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Parental Distress, Parenting Practices, and Child Adaptive Outcomes Following Traumatic Brain Injury

Published online by Cambridge University Press:  07 February 2012

Jackie L. Micklewright ,
Tricia Z. King ,
Kathleen O'Toole ,
Chris Henrich  and
Frank J. Floyd
Jackie L. Micklewright*
Affiliation:
Department of Neuropsychology, Hennepin County Medical Center, Minneapolis, Minnesota Department of Psychology, Georgia State University, Atlanta, Georgia
Tricia Z. King
Affiliation:
Department of Psychology, Georgia State University, Atlanta, Georgia
Kathleen O'Toole
Affiliation:
Department of Neuropsychology, Children's Healthcare of Atlanta at Scottish Rite, Atlanta, Georgia
Chris Henrich
Affiliation:
Department of Psychology, Georgia State University, Atlanta, Georgia
Frank J. Floyd
Affiliation:
Department of Psychology, University of Hawaii, Honolulu, Hawaii
*
Correspondence and reprint requests to: Jackie L. Micklewright, Department of Neuropsychology, Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, MN 55415. E-mail: jmicklewright1@gmail.com
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Abstract

Moderate and severe pediatric traumatic brain injuries (TBI) are associated with significant familial distress and child adaptive sequelae. Our aim was to examine the relationship between parental psychological distress, parenting practices (authoritarian, permissive, authoritative), and child adaptive functioning 12–36 months following TBI or orthopedic injury (OI). Injury type was hypothesized to moderate the relationship between parental distress and child adaptive functioning, demonstrating a significantly stronger relationship in the TBI relative to OI group. Authoritarian parenting practices were hypothesized to mediate relationship between parental distress and child adaptive functioning across groups. Groups (TBI n = 21, OI n = 23) did not differ significantly on age at injury, time since injury, sex, race, or SES. Parents completed the Brief Symptom Inventory, Parenting Practices Questionnaire, and Vineland-II. Moderation and mediation hypotheses were tested using hierarchical multiple regression and a bootstrapping approach, respectively. Results supported moderation and revealed that higher parental psychological distress was associated with lower child adaptive functioning in the TBI group only. Mediation results indicated that higher parental distress was associated with authoritarian parenting practices and lower adaptive functioning across groups. Results suggest that parenting practices are an important area of focus for studies attempting to elucidate the relationship between parent and child functioning following TBI. (JINS, 2012, 18, 343–350)

Keywords

Head injuryFamilyAdolescenceRecoveryAdaptive outcomesIndirect effects
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 18 , Issue 2 , March 2012 , pp. 343 - 350
Copyright
Copyright © The International Neuropsychological Society 2012

