Abstract
Background
Parents and adolescents commonly discuss stressful experiences. However, little is known about the features of these conversations that may have implications for health.
Methods
One hundred five adolescents and their parents engaged in conversations about two challenging events, with parental contributions to the discussions coded for four scaffolding behaviors (reiterations, negations, move alongs, and new interpretations). Systolic blood pressure, diastolic blood pressure, and heart rate were measured in both participants at baseline and throughout the conversation. Parent-reported relationship quality was also assessed.
Results
For both parents and adolescents, negative scaffolding behaviors were associated with increased physiological reactivity, whereas positive scaffolding behaviors were associated with decreased reactivity. Furthermore, children in higher quality parent-child relationships showed greater reactivity to reiterations and lower reactivity to new interpretations, but those in lower quality relationships demonstrated the opposite patterns.
Conclusions
Specific aspects of parent-child interactions appear to contribute to physiological responses to challenging events, which in turn may have implications for health.
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Notes
One reason why parents may not have shown significant increases in cardiovascular reactivity is that the discussion task is not a traditional conflict task as used in many reactivity tasks with family members (e.g., [63]), but rather a discussion of challenging life events. Significant decreases in reactivity, however, are consistent with work suggesting that providing social support is associated with lower ambulatory blood pressure [26].
Due to the low base rate frequency of three of the scaffolding behaviors in each memory, secondary analyses were also conducted examining the associations between the simple presence/absence of those behaviors with physiological reactivity during the discussion task, using univariate ANCOVAs. The reactivity patterns relating to reiterations and move alongs remained significant; however, use of new interpretations during the shared memory and use of negations during the child memory were no longer significantly associated with parent reactivity when examining presence/absence. All interactions with relationship quality remained significant.
References
Pennebaker J. Opening up: the healing power of expressing emotions. New York: Guilford Press; 1997.
Pennebaker JW, Seagal J. Forming a story: The health benefits of narrative. J Clin Psychol. 1999; 55: 1243-1254.
Pasupathi M. The social construction of the personal past and its implications for adult developmnet. Psychol Bull. 2001; 127(5): 651-672.
Esterling B, Antoni M, Fletcher MA, Margulies S, Schneiderman N. Emotional disclosure through writing or speaking modulates latent Epstein-Barr virus antibody titers. J Consult Clin Psychol. 1994; 62(1): 130-140.
Pennebaker JW, Hughes CF, O’Heeron RC. The psychophysiology of confession: Linking inhibitory and psychosomatic processes. J Pers Soc Psychol. 1987; 52(4): 781-793.
Smyth JM, Stone AA, Hurewitz A, Kaell A. Effects of writing about stressful experiences on symptom reduction in patients with asthma or rheumatoid arthritis: A randomized trial. J Am Med Acad. 1999; 281(14): 1304-1309.
Lyubomirsky S, Sousa L, Dickerhoof R. The costs and benefits of writing, talking, and thinking about life’s triumphs and defeats. J Pers Soc Psychol. 2006; 90(4): 692-708.
Pennebaker JW. Writing about emotional experiences as a therapeutic process. Psychol Sci. 1997; 8(3): 162-166.
Pennebaker J, Mayne TJ, de Waal FBM. Linguistic predictors of adaptive bereavement. J Pers Soc Psychol. 1997; 72(4): 863-871.
Reynolds M, Brewin CR, Saxton M. Emotional disclosure in school children. J Child Psychol Psychiatry. 2000; 41(2): 141-159.
Fivush R, Marin K, Crawford M, Reynolds M, Brewin CR. Children’s narratives and well-being. Cogn Emot. 2007; 21(7): 1414-1434.
McLean KC, Jennings LE. Teens telling tales: How maternal and peer audiences support narrative identity development. J Adolesc. 2011; 35(6): 1455-1469.
Schrodt P, Witt PL, Messersmith AS. A meta-analytical review of family communication patterns and their associations with information processing, behavioral, and psychosocial outcomes. Commun Monogr. 2008; 75(3): 248-269.
Repetti RL, Taylor SE, Seeman T. Risky families: Family social environments and mental and physical health of offspring. Psychol Bull. 2002; 128(2): 330-366.
Chen E, Miller GE. “Shift-and-persist” strategies: Why low socioeconomic status isn’t always bad for health. Perspect Psychol Sci. 2012; 7(2): 135-158.
Salomon AMK, Brady SS, Allen MT. Cardiovascular reactivity to stress predicts future blood pressure in adolescence. Psychosom Med. 2003; 65(3): 410-415.
Treiber FA, Kamarck T, Schneiderman N, Sheffield D, Kapuku G, Taylor T. Cardiovascular reactivity and development of preclinical and clinical disease states. Psychosom Med. 2003; 65(1): 46-62.
