Restricted accessResearch articleFirst published online 2025
Exploring the Moderating Role of Female Caregiver Perceived Stress in the Indirect Relationship between Caregiver Proactive Coping,Autonomy Support,and Early Adolescent Anxiety and Depression Symptoms
This study examines how caregiver proactive coping, perceived autonomy support, and caregiver stress relate to early adolescent anxiety and depression. Drawing on self-determination theory and proactive coping theory, data from 265 female caregivers and their adolescents (ages 11–14) were analyzed using a conditional indirect association model. Results show that caregiver proactive coping is linked with greater adolescent-perceived autonomy support, which is associated with lower levels of adolescent anxiety and depression symptoms. This indirect relationship is moderated by caregiver stress: under low stress, proactive coping is associated with higher levels of autonomy-supportive parenting and lower levels of adolescent anxiety and depression symptoms. In contrast, high caregiver stress weakens this association. Findings highlight the importance of strengthening caregiver coping strategies and addressing stress to promote autonomy-supportive environments that enhance adolescent emotional well-being. The study informs interventions aimed at enhancing family functioning and reducing youth mental health concerns by strengthening caregiver resources.
Altan-AtalayA.ZeytunD. (2020). The association of negative urgency with psychological distress: Moderating role of proactive coping strategies. Journal of Psychology, 154(7), 487–498. https://doi.org/10.1080/00223980.2020.1784824
3.
AndersonE. R.MayesL. C. (2010). Race/ethnicity and internalizing disorders in youth: A review. Clinical Psychology Review, 30(3), 338–348. https://doi.org/10.1016/j.cpr.2009.12.008
4.
AunolaK.ViljarantaJ.TolvanenA. (2017). Does daily distress make parents prone to using psychologically controlling parenting?International Journal of Behavioral Development, 41(3), 405–414. https://doi.org/10.1177/0165025416658555
5.
BerryhillM. B.HortonA. G.MastersS. L.MackD. R.CrossA. N.ParkerJ. G.BarthJ. M.McDonaldK. L. (2024). Caregiver perceived stress as a link between family COVID-19 experiences and early adolescent mental health symptomology. Journal of Early Adolescence, 44, 380–400. https://doi.org/10.1177/02724316231178687
6.
BerryhillM. B.HortonA. G.MastersS. L.ParkerJ. G.CurryG. (2024). The interplay between female caregiver proactive coping, stress, and adaptive caregiver personality on early adolescent internalizing symptoms during the COVID-19 pandemic: A moderated-mediation model. Adversity and Resilience Science. 1–11. Advance online publication. https://doi.org/10.1007/s42844-024-00148-x
7.
BradshawE. L.DuineveldJ. J.ConigraveJ. H.StewardB. A.FerberK. A.JoussemetM.ParkerP. D.RyanR. M. (2025). Disentangling autonomy-supportive and psychologically controlling parenting: A meta-analysis of self-determination theory’s dual process model across cultures. American Psychologist, 80, 879–895. https://doi.org/10.1037/amp0001389
8.
CarlanderA.JohanssonL. O. (2020). Should trust be stressed? General trust and proactive coping as buffers to perceived stress. Frontiers in Psychology, 11, 554962. https://doi.org/10.3389/fpsyg.2020.554962
9.
ChapmanR.ParkinsonM.HalliganS. (2016). How do parent-child interactions predict and maintain depression in childhood and adolescence? A critical review of the literature. Adolescent Psychiatry, 6(2), 100–115. https://doi.org/10.2174/2210676606666160822101450
10.
CheungG. W.LauR. S. (2017). Accuracy of parameter estimates and confidence intervals in moderated mediation models: A comparison of regression and latent moderated structural equations. Organizational Research Methods, 20(4), 746–769. https://doi.org/10.1177/1094428115595869
11.
CohenS.WilliamsonG. (1988). Perceived stress in a probability sample of the United States. In SpacapanS.OskampS. (Eds.), The social psychology of health: Claremont symposium on applied social psychology (pp. 31–67). Sage.
12.
