhood adversity: A community-based study. Cephalalgia 2004; 24: 54–59. doi: 10.1111/j.1468-2982.2004.00643.x.

25.

Eccleston

Crombez

Scotford

Clinch

Connell

. Adolescent chronic pain: Patterns and predictors of emotional distress in adolescents with chronic pain an their parents. Pain 2004; 108: 221–229. doi: 10.1016/j.pain.2003.11.008.

26.

Cohen

Vowles

Eccleston

. Parenting an adolescent with chronic pain: An investigation of how a taxonomy of adolescent functioning relates to parent distress. Journal of Pediatric Psychology 2010; 35: 748–757. doi: 10.1093/jpepsy/jsp103.

27.

Darlington

ASE

Verhulst

De Winter

Ormel

Passchier

Hunfeld

JAM

. The influence of maternal vulnerability and parenting stress on chronicity of pain in adolescents in a general population sample: The TRAILS study. European Journal of Pain 2012; 16: 150–159. doi: 10.1016/j.ejpain.2011.06.001.

28.

Bolger

Patterson

. Developmental pathways from child maltreatment to peer rejection. Child Development 2001; 72: 549–568. doi: 009-3920/2001/7202-0015.

29.

Biddle

Bank

Marlin

. Parental and peer influence on adolescents. Social Forces 1980; 58: 1057–1079. doi: 10.1093/sf/58.4.1057.

30.

Maxwell

Cole

. Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods 2007; 12: 23–44. doi: 10.1037/1082-989X.12.1.23.

31.

Albrecht

Galambos

Jansson

. Adolescents' internalizing and aggressive behaviours and perceptions of parents' psychological control: A panel study examining direction of effects. Journal of Youth Adolescence 2007; 36: 673–684. doi: 10.1007/s10964-007-9191-5.

32.

Reitz

Dekovíc

Meijer

. Relations between parenting and externalizing and internalizing problem behaviour in early adolescence: Child behaviour as moderator and predictor. Journal of Adolescence 2006; 29: 419–436. doi: 10.1016/j.adolescence.2005.08.003.

33.

Bandura

. Social learning theory. New York, NY: General Learning Press, 1997.

34.

Lovallo

. Stress & health: Biological and psychological interactions. Thousand Oaks, CA: Sage, 2005.

35.

Pai

ALH

Greenley

Lewandowski

Drotar

Youngstrom

Peterson

. A meta-analytic review of the influence of pediatric cancer on parent and family functioning. Journal of Family Psychology 2007; 21: 407–415. doi: 10.1037/0893-3200.21.3.407.

36.

Belsky

. The determinants of parenting: A process model. Child Development 1984; 55: 83–96.

37.

Crnic

Gaze

Hoffman

. Cumulative parenting stress across the preschool period: Relations to maternal parenting and child behaviour at age 5. Infant and Child Development 2005; 14: 117–132. doi: 10.1002/icd.384.

38.

Ruijssenaars

AJJM

van den Berg

Schoorl

. Orthopedagogiek: Ontwikkeling, theorieën en modellen [Orthopedagogics: Evolution, theories and models]. Antwerpen: Garant, 2008.

39.

Cole

Maxwell

. Testing meditational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology 2003; 112: 558–577. doi: 10.1037/0021-843X.112.4.558.

40.

Brown

. Psychological mechanisms of medically unexplained symptoms: An integrative conceptual model. Psychological Bulletin 2004; 130: 793–812. doi: 10.1037/0033-2909.130.5.793.

41.

Eminson

. Medically unexplained symptoms in children and adolescents. Clinical Psychology Review 2007; 7: 855–871. doi: 10.1016/j.cpr.2007.07.007.

42.

Rief

Broadbent

. Explaining medically unexplained symptoms. Models and Mechanisms 2007; 7: 821–841. doi: 10.1016/j.cpr.2007.07.005.

43.

Campo

Bridge

Ehmann

Altman

Lucas

Birmaher

Lorenzo

Iyengar

Brent

. Recurrent abdominal pain, anxiety, and depression in primary care. Pediatrics 2004; 113: 817–824.

44.

Diepenmaat

ACM

van der Wal

de Vet

HCW

Hirasing

. Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents. Pediatrics 2006; 117: 412–416.

45.

Compas

Boyer

. Coping and attention: Implications for child health and pediatric conditions. Developmental and Behavioural Pediatrics 2001; 22: 323–333.

46.

McKernon

Holmbeck

Colder

Hommeyer

Shapera

Westhoven

. Longitudinal study of observed and perceived family influences on problem-focused coping behaviors of preadolescents with spina bifida. Journal of Pediatric Psychology 2001; 26: 41–45. doi: 10.1093/jpepsy/26.1.41.

47.

Smith

Eisenberg

Spinrad

Chassin

Morris

Kupfer

. Children's coping strategies and coping efficacy: Relations to parent socialization, child adjustment, and familial alcoholism. Development and Psychopathology 2006; 18: 445–469. doi: 10.1017/S095457940606024X.

48.

Wills

Blechman

McNamara

. Family support, coping, and competence. In Hetherington

Blechman

, editors. Stress, coping, and resiliency in children and families. Mahwah, NJ: Lawrence Erlbaum Associates, 1996: 107–133.

49.

Hardy

. Examining the relation of parenting to children's coping with everyday stress. Child Development 1993; 64: 1829–1841. doi: 10.1111/j.1467-8624.1993.tb04216.x.

50.

