ABSTRACT
PURPOSE: To examine the contribution of epilepsy-related factors, proximal (parent-child relationship quality), distal (parental characteristics), and contextual (quality of other family relationships) family factors to psychopathology (both broad-band and narrow-band syndromes) in children with epilepsy and normal intelligence. METHODS: Parents of 91 children (mean, 8.5 years) participated by filling out questionnaires about family factors and child psychopathology. Regression analyses were used to analyze the unique and combined predictive power of family factors in relation to psychopathology. RESULTS: In contrast to epilepsy-related factors, family factors, especially those related to the quality of the parent-child relationship, appeared to be strong predictors of psychopathology. The results supported the mediational model: Distal and contextual factors affect child psychopathology by affecting proximal factors. CONCLUSIONS: In treating children with epilepsy, clinicians should be aware of the importance of the parent-child relationship quality. Strengthening the relationship quality may prevent or reduce psychopathology.
Subject(s)
Epilepsy/diagnosis , Family Health , Family Relations , Mental Disorders/diagnosis , Adult , Child , Comorbidity , Epilepsy/epidemiology , Epilepsy/psychology , Female , Humans , Male , Mental Disorders/epidemiology , Mental Disorders/psychology , Netherlands/epidemiology , Parent-Child Relations , Probability , Quality of Life/psychology , Regression Analysis , Risk Factors , Severity of Illness Index , Surveys and QuestionnairesABSTRACT
The dominant theories about the development of antisocial behaviour during adolescence are based almost entirely on research conducted with mainstream, white, middle-class adolescents. The present study addresses this significant gap in the literature by examining whether the same model of family and peer influence on antisocial behaviour is applicable to adolescents belonging to different ethnic groups. The sample included 603 adolescents (318 females and 285 males) from four ethnic groups: 68% of adolescents were Dutch, 11% were Moroccan, 13% were Turkish and 8% were Surinamese. The questionnaires assessing antisocial behaviour, quality of parent-adolescent relationship and involvement with deviant peers were completed by adolescents individually at schools. Results show few ethnic differences in the mean level of the assessed constructs: adolescents from different ethnic groups show similar levels of antisocial behaviour, are to a similar degree satisfied with their relationships with parents, disclose as much information to them, and do not differ in their involvement with deviant peers. However, the associations of parent and peer relations with antisocial behaviour differed across the ethnic groups.
