Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics

Background: The presence of chronic illnesses in both a mother and a child poses a significant challenge for mothers in managing these conditions, yet how maternal attitudes adapt to dual illness remains poorly understood. This study aims to explore parenting styles in families dealing with mother–c...

Full description

Saved in:
Bibliographic Details
Main Authors: Melda Celik, Esma Altinel Acoglu, Beril Aydin, Emel Isiyel, Siddika Songul Yalcin
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/11/11/1348
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850145530421706752
author Melda Celik
Esma Altinel Acoglu
Beril Aydin
Emel Isiyel
Siddika Songul Yalcin
author_facet Melda Celik
Esma Altinel Acoglu
Beril Aydin
Emel Isiyel
Siddika Songul Yalcin
author_sort Melda Celik
collection DOAJ
description Background: The presence of chronic illnesses in both a mother and a child poses a significant challenge for mothers in managing these conditions, yet how maternal attitudes adapt to dual illness remains poorly understood. This study aims to explore parenting styles in families dealing with mother–child chronic illnesses. Methods: Mothers of children aged 2–6 were recruited from three pediatric clinics and categorized based on the health status of both the mother and the child. Data collection included case files and the Parental Attitude Scale (PAS), which assessed democratic, authoritarian, overprotective, and permissive attitudes. The interaction between mother–child health status and higher levels of parental subscales was analyzed using the chi-square test. Multiple logistic regression analysis was then performed to evaluate this interaction, controlling for confounding baseline characteristics. Results: In total, 878 mother–child pairs were included. Mothers exhibited varying attitudes based on education, employment, and the child’s age. Chronic illness in both mother and child and only the child having an illness were significantly associated with higher overprotective scores (<i>p</i> < 0.001). The percentage of mothers with high permissive scores was higher when only the mother had an illness and when both were healthy, compared to the case of both mother and child having an illness (<i>p</i> = 0.018). After adjusting for confounding factors, having a sick child showed a 1.6-fold increase in the likelihood of a high overprotective score, and both the mother and child having an illness showed a 2.94-fold increase. Similarly, after adjusting for the same confounding factors, the likelihood of a high permissive score was 2.56 times lower when both were ill compared to when both were healthy. Conclusions: This study reveals that when a child is affected by a chronic illness—whether or not the mother is also ill—mothers tend to exhibit higher levels of overprotection and lower levels of permissiveness, while their levels of authoritarianism and democratic attitudes in parenting remain relatively stable.
format Article
id doaj-art-d76ed32f426e4d0dadacd77c44761f95
institution OA Journals
issn 2227-9067
language English
publishDate 2024-11-01
publisher MDPI AG
record_format Article
series Children
spelling doaj-art-d76ed32f426e4d0dadacd77c44761f952025-08-20T02:28:04ZengMDPI AGChildren2227-90672024-11-011111134810.3390/children11111348Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness DynamicsMelda Celik0Esma Altinel Acoglu1Beril Aydin2Emel Isiyel3Siddika Songul Yalcin4Department of Pediatrics, Division of Social Pediatrics, Faculty of Medicine, Hacettepe University, 06230 Ankara, TürkiyeDepartment of Pediatrics, Sami Ulus Maternity and Children’s Health and Diseases Training and Research Hospital, 06010 Ankara, TürkiyeDepartment of Pediatrics, School of Medicine, Baskent University, 06490 Ankara, TürkiyeDepartment of Pediatrics, Faculty of Medicine, Hacettepe University, 06230 Ankara, TürkiyeDepartment of Pediatrics, Division of Social Pediatrics, Faculty of Medicine, Hacettepe University, 06230 Ankara, TürkiyeBackground: The presence of chronic illnesses in both a mother and a child poses a significant challenge for mothers in managing these conditions, yet how maternal attitudes adapt to dual illness remains poorly understood. This study aims to explore parenting styles in families dealing with mother–child chronic illnesses. Methods: Mothers of children aged 2–6 were recruited from three pediatric clinics and categorized based on the health status of both the mother and the child. Data collection included case files and the Parental Attitude Scale (PAS), which assessed democratic, authoritarian, overprotective, and permissive attitudes. The interaction between mother–child health status and higher levels of parental subscales was analyzed using the chi-square test. Multiple logistic regression analysis was then performed to evaluate this interaction, controlling for confounding baseline characteristics. Results: In total, 878 mother–child pairs were included. Mothers exhibited varying attitudes based on education, employment, and the child’s age. Chronic illness in both mother and child and only the child having an illness were significantly associated with higher overprotective scores (<i>p</i> < 0.001). The percentage of mothers with high permissive scores was higher when only the mother had an illness and when both were healthy, compared to the case of both mother and child having an illness (<i>p</i> = 0.018). After adjusting for confounding factors, having a sick child showed a 1.6-fold increase in the likelihood of a high overprotective score, and both the mother and child having an illness showed a 2.94-fold increase. Similarly, after adjusting for the same confounding factors, the likelihood of a high permissive score was 2.56 times lower when both were ill compared to when both were healthy. Conclusions: This study reveals that when a child is affected by a chronic illness—whether or not the mother is also ill—mothers tend to exhibit higher levels of overprotection and lower levels of permissiveness, while their levels of authoritarianism and democratic attitudes in parenting remain relatively stable.https://www.mdpi.com/2227-9067/11/11/1348childchronic illnessmotherparental illnessparental attitudes
spellingShingle Melda Celik
Esma Altinel Acoglu
Beril Aydin
Emel Isiyel
Siddika Songul Yalcin
Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics
Children
child
chronic illness
mother
parental illness
parental attitudes
title Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics
title_full Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics
title_fullStr Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics
title_full_unstemmed Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics
title_short Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics
title_sort caring under pressure investigating parental attitudes in mother child chronic illness dynamics
topic child
chronic illness
mother
parental illness
parental attitudes
url https://www.mdpi.com/2227-9067/11/11/1348
work_keys_str_mv AT meldacelik caringunderpressureinvestigatingparentalattitudesinmotherchildchronicillnessdynamics
AT esmaaltinelacoglu caringunderpressureinvestigatingparentalattitudesinmotherchildchronicillnessdynamics
AT berilaydin caringunderpressureinvestigatingparentalattitudesinmotherchildchronicillnessdynamics
AT emelisiyel caringunderpressureinvestigatingparentalattitudesinmotherchildchronicillnessdynamics
AT siddikasongulyalcin caringunderpressureinvestigatingparentalattitudesinmotherchildchronicillnessdynamics