Locus of Control, Perceived Parenting Style, and Anxiety in Children with Cerebral Palsy

  • Esther CohenEmail author
  • Gali Biran
  • Adi Aran
  • Varda Gross-Tsur
Original Article


In this study we examined interrelations among locus of control (LOC), disease severity, anxiety, and parenting style (PS) in children with cerebral palsy (CP). Thirty children with CP and their 30 healthy siblings completed self-report measures of LOC, anxiety, and perceived PS of the mother. A neurological assessment determined severity of CP. Children with CP, regardless of severity, did not differ from their siblings in LOC, anxiety, or perceived PS. Multiple-regression analyses showed that LOC was predicted only by the acceptance/rejection dimension of PS in children with CP; whereas for their siblings, age, and anxiety were the best predictors. The findings suggest a central influence of the home environment on children’s psychological development. For children with CP, experiencing parental acceptance may enhance development of resilience-related qualities, such as an internal LOC.


Locus of control Parenting style Anxiety Cerebral palsy Siblings 


  1. Abramson, J. H., Gofin, R., & Habib, J. (1982). Indicators of social class: A comparative appraisal of measures for use in epidemiological studies. Social Science in Medicine, 16, 1739–1746.CrossRefGoogle Scholar
  2. Aran, A., Shalev, R. S., Biran, G., & Gross-Tsur, V. (2007). Parenting style impacts on quality of life in children with Cerebral Palsy. The Journal of Pediatrics, 151, 56–60.PubMedCrossRefGoogle Scholar
  3. Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford.Google Scholar
  4. Bõgels, S. M., & Brechman-Toussaint, M. L. (2006). Family issue in child anxiety: Attachment, family functioning, parental rearing and beliefs. Clinical Psychology Review, 26, 834–856.PubMedCrossRefGoogle Scholar
  5. Breslau, N., & Marshall, I. A. (1985). Psychological disturbance in children with physical disabilities: Continuity and change in a 5-year follow-up. Journal of Abnormal Child Psychology, 13, 199–215.PubMedCrossRefGoogle Scholar
  6. Carton, J. S., & Nowicki, S. (1994). Antecedents of individual differences in locus of control of reinforcement: A critical review. Genetic, Social and General Psychology Monographs, 120, 31–81.Google Scholar
  7. Center, Y., & Ward, J. (1986). The Nowicki locus of control scales: An Australian study of normal and cerebral palsied school children. The Exceptional Children, 33, 207–213.Google Scholar
  8. Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety: The role of control in the early environment. Psychological Bulletin, 124, 3–21.PubMedCrossRefGoogle Scholar
  9. Chorpita, B. F., Brown, T. A., & Barlow, D. H. (1998). Perceived control as a mediator of family environment in etiological models of childhood anxiety. Behavior Therapy, 29, 457–476.CrossRefGoogle Scholar
  10. Cohen, E., Sade, M., Benarroch, F., Pollak, Y., & Gross-Tsur, V. Locus of control, perceived parenting style, and symptoms of anxiety and depression in children with Tourette’s syndrome. European Child & Adolescent Psychiatry, DOI  10.1007/s00787-007-0671-7.
  11. Dew, T., & Huebner, E. S. (1994). Adolescents’ perceived quality of life: An exploratory investigation. Journal of School Psychology, 32, 185–199.CrossRefGoogle Scholar
  12. Eggland, E. T. (1973). Locus of control and children with cerebral palsy. Nursing Research, 22, 329–333.PubMedCrossRefGoogle Scholar
  13. Harper, D. C. (1984). Brief report: Replicability of factors in children’s report of parent behavior (CRPBI) among orthopedic disabled and non-disabled adolescents. Journal of Autism and Developmental Disorders, 14, 435–438.PubMedCrossRefGoogle Scholar
  14. Heller, K. W., Alberto, P. A., & Meagher, T. M. (1996). The impact of physical impairment on academic performance. Journal of Developmental and Physical Disabilities, 8, 233–245.CrossRefGoogle Scholar
  15. Kaufman, A. S., & Kaufman, N. L. (1983). Kaufman assessment battery for children. Circle Pines: American Guidance Service.Google Scholar
  16. Kee, T. T. S. (2005). A cultural interpretation of locus of control, family and school experience, and school truancy: The case of Hong Kong. International Journal of Adolescence and Youth, 124, 325–349.Google Scholar
  17. Krampen, G. (1989). Perceived childrearing Practices and the development of locus of control in early adolescence. International Journal of Behavioral Development, 12, 177–193.Google Scholar
  18. Kuban, K. C. K., & Leviton, A. (1994). Cerebral palsy. New England Journal of Medicine, 330, 188–195.PubMedCrossRefGoogle Scholar
  19. Lufi, D., & Parish-Plass, J. (1995). Personality assessment of children with attention deficit hyperactivity disorder. Journal of Clinical Psychology, 51, 94–99.PubMedCrossRefGoogle Scholar
