Background: Children’s development and general adjustment are inextricably tied to their mental and emotional well-being. The present study investigated the relationship between children’s adjustment, internalizing difficulties, parenting stress, and the mediating role of internalizing problems in this relationship within the cultural context of China. Methods: The present cross-sectional study apllied a quantitative research design. The survey method was used to collect data from August 2023 to November 2023 via an online questionnaire from WenJuanXing. A total of 154 participants, including parents of children aged 6 to 12, who were currently living in Shanghai, China, were selected by simple random sampling method. The scales used in the study include: Child Adjustment and Parental Efficacy Scale (CAPES), Internalizing Problems/ Strengths and Difficulties Questionnaire (SDQ), and Parenting Stress Scale (PSS). Pearson Correlation was used to examine the correlations between internalizing problems, children’s maladjustment, and parenting stress. Furthermore, Hayes’ PROCESS macro (2013) was used to study the mediating effect of parental stress in the relationship between internalising problems and children’s maladjustment. Results: The study found a significant positive association (r=0.536, P<0.001) between internalising issues and maladjustment among children. Additionally, a significant positive correlation was found between internalising problems and parenting stress (r=0.425, P<0.001). Furthermore, there was a week positive correlation (r=0.301, P<0.001) between parenting stress and children’s maladjustment behaviour. The present study found no significant indirect effect of parental stress as a mediating variable (β=0.09, P=0.238). Internalising problems were found to have a significant direct influence (β=0.54, P=0.001) on children’s maladjustment. Conclusions: The results demonstrated a positive relationship between internalizing problems and children’s maladjustment behaviors. The present study successfully achieved its objective of shedding light on the intricate dynamics of parental stress, internalization problems, and maladjustment in the unique cultural landscape of Shanghai, China. |
- Rahmati F, Safaei Rad I, Khorram Abadi Y. Structural Relationship of Teachers' Interaction Styles Based on Social Adaptability, Psychological Hardiness, and Academic Achievement Motivation with Mental Health Mediation in Eighth Grade Female Students . Iranian Journal of Educational Sociology. 2024;7(1):103-112. doi: 61838/kman.ijes.7.1.10. Persian. ##
- Hasanpour M, Jabbari N, Esmaeilnia Shirvani K. The Effect of Artistic Intelligence Components on Student’s Mental Health. Iranian Journal of Educational Sociology. 2020;3(3):168-175. doi: 52547/ijes.3.3.168. ##
- Leckman JF, Leventhal BL. Editorial: a global perspective on child and adolescent mental health. J Child Psychol Psychiatry. 2008;49(3):221-5. doi: 10.1111/j.1469-7610.2008.01884.x. PubMed PMID: 18333928. ##
- Viswanathan P, Kishore MT, Seshadri SP, Binu VS. Developmental competencies, temperament, parenting practices and psychosocial adversities in children with internalising disorders - A pilot study. Clin Child Psychol Psychiatry. 2023;28(2):483-499. doi: 10.1177/13591045221082745. PubMed PMID: 35446695. ##
- Roghani F, Jadidi M, Peymani J. The Effectiveness of Floortime Play Therapy on Improving Executive Functions and Cognitive Emotion Regulation in Children with Attention Deficit / Hyperactivity Disorder (ADHD). International Journal of Education and Cognitive Sciences. 2022;2(4):30-44. doi: 10.22034/injoeas.2022.160686. ##
- Cheah CSL, Rubin K. European American and Mainland Chinese mothers’ responses to aggression and social withdrawal in preschoolers. International Journal of Behavioral Development. 2004;28(1):83-94. doi: 10.1080/01650250344000299. ##
- Plenty S, Östberg V, Almquist YB, Augustine L, Modin B. Psychosocial working conditions: An analysis of emotional symptoms and conduct problems amongst adolescent students. J Adolesc. 2014;37(4):407-17. doi: 10.1016/j.adolescence.2014.03.008. PubMed PMID: 24793388. ##
