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.
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机译:中度和重度儿科创伤性脑损伤(TBI)与严重的家族窘迫和儿童适应性后遗症相关。我们的目的是检查父母的心理困扰,父母的养育方式(专制,宽容,权威)与TBI或骨科损伤(OI)后12-36个月的儿童适应功能之间的关系。假设伤害类型可以减轻父母的困扰与儿童适应功能之间的关系,这表明相对于OI组,TBI中的关系明显更强。假设威权主义的养育习惯可以调解父母的困扰与群体间儿童适应功能之间的关系。各组(TBI n = 21,OI n = 23)在受伤年龄,受伤后时间,性别,种族或SES方面无显着差异。父母填写了症状症状清单,育儿习惯问卷和Vineland-II。分别使用分层多元回归和自举法对中度和中介假设进行了检验。结果支持节制,并发现仅在TBI组中,较高的父母心理困扰与较低的儿童适应功能有关。调解结果表明,较高的父母苦恼与专制的父母养育行为和较低的跨群体适应能力有关。结果表明,父母养育方式是试图阐明TBI后父母与孩子功能之间关系的研究重点领域。
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