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Environmental adversity and children's early trajectories of problem behavior: The role of harsh parental discipline.

Flouri E, Midouhas E.

Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)American Psychological Association2016-12-15DOI 10.1037/fam0000258

Abstract

This study was performed to examine the role of harsh parental discipline in mediating and moderating the effects of environmental adversity (family socioeconomic disadvantage and adverse life events) on emotional and behavioral problems across early-to-middle childhood. The sample included 16,916 children (48% female; 24% non-White) from the U.K.'s Millennium Cohort Study. We analyzed trajectories of conduct, hyperactivity, and emotional problems, measured at ages 3, 5, and 7 years, using growth curve models. Harsh parental discipline was measured at these ages with parent-reported items on the frequency of using the physical and verbal discipline tactics of smacking, shouting at, and "telling off" the child. As expected, family socioeconomic disadvantage and adverse life events were significantly associated with emotional and behavioral problems. Harsh parental discipline was related to children's trajectories of problems, and it moderated, but did not explain, the effect of environmental risk on these trajectories. High-risk children experiencing harsh parental discipline had the highest levels of conduct problems and hyperactivity across the study period. In addition, harsh parental discipline predicted an increase in emotional symptoms over time in high-risk children, unseen in their counterparts experiencing low levels of harsh parental discipline. However, children in low-risk families were also negatively affected by harsh parental discipline concurrently and over time. In conclusion, harsh parental discipline predicted emotional and behavioral problems in high- and low-risk children and moderated the effects of family poverty and adversity on these problems. (PsycINFO Database Record

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Authors
Flouri E, Midouhas E.
Original journal
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
Publisher
American Psychological Association
Publication date
2016-12-15
DOI
10.1037/fam0000258
License
CC BY 3.0
Open repository
Europe PMC · PMC5327893
Collection
School leadership launch collection

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The Present Study

We analyzed data from the U.K.’s Millennium Cohort Study (MCS), a large cohort of families with young children, followed longitudinally from age 9 months. We explored the longitudinal associations among environmental adversity (family SED and ALE), HPD, and child problem behavior (i.e., conduct, hyperactivity, and emotional problems) across the early- and middle-childhood data sweeps in MCS, corresponding to ages 3, 5, and 7 years. We also tested if HPD mediates or moderates the effect of environmental adversity on children’s trajectories of problem behavior. Our research questions were as follows:

Is there concurrently and longitudinally a relation between environmental adversity and child problem behavior?

We hypothesized that children exposed to environmental adversity would concurrently and longitudinally have more problem behavior relative to children without this exposure. We further hypothesized that HPD would partially mediate the effect of environmental adversity on child problem behavior, but also moderate it. Finally, we expected that HPD would be strongly associated with child problem behavior, given that, similar to environmental adversity, it is a powerful risk factor of child problem behavior in its own right.

Measures

Emotional, conduct, and hyperactivity problems were measured with the main parent-reported Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997 ). Each of the three scales has five items, scored 0 to 2 ( not true , somewhat true , and certainly true , respectively). Sample items include “many worries, often seems worried” (emotional symptoms), “often has temper tantrums or hot tempers” (conduct problems), and “restless, overactive, cannot stay still for long” (hyperactivity). In our sample, internal consistency was at acceptable levels and in line with other SDQ research ( Stone, Otten, Engels, Vermulst, & Janssens, 2010 ). Cronbach’s α values across the three sweeps ranged from .51 to .65 for emotional symptoms, .56 to .68 for conduct problems, and .71 to .79 for hyperactivity.

Environmental adversity was operationalized as family SED (poverty) and the number of potential ALE the family experienced between sweeps. SED was measured as the sum of four binary indicators (as in Malmberg & Flouri, 2011 ) of the family’s level of economic deprivation. This measure captures poverty and its associated material conditions more broadly than relying on measured income alone, and it emphasizes the interrelations between family-level socioeconomic risk factors. The four items are overcrowding (>1.5 people per room excluding bathroom and kitchen), not owning the home, receipt of means-tested income support, and income poverty (below the poverty line, set for equivalized net family income at 60% of the U.K. national median household income). ALE were measured as the number (out of 11) of potentially stressful life events experienced by the family between two consecutive sweeps. The events, derived from available MCS data and based on Tiet et al.’s (1998) Adverse Life Events Scale, are family member died, negative change in financial situation, new stepparent, sibling left home, child got seriously sick or injured, divorce or separation, family moved, parent lost job, new natural sibling, new stepsibling, and maternal depression (treated for or diagnosed with depression). At each sweep, the number of events occurring since the previous sweep was summed to form a total ALE score.

