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How Do Parents Influence Child Disruptive Behavior After Acquired Brain Injury? Evidence From a Mediation Model and Path Analysis

Published online by Cambridge University Press:  13 March 2019

Clara Chavez-Arana Open the ORCID record for Clara Chavez-Arana [Opens in a new window] ,
Cathy Catroppa ,
Guillermina Yáñez-Téllez ,
Belén Prieto-Corona ,
Adriana Amaya-Hernández ,
Miguel A. de León ,
Antonio García ,
Roberto Gómez-Raygoza ,
Stephen J. C. Hearps  and
Vicki Anderson
Clara Chavez-Arana*
Affiliation:
Child Neuropsychology, Murdoch Childrens Research Institute, Victoria, Australia The University of Melbourne, Victoria, Australia Universidad Nacional Autónoma de México, FES Iztacala, Mexico City, Mexico
Cathy Catroppa
Affiliation:
Child Neuropsychology, Murdoch Childrens Research Institute, Victoria, Australia The University of Melbourne, Victoria, Australia Royal Children’s Hospital, Victoria, Australia
Guillermina Yáñez-Téllez
Affiliation:
Universidad Nacional Autónoma de México, FES Iztacala, Mexico City, Mexico
Belén Prieto-Corona
Affiliation:
Universidad Nacional Autónoma de México, FES Iztacala, Mexico City, Mexico
Adriana Amaya-Hernández
Affiliation:
Universidad Nacional Autónoma de México, FES Iztacala, Mexico City, Mexico
Miguel A. de León
Affiliation:
Iskalti Centre of Psychological and Educational Support S.C., Mexico City, Mexico
Antonio García
Affiliation:
Unit of High Specialty “La Raza” IMSS, Mexico City, Mexico
Roberto Gómez-Raygoza
Affiliation:
Centro Medico Nacional Siglo XXI, Mexico City, Mexico
Stephen J. C. Hearps
Affiliation:
Child Neuropsychology, Murdoch Childrens Research Institute, Victoria, Australia
Vicki Anderson
Affiliation:
Child Neuropsychology, Murdoch Childrens Research Institute, Victoria, Australia The University of Melbourne, Victoria, Australia Royal Children’s Hospital, Victoria, Australia
*
Correspondence and reprint requests to: Clara Chavez-Arana, E-mail: clara.chavezarana@gmail.com
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Abstract

Objectives: Children with acquired brain injury (ABI) can present with disruptive behavior, which is often a consequence of injury and parent factors. Parent factors are associated with child disruptive behavior. Furthermore, disinhibition in the child also leads to disruptive behavior. However, it is unclear how these factors interact. We investigated whether parental factors influence child disruptive behavior following ABI and how these factors interact. Methods: Parents of 77 children with ABI participated in the study. Parent factors (executive dysfunction, trait-anxiety), potential intervention targets (dysfunctional parenting practices, parental stress, child disinhibition), and child disruptive behavior were assessed. A hypothetical model based on the literature was tested using mediation and path analysis. Results: Mediation analysis revealed that child disinhibition and dysfunctional parenting practices mediated the association of parent factors and child disruptive behavior. Parents’ executive dysfunction mediated the association of dysfunctional parenting practices, parental stress and parent trait-anxiety. Parenting practices mediated the association of executive dysfunction and child disruptive behavior. Path analysis indices indicated good model adjustment. Comparative and Tucker-Lewis Index were >0.95, and the root mean square error of approximation was 0.059, with a chi-square of 0.25. Conclusions: A low level of parental trait-anxiety may be required to reduce dysfunctional parenting practices and child disinhibition. Impairments in child disinhibition can be exacerbated when parents present with high trait-anxiety. Child disinhibition is the major contributor of disruptive behavior reported by parents and teachers. The current study provides evidence of parent anxiety and child disinhibition as possible modifiable intervention targets for reducing child disruptive behavior. (JINS, 2019, 25, 237–248)

Keywords

Acquired brain injuryParentingExecutive functionsAnxietyChildren and behavior
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 3 , March 2019 , pp. 237 - 248
Copyright
Copyright © The International Neuropsychological Society 2019 

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