The Mediating Role of Emotional Self-Regulation in the Relationship between Perceived Social Support and Parenting Self-Efficacy among Parents of Children with Phenylketonuria

Document Type : Original Article

Authors

1 Ph.D. student, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.

2 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.

3 Assistant Professor, Department of Counselling, Faculty of Humanities, Hazrat-e Masoumeh University, Qom, Iran.

Abstract

This study aimed to examine the relationship between perceived social support and parenting self-efficacy in parents of children with phenylketonuria (PKU) via the mediating role of emotional self-regulation. In 2022, 195 parents (130 mothers and 65 fathers) of children with PKU were referred to the support center for metabolic patients in the province of Zanjan. A total of 157 parents (113 mothers and 44 fathers) were selected through available sampling. The study utilized three instruments: The Multidimensional Scale of Perceived Social Support (MSPSS), the Parental Self-efficacy questionnaire (PSAM), and the Emotional Self-regulation questionnaire (ESRSQ). Smart PLS software was used to analyze the data, and partial least squares structural equation modeling was utilized to assess the relationship between variables. According to the bootstrap results, the direct effects of perceived support from friends on emotional self-regulation (β=0.011, p=0.24) and emotional self-regulation on parenting self-efficacy (β=0.35, p=0.0001) were significant and positive. Furthermore, the indirect effects of perceived support from friends (β=0.083, p=0.019) through emotional self-regulation on parenting self-efficacy were significant and positive. These findings provide new evidence that emotional self-regulation strategies may be a potential target for psychological interventions designed to increase parental self-efficacy with a child diagnosed with PKU. Our findings have implications for healthcare practices and supportive therapeutic interventions for PKU patients, as they highlight the significance of assisting parents in coping with PKU-related problems in families.