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References

Aitken, M.E., McCarthy, M.L., Slomine, B.S., Ding, R., Durbin, D.R., Jaffe, K.M., … the CHAT Study Group. (2009). Family burden after traumatic brain injury. Pediatrics, 123(1), 199–206.CrossRefGoogle ScholarPubMed
Anderson, V., Moore, C. (1995). Age at injury as a predictor of outcome following pediatric head injury: A longitudinal perspective. Child Neuropsychology, 1, 187–202.CrossRefGoogle Scholar
Baron, R.M., Kenny, D.A. (1986). The mediator-moderator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefGoogle Scholar
Baumrind, D. (1991). Effects of authoritative parental control on child behavior. Child Development, 37, 887–907.CrossRefGoogle Scholar
Bornstein, M.H., Hahn, C.S., Suwalsky, J.T., Haynes, O.M. (2003). Socioeconomic status, parenting, and child development: The Hollingshead Four-Factor Index of Social Status and the Socioeconomic Index of Occupations. In M.H. Bornstein & R.H. Bradley (Eds.), Socioeconomic status, parenting, and child development. New Jersey: Lawrence Erlbaum Associates, Publishers.Google Scholar
Centers for Disease Control and Prevention, Division of Injury and Disability Outcomes and Progress. (2004). Traumatic brain injury in the United States: Emergency department visits, hospitalizations, and deaths. Retrieved from www.cdc.govGoogle Scholar
Chapieski, L., Brewer, V., Evankovich, K., Culhane-Shelburne, K., Zelman, K., Alexander, A. (2005). Adaptive functioning in children with seizures: Impact of maternal anxiety about epilepsy. Epilepsy & Behavior, 7, 246–252.CrossRefGoogle ScholarPubMed
De Bildt, A., Kraijer, D., Sytema, S., Minderaa, R. (2005). The psychometric properties of the Vineland Adaptive Behavior Scales in children and adolescents with mental retardation. Journal of Autism and Developmental Disorders, 35, 53–62.CrossRefGoogle ScholarPubMed
Derogatis, L.R. (1993). BSI: Brief Symptom Inventory. Minneapolis, MN: NCS Pearson, Inc.Google Scholar
Ewing-Cobbs, L., Fletcher, J., Levin, H., Francis, D., Davidson, K., Miner, M. (1997). Longitudinal neuropsychological outcome in infants and preschoolers with traumatic brain injury. Journal of the International Neuropsychological Society, 3, 581–591.CrossRefGoogle ScholarPubMed
Fletcher, J., Levin, H. (1998). Neurobehavioral effects of brain injury in children. In D. Routh (Ed.), Handbook of pediatric psychology (pp. 258–295). New York: Guilford.Google Scholar
Gamble, W.C., Ramakumar, S., Diaz, A. (2007). Maternal and paternal similarities and differences in parenting: An examination of Mexican American parents of young children. Early Childhood Research Quarterly, 22, 72–88.CrossRefGoogle Scholar
Hollingshead, A.B. (1975). Four factor index of social status. New Haven, CT: Yale University.Google Scholar
Locke, L.M., Prinz, R.J. (2002). Measurement of parental discipline and nurturance. Clinical Psychology Review, 22, 895–929.CrossRefGoogle ScholarPubMed
Lucas, J.A., Addeo, R. (2006). Traumatic brain injury and postconcussion syndrome. In P.J. Snyder, P.D. Nussbaum, & D.L. Robins (Eds.), Clinical neuropsychology: A pocket handbook for assessment (pp. 351–380). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
McNett, M. (2007). A review of the predictive ability of the Glasgow Coma Scale Scores in head-injured patients. Journal of Neuroscience Nursing, 39, 68–75.CrossRefGoogle ScholarPubMed
Papero, P.H., Prigatano, G.P., Snyder, H.M., Johnson, D.L. (1993). Children's adaptive behavioural competence after head injury. Neuropsychological Rehabilitation, 3, 321–340.CrossRefGoogle Scholar
Patterson, G.R. (1982). A social learning approach, Vol. 3. Coercive family process. Eugene, Oregon: Castalia Publishing Company.Google Scholar
Patterson, G.R. (1983). Stress, coping, and development in children. In N. Garmezy & M. Rutter (Eds.), Stress, coping, and development in children. New York, NY: McGraw Hill Book Company.Google Scholar
Preacher, K.J., Hayes, A.F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 26, 717–731.CrossRefGoogle Scholar
