Overprotective and Overcontrolling Parenting of Emerging Adult Survivors of Childhood Cancer: Links to Coping Styles, Anxiety, and Depression

The goals of this study were, in a sample of emerging adult survivors of childhood cancer, 1) to compare levels of psychological distress with general population norms, 2) to examine the association between overprotective parenting and psychological distress, 2) to differentiate between maternal overprotection and maternal overcontrol, and 3) to uncover mechanisms linking overprotective parenting to psychological distress, including the assessment of emerging adults’ coping styles and perceptions of their mothers’ overprotective parenting. Participants were 109 emerging adult survivors of childhood cancer, ranging in age from 18 to 30 years (M = 23 years; 60% female). Ninety of the emerging adults’ mothers also participated in this research. Survivors were recruited from the waiting room of The Pediatric Cancer AfterCare Clinic at Princess Margaret Cancer Centre in Toronto, Canada. Emerging adults and their mothers provided ratings of mothers’ overprotective and overcontrolling parenting practices on the Overparenting of Emerging Adults Scale (OPEAS), a measure designed for this study. Emerging adults’ coping styles and symptoms of anxiety and depression were also assessed. Factor analysis of the OPEAS revealed seven overparenting subscales; four subscales conceptually similar to the construct of overprotection: infantilization, medical management, parenting anxiety, and harm reduction, and three subscales conceptually similar to the construct of overcontrol: problem solving intervention, intrusive decision making, and discounting of opinions/ideas. Nearly half of the sample reported clinically significant levels of anxiety symptoms, although levels of clinically significant depression symptoms did not differ from general population norms. Further analyses revealed that mother-reported overprotective practices of infantilization and parenting anxiety were indirectly related to emerging adults’ anxiety and depression symptoms through serial multiple mediation, and that the mother-reported overcontrolling practice of intrusive decision making was indirectly related to depression symptoms through serial multiple mediation. Specifically, the mediators were emerging adults’ perceptions of the overparenting and emerging adults’ nonproductive coping style. The theoretical and practical implications of these findings are discussed in terms of the relations of overprotective and overcontrolling parenting to emerging adults’ mental health, and importance of the socialization of coping.Ph.D