The relationship between parental involvement in childhood and depression in early adulthood

Development and validation of a brief questionnaire for the joint assessment of early maltreatment and early caring experiences

BACKGROUND

Early life experiences significantly impact mental health, yet tools assessing both early maltreatment experiences (EME) and early caring experiences (ECE) remain scarce.

OBJECTIVE

This study aimed to develop and validate the self-reported Early Maltreatment & Caring Experiences (EMCE) questionnaire, a concise tool for dual assessment of these experiences.

PARTICIPANTS AND SETTING

A clinical sample of 272 adults diagnosed with major depressive disorder was recruited from an outpatient clinic in Santiago, Chile.

METHODS

Confirmatory factor analyses (CFA), internal consistency, and test-retest reliability of the EMCE were assessed. Logistic regression with 1000 bootstrap replications evaluated predictive validity for complex and severe depression. Construct validity was assessed against the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and resilience was measured using the Brief Resilient Coping Scale (BRCS).

RESULTS

CFA refined the EMCE into a concise 6-item version (χ2(7) = 9.54, p = .216, RMSEA = 0.037, CFI = 0.995, TLI = 0.989) with strong psychometric properties, including good internal consistency (α = 0.73 for EME, α = 0.80 for ECE), excellent test-retest reliability (ICC = 0.86 and 0.79, respectively). Each EME point increased odds of complex depression (OR = 1.33, 95 % BC CI 1.18-1.52), while higher ECE scores reduced them (OR = 0.83, 95 % BC CI 0.74-0.94). Agreement analyses with the CTQ-SF supported construct validity.

CONCLUSIONS

The EMCE provides a reliable, concise tool for assessing early maltreatment and caregiving experiences, supporting clinicians and researchers in exploring vulnerabilities and protective factors. Its brevity ensures feasibility in clinical and research settings.

Parental Phubbing and Adolescent Depression: The Role of Parental Involvement and Adolescent Grit

Phubbing has become a widespread phenomenon in the era of mobile Internet. The Phubbing behavior in parent-adolescent relationships and its effects are gaining increasing academic attention. This study aimed to explore the mediating role of parental involvement between parental phubbing and adolescent depression, as well as the moderating role of grit in this relationship. Participants were 670 high school students (390 girls, 58.2%), aged 13 ∼ 19 years (M = 15.73, SD = 0.92). A questionnaire measuring parental phubbing, parental involvement, adolescent grit, adolescent depression, and demographic information was completed by the students on computers. Results showed that parental phubbing exerted an influence on adolescent depression through parental involvement and that the second stage of this mediation process was moderated by adolescent grit. For adolescents with higher grit, the negative association between parental involvement and adolescent depression was weaker. This study sheds light on the mechanism of how parental phubbing is related to adolescent depression and the role of positive adolescent characteristics in this association. Our findings may be useful for designing targeted prevention and intervention programs to reduce adolescent depression symptoms.

The relationship between benevolent childhood experiences and depression among Chinese university students: the serial mediating role of family relationships and sleep quality

Introduction

Depression represents a significant mental health challenge among university students. Previous studies have revealed a relationship between benevolent childhood experiences (BCEs) and depression, but the roles of family relationships and sleep quality in mediating the link between BCEs and depression remain unclear. This study constructed a serial mediating model to examine whether family relationships and sleep quality mediated the relationship between BCEs and depression among Chinese university students.

Methods

A total of 1830 university students from 25 universities in three provinces of China got recruited in this study. The assessment utilized the Benevolent Childhood Experiences Scale (BCEs-10) for childhood experiences, the Quality of Family Relationships Scale for family dynamics, the Pittsburgh Sleep Quality Index (PSQI) single-item for sleep quality, and the Center for Epidemiological Survey Depression Scale (CES-D-10) for depression. Correlation analyses and serial mediation modeling were conducted using SPSS 25.0 with PROCESS macro v3.4.1.

Results

BCEs, family relationships, and sleep quality scores were all found to be negatively correlated with depression scores (r = -0.46, -0.32, -0.47, respectively, all p < 0.01). Family relationships, and sleep quality scores were positively correlated with BCEs scores (r = 0.31, 0.27, respectively, both p < 0.01). There was a positive correlation between the family relationships score and sleep quality score (r = 0.22, p < 0.01). Mediating analysis indicated that BCEs had a direct effect on depression (the direct effect accounted for 71.54%). Depression was affected by BCEs partly through three different pathways: the mediating role of family relationships (the mediation effect accounted for 8.50%), the mediating role of sleep quality (the mediation effect accounted for 16.40%), and the serial mediating role of both family relationships and sleep quality (the serial mediation effect accounted for 3.56%).

Discussion

The findings of this study demonstrated that family relationships and sleep quality partially mediated the association between BCEs and depression by serial mediating effects.Thus, improving sleep quality and family intervention may be effective measures to protect Chinese university students from depression.

Association of early parent-child separation with depression, social and academic performance in adolescence and early adulthood: a prospective cohort study

OBJECTIVE

The present study aimed to investigate the long-term effects of parent-child separation during infancy and early childhood on depression, social relationships including parent-child and peer relationships, and academic performance during adolescence and early adulthood.

