Treatment adherence difficulties among children with cancer: the role of parenting style

Investigated the prevalence of treatment adherence problems among children undergoing cancer treatment and explored the relationship of sociodemographic factors, child functional status, and parenting style to these difficulties. Nurse ratings of adherence difficulties encountered during the cancer treatment regimen were completed on 77 children and their caregivers. A subset of caregivers also completed a measure of parenting attitudes and practices. Results indicated that certain adherence difficulties were related to the child's age and functional status, the family's socioeconomic status (SES), and parenting style. The child's age was related to adherence to procedure-related tasks; younger children had more frequent problems with completing these tasks. More functional children had a greater number of adherence problems. Families with a lower SES had more difficulties with timeliness and cancellations/delays of clinic appointments and promptness of reporting of the child's reactions to treatment. Children of caregivers who had a more "supportive" parenting style (were more sensitive to children's input, had a less restrictive attitude towards parenting, and were more nurturant) canceled and delayed fewer appointments, were on time more frequently for appointments, and reported reactions to treatment with less delay. Implications of these findings for future research on treatment adherence and for clinical interventions are discussed.     

Response decision processes in relational and overt aggression

Response decision processes of relationally and overtly aggressive children were assessed for both boys and girls. A hypothetical-situation instrument, adapted from past research, was used to assess children's evaluations of relationally aggressive and overtly aggressive responses to both relational and instrumental conflict situations for third-through sixth-grade children (n = 1,166). Findings revealed that both overtly aggressive boys and overtly aggressive girls evaluated overtly aggressive responses to instrumental conflict situations in relatively positive ways. Further, overtly aggressive girls, but not boys, evaluated overtly aggressive responses to relational conflict situations in relatively positive ways. Additionally, relationally aggressive boys evaluated relationally aggressive responses to instrumental conflict situations in relatively positive ways. Gender differences were also obtained. Boys evaluated overt aggression more positively, whereas girls evaluated relational aggression more positively. Implications of these findings for the role of gender, situation type, response type, and aggression type for our understanding of children's social information processing are discussed.     

Physical aggression and marital dysfunction: A longitudinal analysis.

Shortly after marriage, 56 couples provided data on physical aggression and other predictors of marital adjustment. At 6-month intervals over the next 4 years, spouses reported on their marital quality and stability. Results indicated that marital dysfunction was more common among aggressive than among nonaggressive couples (70% vs. 38%) and among severely aggressive than among moderately aggressive couples (93% vs. 46%). Aggression remained a reliable predictor of marital outcomes after the authors controlled for stressful events and negative communication. These findings help to refine developmental models of marital dysfunction, which often overlook the role of aggression, and can provide information for prevention programs for marital distress, which typically do not distinguish between aggressive and nonaggressive couples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coparenting: A link between marital conflict and parenting in two-parent families.

Coparenting is examined as an explanatory link between marital conflict and parent–child relations in 2-parent families. Data were collected from 3 samples (pilot sample, n?=?220 mothers; preadolescent sample, n?=?75 couples; preschool sample, n?=?172 couples) by using the Coparenting Questionnaire (G. Margolin, 1992b) to assess parents' perceptions of one another on 3 dimensions—cooperation, triangulation, and conflict. Main effects for child's age and for parents' gender were found for cooperation, and an interaction between parent and child gender was found for triangulation. Regression analyses were consistent with a model of coparenting mediating the relationship between marital conflict and parenting. Discussion addresses the theoretical and clinical importance of viewing coparenting as conceptually separate from other family processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trajectories of change in physical aggression and marital satisfaction.

