ORIGINAL PAPER
The moderating role of self-efficacy in the relationship between parentification and perceived stress among adolescents from socioeconomically disadvantaged regions in Vietnam
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1
Faculty of Psychology, University of Social Sciences and Humanities, Vietnam National University, Hanoi, Vietnam
2
Faculty of Sociology and Social Work, University of Social Sciences and Humanities, Vietnam National University, Hanoi, Vietnam
These authors had equal contribution to this work
Submission date: 2026-01-06
Final revision date: 2026-03-25
Acceptance date: 2026-05-19
Online publication date: 2026-07-01
Corresponding author
Thuy B. Luong
Faculty of Sociology and Social Work, University of Social Sciences and Humanities, Vietnam National University, Hanoi, Vietnam
KEYWORDS
TOPICS
ABSTRACT
Background:
Parentification, in which children assume adult-like caregiving and household responsibilities, is common in socioeconomi-cally disadvantaged contexts and has been linked to increased psychological stress among adolescents. However, the role of individual protective factors, particularly self-efficacy, in buffering this relationship remains underexplored in the Vietnam-ese sociocultural context. This study examined the association between parentification and perceived stress and investigated the moderating role of self-efficacy among adolescents living in socioeconomically disadvantaged regions of Vietnam.
Participants and procedure:
A cross-sectional survey was conducted with 825 adolescents (grades 6-12) recruited from secondary and high schools in two socioeconomically disadvantaged regions of Vietnam (a northern mountainous area and a central lowland area). Partic-ipants completed the Parentification Inventory, the Perceived Stress Scale (PSS-10), and the General Self-Efficacy Scale (GSE-10). Data were analyzed using Pearson correlations and hierarchical regression analyses with moderation testing via the PROCESS macro.
Results:
Parentification was positively associated with perceived stress (r = .22, p < .05) and self-efficacy (r = .44, p < .05).
Hierarchical regression analyses showed that parentification significantly predicted higher perceived stress (B = 0.11, p < .001). Self-efficacy was also positively associated with perceived stress and moderated the relationship between parenti-fication and perceived stress (interaction B = −0.01, p < .001), such that the association between parentification and per-ceived stress was weaker among adolescents with higher self-efficacy.
Conclusions:
The findings highlight the dual role of self-efficacy among parentified adolescents in socioeconomically disadvantaged con-texts, functioning both as a psychological resource and a potential source of strain. Interventions should aim to strengthen healthy self-efficacy while reducing excessive caregiving burdens to promote adolescents’ psychological well-being.
REFERENCES (59)
1.
Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.
2.
Borchet, J., Lewandowska-Walter, A., & Rostowska, T. (2016). Parentification in late adolescence and selected fea-tures of the family system. Health Psychology Report, 4, 116–127.
https://doi.org/10.5114/HPR.20....
3.
Borchet, J., Lewandowska-Walter, A., Połomski, P., Peplińska, A., & Hooper, L. (2020). We are in this together: Retrospective parentification, sibling relationships, and self-esteem. Journal of Child and Family Studies, 29, 2982–2991.
https://doi.org/10.1007/s10826....
4.
Burton, L. (2007). Childhood adultification in economically disadvantaged families: a conceptual model. Family Relations, 56, 329–345.
https://doi.org/10.1111/J.1741....
5.
Byng-Hall, J. (2002). Relieving parentified children’s burdens in families with insecure attachment patterns. Family Process, 41, 375–388.
https://doi.org/10.1111/J.1545....
6.
Chee, L., Goh, E., & Kuczynski, L. (2014). Oversized loads: Child parentification in low-income families and under-lying parent-child dynamics. Families in Society, 95, 204–212.
https://doi.org/10.1606/1044-3....
7.
Cherewick, M., Lama, R., Rai, R., Dukpa, C., Mukhia, D., Giri, P., & Matergia, M. (2024). Social support and self-efficacy during early adolescence: Dual impact of protective and promotive links to mental health and wellbe-ing. PLoS Global Public Health, 4, e0003904.
https://doi.org/10.1371/journa....