  20. Majnemer, A., & Mazer, B. (2004). New directions in the outcome evaluation of children with cerebral palsy. Seminars in Pediatric Neurology, 11, 11–17.PubMedCrossRefGoogle Scholar
  21. Manuel, J. C., Balkrishnan, R., Camacho, F., Smith, B. P., & Koman, L. A. (2003). Factors associated with self-esteem in pre-adolescents and adolescents with cerebral palsy. Journal of Adolescent Health, 32, 456–458.PubMedCrossRefGoogle Scholar
  22. McDermott, S., Coker, A. L., Mani, S., Krishnaswami, S., Nagle, R. J., Barnett-Queen, L. L., et al. (1996). A population-based analysis on behavior problems in children with Cerebral Palsy. Journal of Pediatric Psychology, 21, 447–463.PubMedCrossRefGoogle Scholar
  23. Meijer, S. A., Sinnema, G., Bijstra, J. O., Mellenbergh, G. J., & Wolters, W. H. (2002). Coping styles and locus of control as predictors of psychological adjustment of adolescents with chronic illness. Social Science and Medicine, 54, 1453–1461.PubMedCrossRefGoogle Scholar
  24. Muris, P., Meesters, C., Schouten, E., & Hoge, E. (2004). Effects of perceived control on the relationship between perceived parental rearing behaviors and symptoms of anxiety and depression in non-clinical preadolescents. Journal of Youth and Adolescence, 33, 51–58.CrossRefGoogle Scholar
  25. Murray, C. (2003). Risk factors, protective factors, vulnerability, and resilience: A framework for understanding and supporting the adult transitions of youth with high-incidence disabilities. Remedial and Special Education, 24, 16–26.CrossRefGoogle Scholar
  26. Nesselroade, J. R., Musher-Eizenman, D. R., & Schmitz, B. (2002). Perceived control and academic performance: A comparison of high and low performing children on within person change patterns. International journal of Behavioral Development, 26, 540–547.CrossRefGoogle Scholar
  27. Nowicki, S., & Strickland, B. R. (1973). A locus of control scale for children. Journal of Consulting and Clinical Psychology, 40, 148–154.CrossRefGoogle Scholar
  28. Ostrander, R., & Herman, K. C. (2006). Potential cognitive, parenting and developmental mediators of the relationship between ADHD and depression. Journal of Consulting and Clinical Psychology, 74, 89–98.PubMedCrossRefGoogle Scholar
  29. Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine and Child Neurology, 39, 214–223.PubMedGoogle Scholar
  30. Rapee, R. M. (2001). The development of generalized anxiety. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 481–503). Oxford University Press: New York.Google Scholar
  31. Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.PubMedCrossRefGoogle Scholar
  32. Rosenbaum, P. (2003). Cerebral palsy: What parents and doctors want to know. British Medical Journal, 326, 970–974.PubMedCrossRefGoogle Scholar
  33. Rotter, J. B. (1990). Internal versus external control of reinforcement: A case history of a variable. American Psychologist, 45, 489–493.CrossRefGoogle Scholar
  34. Schaefer, E. S. (1965). Children’s reports of parental behavior: An inventory. Child Development, 36, 413–417.PubMedCrossRefGoogle Scholar
  35. Schuengel, C., Voorman, J., Stolk, J., Dallmeijer, A., Vermeer, A., & Becher, J. (2006). Self-worth, perceived competence, and behaviour problems in children with cerebral palsy. Disability & Rehabilitation, 28, 1251–1258.CrossRefGoogle Scholar
  36. Suchman, N. E., Roundsaville, B., DeCoste, C., & Luthar, S. (2007). Parental control, parental warmth, and psychological adjustment in a sample of substance-abusing mothers and their school-aged and adolescent children. Journal of Substance Abuse Treatment, 32, 1–10.PubMedCrossRefGoogle Scholar
  37. Toren, P., Sadeh, M., Wolmer, L., Eldar, S., Koren, S., Weizman, R., et al. (2000). Neurocognitive correlates of anxiety disorders in children: A preliminary report. Journal of Anxiety Disorders, 14, 239–247.PubMedCrossRefGoogle Scholar
  38. Trute, B. (1990). Child and parent predictors of family adjustment in households containing young developmentally disabled children. Family Relations, 39, 292–297.CrossRefGoogle Scholar
  39. Wechsler, D. (1974). Manual for the Wechsler Intelligence Scale for children—revised. San Antonio: Psychological Corporation.Google Scholar
  40. Wood, J. J., McLeod, B. D., Sigman, M., Hwang, W. C., & Chu, B. C. (2003). Parenting and childhood anxiety: Theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44, 134–151.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Esther Cohen
    • 1
    Email author
  • Gali Biran
    • 2
  • Adi Aran
    • 2
  • Varda Gross-Tsur
    • 2
  1. 1.School of EducationThe Hebrew University of JerusalemJerusalemIsrael
  2. 2.The Neuropediatric UnitShaare-Zedek Medical CenterJerusalemIsrael

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