HPD was assessed in MCS with three items (on 5-point scales: never , rarely , once a month , once a week , daily ) from the Conflict Tactics Scale ( Straus & Hamby, 1997 ). The items measure how often the parent uses the following physical and verbal discipline tactics when the child misbehaves: smacks, shouts, and “tells off.” A total score was generated by summing the responses so that higher values indicated more frequent use of these tactics (α = .66 to .67 across sweeps).

We adjusted for selected child and family or parent characteristics to rule out confounders of the relation between adversity and child adjustment. Key covariates were gender, ethnicity, maternal education, and family structure. We also adjusted for temperament, recognizing the importance of child effects on harsh parenting ( Lengua, 2006 ). In MCS temperament was assessed with a summary score of 14 items of the Carey Infant Temperament Scale ( Carey & McDevitt, 1978 ) at age 9 months. These items index three dimensions of the baby’s temperament: mood, adaptability, and regularity or rhythmicity. A higher score on the scale indicated an easier temperament (α = .64). With regard to the other child-level covariates, girls, in general, are at lower risk of behavioral problems than boys ( Egger & Angold, 2006 ). The main ethnic minority groups in the United Kingdom have similar or lower rates of emotional, behavioral, and hyperactivity problems than White British children ( Goodman, Patel, & Leon, 2008 ), despite experiencing more poverty ( Platt, 2007 ). With regard to the family-level covariates, family structure (two parents or not) was time-varying, measured at ages 3, 5, and 7 years. Maternal education was measured as the mother’s highest academic qualification achieved by the end of our study period (age 7 years), coded as university degree or not. Maternal education and family structure are strongly related to family risk and child problem behavior ( Evans & English, 2002 ; Kiernan & Huerta, 2008 ).

Analytic Strategy

First, we investigated whether the families in our analytic sample ( n = 16,916) were different (at p < .05) from those not in it ( n = 2,328) on our study variables. We then explored levels and patterns of missingness in our covariates to decide on our approach to dealing with missing data. After this, we inspected the correlations between our main variables. Finally, we explored the shape of children’s average trajectory of each outcome and fitted two-level growth curve models ( Snijders & Bosker, 1999 ) in which occasions of SDQ measurements (Level 1) were nested in children (Level 2). Growth curve models allowed us to estimate the average level of problems at a particular time point and the average growth rate in problems over time. By specifying a random linear slope on the child’s age to allow for changes in problems across time to vary between children, we could also model individual trajectories of problems from ages 3 to 7 years. We fitted fixed and random linear slopes, and we included a fixed quadratic term to account for the curved shape of children’s average trajectories (see next paragraph). The stratified sampling design of MCS was recognized by including the nine MCS strata in all models: England-advantaged, England-disadvantaged, England-ethnic, Wales-advantaged, Wales-disadvantaged, Scotland-advantaged, Scotland-disadvantaged, Northern Ireland-advantaged, and Northern Ireland-disadvantaged. These are subgroups of the population from which cohort families were sampled. As explained, cohort families were oversampled from disadvantaged areas, areas with high proportions of ethnic minorities in England, and the three smaller U.K. countries.

The full sequence of models estimated is outlined in Table 1 . Model 1 included age (grand mean centered at age 5.22 years) and its square (because the average trajectories for all three problem types were curvilinear). Grand mean centering age at the midpoint minimizes the correlation between age and age-squared, thus stabilizing the estimation ( Raudenbush & Bryk, 2002 ). Also included were the MCS design strata and environmental adversity (SED and ALE), as well as interaction terms for environmental adversity and age and for environmental adversity and age-squared. This model enabled us to examine whether the level of problems at around age 5 and the rate of change in problems over time shifted with SED and ALE. Model 2 included HPD, also specified as a main and an interactive (with age and age-squared) effect. Therefore, this model tested whether HPD mediates the effect of environmental adversity. Model 3, adding the child and family covariates, tested the robustness of all effects identified. Models 4 and 5 were estimated to test the role of HPD in moderating the effects of environmental adversity on child problem behavior. These models separately investigated the interactions between SED and HPD and between ALE and HPD at central age and on the trajectories.

Missing Data Analysis and Imputation

Because of some missingness in our study variables (7–10% of values were missing across sweeps), we multiply imputed missing data on the covariates. We generated five imputed data sets ( Allison, 2009 ; Graham, Olchowski, & Gilreath, 2007 ) in SPSS20 using the Markov chain Monte Carlo procedure. In the imputation model we included all covariates as predictor and predicted variables. We fitted our models in Stata13 using the multiple imputation estimate command, which performs individual analyses for each of the imputed data sets, collects estimates of coefficients and their variance covariance estimates, and reports the pooled results.

