University of Central Florida University of Central Florida STARS STARS HIM 1990-2015 2014 The Relationship Between Parenting Styles, Acculturation, The Relationship Between Parenting Styles, Acculturation, Individuation, and Mental Health in Arab American Adults Individuation, and Mental Health in Arab American Adults Mira Atia University of Central Florida Part of the Psychology Commons Find similar works at: https://stars.library.ucf.edu/honorstheses1990-2015 University of Central Florida Libraries http://library.ucf.edu This Open Access is brought to you for free and open access by STARS. It has been accepted for inclusion in HIM 1990-2015 by an authorized administrator of STARS. For more information, please contact [email protected]. Recommended Citation Recommended Citation Atia, Mira, "The Relationship Between Parenting Styles, Acculturation, Individuation, and Mental Health in Arab American Adults" (2014). HIM 1990-2015. 1631. https://stars.library.ucf.edu/honorstheses1990-2015/1631
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University of Central Florida University of Central Florida
STARS STARS
HIM 1990-2015
2014
The Relationship Between Parenting Styles, Acculturation, The Relationship Between Parenting Styles, Acculturation,
Individuation, and Mental Health in Arab American Adults Individuation, and Mental Health in Arab American Adults
Mira Atia University of Central Florida
Part of the Psychology Commons
Find similar works at: https://stars.library.ucf.edu/honorstheses1990-2015
University of Central Florida Libraries http://library.ucf.edu
This Open Access is brought to you for free and open access by STARS. It has been accepted for inclusion in HIM
1990-2015 by an authorized administrator of STARS. For more information, please contact [email protected].
Recommended Citation Recommended Citation Atia, Mira, "The Relationship Between Parenting Styles, Acculturation, Individuation, and Mental Health in Arab American Adults" (2014). HIM 1990-2015. 1631. https://stars.library.ucf.edu/honorstheses1990-2015/1631
Finally, as may be seen in Table 3, overall acculturation was correlated negatively with
AArC, r = -.841, p < .01, but not correlated significantly with AAmC (r = .16, p = n.s.). Also,
because time lived in a culture has been shown to influence acculturation (Schwartz, Pantin,
Sullivan, Prado, & Szapocznik, 2006), this demographic variable also was evaluated in relation
to the measures of interest in the above analyses. However, the number of years lived in the
United States was not correlated significantly with overall acculturation, AAmc, or AArC.
Table 3: Correlations between the number of years lived in the U.S., ARSAA-II, AAmc, AArC.
Correlations
Years ARSAA-II AAmC AArC
Years Pearson Correlation -- -- -- --
Sig. (2-tailed) -- -- --
ARSAA-II Pearson Correlation .205 -- -- --
Sig. (2-tailed) .360 -- --
AAmC Pearson Correlation .335 .158 -- --
Sig. (2-tailed) .128 .481 --
AArC Pearson Correlation -.007 -.838** .404 --
Sig. (2-tailed) .976 .000 .062
**. Correlation is significant at the 0.01 level (2-tailed).
20
DISCUSSION
The purpose of this study was to investigate the influence of parenting styles on mental
health in Arab American populations. The findings did not show a significant correlation
between any of the three parenting styles (authoritarian, permissive, and authoritative) and
overall mental health. The results also did not indicate that parent-child psychological
connectedness was associated with mental health. Similar studies (Dwairy, 2004; Dwairy &
Menshar, 2006) using Arab samples in Israel and Egypt showed no correlation between
authoritarian parenting and mental health. However, these studies revealed a relationship
between authoritative parenting and mental health as well as parent-child connectedness. It may
be that the sample in the current investigation was more homogenous and not a true
representation of this population in that mental health data showed right skewness. Having a
small sample size may have also hindered our ability to detect a relationship between these two
variables. This may also be due to participants’ tendency to report favorable information or in
this case omitting psychopathology. Yet another possibility is that this sample lacked an accurate
representation of authoritativeness. The average authoritativeness level reported for this study
was 32.54, much lower than the 37.11 reported for a study done using Arab adolescents in eight
Arab countries (Dwairy, Achoui, Abouserie, & Farah, 2006).