Physical aggression and marital satisfaction were assessed in 172 newlywed couples annually over the first 4 years of marriage to examine (a) stability of aggression over time and (b) the degree to which fluctuations in aggression precede versus follow fluctuations in marital satisfaction. The stability of aggression varied as a function of initial levels of severity; spouses who were most aggressive early in marriage had greater fluctuations in aggression. Rates of change in aggression predicted changes in satisfaction more than dissatisfaction predicted aggression. Husbands' physical aggression predicted marital discord, whereas wives' aggression predicted marital dissolution. By indicating that aggression (a) is a precursor to adverse marital outcomes and (b) varies across spouses in initial levels and in patterns of temporal change, the present findings highlight the need to understand the contextual factors that govern within-person and within-couple fluctuations in intimate violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factors associated with marital aggression in male alcoholics.

Male alcoholics who were physically aggressive toward their wives in the year before alcoholism treatment (n?=?71) were compared with nonaggressive counterparts (n?=?36). Two key patterns were associated with marital aggression: (a) binge drinking linked with coercive marital conflicts and (b) markers of a severe early onset alcoholism syndrome. Maritally aggressive men were younger and exhibited more binge drinking, higher prevalence of arrest, more verbal aggression, greater alcohol problem severity, earlier alcohol problem onset, more alcoholism among male biological relatives, less maternal alcohol use, less confidence in their ability to manage interpersonal conflict without drinking, and stronger beliefs that alcohol causes marital problems. Marital adjustment levels were not associated with marital aggression, and very few differences were found between moderate and severe violence groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal relations between marital aggression and alcohol problems.

Relations between couples' (N = 158) marital aggression and alcohol problems were examined across a two-year period. Alcohol problems and aggression were assessed via self-report and partner-reports. Results support bidirectional relations between marital aggression and problem drinking. T1 wife problem drinking was associated with decreased T2 verbal aggression; T1 husband problem drinking was associated with increased T2 physical aggression. T1 physical aggression predicted increased T2 wife problem drinking; it predicted increased T2 husband problem drinking only when wife problem drinking was low. T1 verbal marital aggression predicted increased T2 husband problem drinking only when husbands engaged in greater problem drinking at T1. Results suggest that problem drinking may prevent couples from adequately handling marital disagreements, and that marital problems may lead to drinking as a form of coping with stress; couples in which the husband engages in greater problem drinking than the wife may be at increased risk. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Temporal linkages between wives' pursuit and husbands' withdrawal during marital conflict

This study examined the association between wives' pursuit and husbands' withdrawal during marital conflict discussions, and the affects associated with these behaviors. Ten distressed and 10 nondistressed couples completed a videotaped interaction in which the wives requested changes in husbands' behaviors. Results showed sequential dependencies between wives' pursuit and husbands' withdrawal, but distressed couples, as compared to nondistressed couples, did not engage in stronger pursuit/withdrawal patterns. Distressed husbands showed the highest proportions of anxious affects. The findings are discussed with reference to the affective context of the pursuit/withdrawal pattern.     

Construct of attributional style in depression and marital distress.

Although important theoretically, consistency in attribution responses or attributional style has rarely been investigated empirically. The responses of 150 couples were used to examine whether consistency of attribution responses within attribution dimensions and consistency in the pattern of responses across attribution dimensions were associated with adaptational outcomes. Replicating previous findings, mean attribution scores correlated with depression and with marital distress. Consistency of attribution responses was unrelated to either adaptational outcome, whereas (1) theoretically derived pessimistic and optimistic attribution patterns were related to depression scores and (2) benign and nonbenign marital attribution patterns were related to marital satisfaction scores. The implications of these findings for the level at which attributional style is best conceptualized are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Antecedents and consequences of boys' depression and aggression: Family and school linkages.

This study, conducted with 246 mothers and sons, examined the influences of change in marital conflict and mother–son aggression on boys' aggression and depression and how boys' aggression and depression contributed to their being disliked by their peers. There was also interest in how boys' family and peer experiences contributed to their subsequent behavior. Boys who experienced increases in marital conflict were more depressed, whereas boys who experienced negative interactions with their mothers were more aggressive. Boys who were either depressed or aggressive were more disliked by their peers, and being disliked was associated with aggressive behavior subsequently. However, being depressed appeared to attenuate the negative effect of being disliked by one's peers. The association between boys' earlier aggression and their subsequent aggression with their peers was mediated by dislike by their peers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shared parenting agreements after marital separation: The roles of empathy and narcissism.

