Parental Acceptance/rejection, Self-concept and Depression among Early-adolescents in

Uganda

By

Ethel Wandeka

Reg No: 2015/HD03/2684U

Research Proposal Submitted to the School of Psychology in Partial Fulfillment

Of the Requirements for the Award of a Degree of Masters in

Clinical Psychology of Makerere University

June, 2019
 Table of Contents

Chapter one: Introduction................................................................................................................1

Background..........................................................................................................................1
Statement of the Problem.....................................................................................................4
Purpose................................................................................................................................5
Objectives............................................................................................................................5
Scope....................................................................................................................................5
Significance of the study......................................................................................................6
Conceptual Framework.......................................................................................................7

Section Two: Literature Review......................................................................................................8

Introduction.........................................................................................................................8
Theoretical Framework.......................................................................................................8
Parental Acceptance and Self-Concept among Preadolescents........................................10
Self-concept and Depression among preadolescents........................................................12
Parental Acceptance and Depression among preadolescents...........................................13
Hypotheses.........................................................................................................................17

Chapter Three: Research Methodology.........................................................................................18

Research Design................................................................................................................18
Population..........................................................................................................................18
Sample selection................................................................................................................18
Research Instruments.........................................................................................................18
Research Procedure...........................................................................................................18
Data Collection..................................................................................................................19
Data Quality Control.........................................................................................................19
Validity of the instruments.................................................................................................19
Reliability of instruments...................................................................................................19
Data Management.............................................................................................................20
Data Analysis.....................................................................................................................20
Limitations.........................................................................................................................20

References......................................................................................................................................21

i
 Chapter one: Introduction
Background

Nature of interpersonal relationships especially parent-child relationship has developmental

implications for humans, regardless of gender, race, ethnicity, culture, socioeconomic status, and

geographic boundaries.[ CITATION Kha111 \l 1033 ] As a type of adverse childhood

experience, parental acceptance-rejection can lead to the development of psychiatric problems

such as depression and anxiety, panic disorder, social phobia, sleep disorders, suicide attempts,

substance abuse. 52% of children who have depressive symptoms and low academic self-

conception experience low parental nurturance and warmth in their childhood upbringing. Only

45% of working parents have time for their children. 30% of mothers provide warmth to their

children. While 15% of fathers can have time to spend with their children (Laible, 2017).

Self-concept which is as the individuals’ perception of their own characteristics and value may

be central to understanding development of psychological problems, psychological wellbeing

and adjustment. These perceptions are often measured to be grounded in experiences during

childhood and pre-adolescence, and to influence thoughts and feelings in ways that maintain

psychological health or psychological problems. Global statistics based on the Self-Concept

Institute Survey, (2017) indicate that there are higher percentage of pre-adolescents had above

average self-concept in different dimensions temperamental (85%), intellectual (77.5%), physical

(60%) and social (52.5%). About 47.5 percent adolescents equally had high and above average

self-concept in education. And 57.5 percent of adolescents had high moral self-concept.

Depression among pre-adolescents is a serious mental health problem that causes a persistent

feeling of sadness and loss of interest in activities. It affects how teenagers think, feel and

behave, and it can cause emotional, functional and physical problems. The prevalence of major

1
depression among children aged 9 to 12 years has been estimated at 5 percent worldwide. In the

United States the prevalence has been shown to be as high as 8.3 percent. This is similar to

findings in European countries. In Kenya, depressive symptoms (not depressive diagnoses) have

been found to be as high as 43.7%6 with similar figures found in other studies across the globe.

Depressive disorders have been shown to occur in approximately 2% of primary school going

children, and between 4% to 8% of adolescents. Poor parental acceptance has been assessed to

be a predictive factor for depression in among pre-adolescents (Khasakhala et al, 2013).

Depression in preadolescents has been linked to parental acceptance which is likely to

predict satisfactory life of most preadolescents. Preadolescents who experience good parental

care, warmth and nurturance are expected to have good mental health are capable of attaining

and sustaining an optimal psychological and social performance and well-being. (Laible, 2017).