Willemen AM, Schuengel C, Koot HM. Physiological regulation of stress in referred adolescents: The role of the parent-adolescent relationship. J Child Psychol Psychiatry. 2009; 50(4): 482-490.
Broadwell SD, Light KC. Family support and cardiovascular responses in married couples during conflict and other interactions. Int J Behav Med. 1999; 6(1): 40-63.
Morell MA, Apple RF. Affect expression, marital satisfaction, and stress reactivity among premenopausal women during a conflictual marital discussion. Psychol Women Q. 1990; 14: 387-402.
Nealey-Moore JB, Smith TW, Uchino BN, Hawkins MW, Olson-Cerny C. Cardiovascular reactivity during positive and negative marital interactions. J Behav Med. 2007; 30(6): 505-519.
Smith TW, Gallo LC. Hostility and cardiovascular reactivity during marital interaction. Psychosom Med. 1999; 61: 436-445.
Ewart CK, Burnett KF, Taylor CB. Communication behaviors that affect blood pressure: An A-B-A-B snalysis of marital interaction. Behav Modif. 1983; 7(3): 331-344.
Ewart C, Taylor CB, Kraemer H, Agras WS. High blood pressure and marital discord: Not being nasty matters more than being nice. Health Psychol. 1991; 10(3): 144-163.
Kiecolt-Glaser J, Malarkey WB, Chee M, et al. Negative behavior during marital conflict is associated with immunological down-regulation. Psychosom Med. 1993; 55: 395-409.
Monin JK, Schulz R, Lemay EP, Cook TB. Linguistic markers of emotion regulation and cardiovascular reactivity among older caregiving spouses. Psychol Health. 2012; 27(4): 903-911.
Piferi RL, Lawler KA. Social support and ambulatory blood pressure: An examination of both receiving and giving. Int J Psychophysiol. 2006; 62(2): 328-336.
Beijersbergen M, Bakersmans-Kranenburg M, van IJzendoorn MH, Juffer F. Stress regulation in adolescents: Physiological reactivity during the Adult Attachment Interview and conflict interaction. Child Dev. 2008; 79: 1707-1720.
Gallo LC, Matthews KA. Adolescents attachment orientation influences ambulatory blood pressure responses to everyday social interactions. Psychosom Med. 2006; 68(2): 253-261.
Fritz HL, Nagurney AJ, Helegeson V. Social interactions and cardiovascular reactivity during problem disclosure among friends. Personal Soc Psychol Bull. 2003; 29(6): 713-725.
Uno D, Uchino BN, Smith TW. Relationship quality moderates the effect of social support given by close friends on cardiovascular reactivity in women. Int J Behav Med. 2002; 9(3): 243-262.
Kamarck TW, Annunziato B, Amateau LM. Affiliation moderates the effects of social threat on stress-related cardiovascular responses: Boundary conditions for a laboratory model of social support. Psychosom Med. 1995; 57: 183-194.
McLean KC, Mansfield CD. The co-construction of adolescent narrative identity: Narrative processing as a function of adolescent age, gender, and maternal scaffolding. Dev Psychol. 2011; 48(2): 436-447.
Brody G, Ge X, Conger R, et al. The influence of neighborhood disadvantage, collective socialization, and parenting on African American children’s affiliation with deviant peers. Child Dev. 2001; 72(4): 1231-1246.
Conger RD, Conger KJ, Elder GH, Lorenz FO, Simons RL, Whitbeck LB. A family process model of economic hardship and adjustment of early adolescent boys. Child Dev. 1992; 63(3): 526-541.
Ge X, Conger RD, Lorenz FO, Simmons RL. Parents’ stressful life events and adolescent depressed mood. J Health Soc Behav. 1994; 35(1): 28-44.
Locke LM, Prinz RJ. Measurement of parental discipline and nurturance. Clin Psychol Rev. 2002; 22: 895-929.
Myers MG, McInnis NH, Fodor GJ, Leenen FHH. Comparison between an automated and manual sphygmomanometer in a population survey. Am J Hypertens. 2008; 21(3): 280-283. doi:10.1038/ajh.2007.54.
Mattu GS, Panagiotides H, Wright JM. Comparison of the automated non-invasive oscillometric blood pressure monitor (BpTRU) with the auscultatory mercury sphygmomanometer in a paediatric population. Blood Press Monit. 2004; 9: 39-45.
Chen E, Langer DA, Raphaelson YE, Matthews KA. Socioeconomic status and health in adolescents: The role of stress interpretations. Child Dev. 2004; 75(4): 1039-1052.
Smith TW, Gallo LC, Goble L, Ngu LQ, Stark KA. Agency, communion, and cardiovascular reactivity during marital interaction. Health Psychol. 1998; 17(6): 537-545.
Haden C. Reminiscing with different children: Relating maternal stylistic consistency and sibling similarity in talk about the past. Dev Psychol. 1998; 34: 99-114.