- Smokowski PR, Rose RA, Evans CB, Cotter KL, Bower M, Bacallao M. Familial influences on internalizing symptomatology in Latino adolescents: an ecological analysis of parent mental health and acculturation dynamics. Dev Psychopathol. 2014;26(4 Pt 2):1191-207. doi: 10.1017/S0954579414000960. PubMed PMID: 25422955. ##
- Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49(10):980-9. doi: 10.1016/j.jaac.2010.05.017. PubMed PMID: 20855043; PubMed Central PMCID: PMC2946114. ##
- Si Y. The sources of parenting stress in Chinese families of children with attention-deficit/hyperactivity disorder: An overview and future directions. Movement and Nutrition in Health and Disease. 2020;4. doi: 10.5283/mnhd.21. ##
- Nelson SK, Lyubomirsky S. Juggling family and career: parents’ pathways to a balanced and happy life. InFlourishing in Life, Work and Careers. Edward Elgar Publishing; 2015. 100-118. doi: 10.4337/9781783474103.00015. ##
- Zhao J, Xie M, He J, Wang MC. The Chinese Parenting Stress Scale for Preschoolers' Parents: Development and Initial Validation. Assessment. 2024;31(3):651-668. doi: 10.1177/10731911231176274. PubMed PMID: 37232271. ##
- Harold SR, Kiranmai K. A Study on the Occupational Stress Experienced by Single Parents with Reference to Select Professions. Asian Journal of Basic Science & Research. 2023;5(1):1-10. doi: 10.38177/ajbsr.2023.5101. ##
- Duvall EM. HILL, REUBEN. Families Under Stress. Pp. x, 443. New York: Harper & Brothers, 1949. $4.50. The ANNALS of the American Academy of Political and Social Science. 1950;268(1):243. doi: 1177/000271625026800190. ##
- Daneshpour M. Examining family stress: Theory and research. Quarterly of Clinical Psychology S 2017;7(28):1-7. ##
- Qian G, Mei J, Tian L, Dou G. Assessing Mothers' Parenting Stress: Differences Between One- and Two-Child Families in China. Front Psychol. 2021;11:609715. doi: 10.3389/fpsyg.2020.609715. PubMed PMID: 33519622; PubMed Central PMCID: PMC7845658. ##
- Sekaran VC, Kamath VG, Ashok L, Kamath A, Hegde AP, Devaramane V. Role of micro-and mesosystems in shaping an adolescent. Journal of Nepal Paediatric Society. 2017;37(2):178-83. doi: 10.3126/jnps.v37i2.18307. ##
- Campos-Gil JA, Ortega-Andeane P, Vargas D. Children's Microsystems and Their Relationship to Stress and Executive Functioning. Front Psychol. 2020;11:996. doi: 10.3389/fpsyg.2020.00996. PubMed PMID: 32848959; PubMed Central PMCID: PMC7406639. ##
- Gruhn MA, Compas BE. Effects of maltreatment on coping and emotion regulation in childhood and adolescence: A meta-analytic review. Child Abuse Negl. 2020;103:104446. doi: 10.1016/j.chiabu.2020.104446. PubMed PMID: 32200195. ##
- Sójta K, Strzelecki D. Early Maladaptive Schemas and Their Impact on Parenting: Do Dysfunctional Schemas Pass Generationally?-A Systematic Review. J Clin Med. 2023;12(4):1263. doi: 10.3390/jcm12041263. PubMed PMID: 36835799; PubMed Central PMCID: PMC9963559. ##
- Ajduković M, Bulat LR, Sušac N. The internalising and externalising problems of adolescents in Croatia: Socio‐demographic and family victimisation factors. International Journal of Social Welfare. 2018;27(1):88-100. doi: 10.1111/ijsw.12284. ##
- Hill AJ. Obesity in Children and the 'Myth of Psychological Maladjustment': Self-Esteem in the Spotlight. Curr Obes Rep. 2017;6(1):63-70. doi: 10.1007/s13679-017-0246-y. PubMed PMID: 28220456; PubMed Central PMCID: PMC5359371. ##
- Okamoto Y, Yoshihara M, Miyake Y, Nagasawa I. Young adults with autism spectrum disorder: Intervention to psychosomatic symptoms of childhood is the key preventing maladjustment of the youth. Acta Psychopathologica. 2017;3:57. doi: 10.4172/2469-6676.100129. ##
- Dijk WV, de Moor MH, Oosterman M, Huizink AC, Matvienko-Sikar K. Longitudinal relations between parenting stress and child internalizing and externalizing behaviors: Testing within-person changes, bidirectionality and mediating mechanisms. Front Behav Neurosci. 2022;16:942363. doi: 3389/fnbeh.2022.942363. PubMed PMID: 36590923; PubMed Central PMCID: PMC9800797. ##
- Mak MC, Yin L, Li M, Cheung RY, Oon PT. The relation between parenting stress and child behavior problems: Negative parenting styles as mediator. Journal of Child and Family Studies. 2020;29(11):2993-3003. doi: 10.1007/s10826-020-01785-3. ##
