Universität zu Köln

Klemp, Marie-Theres ORCID: 0000-0002-1394-5818 (2023). Parenting Behavior as a Mediator of the Association Between Parental Depression, Anxiety and Stress and Child Externalizing Symptoms in a Clinical Sample. PhD thesis, Universität zu Köln.

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Abstract

This thesis aimed to highlight the mechanisms underlying the often-found link between parental internalizing symptoms and externalizing symptoms in children. A mediation effect was found for the relationship between parental internalizing symptoms (symptoms of depression, anxiety, and stress) and child oppositional defiant disorder (ODD) symptoms through negative parenting behaviors in two published manuscripts, (Klemp et al., 2022; Klemp et al., 2023) which form the main chapters of this dissertation. Both cross-sectional and longitudinal analyses showed significant associations between parental internalizing symptoms and child attention-deficit/hyperactivity disorder (ADHD) and ODD symptoms, however a mediation effect was only found for the ODD symptoms (Klemp et al., 2022; Klemp et al., 2023). Although they both belong to externalizing disorders, ADHD and ODD should be considered differently, since the results of these studies indicate that negative parenting behaviors influence the child's oppositional symptoms, but not the child's ADHD symptoms. The mechanisms mediating the relationship between parental internalizing symptoms and child ADHD symptoms should be further investigated. In the ODD model, more mediators could also be investigated, as the mediation effects found were small. Given how much parents often unconsciously influence their children and how important the variables studied are, it would make sense to go into more detail in future research. Understanding how these factors intersect, e.g. how parents regulate anxiety, stress and depression and the effect that has on their children and symptoms, could provide valuable insights into the dynamics that contribute to families’ well-being and symptoms.

Item Type:	Thesis (PhD thesis)
Creators:	Creators Email ORCID ORCID Put Code Klemp, Marie-Theres marie-theres.klemp@uk-koeln.de https://orcid.org/0000-0002-1394-5818 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-716094
Date:	2023
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Psychiatrie und Psychotherapie > Psychiatrie und Psychotherapie des Kindes- und Jugendalters
Subjects:	Psychology
Uncontrolled Keywords:	Keywords Language Attention-deficit/hyperactivity disorder (ADHD) UNSPECIFIED Oppositional defiant disorder (ODD) UNSPECIFIED Parenting behavior UNSPECIFIED Mediation analysis UNSPECIFIED
Date of oral exam:	10 December 2023
Referee:	Name Academic Title von Kleist-Retzow, Jürgen-Christoph Priv.-Doz. Dr. Hanisch, Charlotte Univ.-Prof.in Dr.
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/71609