The high correlation between permissiveness and authoritativeness points to the fact that
parents rarely adhere strictly to one parenting style. Also, the negative correlation between
authoritativeness and authoritarianism further supports the idea that these two styles of parenting
21
make use of different types of control, confrontive control in authoritativeness, and coercive
control in authoritarianism. Overall, the relationships among the three parenting styles resembled
findings among American samples (Buri, 1989; Hill, 1995; Smetana, 1995) and could suggest an
aspect of universality to Baumrind’s parenting styles.
Moreover, participants reported lower emotional connectedness to their parents than Arab
adolescents living with their parents in their native countries and even more than that found in
previous research using American participants (Dwairy, Achoui, Abouserie, & Farah, 2006).
This also may be explained by participant bias. Young adults with a high attraction to American
culture (as in this sample) may view individuation as an essential and favorable characteristic,
thus reporting a lower than usual emotional connectedness level. This may also be a result of all
participants not living at home, and so not being as connected, psychologically or otherwise, to
their parents as would young adults living at home.
The number of years lived in the U.S. did not correlate with the level of overall
acculturation nor with attraction to American culture. It may be that those who choose to leave
their native countries and migrate to the U.S. already were attracted to American culture and so
reported higher scores on the AAmC scale regardless of number of years spent in the U.S. This is
indicated by the left skewness and the restricted range of the distribution of attraction to
American culture data. In addition, the overall acculturation score (linear acculturation) was
correlated with attraction to Arabic culture, but not with Attraction to American culture.
22
Limitations
Some of the limiting factors of this study include: a small sample size and a low
participation rate, the use of convenience sampling, possible participant bias, the administration
of parenting questionnaires to the children rather than the parents, and having a sample of
participants who no longer lived at home with their parents. The small sample size and low
participation rate may have been due to limiting the recruiting to only local Arab communities,
and future research might sample more broadly across Florida or the United States generally. In
addition, the time required to complete the surveys was extensive, and many participants
expressed a concern about this factor. Many participants also expressed discomfort with
answering the questions in the survey despite being reassured of anonymity. Such discomfort
renders the possibility of participant bias leading to homogeneity in underreporting of
psychopathology.
Another important factor is obtaining parenting information through the children rather
than the parents themselves. This may have affected the accuracy of the data reported regarding
parenting styles. In addition, this study included adults who no longer lived with their parents,
and it is likely that those who continue to live in the same parenting environment during early
adulthood exhibit different levels of individuation and mental health.
Future research should strive to get a representative sample and address the
apprehensions of Arab American participants regarding participating in research about personal
life matters. It also should investigate parenting behaviors through the parents’ perspective.
23
Future studies also should investigate the role of socioeconomic status and explore whether
adults who live at home yield different data than those who do not.
Implications
Although there are major limitations to the current study, there also are implications
useful to clinicians as well as for future research. The low participation rate and discomfort
expressed by participants and those who were not willing to participate suggests that different
methods should be employed in studying and serving Arab Americans and perhaps similar
collectivist populations. The findings as well as feedback received from participants point to the
private nature of this population and the possibility of participant bias. Researchers as well as
clinicians need to be aware of this phenomenon when dealing with this population, striving to
reassure them of anonymity and providing a supportive and accepting environment. Also, it is
important for researchers and clinicians to be understanding of the cultural preference of
authoritarianism in this population.
24
APPENDIX A: IRB APPROVAL LETTER
25
University of Central Florida Institutional Review Board Office of Research & Commercialization
12201 Research Parkway, Suite 501 Orlando, Florida 32826-3246
Telephone: 407-823-2901 or 407-882-2276
www.research.ucf.edu/compliance/irb.html
Approval of Exempt Human Research
From: UCF Institutional Review Board #1 FWA00000351, IRB00001138 To: Kimberly D. Renk and Co-PI: Mira Atia Date: February 25, 2014 Dear Researcher: On 2/25/2014, the IRB approved the following activity as human participant research that is exempt from
regulation: Type of Review: Exempt Determination
Project Title: The Relationship Between Parenting Style, Acculturation, Individuation, and Mental Health in Arab American Emerging
Adults Investigator: Kimberly D Renk
IRB Number: SBE-14-10011 Funding Agency:
Grant Title: Research ID: N/A
This determination applies only to the activities described in the IRB submission and does not apply should any
changes be made. If changes are made and there are questions about whether these changes affect the exempt
status of the human research, please contact the IRB. When you have completed your research, please submit a
Study Closure request in iRIS so that IRB records will be accurate. In the conduct of this research, you are responsible to follow the requirements of the Investigator Manual. On behalf of Sophia Dziegielewski, Ph.D., L.C.S.W., UCF IRB Chair, this letter is signed by: Signature applied by Joanne Muratori on 02/25/2014 02:45:57 PM EST
IRB Coordinator
Page 1 of 1
26
APPENDIX B: DEMOGRAPHIC QUESTIONNAIRE
27
Demographics
Age:
Gender:
1. In which country were you born? ___________________________________________.
a. If not the U.S., how long have you been living in the U.S.?___ years.