- Mejia A, Filus A, Calam R, Morawska A, Sanders MR. Validation of the Spanish version of the CAPES: A brief instrument for assessing child psychological difficulties and parental self-efficacy. International Journal of Behavioral Development. 2016;40(4):359-72. doi: 0.1177/0165025415591229. ##
- Sumargi A, Filus A, Morawska A, Sofronoff K. The parenting and family adjustment scales (PAFAS): an Indonesian validation study. Journal of Child and Family Studies. 2018;27:756-70. doi: 10.1007/s10826-017-0926-y. ##
- Guo M, Morawska A, Filus A. Initial validation of the parent-report child adjustment and parent efficacy scale (CAPES) in a Chinese cultural context. Assessment. 2018;25(8):1056-1073. doi: 10.1177/1073191116681493. PubMed PMID: 30392414. ##
- Han J, Hao Y, Cui N, Wang Z, Lyu P, Yue L. Parenting and parenting resources among Chinese parents with children under three years of age: rural and urban differences. BMC Prim Care. 2023;24(1):38. doi: 10.1186/s12875-023-01993- PubMed PMID: 36726105; PubMed Central PMCID: PMC9890422. ##
- Seijo D, Tomé D, Sanmarco J, Morawska A, Fariña F. Spanish adaptation and validation of the child adjustment and parent efficacy scale. Sustainability. 2021;13(9):4647. doi: 10.3390/su13094647. ##
- Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997;38(5):581-6. doi: 10.1111/j.1469-7610.1997.tb01545.x. PubMed PMID: 9255702. ##
- Bauer A, Fairchild G, Halligan SL, Hammerton G, Murray J, Santos IS, et al. Harsh parenting and child conduct and emotional problems: parent-and child-effects in the 2004 Pelotas Birth Cohort. Eur Child Adolesc Psychiatry. 2022;31(8):1-11. doi: 10.1007/s00787-021-01759-w. PubMed PMID: 33738622; PubMed Central PMCID: PMC9343272. ##
- Quitmann JH, Bullinger M, Sommer R, Rohenkohl AC, Bernardino Da Silva NM. Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives. PLoS One. 2016;11(4):e0153953. doi: 10.1371/journal.pone.0153953. PubMed PMID: 27097033; PubMed Central PMCID: PMC4838264. ##
- Dahlberg A, Fält E, Ghaderi A, Sarkadi A, Salari R. Swedish norms for the Strengths and Difficulties Questionnaire for children 3-5 years rated by parents and preschool teachers. Scand J Psychol. 2020;61(2):253-261. doi: 10.1111/sjop.12606. PubMed PMID: 31833080; PubMed Central PMCID: PMC7079007. ##
- Berry JO, Jones WH. The parental stress scale: Initial psychometric evidence. Journal of Social and Personal Relationships. 1995;12(3):463-4 doi: 10.1177/0265407595123009. ##
- Zhao J, Xie M, He J, Wang MC. The Chinese parenting stress scale for preschoolers’ parents: development and initial validation. Assessment. 2024;31(3):651-668. doi: 10.1177/10731911231176274. PubMed PMID: 37232271. ##
- Esmaelzadeh S, Mahmoodi Z, Rajati F, Salehi L. Predictors of perceived stress and quality of life among women during the COVID-19 outbreak: a cross-sectional study from Karaj, Iran. Med J Islam Repub Iran. 2022;36:106. doi: 10.47176/mjiri.36.106. PubMed PMID: 36447556; PubMed Central PMCID: PMC9700425. ##
- Leung C, Tsang SK. The Chinese Parental Stress Scale: psychometric evidence using Rasch modeling on clinical and nonclinical samples. J Pers Assess. 2010;92(1):26-34. doi: 10.1080/00223890903379209. PubMed PMID: 20013453. ##
- Liu J, Chen X, Lewis G. Childhood internalizing behaviour: analysis and implications. J Psychiatr Ment Health Nurs. 2011;18(10):884-8 doi: 10.1111/j.1365-2850.2011.01743.x. PubMed PMID: 22070805; PubMed Central PMCID: PMC5675073. ##
- Babicka-Wirkus A, Kozłowski P, Wirkus Ł, Stasiak K. Internalizing and Externalizing Disorder Levels among Adolescents: Data from Poland. Int J Environ Res Public Health. 2023;20(3):2752. doi: 10.3390/ijerph20032752. PubMed PMID: 36768117; PubMed Central PMCID: PMC9915207. ##
- Essau CA, de la Torre-Luque A. Comorbidity Between Internalising and Externalising Disorders Among Adolescents: Symptom Connectivity Features and Psychosocial Outcome. Child Psychiatry Hum Dev. 2023;54(2):493-507. doi: 10.1007/s10578-021-01264-w. PubMed PMID: 34655358; PubMed Central PMCID: PMC9977855. ##
- Neece CL, Green SA, Baker BL. Parenting stress and child behavior problems: A transactional relationship across time. Am J Intellect Dev Disabil. 2012;117(1):48-66. doi: 1352/1944-7558-117.1.48. PubMed PMID: 22264112; PubMed Central PMCID: PMC4861150. ##
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