Abstract
Every day, parents must navigate a role that is at the same time both very rewarding and very stressful. Co** with the balance between stress and reward can have immediate and long-term effects for both parents and children, including ineffective parenting strategies. Emotional difficulties, such as anxiety and depression, increase the risk for these ineffective parenting strategies. The impact of parental distress on family functioning is further complicated by the relatively high correlation between parent distress and child distress. The literature seems to suggest that a lack of openness to experience and difficulties with goal-directed behavior may moderate this relationship. From a functional contextual perspective, psychological flexibility, or the ability to adapt to emotional and situational demands in the service of chosen values, may play a role in this phenomenon. More specifically, we hypothesized that parenting flexibility, or flexibility specifically within the context of parenting, would moderate the relationship between parent and child distress. Parents (n = 71) and adolescents (n = 21) completed online surveys assessing their distress and psychological flexibility, and parents completed an additional measure of parenting flexibility. Results demonstrate a trend toward parenting flexibility as a possible moderator in the relationship between parent and child distress, and a clear need for additional research in this area. Implications for targeting inflexibility in interventions for children and families are discussed.
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Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129–1139. doi:10.1037/0022-006X.70.5.1129.
Ballash, N., Leyfer, O., Buckley, A. F., & Woodruff-Borden, J. (2006). Parental control in the etiology of anxiety. Clinical Child and Family Psychology Review, 9, 113–133. doi:10.1007/s10567-006-0007-z.
Barber, B. K. (1996). Parental psychological control: Revisiting a neglected construct. Child Development, 67, 3296–3319. doi:10.2307/1131780.
Bariola, E., Hughes, E. K., & Gullone, E. (2012). Relationships between parent and child emotion regulation strategy use: A brief report. Journal of Child and Family Studies, 21, 443–448. doi:10.1007/s10826-011-9497-5.
Barmish, A. J., & Kendall, P. C. (2005). Should parents be co-clients in cognitive-behavioral therapy for anxious youth? Journal of Clinical Child and Adolescent Psychology, 34, 569–581. doi:10.1207/s15374424jccp3403_12.
Bayer, J. K., Sanson, A. V., & Hemphill, S. A. (2006). Parent influences on early childhood internalizing difficulties. Journal of Applied Developmental Psychology, 27, 542–559. doi:10.1016/j.appdev.2006.08.002.
Beidel, D. C., & Turner, S. M. (1997). At risk for anxiety: I. Psychopathology in the offspring of anxious parents. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 918–924. doi:10.1097/00004583-199707000-00013.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the acceptance and action questionnaire—II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676–688. doi:10.1016/j.beth.2011.03.007.
Bond, F. W., Lloyd, J., & Guenole, N. (2013). The work-related acceptance and action questionnaire: Initial psychometric findings and their implications for measuring psychological flexibility in specific contexts. Journal of Occupational and Organizational Psychology, 86(3), 331–347.
Borelli, J. L., West, J. L., Descoste, C., & Suchman, N. E. (2012). Emotionally avoidant language in the parenting interviews of substance-dependent mothers: Associations with reflective functioning, recent substance use, and parenting behavior. Infant Mental Health Journal, 33, 506–519. doi:10.1002/imhj.21340.
Cappa, K. A., Begle, A. M., Conger, J. C., Dumas, J. E., & Conger, A. J. (2011). Bidirectional relationships between parenting stress and child co** competence: Findings from the pace study. Journal of Child and Family Studies, 20, 334–342. doi:10.1007/s10826-010-9397-0.
Cheron, D. M., Ehrenreich, J. T., & Pincus, D. B. (2009). Assessment of parental experiential avoidance in a clinical sample of children with anxiety disorders. Child Psychiatry and Human Development, 40, 383–403. doi:10.1007/s10578-009-0135-z.
Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1996). Cognitive processing in children: Relation to anxiety and family influences. Journal of Clinical Child Psychology, 25, 170–176. doi:10.1207/s15374424jccp2502_5.
Ciarrochi, J., Kashdan, T. B., Leeson, P., Heaven, P., & Jordan, C. (2011). On being aware and accepting: A one-year longitudinal study into adolescent well-being. Journal of Adolescence, 34, 695–703. doi:10.1016/j.adolescence.2010.09.003.
Cobham, V. E., Dadds, M. R., Spence, S. H., & McDermott, B. (2010). Parental anxiety in the treatment of childhood anxiety: A different story three years later. Journal of Clinical Child & Adolescent Psychology, 39, 410–420. doi:10.1080/15374411003691719.