Keywords


Bandura, A., & Locke, E. A. (2003). Negative self-efficacy and goal effects revisited. Journal of Applied Psychology. 88(1), 87–99.
Bruwer, B., Emsley, R., Kidd, M., Lochner, C., & Seedat, S. (2008). Psychometric properties of the Multidimensional Scale of Perceived Social Support in youth. Comprehensive psychiatry49(2), 195-201.
Carpenter, K., Wittkowski, A., Hare, D. J., Medford, E., Rust, S., Jones, S. A., & Smith, D. M. (2018). Parenting a Child with Phenylketonuria (PKU): an Interpretative Phenomenological Analysis (IPA) of the Experience of Parents. Journal of Genetic Counseling. 27(5), 1074-1086.
Caprara, G. V., Gerbino, M., Paciello, M., Di Giunta, L., & Pastorelli, C. (2010). Counteracting depression and delinquency in late adolescence: The role of regulatory emotional and interpersonal self-efficacy beliefs. European Psychologist. 15(1), 34–48.  
Chan, C. K., Cockshaw, W., Smith, K., Holmes-Truscott, E., Pouwer, F., & Speight, J. (2020). Social support and self-care outcomes in adults with diabetes: The mediating effects of self-efficacy and diabetes distress. Results of the second diabetes MILES–Australia (MILES-2) study. Diabetes Research and Clinical Practice. 166, 108314.
Downloaded from www.ceciranj.ir
Chang, C. J., Fehling, K. B., & Selby, E. A. (2020). Sexual Minority Status and Psychological Risk for Suicide Attempt: A Serial Multiple Mediation Model of Social Support and Emotion Regulation. Frontiers in Psychiatry. 11.
Dark-Freudeman, A., Pond Jr, R. S., Paschall, R. E., & Greskovich, L. (2020). Attachment style in adulthood: Attachment style moderates the impact of social support on depressive symptoms. Journal of Social and Personal Relationship .37(10-11), 2871-2889.
Dumka, L. E., Steorzinger, H., Jackson, K., & Roosa, M. W. (1996). Examination of the cross- cultural and cross- language equivalence of parenting self-agency measure. Family Relations. 45(2), 216-222.
Etemad, K., Heidari, A., Setoodeh, A., Shayeganrad, A., Akhlaghi, A., Azizi, M., Nejatbakhsh, R., Beglar, M. B., & Lotfi, M. (2020). Health-related quality of life of parents of children with phenylketonuria in Tehran Province, Islamic Republic of Iran. Eastern Mediterranean Health Journal. 26(3), 331–339.
Fidika, A., Salewski, C., & Goldbeck, L. (2013). Quality of life among parents of children with phenylketonuria (PKU). Health and Quality of Life Outcomes. 11(54), 1-9.
Ghonsooly, B., & Ghanizadeh, A. (2013). Self-efficacy and self-regulation and their relationship: a study of Iranian EFL teachers. The Language Learning Journal. 41(1), 68-84.
Harrison, V., Moulds, M. L., & Jones, K. (2022). Perceived social support and prenatal wellbeing; The mediating effects of loneliness and repetitive negative thinking on anxiety and depression during the COVID-19 pandemic. Women and Birth. 35(3), 232-241.
Hoven, M. R. (2012). Investigating the relationship between perceived social support and parent self-efficacy in parents of preschool-aged children (Doctoral dissertation, University of British Columbia).
Hua, Z., & Ma, D. (2022). Depression and Perceived Social Support among Unemployed Youths in China: Investigating the Roles of Emotion-Regulation Difficulties and Self-Efficacy. International Journal of Environmental Research and Public Health.19(8), 4676.
 Ionio, C., Salvatici, E., Confalonieri, E., Milani, L., Mascheroni, E., Riva, E., & Giovannini, M. (2018). Mothers and fathers facing their children’s phenylketonuria. Children’s Health Care. 47(1), 83–100.
Koh, J., Farruggia, S.P., Back, L.T. Han, C. (2022). Self- efficacy and academic Success among diverse first-generation college students: The mediating role of self-regulation. Social Psychology of Education. 25(3), 1071–1092.
Larsen, R.J., & Prizmic, Z. (2004) Affect Regulation. In: Baumeister, R.F. and Vohs, K.D., Eds., Handbook of Self-Regulation: Research, Theory, and Applications. Guilford, New York, 40-61.
Li, D., Li, D., Wu, N., & Wang Z. (2019). Intergenerational transmission of emotion regulation through parents' reactions to children's negative emotions: Tests of unique, actor, partner, and mediating effects. Children and Youth Services Review. 101, 113-122.
Liew, J., & Zhou, Q. (2022). Parenting, Emotional Self-Regulation, and Psychosocial Adjustment Across Early Childhood and Adolescence in Chinese and Chinese-Immigrant Sociocultural Contexts (pp.421-436). Oxford University Press.
Park, G. A., & Lee, O. N. (2022). The Moderating Effect of Social Support on Parental Stress and Depression in Mothers of Children with Disabilities. Occupational Therapy International. 2022, 5162954.
Pejičić, M., Ristić, M., & Anđelković, V. (2018) The mediating effect of cognitive emotion regulation strategies in the relationship between perceived social support and resilience in postwar youth. Journal Community Psychol. 46, 457– 472.
Reinartz, W., Haenlein, M., & Henseler, J. (2009). An Empirical Comparison of the Efficacy of Covariance-Based and Variance-Based SEM. International Journal of Research in Marketing. 26(4), 332-334.
Sagui-Henson, S.J., Armstrong, L.M., Mitchell, A.D., Basquin, C., & Levens, S.M. (2020). The Effects of Parental Emotion Regulation Ability on Parenting Self-Efficacy and Child Diet. Journal of Child and Family Studies. 29(4), 2290–2302.
Downloaded from www.ceciranj.ir
Set, Z., Şimşek, Ö. F. & Altınok, A. (2016). The Mediator Role of Internalized Homophobia and Self-Compassion on the Link between Attachment Styles and Depression in Lesbian, Gay and Bisexual Individuals. International Journal of Human and Behavioral Science. 2(2), 8-25.
Shaji Thomas, D., Mohd Wali Shakman, L., Saraswathy, K., & Arulappan, J. (2017). Parenting a child with metabolic diseases: Impact on healt related quality of life of parents. Diabetes & Metabolic Syndrome: Clinical Research & Reviews11(1), 25–29.
Wilson, J. M., Weiss, A., & Shook, N. J. (2020). Mindfulness, self-compassion, and savoring: Factors that explain the relation between perceived social support and well-being. Personality and Individual Differences. 152, 109568.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment52(1), 30-41.