Low self-concept is the leading cause of depression which affects psychological welbeing of

preadolescents in both developed and developing countries. Depression among adolescents is

often characterized by mood disorders which causes a persistent feeling of sadness and loss of

interest in handling their daily activities (Kumar, J Vignesh Rita, S Thomas, Jolly 2013).

As Regards to depression, it is important to note that even with research findings low self

concept is a risk factor in the etiology of depressive disorders (Sowislo, Orth, & Meier, 2014;

Evraire & Dozois, 2011; Morley & Moran, 2011; O’Brien, Bartoletti, & Leitzel, 2006; Orth,

Robins, & Meier, 2009), the specific nature of the relation between low self-concept and

depression has been a topic of continuing debate (Sowislo & Orth, 2013; Roberts & Monroe,

1999; Zeigler-Hill, 2011).

2
Statement of the Problem

Low self-concept that roots from parental acceptance is one of the threats in the etiology of

depressive disorders among pre-adolescents (Sowislo, Orth & Meier, 2014). In Kamwokya

parish, most children have low levels of self-concepts which results into depressive symptoms

that leads to poor home and school performance. Almost 25% of pre-adolescents fear living in

their homes due to parental rejection and corporal punishment. 12% of pre-adolescents in school

cannot perform well due to parental rejection risks. 17% who are not studying sometimes fail to

relate with other peers and village mates due to fear of their guardians and parents. It is so scary

that this form of living may lead to increasing depression among pre-adolescents which might

distort their future career. Lincoln et al, (2014), asserts parental acceptance on the other hand

plays an important role in the mental health outcomes of preadolescents, if it is poorly managed

they are prone to feeling unworthy which may lead to depression (Laibel, 2017). Preadolescents

with positive parental acceptance portray more stable and social acceptable behavior such as

being sympathetic and emotionally aware of themselves and significant others. The problem has

been existing since 2008 but few academic papers have been developed to document and address

the problem. This study will examine the relationship between self-concept, parental acceptance

and depression among preadolescents in Kamwokya Parish, Kampala, Uganda.

Purpose

To establish the relationship between self-concept, parental acceptance and depression

among preadolescents in Uganda.

3
Objectives

i) To establish the relationship between parental acceptance and self-concept among

preadolescents

ii) To establish the relationship between self-concept and depression among preadolescents

iii) To establish the relationship between parental acceptance and depression among

preadolescents.

Scope

The study will be carried out from Kampala district. The area is chosen because of the

presence of specific aspects in preadolescents that are of interest and beneficial to the research.

That is exposed, knowledgeable and informed preadolescents.

In content, the study shall focus on the relationship between self-concept, parental

acceptance and, depression among preadolescents. The study shall last one year and will be

carried out in 2017, focusing on the period between 2010 and 2016.

Parental acceptance is parents’ responsiveness to children’s’ needs for control.

Self concept refers to cognitive, social construction that develops throughout life and is shaped

by the set of characteristics that are consciously assumed by the individual.

Depression is a mood disorder that that causes a persistent feeling of sadness and loss of interest

in handling your daily activities.

Significance of the study

It is expected that the findings of the study will provide salient information that will be

useful to many people and institutions in various ways, like parents, academicians, counselors,

local communities, researchers and government on how to help preadolescents cope with or

overcome depression.

4
 The findings will help enhance the counselors understanding of effects of parental

acceptance on preadolescents and thus improving their capacity to design appropriate

interventions.

The findings will also help as an uptake literature for social sciences and humanities

students on how to promote self concept in preadolescents which may have an impact on

parental acceptance in this group of children.

It will also improve on the aspect of parenting because today’s child is tomorrow’s parent

and break the cycle of re-current depression among preadolescents in the community.

The study will also be significant to the researcher as part of the requirements for the

award of Degree.

Conceptual Framework

Self-concept Obj. 2
Obj. 1

Obj. 3
Parental acceptance Depression

Figure 1: A conceptual framework for the relationship between self-concept, parental

acceptance and depression among preadolescents.

The framework shows that the independent variable (ID) is depression. The dependent variable

(DV) is the self concept. This study shall therefore hypothesize that parental acceptance among

preadolescents depends greatly on self concept which are influenced by depression.