Colletti, C. J. M., Forehand, R., Gerai, E., Rakow, A., McKee, L., Fear, J. M., et al. (2009). Parent depression and child anxiety: An overview of the literature with clinical implications. Child & Youth Care Forum, 38, 151–160. doi:10.1007/s10566-009-9074-x.
Compas, B. E., Howell, D. C., Phares, V., Williams, R. A., & Ledouw, N. (1989). Parent and child stress and symptoms: An integrative analysis. Developmental Psychology, 25, 550–559. doi:10.1037/0012-1649.25.4.550.
Coyne, L. W., Low, C. M., Miller, A. L., Seifer, R., & Dickstein, S. (2007). Mothers’ empathic understanding of their toddlers: Associations with maternal depression and sensitivity. Journal of Child and Family Studies, 16, 483–497. doi:10.1007/s10826-006-9099-9.
Coyne, L. W., & Murrell, A. R. (2009). The joy of parenting: An acceptance and commitment therapy guide to effective parenting in the early years. Oakland, CA: New Harbinger Publications.
Coyne, L. W., & Wilson, K. G. (2004). The role of cognitive fusion in impaired parenting: An RFT analysis. International Journal of Psychology and Psychological Therapy, 4(3), 469–486.
Crawford, J. R., & Henry, J. D. (2003). The depression anxiety stress scales (DASS): Normative data and latent structure in a large non-clinical sample. British Journal of Clinical Psychology, 42, 111–131. doi:10.1348/014466503321903544.
Cribb, G., Moulds, M. L., & Carter, S. (2006). Rumination and experiential avoidance in depression. Behavior Change, 23, 165–176. doi:10.1375/bech.23.3.165.
Crnic, K. A., & Booth, C. L. (1991). Mothers’ and fathers’ perceptions of daily hassles of parenting across early childhood. Journal of Marriage and the Family, 53, 1042–1050. doi:10.2307/353007.
Crnic, K. A., & Greenberg, M. T. (1990). Minor parenting stresses with young children. Child Development, 61, 1628–1637. doi:10.2307/1130770.
Deater-Deckard, K. (2005). Parenting stress and children’s development: Introduction to the special issue. Infant and Child Development, 14, 111–115. doi:10.1002/icd.383.
Fledderus, M., Bohlmeijer, E. T., Smit, F., & Westerhof, G. J. (2010). Mental health promotion as a new goal in public mental health care: A randomized controlled trial of an intervention enhancing psychological flexibility. American Journal of Public Health, 100, 2372–2378. doi:10.2105/AJPH.2010.196196.
Gaudiano, B. A., & Herbert, J. D. (2006). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Terapy: Pilot results. Behaviour Research and Therapy, 44, 415–437. doi:10.1016/j.brat.2005.02.007.
Gloster, A. T., Klotsche, J., Chaker, S., Hummel, K. V., & Hoyer, J. (2011). Assessing psychological flexibility: What does it add above and beyond existing constructs? Psychological Assessment. Advance online publication. doi:10.1037/a0024135.
Greco, L. A., & Hayes, S. C. (Eds.). (2008). Acceptance and mindfulness treatments for children and adolescents: A practitioner’s guide. Oakland, CA: New Harbinger Publications.
Greco, L. A., Lambert, W., & Baer, R. A. (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the avoidance and fusion questionnaire for youth. Psychological Assessment, 20, 93–102. doi:10.1037/1040-3590.20.2.93.
Harrington, R. (1996). Family-genetic findings in child and adolescent depressive disorders. International Review of Psychiatry, 8, 355–368. doi:10.3109/09540269609051550.
Hayes, L., Boyd, C. P., & Sewell, J. (2011a). Acceptance and commitment therapy for the treatment of adolescent depression: A pilot study in a psychiatric outpatient setting. Mindfulness, 2, 86–94. doi:10.1007/s12671-011-0046-5.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford Press.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011b). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). New York, NY: Guilford Press.
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Pscychology, 44, 227–239. doi:10.1348/014466505X29657.
Hettema, J. M., Neale, M. C., & Kendler, K. S. (2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. The American Journal of Psychiatry, 158, 1569–1578. doi:10.1176/appi.ajp.158.10.1568.
Hudson, J. L., & Rapee, R. M. (2004). From anxious temperament to disorder: An etiological model. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 51–74). New York: Guilford.
Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with co** and emotion regulation strategies. Behaviour Research and Therapy, 44, 1301–1320. doi:10.1016/j.brat.2005.10.003.
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30, 865–878. doi:10.1016/j.cpr.2010.03.001.
Lee, J. K., Orsillo, S. M., Roemer, L., & Allen, L. B. (2010). Distress and avoidance in generalized anxiety disorder: Exploring the relationships with intolerance of uncertainty and worry. Cognitive Behavior Therapy, 39, 126–136. doi:10.1080/16506070902966918.
Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37, 58–69. doi:10.1007/s12160-009-9083.
Lindhout, I., Markus, M., Hoogendijk, T., Borst, S., Maingay, R., Spinhoven, P., et al. (2006). Childrearing style of anxiety-disordered parents. Child Psychiatry and Human Development, 37, 89–102. doi:10.1007/s10578-006-0022-9.
Lloyd, T., & Hastings, R. P. (2008). Psychological variables as correlates of adjustment in mothers of children with intellectual disabilities: Cross-sectional and longitudinal relationships. Journal of Intellectual Disability Research, 52, 37–48. doi:10.1111/j.1365-2788.2007.00974.x.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychological Foundation.
Luciano, M. C., Salas, S. V., Martinez, O. G., Ruiz, F. J., & Blarrina, M. P. (2009). Brief acceptance-based protocols applied to the work with adolescents. International Journal of Psychology and Psychological Therapy, 9(2), 237–257.
Luoma, J. B., Drake, D., Hayes, S. C., & Kohlenberg, B. (2011). Substance abuse and psychological flexibility: The development of a new measure. Addiction Research & Theory, 19, 3–13. doi:10.3109/16066359.2010.524956.
MacKenzie, M. B., & Kocovski, N. L. (2010). Self-reported acceptance of social anxiety symptoms: Development and validation of the social anxiety—acceptance and action questionnaire. International Journal of Behavioral Consultation and Therapy, 6(3), 214–232.
Marks, A. D. G., Sobanski, D. J., & Hine, D. W. (2010). Do dispositional rumination and/or mindfulness moderate the relationship between life hassles and psychological dysfunction in adolescents? Australian and New Zealand Journal of Psychiatry, 44(9), 831–838.
Metzler, C. W., Biglan, A., Noell, J., Ary, D. V., & Ochs, L. (2000). A randomized controlled trial of a behavioral intervention to reduce high-risk sexual behavior among adolescents. Behavior Therapy, 31, 27–54. doi:10.1016/S0005-7894(00)80003-9.
Murrell, A. R., & Scherbarth, A. J. (2006). State of the research & literature address: ACT with children, adolescents and parents. International Journal of Behavioral Consultation and Therapy, 2(4), 531–543.
Murrell, A. R., Wilson, K. G., LaBorde, C. T., Drake, C. E., & Rogers, L. J. (2008). Relational responding in parents. The Behavior Analyst Today, 9(3–4), 196–214.
Nanda, M. M., Kotchick, B. A., & Grover, R. L. (2012). Parental psychological control and childhood anxiety: The mediating role of perceived lack of control. Journal of Child and Family Studies, 21, 637–645. doi:10.1007/s10826-011-9516-6.
Nelson, S. K., Kushlev, K., English, T., Dunn, E. W., & Lyubomirsky, S. (2013). In defense of parenthood: Children are associated with more joy than misery. Psychological Science, 24, 3–10. doi:10.1177/0956797612447798.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424. doi:10.1111/j.1745-6924.2008.00088.x.
Nomaguchi, K. M., & Milkie, M. A. (2003). Costs and rewards of children: The effects of becoming a parent on adults’ lives. Journal of Marriage and the Family, 65, 356–374. doi:10.1111/j.1741-3737.2003.00356.x.
O’Brien, K. M., Larson, C. M., & Murrell, A. R. (2008). Third-wave behavior therapies for children and adolescents: Progress, challenges, and future directions. In L. Greco & S. Hayes (Eds.), Acceptance and mindfulness treatments for children and adolescents (pp. 15–36). Oakland, CA: New Harbinger Publications.
Ong, A. D., & Weiss, D. J. (2000). The impact of anonymity of responses to sensitive questions. Journal of Applied Social Psychology, 30, 1691–1708. doi:10.1111/j.1559-1816.2000.tb02462.
Putnick, D. L., Bornstein, M. H., Hendricks, C., Painter, K. M., Suwalsky, J. T., & Collins, W. A. (2008). Parenting stress, perceived parenting behaviors, and adolescent self-concept in European American families. Journal of Family Psychology, 22, 752–762. doi:10.1037/a0013177.
