Anne ve Çocukta Kronik Hastalıkların Varlığı ile Ebeveyn Tutumları Arasındaki ilişki

Abstract

This study aims to investigate parenting styles in families dealing with mother-child chronic diseases. Mothers of children aged 2-6 years were recruited from three pediatric clinics and classified according to the health status of both mother and child. Data were collected using case files and the Parental Attitude Scale (PAS), which assesses democratic, authoritarian, overprotective and permissive attitudes. The relationship between mother-child health status and parental attitude subscales was analyzed using a chi-square test. Multiple logistic regression analyses were then performed controlling for confounding baseline characteristics. 878 mother-child pairs were included in the study. Mothers' attitudes varied according to their education, employment status, and age of the child. Chronic illness in both mother and child and in the child only was significantly associated with higher overprotective scores (p<0.001). The percentage of mothers with high permissive scores was higher when only the mother was ill and both were healthy compared to when both mother and child were ill (p=0.018). After adjusting for confounding factors, having a sick child was associated with a 1.6-fold increase in the odds of a high overprotective score, and having both mother and child sick was associated with a 2.94-fold increase. The odds of a high permissive score were 2.56 times lower when both were ill than when both were healthy. This study suggests that when a child is affected by a chronic illness - whether or not the mother is also ill - mothers tend to show higher levels of overprotectiveness and lower levels of permissiveness. On the other hand, the levels of authoritarian and democratic attitudes in parenting remain relatively constant.