2. Father’s country of birth: __________________________________________________.
3. Mother’s country of birth: _________________________________________________.
4. Do you currently live with your parent(s)? ___ Yes. ___ No.
28
APPENDIX C: PARENTAL AUTHORITY QUESTIONNAIRE
29
PAQ
Instructions: For each of the following statements, circle the number on the 5-point scale (1=
Strongly Disagree, 5 = Strongly Agree) that best describes how that statement applies to you and
your parents. Try to read and thing about each statement as it applies to you and your parents
during your years of growing up at home. There are no right or wrong answers, so don’t spend a
lot of time on any one item. We are looking for your overall impression regarding each
statement. Be sure not to omit any items.
Strongly
Disagree Disagree
Neither
Agree
Nor
Disagree
Agree Strongly
Agree
1. While I was growing up my parents felt
that in a well-run home the children
should have their way in the family as
often as the parents do.
1 2 3 4 5
2. Even if their children didn’t agree with
them, my parents felt that it was for our
own good if we were forced to conform
to what they thought was right.
1 2 3 4 5
3. Whenever my parents told me to do
something as I was growing up, they
expected me to do it immediately without
asking any questions.
1 2 3 4 5
30
4. As I was growing up, once family policy
had been established, my parents
discussed the reasoning behind the police
with the children in the family.
1 2 3 4 5
5. My parents have always encouraged
verbal give-and-take whenever I felt that
family rules and restrictions were
unreasonable.
1 2 3 4 5
6. My parents have always felt that what
children need is to be free to make up
their own minds and to do what they
want to do, even if this does not agree
with what their parents might want.
1 2 3 4 5
7. As I was growing up my parents did not
allow me to question any decision they
had made.
1 2 3 4 5
8. As I was growing up my parents
directed the activities and decisions of
the children in the family through
reasoning and discipline.
1 2 3 4 5
9. My parents have always felt that more
force should be used by parents in
order to get their children to behave
the way they are supposed to.
1 2 3 4 5
10. As I was growing up my parents did
not feel that I needed to obey rules and
regulations of behavior simply because
someone in authority had established
them.
1 2 3 4 5
11. As I was growing up I knew what my
parents expected of me in my family,
but I also felt free to discuss those
expectations with my parents when I
felt that they were unreasonable.
1 2 3 4 5
31
12. My parents felt that wise parents
should teach their children early just
who is boss in the family.
1 2 3 4 5
13. As I was growing up, my parents
seldom gave me expectations and
guidance for my behavior.
1 2 3 4 5
14. Most of the time as I was growing up
my parents did what the children in the
family wanted when making family
decisions
1 2 3 4 5
15. As the children in my family were
growing up, my parents consistently
gave us direction and guidance in
rational and objective ways.
1 2 3 4 5
16. As I was growing up my parents would
get very upset if I tried to disagree with
her.
1 2 3 4 5
17. My parents feel that most problems in
society would be solved if parents
would not restrict their children’s
activities, decisions, and desires as
they are growing up.
1 2 3 4
5
18. As I was growing up my parents let me
know what behavior they expected of
me, and if I didn’t meet those
expectations, they punished me.
1 2 3 4 5
19. As I was growing up my parents
allowed me to decide most things for
myself without a lot of direction from
her.
1 2 3 4 5
20. As I was growing up my parents took
the children’s opinions into
consideration when making family
decisions, but they would not decide
for something simply because the
children wanted it.
1 2 3 4 5
32
21. My parents did not view themselves as
responsible for directing and guiding
my behavior as I was growing up.
1 2 3 4 5
22. My parents had clear standards of
behavior for the children in our home
as I was growing up, but they were
willing to adjust those standards to the
needs of each of the individual
children in the family.