8.
Cho, S., Glebova, T., Seshadri, G., & Hsieh, A. (2025). A phenomenological study of parentification experiences of Asian American young adults. Contemporary Family Therapy, 47, 275–287.
https://doi.org/10.1007/s10591....
9.
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont symposium on applied social psychology (pp. 31–67). Sage.
10.
Compas, B. E., Jaser, S. S., Bettis, A. H., Watson, K. H., Gruhn, M. A., Dunbar, J. P., Williams, E., & Thigpen, J. C. (2017). Coping, emotion regulation, and psychopathology in childhood and adolescence: a meta-analysis and narrative review. Psychological Bulletin, 143, 939–991.
https://doi.org/10.1037/bul000....
11.
Cuong, N., & Linh, V. (2015). Should parents work away from or close to home? The effect of parental absence on children’s time use in Vietnam. Journal of Human Development and Capabilities, 17, 110–124.
https://doi.org/10.1080/194528....
12.
Dariotis, J., Chen, F., Park, Y., Nowak, M., French, K., & Codamon, A. (2023). Parentification vulnerability, reactiv-ity, resilience, and thriving: a mixed methods systematic literature review. International Journal of Environmen-tal Research and Public Health, 20, 6197.
https://doi.org/10.3390/ijerph....
13.
Davidson, A., Zigori, B., Ball, L., Morgan, M., Gala, D., & Reidlinger, D. (2023). Family carers’ experiences and per-ceived roles in interprofessional collaborative practice in primary care: a constructivist grounded theory study. Health Expectations, 26, 2302–2311.
https://doi.org/10.1111/hex.13....
14.
Dinh, T., & Nguyen, P. (2022). Impact of internet self-efficacy and self-regulated learning on satisfaction and aca-demic achievement in online learning: a case study in Vietnam. International Journal of Emerging Technologies in Learning, 17, 269–288.
https://doi.org/10.3991/ijet.v....
15.
Doanh, D. C. (2021). The moderating role of self-efficacy on the cognitive process of entrepreneurship: an empiri-cal study in Vietnam. Journal of Entrepreneurship, Management and Innovation, 17, 147–174.
https://doi.org/10.7341/202117....
16.
Ferrell, B., & Wittenberg, E. (2017). A review of family caregiving intervention trials in oncology. CA: A Cancer Journal for Clinicians, 67, 318–325.
https://doi.org/10.3322/caac.2....
17.
Fuligni, A. J., Yip, T., & Tseng, V. (2002). The impact of family obligation on the daily activities and psychological well-being of Chinese American adolescents. Child Development, 73, 302–314.
https://doi.org/10.1111/1467-8....
20.
Government of Vietnam (2021). Decree No. 07/2021/ND-CP: Promulgating the national multidimensional poverty line for the 2022-2025 period. Retrieved from
https://english.luatvietnam.vn....
21.
Ha, T., Shi, H., Su, T., Shrestha, R., Baumann, S., Nguyen, T., Nguyen, N., Giang, L., & Schensul, S. (2023). The mediation effects of sexual self-efficacy in the relationship between psychosocial wellbeing and depressive symptoms among female migrant workers in Vietnam. International Journal of Social Psychiatry, 69, 2068–2078.
https://doi.org/10.1177/002076....
23.
Hardika, H., Iriyanto, T., Soraya, D., & Aisyah, E. (2023). Model training for involving children in housework as development of children’s strong and independent characters in the family environment. International Re-search-Based Education Journal, 5, 58–70.
https://doi.org/10.17977/um043....
24.
Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: a regression-based ap-proach (3rd ed.). Guilford Press.
25.
Hooper, L. M. (2007). The application of attachment theory and family systems theory to the phenomena of parentification. The Family Journal, 15, 217–223.
https://doi.org/10.1177/106648....
26.