CohodesE. M.McCauleyS.GeeD. G. (2021). Parental buffering of stress in the time of COVID-19: Family-level factors may moderate the association between pandemic-related stress and youth symptomatology. Research on Child and Adolescent Psychopathology, 49(7), 935–948. https://doi.org/10.1007/s10802-020-00732-6
DeciE. L.RyanR. M. (2000). The ‘what’ and ‘why’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/s15327965pli1104_01
15.
DijkstraM. T.HomanA. C. (2016). Engaging in rather than disengaging from stress: Effective coping and perceived control. Frontiers in Psychology, 7, 1415. https://doi.org/10.3389/fpsyg.2016.01415
16.
DuineveldJ. J.ParkerP. D.RyanR. M.CiarrochiJ.Salmela-AroK. (2017). The link between perceived maternal and paternal autonomy support and adolescent well-being across three major educational transitions. Developmental Psychology, 53(10), 1978–1994. https://doi.org/10.1037/dev0000364
17.
ElmoreA. L.CrouchE. (2020). The association of adverse childhood experiences with anxiety and depression for children and youth, 8 to 17 years of age. Academic Pediatrics, 20(5), 600–608. https://doi.org/10.1016/j.acap.2020.02.012
18.
FrancisS. E.RoemhildE. (2022). Adolescent perceptions of maternal and paternal autonomy granting and psychological control in predicting anxiety and depression. Marriage & Family Review, 58(8), 781–810. https://doi.org/10.1080/01494929.2022.2125481
GliedS.PineD. S. (2002). Consequences and correlates of adolescent depression. Archives of Pediatrics & Adolescent Medicine, 156(10), 1009–1014. https://doi.org/10.1001/archpedi.156.10.1009
21.
GreenglassE. R. (2002). Proactive coping and quality of life management. In FrydenbergE. (Ed.), Beyond coping: Meeting goals, visions, and challenges (pp. 37–62). Oxford University Press.
22.
GreenglassE. R.FiksenbaumL. (2009). Proactive coping, positive affect, and well-being: Testing for mediation using path analysis. European Psychologist, 14(1), 29–39. https://doi.org/10.1027/1016-9040.14.1.29
HodgsonC. G.BonifayW.YangW.HermanK. C. (2023). Establishing the measurement precision of the patient health questionnaire in an adolescent sample. Journal of Affective Disorders, 342, 76–84. https://doi.org/10.1016/j.jad.2023.09.013
25.
HuL. T.BentlerP. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037//1082-989x.3.4.424
26.
KlineR. B. (Ed.). (2011). Principles and practice of structural equation modeling (3rd ed.). Guilford Press.
27.
KroenkeK.SpitzerR. L.WilliamsJ. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
28.
KroenkeK.StrineT. W.SpitzerR. L.WilliamsJ. B.BerryJ. T.MokdadA. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173. https://doi.org/10.1016/j.jad.2008.06.026
29.
KunzJ. H.GrychJ. H. (2013). Parental psychological control and autonomy granting: Distinctions and associations with child and family functioning. Parenting: Science and Practice, 13(2), 77–94. https://doi.org/10.1080/15295192.2012.709147
30.
LansfordJ. E.LairdR. D.PettitG. S.BatesJ. E.DodgeK. A. (2014). Mothers’ and fathers’ autonomy-relevant parenting: Longitudinal links with adolescents’ externalizing and internalizing behavior. Journal of Youth and Adolescence, 43, 1877–1889. https://doi.org/10.1007/s10964-013-0079-2
31.
LeeF. S.HeimerH.GieddJ. N.LeinE. S.ŠestanN.WeinbergerD. R.CaseyB. J. (2014). Mental health. Adolescent mental health–opportunity and obligation. Science, 346(6209), 547–549. https://doi.org/10.1126/science.1260497
32.
MageauG. A.RangerF.JoussemetM.KoestnerR.MoreauE.ForestJ. (2015). Validation of the perceived parental autonomy support scale (P-PASS). Canadian Journal of Behavioural Science, 47(3), 251–262. https://doi.org/10.1037/a0039325
33.