5
 Section Two: Literature Review

Introduction

This chapter comprises the arguments and opinions of the earlier authors which are related to

parental acceptance, self-concept and depression among pre-adolescents. Literature reviewed in

this section is obtained from different secondary sources and discussed in themes related to the

objectives of the study. The major themes of this section are; theoretical review, depression,

parental acceptance, self-concept, parental acceptance and self-concept, self-concept and

depression and parental acceptance and depression among pre-adolescents.

Theoretical Framework

The study will be guided by the Parental Acceptance Rejection (PAR) theory which was

found by Rohner in 1960. Parental acceptance rejection (PAR) theory predicts that parental

rejection has consistent negative effects on the psychological adjustment and on behavioral

functioning of both children and adults worldwide. Parental acceptance-rejection sometimes has

significantly greater impact than maternal acceptance-rejection on offspring’s psychological

adjustment. Maternal and especially paternal acceptance always make significant contributions

to offspring’s psychological adjustment, even after controlling for a variety of psychological as

well as demographic factors (Rohner, 1975).

Emotional support from parents positively relates to identity achievement during

adolescence investigated the relationship between parental unconditional positive regard and

adult self-concept and found higher parental unconditional positive regard was related to higher

self-concept in both adult men and women. Low care, overprotective parenting style has been

found to be harmful to children’s self-concept and low self-concept negatively impacts one’s

psychological wellbeing and overall life satisfaction. Amato found that emotional closeness to

6
parents significantly predicted offspring happiness and life satisfaction with both mother and

father making unique contributions to offspring happiness and life satisfaction.

Self-concept is a term in psychology to reflect a person’s overall evaluation or appraisal

of his or her own worth. Parenting, and in particular parental involvement and closeness to

parents have been investigated as predictors of later psychological outcomes which are likely to

determine life satisfaction.

A lack of parental emotional support is associated with increased levels of depressive

symptoms and chronic health problem in adulthood. Sato found that individuals who view their

parents as overprotective and less caring, and tended to have depressive disorders as adults.

Western individualistic societies have identified many factors with parental rejection as

the strongest predictors. In Uganda there is so far no deal with the possible relationship between

paternal rejection and offspring’s self-concept and depression, even though they are future

contributors to the nation. According to above reviews and objectives it was hypothesized that

parental rejection will be negatively correlated with self-concept and depression (Rohner, 2005).

The aim of the present study is to investigate the relation of parental acceptance, self-

concept and depression among pre-adolescents.

Parental Acceptance and Self-Concept among Preadolescents

Tufail, Majeed & Khan, (2015) asserts that parental rejection creates low self-confidence

about themselves and whatever they do. This means that the rejected child tends to feel insecure

while taking even positive actions. From this psychologically painful early experience, the

rejected child develops a generalized negative world view. Children who have suffered

emotional hurt from parents - the most important people from whom they take their earliest cues

7
about the nature of the world are unlikely to develop a sense of trust and confidence in

themselves and the world around them.

Crockett, (2014) asserts that parents play an important and influential role in a child’s

development through providing emotional support as they interact with their offspring. This

interaction and related emotional relationship shape the child’s personality; thereby influencing

mental development. However, growing children may perceive parental behaviour as

maladaptive. Such perception of parenting behaviour as dysfunctional has long been viewed as

an important determinant of offspring psychopathology such as mood, anxiety, substance abuse

disorder and suicidal behaviour. This has also been found to be associated with lower self-

esteem, under-achievement and high psychological stress in children raised in such a

relationship. Suicidal behaviour as a psychosocial risk factor has been found to be closely linked

to dysfunctional or maladaptive parental behaviour in affected children (Khasakhala et al, 2013).

In support of the above, Thompson et al. (2014) asserts that children benefit when parents

have safe, stable and nurturing relationships. In contrast, children exposed to poor family

relationships and negative parenting behaviours are more likely to develop more internalizing

and externalizing problems. In China, traditional cultural norms lead to the tendency of parents

to use severe punishment, rejection, overprotection and other negative parenting practices,

including extreme behaviour in some cases, such as physical abuse. In addition, because of

socioeconomic factors, the number of ‘left-behind’ children (those aged < 18 years who have

been left behind at their original residences for ≥ 6 months while one or both parents migrate to

other areas to work) has increased annually. The lack of positive parenting had produced severe

mental health issues and social problems in affected youth in China.