Preacher, K.J., Rucker, D.D., Hayes, A.F. (2007). Assessing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227.CrossRefGoogle Scholar
Robinson, C.C., Mandleco, B., Frost Olsen, S., Hart, C.H. (1995). Authoritative, authoritarian, and permissive parenting practices: Development of a new measure. Psychological Reports, 77, 819–830.CrossRefGoogle Scholar
Sattler, J.M., Hoge, R.D. (2006). Assessment of children: Behavioral, social, and clinical foundations. San Diego: Jerome M. Sattler, Publisher, Inc.Google Scholar
Sparrow, S.S., Cicchetti, D.V., Balla, D.A. (2005). Vineland Adaptive Behavior Scales: Second Edition (Vineland II). Circle Pines, MN: AGS Publishing.Google Scholar
Taylor, H.G., Alden, J. (1997). Age-related differences in outcomes following childhood brain insults: An introduction and overview. Journal of the International Neuropsychological Society, 3, 555–567.CrossRefGoogle ScholarPubMed
Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Klein, S.K., Stancin, T. (1999). Influences on first-year recovery from traumatic brain injury in children. Neuropsychology, 13, 76–89.CrossRefGoogle ScholarPubMed
Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Stancin, T., Burant, C. (2001). Bidirectional child-family influences on outcomes of traumatic brain injury in children. Journal of the International Neuropsychological Society, 7, 755–767.CrossRefGoogle ScholarPubMed
Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Stancin, T., Minich, N. (2002). A prospective study of short- and long-term outcomes after traumatic brain injury in children: Behavior and Achievement. Neuropsychology, 16, 15–27.CrossRefGoogle Scholar
Wade, S.L., Cassedy, A., Walz, N.C., Taylor, H.G., Stancin, T., Yeates, K.O. (2011). The relationship of parental warm responsiveness and negativity to emerging behavior problems following traumatic brain injury in young children. Developmental Psychology, 47, 119–133.CrossRefGoogle ScholarPubMed
Wade, S.L., Michaud, L., Brown, T.M. (2006). Putting the pieces together: Preliminary efficacy of a family problem-solving intervention for children with traumatic brain injury. Journal of Head Trauma Rehabilitation, 21, 57–67.CrossRefGoogle ScholarPubMed
Wade, S.L., Taylor, G.H., Drotar, D., Stancin, T., Yeates, K.O. (1998). Family burden and adaptation during the initial year after traumatic brain injury in children. Pediatrics, 102, 110–116.CrossRefGoogle ScholarPubMed
Wade, S.L., Taylor, H.G., Drotar, D., Stancin, T., Yeates, K.O. (2004). Interpersonal stressors and resources as predictors of parental adaptation following pediatric traumatic injury. Journal of Consulting and Clinical Psychology, 72, 776–874.CrossRefGoogle ScholarPubMed
Wade, S.L., Taylor, H.G., Drotar, D., Stancin, T., Yeates, K.O., Minich, N.M. (2003). Parent-adolescent interactions after traumatic brain injury: Their relationship to family adaptation and adolescent adjustment. Journal of Head Trauma Rehabilitation, 18, 164–176.CrossRefGoogle ScholarPubMed
Whaley, S.E., Pinto, A., Sigman, M. (1999). Characterizing interactions between anxious mothers and their children. Journal of Consulting and Clinical Psychology, 67, 826–836.CrossRefGoogle ScholarPubMed
Winsler, A., Madigan, A.L., Aquilino, S.A. (2005). Correspondence between maternal and paternal parenting styles in early childhood. Early Childhood Research Quarterly, 20, 1–12.CrossRefGoogle Scholar
Yeates, K.O., Swift, E., Taylor, H.G., Wade, S.L., Drotar, D., Stancin, T., Minich, N. (2004). Short- and long-term social outcomes following pediatric traumatic brain injury. Journal of the International Neuropsychological Society, 10, 412–426.CrossRefGoogle Scholar
Yeates, K.O., Taylor, H.G., Wade, S.L., Drotar, D., Stancin, T., Minich, N. (2002). A prospective study of short- and long-term neuropsychological outcomes after traumatic brain injury in children. Neuropsychology, 16, 514–523.CrossRefGoogle Scholar
Yeates, K.O., Taylor, H.G., Walz, N.C., Stancin, T., Wade, S.L. (2010). The family environment as a moderator of psychosocial outcomes following traumatic brain injury in young children. Neuropsychology, 24, 345–356.CrossRefGoogle ScholarPubMed