MossmanS. A.LuftM. J.SchroederH. K.VarneyS. T.FleckD. E.BarzmanD. H.GilmanR.DelBelloM. P.StrawnJ. R. (2017). The generalized anxiety disorder 7-item scale in adolescents with generalized anxiety disorder: Signal detection and validation. Annals of Clinical Psychiatry, 29(4), 227–234A. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765270/
PinquartM. (2017). Associations of parenting dimensions and styles with externalizing problems of children and adolescents: An updated meta-analysis. Developmental Psychology, 53(5), 873–932. https://doi.org/10.1037/dev0000295
38.
PomerantzE. M.GrolnickW. S. (2017). The role of parenting in children’s motivation and competence: What underlies facilitative parenting? In ElliotA. J.DweckC. S.YeagerD. S. (Eds.), Handbook of competence and motivation: Theory and application (2nd ed., pp. 566–585). The Guilford Press.
39.
RyanR. M.DeciE. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68
SchwarzerR.TaubertS. (2002). Tenacious goal pursuits and striving toward personal growth: Proactive coping. In FrydenbergE. (Ed.), Beyond coping: Meeting goals, visions and challenges (pp. 19–35). Oxford University Press.
42.
SellM.RadickeA.AdemaB.DaubmannA.KilianR.StiawaM.BusmannM.WinterS. M.LambertM.WegscheiderK.Plass-ChristlA.Wiegand-GrefeS. (2021). Parents with mental illness: Parental coping behavior and its association with children’s mental health. Frontiers in Psychiatry, 12, 737861. https://doi.org/10.3389/fpsyt.2021.737861
43.
ShroutP. E.BolgerN. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989X.7.4.422
44.
SoenensB.VansteenkisteM.LensW.LuyckxK.GoossensL.BeyersW.RyanR. M. (2007). Conceptualizing parental autonomy support: Adolescent perceptions of promotion of independence versus promotion of volitional functioning. Developmental Psychology, 43(3), 633–646. https://doi.org/10.1037/00121649.43.3.633
45.
SohlS. J.MoyerA. (2009). Refining the conceptualization of an important future-oriented self-regulatory behavior: Proactive coping. Personality and Individual Differences, 47(2), 139–144. https://doi.org/10.1016/j.paid.2009.02.013
46.
SpitzerR. L.KroenkeK.WilliamsJ. B.LöweB. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archive of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
47.
TeuberZ.TangX.SielemannL.OtterpohlN.WildE. (2022). Autonomy-related parenting profiles and their effects on adolescents’ academic and psychological development: A longitudinal person-oriented analysis. Journal of Youth and Adolescence, 51(7), 1333–1353. https://doi.org/10.1007/s10964-021-01538-5
48.
VaculíkováJ. (2016). Proactive coping behavior in sample of university students in helping professions. Social Education, 4(2), 38–55. https://ssrn.com/abstract=2887433
49.
Van der GiessenD.BranjeS.MeeusW. (2014). Perceived autonomy support from parents and best friends: Longitudinal associations with adolescents’ depressive symptoms. Social Development, 23(3), 537–555. https://doi.org/10.1111/sode.12061
50.
VineM.StoepA. V.BellJ.RhewI. C.GudmundsenG.McCauleyE. (2012). Associations between household and neighborhood income and anxiety symptoms in young adolescents. Depression and Anxiety, 29(9), 824–832. https://doi.org/10.1002/da.21948
51.
WeiC.SwanA. J.MakoverH. B.KendallP. C. (2017). A multi-informant examination of maternal symptoms and autonomy granting in youth anxiety. Child Psychiatry and Human Development, 48(6), 1001–1009. https://doi.org/10.1007/s10578-017-0722-3
52.
YaffeY. (2021). A narrative review of the relationship between parenting and anxiety disorders in children and adolescents. International Journal of Adolescence and Youth, 26(1), 449–459. https://doi.org/10.1080/02673843.2021.1980067
53.
YapM. B. H.PilkingtonP. D.RyanS. M.JormA. F. (2014). Parental factors associated with depression and anxiety in young people: A systematic review and meta-analysis. Journal of Affective Disorders, 156, 8–23. https://doi.org/10.1016/j.jad.2013.11.007
54.
Zimmer-GembeckM. J.CollinsW. A. (2006). Autonomy development during adolescence. In AdamsG. R.BerzonskyM. D. (Eds.), Blackwell handbook of adolescence (pp. 175–204). Blackwell Publishing.