8
 Parenting practices has an influence on pre-adolescents’ behavioural and emotional

problems which is bidirectional. Parental maltreatment and its outcomes affect the development

of parenting attitudes and practices. For example, negative behaviours of a child exposed to

physical abuse (e.g. screaming, resistance, hyperactivity, aggression, withdrawal) will lead to

more perceived parental rejection and punishment. Tufail et al, (2015) argued that chronic

parental rejection should be considered a core aspect of childhood emotional maltreatment.

Fortunately, some interventional measures have been shown to have positive effects on

behavioural problems and mental disorders in children and adolescents. Behaviourally oriented

parenting programs and parent-child interaction therapy are known to effectively increase

parenting skills, change parenting styles, and decrease the occurrence and severity of behavioural

problems in children (van Harmelen, et al, 2014).

Support and control which are two key dimensions of parental behavior have a great

effect on psychosocial well-being among pre-adolescents. Parental support is often considered as

a unidimensional construct, including parenting behaviors such as warmth, nurturance,

acceptance, and responsiveness. Crockett et al, (2014) repeatedly suggests that high level of

support was associated with lower level of adolescent delinquent and aggressive behavior, lower

levels of depressive symptoms, higher self-esteem and better grades. Instead, they express their

love and support through their efforts to control and govern their youngsters. Interestingly,

maternal support, which is believed to promote children’s well-being in Western culture, has

been found related to more problem behavior among Chinese boys (Xia et al., 2014) and more

relational aggression among Chinese girls after controlling for other parenting variables (Li,

Putallaz & Su, 2011).

9
Self-concept and Depression among preadolescents

The relation between depression and low self-esteem starts at very early ages. Depression

increases the negative emotional state and may lead to negative self-perception. A longitudinal

study by Soler, et al., (2013) indicates that an individual’s self-esteem does not show any

significant changes from adolescence to early adulthood. Willows, et al. (2013) claims that

global self-concept develops at very early ages and drops around age 11 and drops to the lowest

level at ages 12-13.

Stable self-concept is valuable in itself and seems to be strongly related to psychological

adjustment, happiness and welbeings ((Xiao et al., 2017). Maheswari & Julius, (2016) proposed

that self-concept seems to have two benefits, enhancing initiative and pleasant feelings. Thus

people with high self-esteem may be more prone to initiative interactions and relationships to

speak up in groups, and try harder in response to initial failure but they may also switch to

another strategy if the present seems unpromising. In addition, high self-concept seems to be

associated with high levels of happiness, and may also be associated with high levels of

resilience in the face of failure and stress, people with high self-esteem may be able to bounce

back faster than people with low self-concept.

Self-concept has been found to have a negative relationship with depression. Willows, et

al., (2013) proposed that low self-concept may lead to high risks of depression among pre-

adolescents. Because depression is one the common diseases affecting pre-adolescents, almost

15 – 20% of adolescents report considerably high levels of depressive symptoms.

10
Parental Acceptance and Depression among preadolescents.

Lincoln, (2014) asserts that authoritative parents are understanding but disciplined in

child development, on the other hand; authoritarian parents have a rigid, obedient, and insistent

style of discipline. Neglectful parents have inadequate interaction with their children and are

insensitive to their children’s needs. Indulgent parents are accepting, and support their children’s

autonomy. It is possible that authoritative, authoritarian, indulgent, and neglectful parenting

styles have different effects children’s emotions and behaviors. This effect may influence the

children’s everyday behaviors and even general life satisfaction. Satisfaction with life is

described as experiencing positive emotions more often and experiencing less negative emotions

and evaluating one’s life according to a criterion. High life satisfaction results in positive

experiences for an individual in a lot of ways. For instance, teenagers with high life satisfaction

may have consistent functionality and good mental health. Life satisfaction in children and

teenagers can be affected by various factors such as family, friendship, income, family

conformity and positive parental relations, family nonconformity and negative parental relations

(Levin, Dallago & Currie, 2012).

