This study examined parenting factors associated with children’s self-regulation and physician-rated treatment adherence using a self-determination theory framework in pediatric chronic headache. Participants were 58 children and adolescents (aged 10–17 years), who underwent initial and follow-up multidisciplinary evaluation at a headache clinic, and their mothers. Regression analyses showed that higher maternal autonomy support and structure were significantly related to children’s lower treatment-related reactance and higher adherence. Maternal controllingness had associations in the opposite directions. Children’s fear of pain was related to maternal controllingness. Results suggest the importance of parents’ provision of clear expectations and engaging children in treatment problem-solving and decision-making.
AntonaciFVoiticovschi-IosobCDi StefanoAL, et al. (2014) The evolution of headache from childhood to adulthood: A review of the literature. The Journal of Headache and Pain15(1): 15.
2.
BarberBKStolzHEOlsenJA, et al. (2005) Parental support, psychological control, and behavioral control: Assessing relevance across time, culture, and method. Monographs of the Society for Research in Child Development70: 1–137.
3.
BrehmJW (1966) A Theory of Psychological Reactance. New York: Academic Press.
4.
CaesLVervoortTEcclestonC, et al. (2011) Parental catastrophising about child’s pain and its relationship with activity restriction: The mediating role of parental distress. Pain152(1): 212–222.
5.
ClaarRLWalkerLS (2006) Functional assessment of pediatric pain patients: Psychometric properties of the functional disability inventory. Pain121(1–2): 77–84.
6.
DeciERyanRM (1985) Intrinsic Motivation and Self-Determination in Human Behavior. New York: Plenum Press.
7.
FearonPHotopfM (2001) Relation between headache in childhood and physical and psychiatric symptoms in adulthood: National birth cohort study. British Medical Journal322(7295): 1145.
8.
FogartyJS (1997) Reactance theory and patient noncompliance. Social Science & Medicine45(8): 1277–1288.
9.
GoethalsEROrisLSoenensB, et al. (2017) Parenting and treatment adherence in type 1 diabetes throughout adolescence and emerging adulthood. Journal of Pediatric Psychology42(9): 922–932.
10.
GrolnickWS (2003) The Psychology of Parental Control: How Well-Meant Parenting Backfires. Mahwah, NJ: Lawrence Erlbaum.
11.
GrolnickWSRyanRM (1989) Parent styles associated with children’s self-regulation and competence in school. Journal of Educational Psychology81(2): 143–154.
12.
GrolnickWSRaftery-HelmerJNFlammES, et al. (2015) Parental provision of academic structure and the transition to middle school. Journal of Research on Adolescence25(4): 668–684.
13.
HolmbeckGNJohnsonSZWillsKE, et al. (2002) Observed and perceived parental overprotection in relation to psychosocial adjustment in preadolescents with a physical disability: The mediational role of behavioural autonomy. Journal of Consulting and Clinical Psychology70(1): 96–110.
14.
HolmesCSChenRStreisandR, et al. (2005) Predictors of youth diabetes care behaviours and metabolic control: A structural equation modeling approach. Journal of Paediatric Psychology31(8): 770–784.
15.
HongSMPageS (1989) A Psychological Reactance Scale: Development, factor structure and reliability. Psychological Reports64(3): 1323–1326.
16.
KennyDAKashyDACookWL (2006) Dyadic Data Analysis. New York: Guilford Press.
17.
LevesqueCSWilliamsGCElliotD, et al. (2006) Validating the theoretical structure of the Treat-ment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Education Research22(5): 691–702.
18.
LiptonRBManackARicciJA, et al. (2011) Prevalence and burden of chronic migraine in adolescents: Results of the chronic daily headache in adolescents study (C-dAS). Headache: The Journal of Head and Face Pain51(5): 693–706.
19.
MarbellKNGrolnickWS (2013) Correlates of parental control and autonomy support in an interdependent culture: A look at Ghana. Motivation and Emotion37: 79–92.
20.
NgJYNtoumanisNThogersen-NtoumaniC (2014) Autonomy support and control in weight management: What important others do and say matters. British Journal of Health Psychology19: 540–552.
21.
OsmanABarriosFXKopperBA, et al. (1997) Factor structure, reliability, and validity of the Pain Catastrophising Scale. Journal of Behavioral Medicine20(6): 589–605.
22.
PalermoTMChambersCT (2005) Parent and family factors in pediatric chronic pain and disability: An integrative approach. Pain119(1–3): 1–4.
23.
PerquinCWHazebroek-KampschreurAAHunfeldJA, et al. (2000) Pain in children and adolescents: A common experience. Pain87(1): 51–58.
24.
RadcliffZWeaverPChenR, et al. (2017) The role of authoritative parenting in adolescent type 1 diabetes management. Journal of Pediatric Psychology43(2): 185–194.
25.
RubinRRYoung-HymanDPeyrotM (1989) Parent-child responsibility and conflict in diabetes care. Diabetes38(Suppl. 2): 7A.
26.
RussellKLBraySR (2010) Promoting self-determined motivation for exercise in cardiac rehabilitation: The role of autonomy support. Rehabilitation Psychology55: 74–80.
27.
RyanRMConnellJP (1989) Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology57(5): 749–761.
28.
RyanRMDeciEL (2017) Self-Determination Theory: Basic Psychological Needs in Motivation, Development, and Wellness. New York: Guilford Publications.
29.
SimonsLELoganDEChastainL, et al. (2010) Engagement in multidisciplinary interventions for pediatric chronic pain: Parental expectations, barriers, and child outcomes. The Clinical Journal of Pain26(4): 291–299.
30.
SimonsLESiebergCBCarpinoE, et al. (2011) The Fear of Pain Questionnaire (FOPQ): Assessment of pain-related fear among children and adolescents with chronic pain. The Journal of Pain12(6): 677–686.
31.
SkinnerEJohnsonSSnyderT (2005) Six dimensions of parenting: A motivational model. Parenting: Science and Practice5(2): 175–235.
32.
SoenensBVansteenkisteM (2005) Antecedents and outcomes of self-determination in 3 life domains: The role of parents’ and teachers’ autonomy support. Journal of Youth and Adolescence34(6): 589–604.
33.
SullivanMJBishopSRPivikJ (1995) The pain catastrophising scale: Development and validation. Psychological Assessment7(4): 524–532.
34.
TeixeiraPJCarraçaEVMarquesMM, et al. (2015) Successful behavior change in obesity interventions in adults: A systematic review of self-regulation mediators. BMC Medicine13(1): 84.
35.
Van PetegemSSoenensBVansteenkisteM, et al. (2015) Rebels with a cause? Adolescent defiance from the perspective of reactance theory and self-determination theory. Child Development86(3): 903–918.
36.
VervoortTEcclestonCGoubertL, et al. (2010) Children’s catastrophic thinking about their pain predicts pain and disability 6 months later. European Journal of Pain14(1): 90–96.
37.
WiebeDJChowCMPalmerDL, et al. (2014) Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence. Journal of Pediatric Psychology39(5): 532–541.