Growth Curve Models

In Model 1 (see Table 1 in the online supplementary material), SED and ALE were associated with conduct, hyperactivity, and emotional problems at around age 5. SED was also related to the linear rate of change in conduct problems and to the change in the linear rate of change in conduct problems (i.e., the linear and the quadratic term, respectively, were significant), but it was unrelated to the linear rate of change over time in hyperactivity and emotional symptoms. ALE predicted the linear rate of change only in emotional symptoms. In Model 2 (see Table 2 in the online supplementary material), the effects of HPD were significant on all three problem types at age 5. HPD was also related to the linear rate of change in hyperactivity and emotional problems. The effects of SED and ALE remained significant; therefore, they were not fully explained by HPD. However, HPD may still be a partial mediator of these effects. (Although possible, this seems unlikely given the weak correlation of environmental adversity with HPD, as discussed in the previous paragraph and shown in Table 4 .) We were unable to test this in Stata using multiply imputed data.

Adding the child and family covariates in Model 3 (see Table 5 ) did not attenuate the effects (main or interactive with age and age-squared) of either environmental adversity or harsh parenting. This model also showed that girls had significantly fewer conduct and hyperactivity problems, but more emotional symptoms, and that there were several ethnic differences in child adjustment. In particular, Black (relative to White) children had fewer conduct, hyperactivity, and emotional problems. Pakistani and Bangladeshi children were more hyperactive and had more emotional symptoms than White children, and children from other ethnic groups had more emotional problems. Easy temperament was negatively associated with conduct, hyperactivity, and emotional problems, as was living in an intact family and with a university-educated mother.

Models 4 and 5 (see Tables 3 and 4 in the online supplementary materials) showed evidence for several moderator effects of HPD. The effect of SED on conduct problems at central age was moderated by HPD ( b = 0.014, SE = 0.005, p < .01, r = .072 1 ). Furthermore, harsh parenting moderated the effect of SED on the linear rate of change in conduct problems over time ( b = 0.005, SE = 0.002, p < .01, r = .103). HPD also moderated several ALE effects. As with SED, harsh parenting interacted with ALE to predict the level of conduct problems at central age ( b = 0.012, SE = 0.005, p < .05, r = .013) and the linear rate of their change ( b = 0.006, SE = 0.002, p < .01, r = .060). The same was found for emotional symptoms, such that harsh parenting concurrently ( b = 0.010, SE = 0.003, p < .01, r = .008) and longitudinally ( b = 0.010, SE = 0.002, p < .01, r = .112) moderated the effect of ALE. Furthermore, the effect of SED on emotional symptoms at central age was moderated by HPD ( b = 0.008, SE = 0.003, p < .05, r = .093). For hyperactivity, the effect of ALE at around age 5 was moderated by harsh parenting ( b = 0.013, SE = 0.006, p < .05, r = .025).

To unpack the interactions between environmental adversity and harsh parenting, we plotted the predicted trajectories of problems for illustrative cases with high and low levels of adversity by high and low levels of harsh parenting ( Figures 1–3 ). Low and high levels of adversity corresponded to the 10th (i.e., zero elements of SED or ALE) and 90th (i.e., three elements of SED or ALE) percentiles, respectively. A high level of harsh parenting was defined by a HPD score at the 90th percentile. A low level of harsh parenting corresponded to a score at the 10th percentile. We present three figures (one based on Model 4 and two based on Model 5 results) to demonstrate graphically how harsh parenting might moderate the effects of environmental adversity on child problem behavior.

Predicted conduct problem trajectories for children by high/low HPD and high/no SED (Model 4). The predictions are plotted for the reference group for each categorical variable, except for family structure, and at the mean of each continuous variable.

Predicted hyperactivity trajectories for children by high/low HPD and high/no ALE (Model 5). See note for Figure 1 .

Predicted emotional symptom trajectories for children by high/low HPD and high/no ALE (Model 5). See note for Figures 1 – 2 .

Starting with conduct problems, Figure 1 displays the significant interaction between SED and HPD at age 5 and on the linear rate of change in problems. As can be seen, harsh parenting interacts with poverty to predict conduct problems. Children with SED and high HPD have the highest conduct problem scores. However, HPD also seems to affect children in the low-risk group. In fact, there is a somewhat larger gap between the two predicted trajectories (for low and high HPD) for children without SED than between those for their high-SED counterparts. Furthermore, this gap widens between ages 6 and 7 such that the no-SED child increases in conduct problems if she experiences high HPD whereas the no-SED child with low HPD continues to drop further in the level of problems. Turning to hyperactivity (see Figure 2 ), we see a similar interactive relation of ALE and HPD. Again, there is a larger gap between no-ALE children with high and low HPD than between high-ALE children with high and low HPD. On the other hand, the interaction between ALE and HPD on emotional symptoms (see Figure 3 ) demonstrates that HPD exacerbates the negative effect of ALE, but it does not differentiate substantially the trajectories of the no-ALE children. The child with high ALE and high HPD increases steadily in emotional symptoms across the study period. The child with high ALE and low HPD increases only slightly across the study period, maintaining a relatively flat trajectory. There is a small gap between children with no ALE who experience high