Crockett, (2014) found out that children’s depressive symptoms decreased when they

received positively increased emotional behavior from their mothers. While cordial parental

behavior is related to low levels of depression, hostile behavior could be related to high levels of

depression. Whereas, teenagers who have mothers that support autonomy, showed low

depression symptoms (Liem et al., 2010). In some situations, typical behavior patterns of the

parents may affect the children emotionally more than the parental behaviors. For instance, it is

possible that the children might also be depressed if there is a depressed parent in the household.

In a related study while both girls and boys showed depressive symptoms in a household with a

11
depressed mother, only girls showed signs of depressive symptoms with a depressed father

(Chen, Johnston, Sheeber, & Leve, 2009).

Regardless of age, children need parents. Indeed, across multiple studies, research

according to Nam, (2013) appears to show that the quality of the parent-pre-teen relationships is

linked to a wide range of positive outcomes, such as social competence and interaction,

emotional well-being and being well-adjusted with a corresponding decrease in problematic

behavior such as substance abuse, delinquency and sexual activity and is also related to positive

teen behaviors and academic outcomes. Therefore, parental involvement has been shown to be a

very important positive force in a child's life.

One important factor which leads to depression among pre-adolescents is the parental

rearing practices, which encompass parenting attitudes, behaviours and values regarding the

development of children. As the family is the main setting for children’s socialisation, parents’

rearing behaviours are essential for the development of children’s behaviour. Several studies

have investigated the influence of parenting style on the behaviour of children and

adolescents. Negative parenting practices, such as parental rejection, are associated with the

development of internalizing symptoms in children. The mechanisms underlying this association

are not understood fully; one possible explanation is that perceived parental rejection delays the

development of attachment and renders a child unwilling to accept parental values and beliefs.

Some psychiatric research has associated parental rejection with aggression, depression and

anxiety symptoms in children (Xiao et al., 2017).

Jones, et al (2014) pointed out that the major human problems are violence, crime, child

abuse, spousal. The five major functions of family – economics-productive, educational,

religious, recreational and medical have been taken out of the home environment to other

12
respective institutions away from home. The newer family functions are closely connected with

the provision of affection, support and nurturance to family members. Feelings of affection

among family members are generated through their daily relationships, which are built up from

the interactions that take place as a whole in the family unit.

Kim, (2017) found out that all human beings have a profound generalized need for

positive response (love, approval, warmth, affection) from the people who are important to us.

The bare minimum care that human beings must have for physical survival is not enough for

normal psychosocial development. The need for positive response is probably rooted in man’s

biological and evolutionary development, and is reinforced in the experience of infantile

instrumental dependency. The absence or significant withdrawal of warmth and affection is

sufficient to produce massive and predictable consequences for personality functioning.

Rejection inhibits or distorts aspects of normal personality functioning, such as feelings of

positive self-esteem and self-adequacy. All of us tend to view ourselves as we imagine

significant others view us, and if parents rejected us as children, we are likely to define ourselves

as unworthy of love and therefore as unworthy and inadequate human beings. In this way, we

develop a sense of overall negative self-evaluation.

Kim, et al. (2012) assert that the kind of love parents can give or withhold from their

children along with the consequences of parental love, warmth, and affection (i.e., acceptance)

are profound and generally productive of positive social and emotional health. Rejection is a

form of parental behavior characterized by the absence or withdrawal of warmth and affection.

Rejecting parents often dislike, disapprove of, or resent their children. However, greater

emphasis places on the absence of significant withdrawal of parental love (i.e., rejection),

because its effects are more immediately and conspicuously apparent than the effects of parental

13
acceptance. The withdrawal or absence of love by itself seems to be sufficient to produce stark

and often profoundly damaging consequences for growing children as well as for adults who

were rejected as children.

Hypotheses

Hypothesis 1
H01 There is no significant relationship between parental acceptance and self-concept among
preadolescents.
Ha1 There is a significant relationship between parental acceptance and self-concept among
preadolescents.