1 2 3 4 5
23. My parents gave me direction for my
behavior and activities as I was
growing up and they expected me to
follow their direction, but they were
always willing to listen to my concerns
and to discuss that direction with me.
1 2 3 4 5
24. As I was growing up my parents
allowed me to form my own point of
view on family matters and they
generally allowed me to decide for
myself what I was going to do.
1 2 3 4 5
25. My parents has always felt that most
problems in society would be solved if
we could get parents to strictly and
forcibly deal with their children, when
they don’t do what they are supposed
to as they are growing up.
1 2 3 4 5
26. As I was growing up my parents often
told me exactly what they wanted me
to do and how they expected me to do
it.
1 2 3 4 5
27. As I was growing up my parents gave
me clear directions for my behaviors
and activities, but they was also
understanding when I disagreed with
her.
1 2 3 4 5
33
28. As I was growing up, my parents did
not direct the behaviors, activities, and
desires of the children in the family.
1 2 3 4 5
29. As I was growing up I knew what my
parents expected of me in the family
and they insisted that I conform to
these expectations simply out of
respect for her authority.
1 2 3 4 5
30. As I was growing up, if my parents
made a decision in the family that hurt
me, they were willing to discuss that
decision with me and to admit it if they
had made a mistake.
1 2 3 4 5
34
APPENDIX D: MULTIGENERATIONAL INTERCONNECTEDNESS
SCALE
35
MIS
Instructions: For each of the following statements, circle the number on the 7-point scale (0=
Never, 6 = Almost Always) that best describes how that statement applies to you.
1. I feel upset when
family members do
not approve of
people I am
intimate with.
0 1 2 3 4 5 6
2. I feel guilty about
continuing a
relationship with
someone family
members do not
like.
0 1 2 3 4 5 6
3. When . . . family
member
disapproves
something I have
done, I feel obliged
to change . . .
0 1 2 3 4 5 6
4. I rely on family
members’ approval
to let me know I am
doing things right.
0 1 2 3 4 5 6
5. I feel obliged to
spend time with
family.
0 1 2 3 4 5 6
36
6. If I did not follow
advice that a family
member offered, I
would feel guilty.
0 1 2 3 4 5 6
7. I feel guilty when I
do not take the side
of a family member
in a disagreement
with others.
0 1 2 3 4 5 6
8. When family
members ask me to
do certain things, I
feel guilty when I
have to say no.
0 1 2 3 4 5 6
9. I become upset
when family
members criticize
my behavior.
0 1 2 3 4 5 6
10. I ask whether or not
family members
approve of people I
am intimate with.
0 1 2 3 4 5 6
11. I feel obliged to
stop associating
with friends my
family members do
not like.
0 1 2 3 4 5 6
12. When I am told I
have done
something which
hurt other family
members I feel
guilty.
0 1 2 3 4 5 6
13. I become upset at
the thought of
telling a family
member they are
interfering in my
life.
0 1 2 3 4 5 6
37
14. There are certain
things I do for
members of my
family because I
have an obligation
to.
0 1 2 3 4 5 6
15. I choose friends
that family
members will like
and feel
comfortable with.