Querido, J. G., Eyberg, S. M., & Boggs, S. R. (2001). Revisiting the accuracy hypothesis in families of young children with conduct problems. Journal of Clinical Child Psychology, 30, 253–261. doi:10.1207/S15374424JCCP3002_12.
Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76, 1083–1089. doi:10.1037/a0012720.
Semple, R. J., Reid, E. F. G., & Miller, L. (2005). Treating anxiety with mindfulness: An open trial of mindfulness training for anxious children. Journal of Cognitive Psychotherapy, 19, 379–392. doi:10.1891/jcop.2005.19.4.379.
Shea, S. E., & Coyne, L. W. (2011). Maternal dysphoric mood, stress, and parenting practices in mothers of head start preschoolers: The role of experiential avoidance. Child and Family Behavior Therapy, 33, 231–247. doi:10.1080/07317107.2011.596004.
Shortt, A. L., Barrett, P. M., & Fox, T. L. (2001). Evaluating the FRIENDS program: A cognitive-behavioral group treatment for anxious children and their parents. Journal of Clinical Child Psychology, 30, 525–535. doi:10.1207/S15374424JCCP3004_09.
Silberg, J. L., Maes, H., & Eaves, L. J. (2010). Genetic and environmental influences on the transmission of parental depression to children’s depression and conduct disturbance: An extended children of twins study. Journal of Child Psychology and Psychiatry, 51, 734–744. doi:10.1111/j.1469-7610.2010.02205.x.
Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (2000). The treatment of childhood social phobia: The effectiveness of a social skills training-based, cognitive-behavioural intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry, 41, 713–726. doi:10.1111/1469-7610.00659.
Szabo, M. (2010). The short version of the depression anxiety stress scales (DASS-21): Factor structure in a young adolescent sample. Journal of Adolescence, 33, 1–8. doi:10.1016/j.adolescence.2009.05.014.
Thoits, P. A. (1992). Identity structures and psychological well-being: Gender and marital status comparisons. Social Psychology Quarterly, 55, 236–256. doi:10.2307/2786794.
Tiwari, S., Podell, J. C., Martin, E. D., Mychailyszyn, M. P., Furr, J. M., & Dendall, P. C. (2008). Experiential avoidance in the parenting of anxious youth: Theory, research, and future directions. Cognition and Emotion, 22, 480–496. doi:10.1080/02699930801886599.
Turner, S. M., Beidel, D. C., & Costello, A. (1987). Psychopathology in the offspring of anxiety disorders patients. Journal of Consulting and Clinical Psychology, 55, 229–235. doi:10.1037/0022-006X.55.2.229.
Venta, A., Sharp, C., & Hart, J. (2012). The relation between anxiety disorder and experiential avoidance in inpatient adolescents. Psychological Assessment, 24, 240–248. doi:10.1037/a0025362.
Walser, R., & Westrup, D. (2009). The mindful couple: How acceptance and mindfulness can lead you to the love you want. Oakland, CA: New Harbinger Publications.
Williams, K. E., Ciarrochi, J., & Heaven, P. C. L. (2012). Inflexible parents, inflexible kids: A 6-year longitudinal study of parenting style and the development of psychological flexibility in adolescents. Journal of Youth and Adolescence, 41, 1053–1066. doi:10.1007/s10964-012-9744-0.
Woodruff-Borden, J., Morrow, C., Bourland, S., & Cambron, S. (2002). The behavior of anxious parents: Examining the mechanisms of transmission of anxiety from parent to child. Journal of Clinical Child and Adolescent Psychology, 31, 354–374. doi:10.1207/153744202760082621.
Zettle, R. D., & Rains, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 436–445. doi:10.1002/1097-4679(198905)45:3<436:AID-JCLP2270450314>3.0.CO;2-L.
Zettle, R. D., Rains, J. C., & Hayes, S. C. (2011). Processes of change in acceptance and commitment therapy and cognitive therapy for depression: A mediation reanalysis of Zettle and Rains. Behavior Modification, 35, 265–283. doi:10.1177/0145445511398344.
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Moyer, D.N., Sandoz, E.K. The Role of Psychological Flexibility in the Relationship Between Parent and Adolescent Distress. J Child Fam Stud 24, 1406–1418 (2015). https://doi.org/10.1007/s10826-014-9947-y
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DOI: https://doi.org/10.1007/s10826-014-9947-y