Hypothesis 2
H02 There is no significant relationship between self-concept and depression among
preadolescents.
Ha2 There is a significant relationship between self-concept and depression among
preadolescents.

Hypothesis 3
H03 There is no significant relationship between parental acceptance and depression among
preadolescents.
Ha3 There is a significant relationship between parental acceptance and depression among
preadolescents.

14
 Chapter Three: Research Methodology

This chapter will deal with the research design, sample size, population, research

instruments, and data management quality control, procedure and data analysis.

Research Design

The researcher will use a case study design and quantitative methods with the help of

questionnaires to collect data.

Population

The study will be carried out in central Kampala, from schools, churches, the general

community and mosques which are of Kampala district. Respondents will preadolescents.

Sample selection

The researcher will use 120 respondents. All preadolescents of ages between 11 and 13

years will be selected using the purposive sampling technique because it is convenient for the

researcher as she will be staying at home and walking to the research field. Therefore, transport

expenses will be minimized.

Research Instruments

The needed information will be obtained by using questionnaires which will be both open

and closed ended designed and administered to respondents.

Research Procedure

The researcher will obtain an introductory letter from Makerere University, school of

psychology. This letter will introduce me to the respondents and explain to the respondents how

to answer the questions. When all this is done, the researcher will agree with the respondents on

the time for the distribution of questionnaires and when to collect them. After completion, the

15
researcher will collect the filled questionnaires and computing will follow. As for observation,

the researcher herself will observe the preadolescents.

Data Collection

The researcher before going to the field will draft a proposal on the research topic “Self-

concept, Parental Acceptance and Depression among preadolescents.” A case Study of

preadolescents” which will guide her to compile the research report. Data will be collected by the

use of questionnaire techniques. The research investigation will involve obtaining information

from respondents.

Data Quality Control

This will involve maximizing the validity and reliability of instruments used and these

will be measured as follows;

Validity of the instruments

Validity is the extent to which the instruments used during the study measure the issues

they are intended to measure (Amin, 2005). The researcher will ensure the validity of the

instruments by developing questionnaires under close guidance of my supervisor and later test

them on a tenth of the respondents in the sample. This will help to identify ambiguous questions

in the instrument and then be able to align them to the objectives.

Reliability of instruments

Reliability is the measure of the degree to which instrument yields consistent results or

data after repeated results [cronbrach, 1953]. In this study quality control will be done by caring

out a test of the questionnaire on 10 respondents using Cronbrach’s Alpha coefficient.

16
Data Management

The research questionnaire will measure variables of self-concept, parental acceptance

and rejection and depression. The responses will be coded as: Strongly agree (SA) =1, Agree (A)

=2, Neutral (N)= 3; Disagree (D) =4, and Strongly disagree (SD) =5.

Data Analysis

In trying to analyze and interpret the raw data which will be collected, the researcher will

first rank all the ideas and information got according to the set objectives. After tallying them,

the researcher will use statistical percentages in tables and graphs to explain some of the

information given. Data will be analyzed by SPSS data analysis package. The results will be

presented in from of tables and graphs. For flexibility and to obtain factual information from

these selected respondents, the research will use questionnaire.

Limitations

- Over confidentiality among the respondents

- There may be difficulty in getting information from the respondents because of fear to

open up due to the fact that to many, it may be their first time to meet with the researcher

- The researcher plans to clearly introduce herself to the respondents with a Letter of

introduction from the University.

17
 References

Crockett, J. E. (2014). Investigating the relationships among breathing, attachment, and

emotion-regulation. The University of North Carolina at Greensboro.

Ellis, B. H., & Alisic, E. (2013). Maternal Emotion Coaching: A Protective Factor for

Traumatized Children's Emotion Regulation?. Journal of Child & Adolescent

Trauma, 6(2), 118-125.

Jones, L., Hastings, R. P., Totsika, V., Keane, L., & Rhule, N. (2014). Child behavior problems

and parental well-being in families of children with autism: The mediating role of

mindfulness and acceptance. American journal on intellectual and developmental

disabilities, 119(2), 171-185.