The identification of psychological and interpersonal factors that predict cooperation and agreement between ex-spouses is important to understanding, and eventually promoting, healthy postdivorce adjustment of parents and their children. By drawing on object relations theory, the authors identified differences between 16 ex-couples who were able to negotiate and maintain a cooperative parenting plan after separation ( "agreed ex-couples") and 16 ex-couples who disagree about parenting arrangements ("disagreed ex-couples") but were similar in age, educational background, age of their children, and time since separation. As expected, disagreed ex-couples were more narcissistic, more interpersonally vulnerable, less able to take another's perspective, less concerned about the feelings and needs of others, more self-oriented, and less child-oriented and more self-important in their parenting attitudes than agreed ex-couples. Our findings also supported a process mediational model of "child-centeredness" that attempts to elucidate the pathways through which these variables are interrelated… (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interspousal aggression, marital discord, and child problems.

The association between interspousal aggression and child problems was assessed after controlling for parent's general marital discord. Participants were 87 couples requesting marital therapy who had children between 5 and 12 years old. Spouses completed measures of marital aggression, marital discord, child problems, and family demographics. Marital aggression contributed unique variance to the prediction of conduct disorder, personality disorder, inadequacy-immaturity, and clinical levels of problematic child behavior after marital discord, child's age, child's sex, and Marital Discord?×?Child's Sex interaction were controlled. The theoretical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Etiology and measurement of relational aggression: A multi-informant behavior genetic investigation.

Although the study of relational aggression is gaining attention in the literature, little is known about the underlying causes of this behavior and the relative validity of various informants. These issues were addressed in a sample of 1,981 6- to 18-year-old twin pairs (36% female, 34% male, 30% opposite-sex). Relational aggression was assessed via maternal and self-report using a structured interview. Univariate models estimated genetic and environmental influences by informant and examined evidence for gender differences. A psychometric model combined data from both informants to estimate etiologic influences that were both common to the informants and informant specific. In both sexes, the latent variable reflecting the mother’s and child’s shared perception of the child’s relational aggression was substantially influenced by both additive genetic (63%) and shared environmental (37%) influences, although this latent variable accounted for much greater variance in the maternal report (66%) than it did in the youth report (9%). In addition, informant-specific additive genetic and shared environmental influences were found only for the youth report, with all remaining variance in the mother’s report attributed to nonshared environmental influences. Results are discussed in the context of measuring relational aggression and the importance of multiple informants. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of marital conflict on subsequent triadic family interactions and parenting.

This study examined marital conflict's indirect effects on children through disruptions in family alliances and parenting. Forty married couples were observed interacting with their 6–8-year-old sons after pleasant and conflictual discussions. After conflictual discussion, fathers showed lower support/engagement toward sons, and coparenting styles were less democratic. Couple negativity was correlated with family negativity, regardless of the topic of discussion, which suggests continuity in the affective quality of the two family subsystems. Mothers' marital satisfaction moderated families' responses to the experimental manipulation. The results provide stronger evidence than previously available of a causal link between conflict and disrupted parenting. Further research is needed to identify which conflict-related disruptions in parenting influence the development of children's problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reciprocity in parenting of adolescents within the context of marital negativity.

The authors investigated the degree to which parents become more similar to each other over time in their childrearing behaviors. Mothers and fathers of 451 adolescents were assessed at 3 points in time, with 2-year lags between each assessment. Data on parent warmth, harshness, and monitoring were collected by parent self-report, adolescent report, and observer ratings of family interactions. After controlling for earlier levels of parenting, parent education, and adolescent deviancy, spouse’s parenting and marital negativity were significant predictors of later parenting. Marital negativity tended to be a stronger predictor of fathering than mothering. For fathers, associations between spouse’s parenting and later fathering were strongest in marriages characterized by low negativity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding the role of personality in explaining associations between marital quality and parenting.

