Rhee Kyung E, Dickstein Susan, Jelalian Elissa, Boutelle Kerri, Seifer Ronald, Wing Rena
Department of Pediatrics, School of Medicine, University of California, San Diego, La Jolla, USA.
Division of Academic General Pediatrics, Developmental Pediatrics, and Community Health, University of California, San Diego, School of Medicine, 9500 Gilman Drive, MC 0874, La Jolla, CA, 92093, USA.
Int J Behav Nutr Phys Act. 2015 Apr 10;12:49. doi: 10.1186/s12966-015-0207-3.
BACKGROUND: There is growing interest in the relationship between general parenting and childhood obesity. However, assessing general parenting via surveys can be difficult due to issues with self-report and differences in the underlying constructs being measured. As a result, different aspects of parenting have been associated with obesity risk. We developed a more objective tool to assess general parenting by using observational methods during a mealtime interaction. METHODS: The General Parenting Observational Scale (GPOS) was based on prior work of Baumrind, Maccoby and Martin, Barber, and Slater and Power. Ten dimensions of parenting were included; 4 were classified in the emotional dimension of parenting (warmth and affection, support and sensitivity, negative affect, detachment), and 6 were classified in the behavioral dimension of parenting (firm discipline and structure, demands for maturity, psychological control, physical control, permissiveness, neglect). Overweight children age 8-12 years old and their parent (n = 44 dyads) entering a weight control program were videotaped eating a family meal. Parents were coded for their general parenting behaviors. The Mealtime Family Interaction Coding System (MICS) and several self-report measures of general parenting were also used to assess the parent-child interaction. Spearman's correlations were used to assess correlation between measures. RESULTS: The emotional dimensions of warmth/affection and support/sensitivity, and the behavioral dimension of firm discipline/structure were robustly captured during the family meals. Warmth/affection and support/sensitivity were significantly correlated with affect management, interpersonal involvement, and communication from the MICS. Firm discipline/structure was inversely correlated with affect management, behavior control, and task accomplishment. Parents who were older, with higher educational status, and lower BMIs were more likely to display warmth/affection and support/sensitivity. CONCLUSION: Several general parenting dimensions from the GPOS were highly correlated with similar family functioning constructs from the MICS. This new observational tool appears to be a valid means of assessing general parenting behaviors during mealtimes and adds to our ability to measure parent-level factors affecting child weight-related outcomes. Future evaluation of this tool in a broader range of the population and other family settings should be conducted.
背景:人们对一般育儿方式与儿童肥胖之间的关系越来越感兴趣。然而,由于自我报告问题以及所测量的潜在结构存在差异,通过调查评估一般育儿方式可能会很困难。因此,育儿的不同方面与肥胖风险相关联。我们开发了一种更客观的工具,通过在进餐互动期间使用观察方法来评估一般育儿方式。 方法:一般育儿观察量表(GPOS)基于鲍姆林德、麦科比和马丁、巴伯以及斯莱特和鲍尔之前的研究。该量表包含十个育儿维度;其中四个被归类为育儿的情感维度(温暖与关爱、支持与敏感、消极情绪、疏离),六个被归类为育儿的行为维度(严格的纪律与结构、对成熟的要求、心理控制、身体控制、放任、忽视)。对进入体重控制项目的8至12岁超重儿童及其父母(n = 44对)进行家庭用餐时的录像。对父母的一般育儿行为进行编码。进餐时家庭互动编码系统(MICS)以及几种一般育儿的自我报告测量方法也用于评估亲子互动。使用斯皮尔曼相关性来评估各测量方法之间的相关性。 结果:在家庭用餐期间,温暖/关爱和支持/敏感的情感维度以及严格的纪律/结构的行为维度得到了有力体现。温暖/关爱和支持/敏感与MICS中的情感管理、人际参与和沟通显著相关。严格的纪律/结构与情感管理、行为控制和任务完成呈负相关。年龄较大、教育程度较高且体重指数较低的父母更有可能表现出温暖/关爱和支持/敏感。 结论:GPOS中的几个一般育儿维度与MICS中类似的家庭功能结构高度相关。这种新的观察工具似乎是评估用餐期间一般育儿行为的有效手段,并增强了我们测量影响儿童体重相关结果的父母层面因素的能力。未来应在更广泛的人群和其他家庭环境中对该工具进行评估。
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