Hooper, L. M., & Wallace, S. A. (2009). Evaluating the Parentification Questionnaire: Psychometric properties and psychopathology correlates. Contemporary Family Therapy, 32, 52–68.
https://doi.org/10.1007/s10591....
27.
Hooper, L. M., Doehler, K., Wallace, S. A., & Hannah, N. J. (2011). The Parentification Inventory: Development, validation, and cross-validation. The American Journal of Family Therapy, 39, 226–241.
https://doi.org/10.1080/019261....
29.
Ioannidou, L., & Michael, K. (2024). Mental health and well-being in children: The protective role of resilience, self-esteem, self-efficacy, and parent-child relationship. Psychological Thought, 17, 483–507.
https://doi.org/10.37708/psyct....
30.
Jordan, L., & Graham, E. (2012). Resilience and well-being among children of migrant parents in South-East Asia. Child Development, 83, 1672–1688.
https://doi.org/10.1111/j.1467....
31.
Khuyen, H. K., & Dung, N. T. (2021). Child labor and poverty reduction in Vietnam: Issues and policy implications. Lentera Hukum, 8, 471–502.
https://doi.org/10.19184/ejlh.....
32.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer.
33.
Liu, Y., Li, H., Wu, B., Liu, X., Chen, H., Jin, H., & Wu, C. (2021). Association between primary caregiver type and mortality among Chinese older adults with disability: a prospective cohort study. BMC Geriatrics, 21, 593.
https://doi.org/10.1186/s12877....
34.
Luot, N. V., Dat, N. B., & Lam, T. Q. (2018). Subjective well-being among “left-behind children” of labour migrant parents in rural northern Vietnam. Pertanika Journal of Social Sciences & Humanities, 26, 1529–1545.
35.
Masiran, R., Ibrahim, N., Awang, H., & Ying, L. (2022). The positive and negative aspects of parentification: an in-tegrated review. Children and Youth Services Review, 144, 106709.
https://doi.org/10.1016/j.chil....
37.
Meroni, E., Piazzalunga, D., & Pronzato, C. (2021). Allocation of time and child socio-emotional skills. Review of Economics of the Household, 20, 1155–1192.
https://doi.org/10.1007/s11150....
38.
Ministry of Education and Training (2025). Circular 18/2025/TT-BGDDT guidance on school counseling and social work in schools. Retrieved from
https://english.luatvietnam.vn....
39.
Nguyen, M., & Le, K. (2024). Flooding and child development: Evidence from Vietnam. Ho Chi Minh City Open University Journal of Science – Economics and Business Administration, 15, 116–129.
https://doi.org/10.46223/hcmco....
40.
Nguyen, T. (2025). The mediating role of self-efficacy in the relationship between the entrepreneurial environment and Vietnamese tourism students’ entrepreneurial intention. Journal of Enterprising Culture, 32, 169–196.
https://doi.org/10.1142/s02184....
41.
O’Reilly, C., & Quayle, M. (2021). Gender inequalities in time spent doing housework by children in Ireland: a nationally representative sample across two time points. Infant and Child Development, 30, e2246.
https://doi.org/10.1002/ICD.22....
42.
Park, H., Weiss, B., Trung, L. T., Ngo, V. K., & Lau, A. S. (2021). Adolescents’ family obligation and activities in ru-ral and urban Vietnam: Implications for social change. International Journal of Psychology, 56, 106–117.
https://doi.org/10.1002/ijop.1....
43.
Rakhmani, A., Arisanti, N., Dhamayanti, M., Wiwaha, G., Mutyara, K., & Setiawati, E. (2020). A qualitative study on family role in the care and prevention of acute respiratory infection among children in primary health care. Global Pediatric Health, 7.
https://doi.org/10.1177/233379....
44.
Rizzo, J. R., House, R. J., & Lirtzman, S. I. (1970). Role conflict and ambiguity in complex organizations. Administra-tive Science Quarterly, 15, 150–163.
https://doi.org/10.2307/239148....
