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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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