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• W2331849994 abstract "Previous research has found substantial associations between parental behaviors and quality of life, perceived health, depressed mood, and treatment adherence in adolescents with chronic illness. However, prospective research investigating the extent to which parenting develops in tandem with these indicators of adjustment is non-existent. Such research is vital for identifying vulnerable individuals who may benefit the most from prevention and intervention efforts. In the present study, we therefore sought to (1) identify clinically meaningful trajectory classes of maternal and paternal parenting and generic and illness-specific perceived health; and (2) examine how these trajectory classes of parenting and perceived health relate to one another. Adolescents with congenital heart disease (CHD) were selected from the database of pediatric and congenital cardiology of the University Hospitals Leuven. A total of 429 adolescents (Mage = 16; 47% girls) participated in the present longitudinal study, comprising four measurement waves spanning approximately three years (i.e., intervals of 9 months). Adolescents completed questionnaires on maternal and paternal parenting (i.e., the presence of responsive, regulating, and psychologically controlling behaviors and attitudes) and both generic (e.g., social- and school-related functioning) and illness-specific domains of perceived health (e.g., cardiac symptoms and treatment anxiety). Covariates included sex, age, and illness complexity. Latent class growth analysis was used to identify trajectory classes of parenting and perceived health. Trajectory classes can be operationalized as collections of individuals who follow approximately the same developmental trajectory. The present study identified six parenting trajectory classes: democratic, overprotective, indulgent, authoritarian, psychologically controlling, and uninvolved parenting. Mothers were found to be overrepresented in the overprotective parenting class (33% versus 21%), whereas fathers were overrepresented in the indulgent parenting class (26% versus 13%). Up to 90% of adolescents showed moderate to optimal perceived health over time. Chi-square analyses showed a significant relationship between the class solutions for perceived health and both maternal (?2(10) = 40.09, p < .001; Cramér's V = .22, p < .001) and paternal (?2(10) = 36.12, p < .001; Cramér's V = .21, p < .001) parenting. Adolescents from democratic families fared best in terms of perceived health, whereas adolescents perceiving their mother as indulgent or authoritarian and/or their father as psychologically controlling showed relatively poor perceived health over time. In the present study, a small but substantial subgroup of adolescents with CHD was found to struggle with their illness, as evidenced by poor generic and illness-specific perceived health over time. The present findings suggest that working on the parent-adolescent relationship might be an effective pathway for improving the perceived health of these adolescents. In doing so, health professionals should not only stress the importance of a warm and supportive climate at home. They should also encourage parents to foster autonomy and individuation in their children. Further, the present findings point to the importance of involving both parents in these educational efforts, as both maternal and paternal parenting were found to relate to patients' perceived health." @default.
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• W2331849994 date "2014-02-01" @default.
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• W2331849994 title "A Closer Look at the Developmental Interplay Between Parenting and Perceived Health in Adolescents with Congenital Heart Disease" @default.
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• W2331849994 doi "https://doi.org/10.1016/j.jadohealth.2013.10.056" @default.
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