Khasakhala, L. I., Ndetei, D. M., Mathai, M., & Harder, V. (2013). Major depressive disorder in

a Kenyan youth sample: relationship with parenting behavior and parental psychiatric

disorders. Annals of general psychiatry, 12(1), 15.

Kim, E., Boutain, D., Kim, S., Chun, J. J., & Im, H. (2017). Integrating Faith-based and

Community-based Participatory Research Approaches to Adapt the Korean Parent

Training Program. Journal of pediatric nursing, 37, 70-78.

Kim, E., Im, H., Nahm, E., & Hong, S. (2012). Korean American parents’ reconstruction of

immigrant parenting in the United States. Journal of cultural diversity, 19(4), 124.

Li, Y., Putallaz, M., & Su, Y. (2011). Interparental conflict styles and parenting behaviors:

Associations with overt and relational aggression among Chinese children. Merrill-

Palmer Quarterly, 57, 402-428.

Lincoln, C. R. (2014). Mother-child interactions and emotion regulation in preschool children.

18
Maheswari, M. R., & Julius, S. H. (2016). Physical self-concept and physical activity of

overweight adolescent girls. Indian Journal of Health & Wellbeing, 7(4).

Merchant, E. K. (2018). An Exploration of the Impact of Attachment, Parental Meta-Emotion,

and Emotion Regulation in Adoptive Families. The University of North Carolina at

Greensboro.

Nam, G. Y. (2013). Associated factors with depressive symptoms and substance use among

Korean American adolescents (Doctoral dissertation).

Raiffe, D. E., & Murphy, T. P. (2016). The Role of Attachment on Adult Attitudes Toward

Interacting With Children. Psi Chi Journal of Psychological Research, 21(3).

Rohner, R. P., Khaleque, A., & Cournoyer, D. E. (2005). Parental acceptance‐rejection: Theory,

methods, cross‐cultural evidence, and implications. Ethos, 33(3), 299-334.

Rohner, R.P. (1975). They love me, they love me not: A worldwide study of the effects of parental

acceptance and rejection. New Haven, CT: HRAF Press.

Soares, J., Barbosa Ducharne, M., Palacios González, J., & Pacheco, A. (2017). Adopted

children’s emotion regulation: The role of parental attitudes and communication about

adoption. Psicothema, 29 (1), 49-54.

Soler, L., Kirchner, T., Paretilla, C., & Forns, M. (2013). Impact of poly-victimization on mental

health: The mediator and/or moderator role of self-esteem. Journal of interpersonal

violence, 28(13), 2695-2712.

Thompson R, Jones DJ, Litrownik AJ, et al. (2014). Linking mother and youth parenting

attitudes: Indirect effects via maltreatment, parent involvement, and youth functioning.

Child Maltreat. 2014;19(3–4):233–246.

19
Tufail, H., Majeed, S., & Khan, A. Q. (2015). Perceived Parental Acceptance-Rejection and Its

Relation with Depression and Self Esteem in Patients with Substance Abuse

Disorder. Journal of Pakistan Psychiatric Society, 12(2).

van Harmelen A-L, Hauber K, Moor BG, et al. (2014), Childhood emotional maltreatment

severity is associated with dorsal medial prefrontal cortex responsivity to social

exclusion in young adults. Plos One. 2014;9(1): e85107.

Willows, N. D., Ridley, D., Raine, K. D., & Maximova, K. (2013). High adiposity is associated

cross-sectionally with low self-concept and body size dissatisfaction among indigenous

Cree schoolchildren in Canada. BMC pediatrics, 13(1), 118.

Xia, Y., Wang, C., Li, W., Wilson, S., Bush, K., & Peterson, G. (2014). The associations among

parental behaviors, adolescent school adjustment, depression and problem behavior in

Chinese adolescents. Manuscript in preparation.

Xiao, B., Liu, J., Gong, J., & Luo, X. (2017). Perceived parental rejection mediates the effects of

previous maltreatment on emotional and behavioural outcomes in Chinese adolescents

whereas mental illness has no moderating effect. South African journal of

psychiatry, 23(1).

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