Discussion

HPD has attracted the interest of developmental psychologists because it is strongly related to (levels of and changes in) child problem behavior but also to important risk factors of child problem behavior, such as poverty and ALE. However, previous research has not shown if harsh parenting explains or moderates the effect of such environmental adversity on problem behavior in young children. Using longitudinal data from a large, nationally representative U.K. cohort of children followed from preschool age to middle childhood, we performed this study to answer this question. Our study showed that, as expected, environmental adversity was related to internalizing (emotional) and externalizing (conduct and hyperactivity) problems in children. Also aligned with previous research ( Gershoff, 2002 ) was our finding that harsh parenting was a risk factor of, particularly, externalizing problems in children. However, HPD did not explain, as we expected, why the children of poor and stressed families had more externalizing and internalizing difficulties. In fact, in this study, HPD was very weakly related to environmental adversity. Nonetheless, HPD moderated the effect of environmental adversity on internalizing and externalizing difficulties in children. It increased the level of internalizing and externalizing problems in children exposed to high levels of adversity, but it also differentiated the level of externalizing problems in children exposed to low levels of environmental adversity and was associated with an increase in internalizing problems in these children over time.

The finding that harsh parenting and environmental adversity, especially family poverty, were weakly interrelated runs counter to much research showing that harsh parenting tends to be socioeconomically patterned. Other research using MCS, the data set that we used in this study, has also shown that socioeconomic deprivation and harsh or ineffective parenting, at least when parent reported, are not interrelated, although socioeconomic deprivation and warm parenting are ( Flouri, Midouhas, Joshi, & Tzavidis, 2015 ; Kiernan & Huerta, 2008 ). Warmth and harshness are orthogonal parenting dimensions, as other research has shown ( Deater-Deckard et al., 2006 ); therefore, they can be associated differently with family socioeconomic risk.

It was also somewhat surprising to find that, for conduct problems and hyperactivity, HPD appeared to have a greater effect on children from low rather than high-risk families. Perhaps children’s externalizing problems may be influenced more by poverty and other adversities, which tend to be more ongoing, with discipline tactics having less of an additive effect when simultaneously occurring. With regard to emotional symptoms, we see clearly that HPD was a vulnerability factor for children with high levels of adversity. Nevertheless, the children with the most serious problems, in general, were those who experience high levels of environmental adversity and high levels of HPD. Therefore, targeting poor and harsh-disciplining families may be a more effective prevention and intervention strategy to reduce levels of child problem behavior than targeting families classified as high risk on the basis of either one of these independent risk factors. However, in contrast to SED, HPD varied more over time, suggesting that it is probably a response to external stimuli or changes rather than a manifestation of the parents’ “character,” for example, as reflected in their values or personality traits. This confirms previous findings showing that harsh parenting is a response to as well as a determinant of externalizing problems in children ( Lansford et al., 2011 ; Lengua, 2006 ). In this study we did not explore such bidirectionality in depth, but we adjusted for child temperament; therefore, we are confident of the robustness of our findings. We note that our findings were also robust to adjustment for parental warmth (results available on request), suggesting that the effect of HPD on increasing child problem behavior and moderating the effect of environmental adversity on child problem behavior was not attenuated by parental warmth. Nonetheless, future studies should also explore how parental warmth, HPD, and environmental adversity may interact. As much research has shown, it is important to examine the effects of harsh parenting in the broader context in which it occurs ( Mendez, Durtschi, Neppl, & Stith, 2016 ).

The findings about this robustness of the adverse effect of HPD and about the lack of an association between HPD and SED run counter to much research, especially with samples in the United States. Whether this variation reflects differences in cultural context or methodology (e.g., in the type or content of measurement instruments) is unclear. Cross-country (and therefore, to an extent, cross-cultural) research using similar methodology will answer this question. Our study has some additional limitations. First, as a correlational study it is unable to prove that greater exposure to HPD caused children to be more vulnerable to risk, or that little use of HPD led them to be resilient to risk. Second, some of these convergences could have been produced by regression to the mean, in which extremely high (and low) intercept and slope values affected by measurement error are likely to be closer to the sample mean at repeat assessments. Third, with only three time points of data on emotional and behavioral problems, the possibilities for modeling the functional form of children’s individual trajectories were limited. Fourth, the reliance on parental (usually maternal) reports to measure children’s emotional and behavioral problems and HPD means that correlations between these measures are likely inflated by the idiosyncrasies of the reporter. Related to this, HPD reports might be subject to biases related to social desirability. However, in MCS, HPD was only measured by parent report. As f

Footnotes

This is the partial correlation, which serves as an effect size estimate. It can be easily computed from the t statistic, using the formula r = t 2 t 2 + d f .

Figures, tables, references, and supplementary files are best inspected in the licensed PDF or repository copy linked above.

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