Association of depression and suicidal ideation with parenting style in adolescents
CONG En-Zhao, CAI Yi-Yun, WANG Yun, WU Yan
Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China (Wu Y, Email: drwuyan@163.com)
Abstract Objective To study the association of depression and suicidal ideation with parenting style in adolescents. Methods The cluster sampling method was used to select 6 195 junior and senior high school students in Xinxiang City of Henan Province, China, from 2014 to 2018. The survey tools included a general social information questionnaire, the Parental Bonding Instrument, and the Kutcher Adolescent Depression Scale (11 items). A multivariate logistic regression analysis was used to identify the association of depression and suicidal ideation with parenting style in adolescents. Results There were 6 194 valid questionnaires in total, including 2 586 boys (41.75%) and 3 608 girls (58.25%), with a mean age of (16.4±1.9) years (range: 11-20 years). Among these 6 194 students, 1 333 (21.52%) had depression, and 508 (8.20%) had suicidal ideation. Depression in adolescents was positively correlated with maternal control (OR=1.059, P<0.001) and paternal control (OR=1.061, P<0.001), but negatively correlated with maternal care (OR=0.937, P<0.001) and paternal care (OR=0.917, P<0.001). Suicide ideation in adolescents was positively correlated with maternal control (OR=1.110, P<0.001) and paternal control (OR=1.076, P<0.001), but negatively correlated with maternal care (OR=0.895, P<0.001) and paternal care (OR=0.914, P<0.001). Conclusions Parental care may decrease the risk of depression and suicide ideation, while parental control may increase the risk of depression and suicide ideation in adolescents. Citation:
CONG En-Zhao,CAI Yi-Yun,WANG Yun et al. Association of depression and suicidal ideation with parenting style in adolescents[J]. CJCP, 2021, 23(9): 938-943.
CONG En-Zhao,CAI Yi-Yun,WANG Yun et al. Association of depression and suicidal ideation with parenting style in adolescents[J]. CJCP, 2021, 23(9): 938-943.
Nock MK, Green JG, Hwang I, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement[J]. JAMA Psychiatry, 2013, 70(3): 300-310. PMID: 23303463. PMCID: PMC3886236. DOI: 10.1001/2013.jamapsychiatry.55.
Pan YJ, Juang KD, Lu SR, et al. Longitudinal risk factors for suicidal thoughts in depressed and non-depressed young adolescents[J]. Aust N Z J Psychiatry, 2017, 51(9): 930-937. PMID: 28701051. DOI: 10.1177/0004867417717795.
Raleva M. Early life stress: a key link between childhood adversity and risk of attempting suicide[J]. Psychiatr Danub, 2018, 30(Suppl 6): 341-347. PMID: 30235171.
Obikane E, Shinozaki T, Takagi D, et al. Impact of childhood abuse on suicide-related behavior: analysis using marginal structural models[J]. J Affect Disord, 2018, 234: 224-230. PMID: 29547815. DOI: 10.1016/j.jad.2018.02.034.
Leadbeater BJ, Ames ME, Linden-Carmichael AN. Age-varying effects of cannabis use frequency and disorder on symptoms of psychosis, depression and anxiety in adolescents and adults[J]. Addiction, 2019, 114(2): 278-293. PMID: 30276906. PMCID: PMC6519223. DOI: 10.1111/add.14459.
Behzadi B, Parker G. A Persian version of the parental bonding instrument: factor structure and psychometric properties[J]. Psychiatry Res, 2015, 225(3): 580-587. PMID: 25530418. DOI: 10.1016/j.psychres.2014.11.042.
Yap MBH, Fowler M, Reavley N, et al. Parenting strategies for reducing the risk of childhood depression and anxiety disorders: a Delphi consensus study[J]. J Affect Disord, 2015, 183: 330-338. PMID: 26047961. DOI: 10.1016/j.jad.2015.05.031.
Hou YF, Xiao R, Yang XL, et al. Parenting style and emotional distress among Chinese college students: a potential mediating role of the Zhongyong thinking style[J]. Front Psychol, 2020, 11: 1774. PMID: 32849051. PMCID: PMC7399746. DOI: 10.3389/fpsyg.2020.01774.
Amianto F, Martini M, Olandese F, et al. Affectionless control: a parenting style associated with obesity and binge eating disorder in adulthood[J]. Eur Eat Disord Rev, 2021, 29(2): 178-192. PMID: 33247868. DOI: 10.1002/erv.2809.
Ang JK, Phang CK, Mukhtar F, et al. Association between perceived parental style and depressive symptoms among adolescents in Hulu Langat District, Malaysia[J]. Int J Adolesc Med Health, 2017, 30(6): 20160130. PMID: 28599380. DOI: 10.1515/ijamh-2016-0130.
Cole DA, Sinclair-McBride KR, Zelkowitz R, et al. Peer victimization and harsh parenting predict cognitive diatheses for depression in children and adolescents[J]. J Clin Child Adolesc Psychol, 2016, 45(5): 668-680. PMID: 25751612. PMCID: PMC4564367. DOI: 10.1080/15374416.2015.1004679.
Kopala-Sibley DC, Jelinek C, Kessel EM, et al. Parental depressive history, parenting styles, and child psychopathology over 6 years: the contribution of each parent's depressive history to the other's parenting styles[J]. Dev Psychopathol, 2017, 29(4): 1469-1482. PMID: 28414019. PMCID: PMC5755697. DOI: 10.1017/S0954579417000396.
Karaer Y, Akdemir D. Parenting styles, perceived social support and emotion regulation in adolescents with internet addiction[J]. Compr Psychiatry, 2019, 92: 22-27. PMID: 31003724. DOI: 10.1016/j.comppsych.2019.03.003.
Luebbe AM, Mancini KJ, Kiel EJ, et al. Dimensionality of helicopter parenting and relations to emotional, decision-making, and academic functioning in emerging adults[J]. Assessment, 2018, 25(7): 841-857. PMID: 27561986. DOI: 10.1177/1073191116665907.
Lim CR, Barlas J. The effects of toxic early childhood experiences on depression according to young schema model: a scoping review[J]. J Affect Disord, 2019, 246: 1-13. PMID: 30562652. DOI: 10.1016/j.jad.2018.12.006.
Cowan PA, Cowan CP, Pruett MK, et al. Fathers' and mothers' attachment styles, couple conflict, parenting quality, and children's behavior problems: an intervention test of mediation[J]. Attach Hum Dev, 2019, 21(5): 532-550. PMID: 30821614. DOI: 10.1080/14616734.2019.1582600.
Chorot P, Valiente RM, Magaz AM, et al. Perceived parental child rearing and attachment as predictors of anxiety and depressive disorder symptoms in children: the mediational role of attachment[J]. Psychiatry Res, 2017, 253: 287-295. PMID: 28411577. DOI: 10.1016/j.psychres.2017.04.015.