Analyses assessed the degrees to which personality accounts for associations between marital quality and parenting and mediates genetic contributions to these relationships. Participants included 318 male and 544 female same-sex twin pairs from the Twin and Offspring Study in Sweden. All twins completed self-report measures of marital quality and personality (anxiousness, aggression, sociability). Composite measures of parent negativity and warmth were derived from the twins’ and their adolescent children’s ratings of the twins’ disciplinary styles and the emotional tone of the parent–child relationship. Observational ratings of marital quality and parenting were also obtained for a subset of twins. Personality characteristics explained 33% to 42% of the covariance between reported marital quality and parenting and 26% to 28% of the covariance between observed marital quality and parenting. For both sets of analyses, personality accounted for more than half of the genetic contributions to covariance between marital quality and parenting. Results indicate that personality significantly contributes to associations between marital quality and parenting and that personality is an important path through which genetic factors contribute to family relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sex differences in positive well-being: A consideration of emotional style and marital status.

This article reviews all published studies reporting tests for sex differences in well-being. Women were found to report greater happiness and life satisfaction than men. This sex difference was explained in terms of men's and women's social roles: The female (vs. male) gender role specifies greater emotional responsiveness. Furthermore, past role-related experiences provide women with appropriate skills and attitudes. Women's (vs. men's) greater well-being was also found to hold for married but not unmarried Ss: For both sexes the married state (vs. unmarried) was associated with favorable well-being, but the favorable outcomes proved stronger for women than men. Given that most Ss were married, the overall sex difference in well-being can be attributed to Ss' marital status. These findings were discussed in the context of prior research on sex differences in negative well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Physical violence and other forms of marital aggression: Links with children's behavior problems.

Two studies examined whether physical marital violence and other forms of marital aggression (e.g., threats, throwing objects) correlate with children's behavior problems in families marked by recent spousal violence. Study 1 included 55 families seeking marital therapy. Study 2 included 199 families at battered women's shelters. In the marital therapy sample, both physical marital violence and other forms of marital aggression correlated positively with children's externalizing problems. In the women's shelter sample, physical violence and other forms of marital aggression correlated positively with children's externalizing and internalizing problems. After accounting for the frequency of physical marital violence, forms of marital aggression other than physical violence still related to children's externalizing problems in the marital therapy sample and to children's internalizing problems in the women's shelter sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relational benefits of relational aggression: Adaptive and maladaptive associations with adolescent friendship quality.

Two longitudinal studies examined associations between relational aggression and friendship quality during adolescence. In Study 1, 62 adolescents in Grades 6 (25.8%), 7 (32.3%), and 8 (41.9%) completed assessments of friendship affiliations, relational and overt aggression, and friendship quality at 2 time points, 1 year apart. Results using actor partner interdependence modeling indicated that high levels of relational aggression predicted increases in self-reported positive friendship quality 1 year later. In Study 2, 56 adolescents in Grades 9 (66.7%) and 10 (33.3%) attended a laboratory session with a friend in which their conversations were videotaped and coded for relationally aggressive talk. Target adolescents completed measures of positive and negative friendship quality during the laboratory session and during a follow-up phone call 6 months later. Analyses revealed that high levels of relationally aggressive talk at Time 1 predicted increases in negative friendship quality 6 months later. In addition, among adolescents involved in a reciprocal best friendship, high levels of observed relationally aggressive talk predicted increases in positive friendship quality over time. Taken together, these studies provide support for the idea that relational aggression may be associated with adaptive as well as maladaptive outcomes within the dyadic context of adolescent friendship. (PsycINFO Database Record (c) 2011 APA, all rights reserved)