Grietens

Hoppenbrouwers

Desoete

Wiersema

Van Leeuwen

. JOnG! Theoretische achtergronden onderzoeksopzet en verloop van het eerste meetmoment (SWVG-rapport) [Theoretical backgrounds research design and procedure of the first measurement point (Policy Research Centre Welfare Health and Family-report)], 2010. Retrieved from Leuven Steunpunt Welzijn Volksgezondheid en Gezin [Policy Research Centre Welfare Health and Family-report] website: http://steunpuntwvg.be/2007-2011/swvg/_docs/Publicaties/2010_JONG_Hans%20Grietens_zonder%20bijlagen_website.pdf

51.

Guérin

Pieters

Roelants

Van Leeuwen

Desoete

Wiersema

Hoppenbrouwers

. Sociaal-demografisch profiel en gezondheid van 6- en 12-jarige jongeren (cohortes JOnG!) in Vlaanderen (SWVG-rapport) [Socio-demographic profile and health of 6- and 12-years old children (chohors JOnG!) in Flanders (Policy Research Centre Welfare, Health and Family-report)]. Leuven: Steunpunt Welzijn, Volksgezondheid en Gezin, 2012.

52.

Jellesma

Rieffe

Terwogt

. The somatic complaint list: Validation of a self-report questionnaire assessing somatic complaints in children. Journal of Psychosomatic Research 2007; 63: 399–401. doi: 10.1016/j.jpsychores.2007.01.017.

53.

Van Leeuwen

Vermulst

. Some psychometric properties of the Ghent parental behavior scale European. Journal of Psychological Assessment 2004; 20: 283–298. doi: 10.1027/1015-5759.20.4.283.

54.

Kuppens

Grietens

Onghena

Michiels

. Measuring parenting dimensions in middle childhood European. Journal of Psychological Assessment 2009; 25: 133–140. doi: 10.1027/1015-5759.25.3.133.

55.

Wels

PMA

Robbroeckx

LMH

. NVOS Nijmeegse Vragenlijst voor de Opvoedingssituatie [Nijmeegse Family Situation Questionnaire]. Lisse: Swets & Zeitlinger, 1996.

56.

Hermans

Demaerschalk

Declercq

Vanderfaeillie

Maes

De Maeseneer

Van Audenhove

. Steunpunt Welzijn Volksgezondheid en Gezin De selectie van de SWVG-onderzoeksregio s [Policy Research Centre Welfare Health and Family Selection of the research regions (Policy Research Centre Welfare Health and Family-report)]. Leuven: Steunpunt Welzijn Volksgezondheid en Gezin, 2008.

57.

Jöreskog

Sörbom

. LISREL 8.8 for Windows (Computer software). Lincolnwood, IL: Scientific Software International, 2003.

58.

Kline

. Principles and practice of structural equation modeling 2. New York, NY: Guilford Press, 2005.

59.

Milfont

Fischer

. Testing measurement invariance across groups: Application in cross-cultural research. International Journal of Psychological Research 2010; 3: 111–121.

60.

Barrett

. Structural equation modelling: Adjudging model fit. Personality and Individual Differences 2007; 42: 815–824. doi: 10.1016/j.paid.2006.09.018.

61.

Cheung

Rensvold

. Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal 2009; 9: 233–255. doi: 10.1207/S15328007SEM0902_5.

62.

West

Finch

Curran

. Structural equation models with non-normal variables: Problems and remedies. In Hoyle

, editor. Structural equation modeling: Concepts issues and applications. Thousand Oaks, CA: Sage, 1995.

63.

Schafer

Graham

. Missing data: Our view of the state of the art. Psychological Methods 2002; 7: 147–177. doi:10.1037/1082-989X.7.2.147.

64.

Sterne

JAC

White

Carlin

Spratt

Royston

Kenward

Wood

Carpenter

. Multiple imputation for missing data in epidemiological and clinical research: Potential and pitfalls. British Medical Journal 2009; 33: 157–160. doi: 10.1136/bmj.b2393.

65.

MacKinnon

Krull

Lockwood

. Equivalence of the mediation confounding and suppression effect. Prevention Science 2000; 1: 173–181. doi: 10.1023/A:1026595011371.

66.

Manzeke

Stright

. Parenting styles and emotion regulation: The role of behavioral and psychological control during young adulthood. Journal of Adult Development 2009; 16: 223–229. doi: 10.1007/s10804-009-9068-9.

67.

Roberts

Block

. Continuity and change in parents' child-rearing practices. Child Development 1984; 55: 586–597.

68.

Akers

. Social learning and social structure. New Brunswick, NJ: Transaction Publishers, 2009.

69.

Cooklin

Giallo

Rose

. Parental fatigue and parenting practices during early childhood: An Australian community survey. Child: Care Health and Development 2012; 38: 654–664. doi: 10.1111/j.1365-2214.2011.01333.x.

70.

Mulvaney

Lambert

Garber

Walker

. Trajectories of symptoms and impairment for pediatric patients with functional abdominal pain: A 5-year longitudinal study. Journal of the American Academy of Child & Adolescent Psychiatry 2006; 45: 737–744. doi: 10.1097/10.chi.0000214192.57993.06.

71.

World Health Organization (WHO). The global burden of disease 2000 project: Aims methods and data sources global programme on evidence for health policy discussion (paper no 36). World Health Organization, 2001 (revised 2011).

72.

Quittner

Gleuckauf

Jackson

. Chronic parenting stress: Moderating versus mediating effects of social support. Journal of Personality and Social Psychology 1990; 59: 1266–1278. doi: 10.1037/0022-3514.59.6.1266.

73.

Simons

Lorenz

Conger

. Social network and marital support as mediators and moderators of the impact of stress and depression on parental behavior. Developmental Psychology 1993; 29: 368–381.