0 1 2 3 4 5 6
38
APPENDEX E: ACCULTURATION RATING SCALE FOR ARAB
AMERICANS II
39
Acculturation Rating Scale for Arab Americans II (ARSAA II)
Circle the number that best describes your response to each of the items below
No. Item
Not
at
all
Very
little or
not very
often
Moderately
Much
or
very
often
Extremely
often or
almost
always
1. I speak Arabic
1 2 3 4 5
2. I speak English
1 2 3 4 5
3. I enjoy speaking Arabic
1 2 3 4 5
4. I associate with Americans
1 2 3 4 5
5. I associate with Arabs or
Arab Americans 1 2 3 4 5
6. I enjoy listening to Arabic
language music 1 2 3 4 5
7. I enjoy listening to English
language music 1 2 3 4 5
8. I enjoy Arabic TV
1 2 3 4 5
9. I enjoy English language
TV (American TV) 1 2 3 4 5
10. I enjoy English language
movies
(American movies) 1 2 3 4 5
11. I enjoy Arabic language
movies (Arabic movies) 1 2 3 4 5
12. I enjoy reading e.g., books
in Arabic 1 2 3 4 5
13. I enjoy reading e.g., books
in English 1 2 3 4 5
40
14. I write (e.g., letters, notes)
in
Arabic
1 2 3 4 5
15. I write (e.g., letters, notes)
in
English
1 2 3 4 5
16. My thinking is done in
English language 1 2 3 4 5
17. My thinking is done in
Arabic language 1 2 3 4 5
18. My contact with my home
country has been 1 2 3 4 5
19. My contact with the
U.S.A. has been 1 2 3 4 5
20. My father identifies or
identified himself as An
Arab
1 2 3 4 5
21. My mother identifies or
identified herself as an
Arab
1 2 3 4 5
22. My friends, while I was
growing up, where of
Arabic origin
1 2 3 4 5
23. My friends, while I was
growing up, where of
American origin
1 2 3 4 5
24. In my family, we cook
Arabic foods 1 2 3 4 5
25. My friends now are of
Anglo origin
(Americans)
1 2 3 4 5
26. My friends now are of
Arabic origin
(Arabs)
1 2 3 4 5
27. I like to identify myself as
a White
American
1 2 3 4 5
41
28. I like to identify myself as
an
Arab American
1 2 3 4 5
29. I like to identify myself as
an Arab
1 2 3 4 5
30. I like to identify myself as
an
American
1 2 3 4 5
42
APPENDIX F: SYMPTOM CHECKLIST 90
43
SCL-90
Below is list of problems and complaints that people have. Please read each one carefully. After you have
done so, please fill in the number (0 to 4, see below) which best describes how much that problem has
bothered or distressed you during the past 4 weeks including today. Choose only one number for each
problem and do not skip any items. If you change your mind, erase your first answer and fill in the new
one.
How much were you bothered or distressed over the past 4 weeks by:
Not at
All
A Little
Bit Moderately
Quite A
Bit Extremely
1. Headaches 0
1
2
3
4
2. Nervousness or
shakiness
inside
0
1
2
3
4
3. Unwanted
thoughts or
ideas that won’t
leave your head
0
1
2
3
4
4. Faintness or
dizziness
0
1
2
3
4
5. Loss of sexual
interest or
pleasure
0
1
2
3
4
6. Feeling critical
of others
0
1
2
3
4
7. The idea that
someone else
can control
your thoughts
0
1
2
3
4
8. Feeling others
are to blame
for most of
your troubles
0
1
2
3
4
44
9. Trouble
remembering
things
0
1
2
3
4
10. Worried
about
sloppiness or
carelessness
0
1
2
3
4
11. Feeling
easily
annoyed or
irritated
0
1
2
3
4
12. Pains in heart
or chest
0
1
2
3
4
13. Feeling afraid
in open spaces
or on the street
0
1
2
3
4
14. Feeling low in
energy or
slowed down
0
1
2
3
4
15. Thoughts of
ending life
0
1
2
3
4
16. Hearing
voices that
other people
do not hear
0
1
2
3
4
17. Trembling 0
1
2
3
4
18. Feeling that
most
people
cannot be
trusted
0
1
2
3
4
19. Poor
appetite
0
1
2
3
4
20. Crying
easily
0
1
2
3
4
45
21. Feeling shy or
uneasy with the
opposite sex
0
1
2
3
4
22. Feeling of
being trapped
or caught
0
1
2
3
4
23. Suddenly
scared for no
reason
0
1
2
3
4
24. Temper
outbursts that
you could not
control
0
1
2
3
4
25. Feeling afraid
to go out of
your house
alone
0
1
2
3
4
26. Blaming
yourself
for things
0
1
2
3
4
27. Pains in lower
back
0
1
2
3
4
28. Feeling blocked
in getting things
done
0