45.
Schönfeld, P., Preusser, F., & Margraf, J. (2017). Costs and benefits of self-efficacy: Differences of the stress re-sponse and clinical implications. Neuroscience & Biobehavioral Reviews, 75, 40–52.
https://doi.org/10.1016/j.neub....
46.
Schorr, S., & Goldner, L. (2023). “Like stepping on glass”: a theoretical model to understand the emotional expe-rience of childhood parentification. Family Relations, 72, 3029–3048.
https://doi.org/10.1111/fare.1....
47.
Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. In J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: a user’s portfolio. Causal and control beliefs (pp. 35–37). NFER-Nelson.
48.
Sticca, F., Seiler, C., & Gasser-Haas, O. (2020). Familial risk factors and emotional problems in early childhood: The promotive and protective role of children’s self-efficacy and self-concept. Frontiers in Psychology, 11, 547368.
https://doi.org/10.3389/fpsyg.....
49.
Symonds, J., Gibbons, R., Sloan, S., Capistrano, D., Smith, A., Samonova, E., Sugrue, C., Devine, D., & D’Urso, G. (2025). Building children’s competencies for educational achievement through chores and labor: a longitudinal study in Sierra Leone. World Futures, 81, 207–224.
https://doi.org/10.1080/026040....
50.
Tolmacz, R., Aisenberg-Shafran, D., Ofek, S., & Lev-Ari, L. (2024). Aging second-generation Holocaust survivors and well-being: The mediating role of relational attitudes. Journal of Social and Personal Relationships, 41, 1510–1532.
https://doi.org/10.1177/026540....
51.
Tran, T., Nguyen, H., Shochet, I., Nguyen, N., La, N., Wurfl, A., Orr, J., Nguyen, H., Stocker, R., & Fisher, J.
52.
(2023). Coping self-efficacy and thoughts of self-harm among adolescents in Vietnam: a longitudinal study. Ar-chives of Suicide Research, 28, 1022–1034.
https://doi.org/10.1080/138111....
53.
Van Acker, K., Fournier, K., & Geldof, D. (2024). On declining parental agency and institutionalized forms of parentification: narratives of changing parenthood among refugee families and social workers in collective re-ception centres. European Social Work Research, 2, 150–167.
https://doi.org/10.1332/275517....
54.
Van Loon, L., Van De Ven, M., Van Doesum, K., Hosman, C., & Witteman, C. (2017). Parentification, stress, and problem behavior of adolescents who have a parent with mental health problems. Family Process, 56, 141–153.
https://doi.org/10.1111/famp.1....
55.
Vu, T. (2014). Are daughters always the losers in the chore war? Evidence using household data from Vietnam. Journal of Development Studies, 50, 520–529.
https://doi.org/10.1080/002203....
56.
Wilkins‐Clark, R., Wu, Z., & Markham, M. (2024). Experiences of post‐divorce parentification and parental affec-tion: Implications for emerging adults’ well‐being. Family Relations, 73, 2690–2708.
https://doi.org/10.1111/fare.1....
57.
Yendork, J. A, & Somhlaba, N. Z. (2015). Do social support, self-efficacy and resilience influence the experience of stress in ghanaian orphans? An exploratory study. Child Care in Practice, 21, 140–159.
https://doi.org/10.1080/135752....
58.
Yi, S., Poudel, K. C., Yasuoka, J., Palmer, P. H., Yi, S., Yanagisawa, S., & Jimba, M. (2012). Sibling care, school per-formance, and depression among adolescent caretakers in Cambodia. Asian Journal of Psychiatry, 5, 132–136.
https://doi.org/10.1016/j.ajp.....
59.
Yin, X., Wang, D., Li, Z., & Huang, Y. (2021). Psychological difficulties mediate and self-efficacy moderates the relationship between family cumulative risk and hope among Chinese children from low-income families. Frontiers in Psychology, 12, 709320.
https://doi.org/10.3389/fpsyg.....
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