Psychology

Parenting, self-regulation, and treatment adherence in pediatric chronic headache: A self-determination theory perspective

Document Type

Article

Abstract

This study examined parenting factors associated with children’s self-regulation and physician-rated treatment adherence using a self-determination theory framework in pediatric chronic headache. Participants were 58 children and adolescents (aged 10–17 years), who underwent initial and follow-up multidisciplinary evaluation at a headache clinic, and their mothers. Regression analyses showed that higher maternal autonomy support and structure were significantly related to children’s lower treatment-related reactance and higher adherence. Maternal controllingness had associations in the opposite directions. Children’s fear of pain was related to maternal controllingness. Results suggest the importance of parents’ provision of clear expectations and engaging children in treatment problem-solving and decision-making.

Publication Title

Journal of Health Psychology

Publication Date

2021

Volume

26

Issue

10

First Page

1637

Last Page

1650

ISSN

1359-1053

DOI

10.1177/1359105319884596

Keywords

adherence, headache, parenting, self-determination theory, self-regulation

Link to Full Text

Share

COinS