Back to Search
Start Over
The relationship of child executive functions to parenting capacities in childhood acute lymphoblastic leukemia survivors.
- Source :
-
Pediatric blood & cancer [Pediatr Blood Cancer] 2019 Aug; Vol. 66 (8), pp. e27761. Date of Electronic Publication: 2019 Apr 29. - Publication Year :
- 2019
-
Abstract
- Objective: The current study examined associations between child executive functions and parenting capacities in long-term survivors of childhood acute lymphoblastic leukemia (ALL).<br />Methods: Participants included 188 parent-child dyads; children were at least 8 years of age, 5 years postdiagnosis of ALL, and previously treated with chemotherapy only. Parents completed the Parental Protection Scale (PPS), Child Vulnerability Scale (CVS), and Decision-Making Questionnaire (DMQ). Children completed measures of executive functioning and general cognitive abilities. Multivariate multiple regression examined associations between child executive functioning and parenting, while controlling for child age, treatment risk, maternal education, and child intelligence quotient. An exploratory aim identified latent profiles of parenting capacities.<br />Results: Higher child cognitive flexibility (β = -0.16, P = .02) and planning abilities (β = -0.16, P = .049) were related to less parental overprotection. No other neurocognitive measures were related to child autonomy in decision making or perceived child vulnerability. For the exploratory aim, we found (a) a large class defined by normative parenting (94.3%) and (b) a small class characterized by higher levels of child vulnerability and overprotection. Class membership was unrelated to executive functioning, but higher maternal education was related to higher odds of class 2 membership (OR = 0.58, P = .04).<br />Conclusions: Results suggest that parents respond to child executive function difficulties with greater overprotection, which may be adaptive but not conducive to the development of independence. Although most parents report normative levels of child vulnerability and overprotection, a small subset demonstrate parenting practices that may place some survivors at risk for adverse outcomes.<br /> (© 2019 Wiley Periodicals, Inc.)
- Subjects :
- Adolescent
Adult
Child
Female
Follow-Up Studies
Humans
Male
Parent-Child Relations
Precursor Cell Lymphoblastic Leukemia-Lymphoma therapy
Prognosis
Surveys and Questionnaires
Survival Rate
Young Adult
Cancer Survivors psychology
Executive Function
Parenting psychology
Precursor Cell Lymphoblastic Leukemia-Lymphoma psychology
Stress, Psychological
Subjects
Details
- Language :
- English
- ISSN :
- 1545-5017
- Volume :
- 66
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Pediatric blood & cancer
- Publication Type :
- Academic Journal
- Accession number :
- 31033172
- Full Text :
- https://doi.org/10.1002/pbc.27761