1
2
3
4
29. Feeling
lonely
0
1
2
3
4
30. Feeling
blue
0
1
2
3
4
31. Worrying
too much
about things
0
1
2
3
4
32. Feeling
no
interest in
things
0
1
2
3
4
46
33. Feeling fearful 0
1
2
3
4
34. Your feelings
being easily
hurt
0
1
2
3
4
35. Other people
being aware
of your
private
thoughts
0
1
2
3
4
36. Feeling others
do no
understand
you or are
unsympathetic
0
1
2
3
4
37. Feeling
that people
are
unfriendly
0
1
2
3
4
38. Having to do
things very
slowly
0
1
2
3
4
39. Heart pounding
or racing
0
1
2
3
4
40. Nausea or upset
stomach
0
1
2
3
4
41. Feeling inferior
to others
0
1
2
3
4
42. Soreness of
your muscles
0
1
2
3
4
43. Feeling that
you are
watched or
talked about by
others
0
1
2
3
4
44. Trouble falling
asleep
0
1
2
3
4
47
45. Having to
check and
double check
what you do
0
1
2
3
4
46. Difficulty
making
decisions
0
1
2
3
4
47. Feeling afraid
to travel on
bussed,
subways or
trains
0
1
2
3
4
48. Trouble getting
your breath
0
1
2
3
4
49. Hot or cold
spells
0
1
2
3
4
50. Having to avoid
certain things,
places or
activities
0
1
2
3
4
51. Your mind
going blank
0
1
2
3
4
52. Numbness
or
tingling in parts
of your body
0
1
2
3
4
53. A lump in your
throat
0
1
2
3
4
54. Feeling
hopeless about
the future
0
1
2
3
4
55. Trouble
concentrating
0
1
2
3
4
56. Feeling weak in
parts of your
body
0
1
2
3
4
48
57. Feeling tense or
keyed up
0
1
2
3
4
58. Heavy
feelings in
your arms or
legs
0
1
2
3
4
59. Thoughts of
death or dying
0
1
2
3
4
60.
Overeating
0
1
2
3
4
61. Feeling uneasy
when people
are watching
or talking
about you
0
1
2
3
4
62. Having
thoughts that
are not your
own
0
1
2
3
4
63. Having urges
to beat, injure
or
harm someone
0
1
2
3
4
64. Awakening
in the early
morning
0
1
2
3
4
65. Having to
repeat the same
actions such as
touching,
counting,
washing
0
1
2
3
4
66. Sleep that is
restless or
disturbed
0
1
2
3
4
67. Having urges
to break or
smash things
0
1
2
3
4
49
68. Having ideas or
beliefs that
others do not
share
0
1
2
3
4
69. Feeling very
self-
conscious
with others
0
1
2
3
4
70. Feeling
uneasy in
crowds such
as shopping
or at a movie
0
1
2
3
4
71. Feeling
everything is
an effort
0
1
2
3
4
72. Spells of terror
or panic
0
1
2
3
4
73. Feeling
uncomfortable
about eating
or drinking in
public
0
1
2
3
4
74. Getting into
frequent
arguments
0
1
2
3
4
75. Feeling
nervous when
you are left
alone
0
1
2
3
4
76. Others not
giving you
proper credit
for your
achievements
0
1
2
3
4
77. Feeling lonely
even when you
0
1
2
3
4
50
are with
people
78. Feeling so
restless you
couldn’t sit
still
0
1
2
3
4
79. Feeling of
worthlessness
0
1
2
3
4
80. Feeling that
familiar
things are
strange or
unreal
0
1
2
3
4
81. Shouting or
throwing things
0
1
2
3
4
82. Feeling afraid
you will faint in
public
0
1
2
3
4
83. Feeling that
people will
take advantage
of
you if you let
them
0
1
2
3
4
84. Having
thoughts about
sex that bother
you a lot
0
1
2
3
4
85. The idea that
you should be
punished for
your sins
0
1
2
3
4
86. Feeling
pushed to get
things done
0
1
2
3
4
51
87. The idea that
something
serious is
wrong with
your body
0
1
2
3
4
88. Never feeling
close to another
person
0
1
2
3
4
89. Feelings of
guilt
0
1
2
3
4
90. The idea that
something is
wrong with
your mind
0
1
2
3
4
52
REFERENCES
Arnett, J. J., & Tanner, J. L. (Eds.). (2006). Emerging adults in America: Coming of age in the
21st century. Washington, DC: American Psychological Association
Barber, B. K., & Harmon, E. (2002). Violating the self: Parental psychological control of
children and adolescents. In B. K. Barber (Ed.), Intrusive parenting: How psychological
control affects children and adolescents (pp. 15-52). Washington, DC US: American
Psychological Association. doi:10.1037/10422-002
Baumrind, D. (1966). Effects of authoritative parental control on child behavior. Child
Development, 887-907.
Baumrind, D. (1967). Child care practices anteceding three patterns of preschool