Jennings L, Pasupathi M, McLean KC. Intricate lettings in and lettings out: Scaffolding of narrative identity in newly-dating romantic partners. Self Identity. 2013;1–17.
Sales JM, Fivush R, Peterson C. Parental reminiscing about positive and negative events. J Cogn Dev. 2003; 4(2): 185-209.
Kiecolt-Glaser J, Newton TL. Marriage and health: His and hers. Psychol Bull. 2001; 127: 474-503.
Reese E, Fivush R. Parental styles of talking about the past. Dev Psychol. 1993; 29(3): 596-606.
Mannle S, Barton M, Tomasello M. Two-year-olds’ conversations with their mothers and preschool-aged siblings. First Lang. 1992; 12(34): 57-71.
Fivush R, Sales JM. Coping, attachment, and mother-child narratives of stressful events. Merrill-Palmer Q. 2006; 52(1): 125-150.
Fivush R, Vasudeva A. Remembering to relate: Socioemotional correlates of mother-child reminiscing. J Cogn Dev. 2002; 3(1): 73-90.
Clark H, Schaefer E. Contributing to discourse. Cogn Sci. 1989; 13: 259-294.
Kraut RE, Lewis SH, Swezey L. Listener responsiveness and the coordination of conversation. J Pers Soc Psychol. 1982; 43(4): 718-731.
Shipman KL, Schneider R, Fitzgerald MM, Sims C, Swisher L, Zigler E. Maternal emotion socialization in maltreating and non-maltreating families: Implications for children’s emotion regulation. Soc Dev. 2007; 16(2): 268-285.
Matthews KA, Woodall KL, Allen MT. Cardiovascular reactivity to stress predicts future blood pressure status. Hypertension. 1993; 22(4): 479-485.
Matthews K, Katholi CR, McCreath H, et al. Blood pressure reactivity to psychological stress predicts hypertension in the CARDIA study. Circulation. 2004; 110(1): 74-78.
Menkes MS, Matthews KA, Krantz DS, et al. Cardiovascular reactivity to the cold pressor test as a predictor of hypertension. Hypertension. 1989; 14(5): 524-530.
Chen E, Matthews KA, Salomon K, Ewart CK. Cardiovascular reactivity during social and nonsocial stressors: Do children’s personal goals and expressive skills matter? Health Psychol. 2002; 21(1): 16-24.
Tomaka J, Blascovich J, Kibler J, Ernst JM. Cognitive and physiological antecedents of threat and challenge appraisal. J Pers Soc Psychol. 1997; 73(1): 63-72.
Tomaka J, Blascovich J, Kelsey RM, Leitten C. Subjective, physiological, and behavioral effects of threat and challenge appraisal. J Pers Soc Psychol. 1993; 65(2): 248-260.
Blascovich J, Mendes WB. Challenge and threat appraisals. In: Elliot AJ, ed. Handbook of approach-avoidance motivation. New York: Taylor & Francis Group; 2008: 432-444.
Kamarck T, Everson S, Kaplan G, et al. Exaggerated blood pressure responses during mental stress are associated with enhanced carotid athersclerosis in middle-aged Finnish men. Circulation. 1997; 96(11): 3842-3848.
Everson SA, Lynch JW, Kaplan GA, Lakka TA, Sivenius J, Salonen JT. Stress-induced blood pressure reactivity and incident stroke in middle-aged men. Stroke. 2001; 32(6): 1263-1270.
Manuck SB, Olsson G, Hjemdahl P, Rehnqvist N. Does cardiovascular reactivity to mental stress have prognostic value in postinfarction patients? A pilot study. Psychosom Med. 1992; 54: 102-108.
Dixon SV, Graber JA, Brooks-Gunn J. The roles of respect for parental authority and parenting practices in parent–child conflict among African American, Latino, and European American families. J Fam Psychol. 2008; 22(1): 1-10.
Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards
The procedures followed in the present study were in accordance with the ethical standards of the American Psychological Association and Northwestern University, as well as with the Helsinki Declaration of 1975, including (but not limited to) oversight by the Institutional Review Board. All participants provided written informed consent prior to inclusion in the study. Ms. Manczak, Dr. McLean, Dr. McAdams, and Dr. Chen declare that they have no conflict of interest.
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Support for this project was provided by the Canadian Institutes of Health Research, grant funding reference number 97872. We wish to thank the individuals who participated in this research, as well as Sarah Morrison-Cohen for her help with coding.
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Manczak, E.M., McLean, K.C., McAdams, D.P. et al. Physiological Reactivity During Parent-Adolescent Discussions: Associations with Scaffolding Behaviors and Relationship Quality. ann. behav. med. 49, 522–531 (2015). https://doi.org/10.1007/s12160-014-9680-1
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DOI: https://doi.org/10.1007/s12160-014-9680-1