Background: The purpose of this study was to investigate cognitive emotion regulation in adolescents with chronic illness and their parents. Methods: Eighty-five young people (mean = 15.86 years, standard deviation = ± 1.42, girls 65.88%) with chronic illnesses (inflammatory bowel disease n = 40 or type 1 diabetes n = 45), and their parents (mean = 46.06 years, 87.06% mother) completed the Cognitive Emotion Regulation Questionnaire (CERQ) for themselves and the Inventory of Quality of Life in Children and Adolescents (ILC) questionnaire adolescent and parent version. We conducted two hierarchical linear regression analyses with “enter” method. The CERQ scales and the diagnosis of chronic disease were chosen as independent variables, and the total ILC score in the first analysis and the ILC proxy score in the second analysis were chosen as dependent variables. Results: Among adolescents, cognitive emotion regulation strategies such as self-blame, positive reappraisal, and catastrophizing have been proven to be predictors of their own quality of life; however, parental self-blame was also found to be a predictor of adolescents’ quality of life. Parental rumination and positive refocusing have been shown to be predictors of how parents rate their child’s quality of life. Conclusions: The present study sheds light on cognitive emotion regulation strategies in adolescents with chronic illness and their parents that have a significant impact on the development of young people’s quality of life.
Adultcentrism is the tendency of adults to view children from a biased perspective, hindering the recognition of children's competence and agency. It presents a challenge for parents, potentially influencing parenting practices and children's participation in decision‐making. Adultcentrism has received increasing attention in the literature, and with its recent operationalization, a new focus has emerged. However, adultcentrism has remained unexplored in Hungary. Using the Adultcentrism Scale, we aimed to conceptualize adultcentrism in this sociocultural context and validate the instrument in a different language, both for the first time. A cross‐sectional sample of 422 parents was surveyed online to analyse adultcentrism in Hungary and identify whether adult‐centric thinking is associated with less‐positive parenting behaviour. Our findings showed that extreme adult‐centric biases are rare among Hungarian parents and indicated that adult‐centric thinking has two major dimensions in our context. Firstly—and dominantly—adults tend to think about children as ‘becoming’ rather than ‘being’. Secondly, they tend to underestimate children's agency. The present conceptualization challenged the role of seeing children as incompetent in the construct. Adultcentrism indicated a weak positive association with parental perceptions of children's participation in decision‐making and positive parenting behaviours. However, it was not associated with negative behaviours, except for physical control. Our findings support the latest research that emphasizes that a certain level of adultcentrism is natural and presents thought‐provoking dilemmas regarding the understanding and measurement of adultcentrism in the Hungarian context. The study has implications for researchers analysing and theorizing this evolving construct and practitioners who want to improve the adult–child relationship.
9 May 2024 in Clinical Child Psychology and Psychiatry
An important correlate of mental health problems is mentalizing capacity, which appears to be particularly influential during adolescence. However, quality of life has not been studied in relation to mentalizing capacity among adolescents. This study aimed to translate the Reflective Function Questionnaire for Youth (RFQY) into Hungarian, present its psychometric properties, and assess its relationship with demographic characteristics, psychopathology and quality of life. A community sample of 384 youths aged 12–18 years completed the RFQY, the Measure of Quality of Life for Children and Adolescents, and the Strengths and Difficulties Questionnaire. First, we conducted an exploratory factor analysis with direct oblimin rotation on the RFQY items. Next, we assessed the associations between the RFQY and demographics, quality of life, and psychopathology. The EFA resulted in four factors: Internal-self, Internal-other, Self-other, and Strong emotions. The Cronbach’s alpha coefficients of the scales were .81, .82, .67, and .80, respectively. The subscales were uniquely associated with psychopathology and quality of life. Our study provides the first psychometric support for the Hungarian version of the RFQY and indicates that adolescents suffering from internalizing, externalizing symptoms or lower levels of quality of life could benefit from interventions aimed at enhancing mentalizing capacity.
Adolescence is a time of changes; nevertheless, the mental health of adolescents? parents receives little attention. This study aimed to explore the relationship between parental mentalizing, attachment style, parental sense of competence, and stress among mothers of adolescents. One hundred eighty-six mothers completed validated questionnaires measuring these constructs. We conducted a moderated mediation analysis with maternal attachment style as the independent variable. The dimensions of parental sense of competence efficacy and satisfaction were chosen as the dependent variables, and stress was the moderator. The mediator was the certainty about the mental states (CMS) aspect of parental mentalizing. CMS mediated the relationships between dismissing attachment style and both ? efficacy and satisfaction at low-stress levels. Our results suggest that in the case of the dismissing attachment style, besides the attachment style itself, mentalizing and stress levels are also important predictors of the parental sense of competence among mothers of adolescents.
Background: The continuum beliefs of mental health and illness are closely linked to a reduced stigma toward mental health difficulties. This study aimed to adapt the vignette-independent, 9-item Continuum Beliefs of Mental Illness Scale (CB-MIS) to the Hungarian language and to assess its associations with stigma, social distance and empathy. Methods: In a community-based sample, 1065 Hungarian adults completed the CB-MIS (M age =37 years; 70.6% female). To assess structural validity, confirmatory factor analyses and reliability analyses were conducted, whilst correlational analyses were implemented to examine associations with stigma, social distance and empathy. Results: Confirmatory factor analysis supported the three-factor solution of the CB-MIS with the State, Person and Concept factors. The scale showed very good factorial and discriminant validity. The overall scale demonstrated acceptable internal consistency (α = 0.710). Although the subscales demonstrated relatively low Cronbach’s alpha values (α = 0.542–0.812), the omega hierarchical score highlighted the importance of interpreting the subscale scores as well. The scale exhibited moderate negative associations with stigma and social distance, while its relationship with empathy was moderately positive. Conclusions: Our study provides the first preliminary evidence for the factor structure of the Hungarian CB-MIS. Employing the 9-item vignette-independent CB-MIS to measure the continuum of mental health and illness in the future is recommended. Future studies could apply this measure to anti-stigma interventions. Clinical trial number: Not applicable.