METHODS

Data from the China Family Panel Studies (CFPS) were analyzed, which included a sample of 3829 children aged 4-15 years from 25 provinces over a period of 8 years. The study examined the association between early parent-child separation and outcomes related to depression, social and academic performance, comparing outcomes between individuals with and without early separation experiences. A series of subgroup analyses were conducted to further explore these associations.

RESULTS

Parent-child separation lasting 3 months or longer was found to be associated with moderate to severe levels of depression and impaired social relationships during adolescence and early adulthood, particularly among males, adolescents, urban dwellers, and those with less educated mothers. Children who experienced parent-child separation for 3 months or longer showed a positive correlation between separation duration and depression. Short-term separations under 3 months did not show this association. The duration of separation also had a negative correlation with parent-child and peer relationships, as well as academic performance.

CONCLUSION

Early parent-child separation has significant adverse effects on the mental health, social and academic performance of adolescents and early adulthood, especially among males, adolescents, urban residents, and those with lower maternal education. The severity of depression was found to be related to the duration of separation, highlighting the importance of minimizing separation to less than 3 months for children under the age of 3. These findings underscore the critical role of early parental care and the need for targeted interventions for high-risk populations.

The relationship between parental support for exercise and depression: The mediating effects of physical exercise and physical self-esteem

The mental health challenges among Chinese college students have become a pressing social concern. This study examined the relationship between parental support for exercise and depression among freshmen and also explored the mediating role of physical exercise and physical self-esteem. Utilizing the Parental Exercise Support Scale, Depression Self-Rating Scale, Physical Activity Rating Scale, and Physical Self-Esteem Scale, a questionnaire survey was conducted. Convenient samples from two universities were recruited by university teachers, which included 766 university freshmen. Correlation and linear regression analyses were employed to assess the overall associations while bootstrapping method was used to test mediation effects. Results indicated significant correlations between parental support for exercise and physical exercise, physical self-esteem, and depression. Physical exercise and physical self-esteem were found to mediate the relationship between parental support for exercise and depression, both individually and sequentially. These findings highlight the potential association between parental support for exercise and the mental health of college freshmen and also offer a mechanism to understand this association.

Family Income and Child Depression: The Chain Mediating Effect of Parental Involvement, Children's Self-Esteem, and Group Differences

Family income is an important factor that affects depression in children and can indirectly be associated with children's development through family and individual factors. However, few studies have examined the mechanism of multiple risk factors. Therefore, this study focused on the relationship between family income and child depression, as well as the chain mediating the roles of parental involvement and children's self-esteem both in single-parent families and intact families. A total of 1355 primary school students completed questionnaires that assessed family income, parental involvement, children's self-esteem, and depression. The results showed that family income influenced child depression through both the mediating roles of parental involvement and children's self-esteem and the chain mediating role of parental involvement and children's self-esteem. Meanwhile, family income only influenced child depression through chain mediation in single-parent families. The group differences in the mechanism of depression provide a reference for empirical research on depression intervention in children from different family structures.

Prenatal maternal stress, child internalizing and externalizing symptoms, and the moderating role of parenting: findings from the Norwegian mother, father, and child cohort study

BACKGROUND

Few studies have examined how parenting influences the associations between prenatal maternal stress and children's mental health. The objectives of this study were to examine the sex-specific associations between prenatal maternal stress and child internalizing and externalizing symptoms, and to assess the moderating effects of parenting behaviors on these associations.

METHODS

This study is based on 15 963 mother-child dyads from the Norwegian Mother, Father, and Child Cohort Study (MoBa). A broad measure of prenatal maternal stress was constructed using 41 self-reported items measured during pregnancy. Three parenting behaviors (positive parenting, inconsistent discipline, and positive involvement) were assessed by maternal report at child age 5 years. Child symptoms of internalizing and externalizing disorders (depression, anxiety, attention-deficit hyperactivity disorder, conduct disorder, and oppositional-defiant disorder) were assessed by maternal report at age 8. Analyses were conducted using structural equation modeling techniques.

RESULTS

Prenatal maternal stress was associated with child internalizing and externalizing symptoms at age 8; associations with externalizing symptoms differed by sex. Associations between prenatal maternal stress and child depression, and conduct disorder and oppositional-defiant disorder in males, became stronger as levels of inconsistent discipline increased. Associations between prenatal maternal stress and symptoms of attention-deficit hyperactivity disorder in females were attenuated as levels of parental involvement increased.

CONCLUSIONS

This study confirms associations between prenatal maternal stress and children's mental health outcomes, and demonstrates that these associations may be modified by parenting behaviors. Parenting may represent an important intervention target for improving mental health outcomes in children exposed to prenatal stress.

Parental involvement in postoperative pain management among children in a urology ward: A best practice implementation project

AIM

Postoperative pain has adverse effects on children with urological problems, including sleep disturbances, incision dehiscence, bleeding and delayed recovery. Accurate parental assessment of children's behaviours and responses could help to manage postoperative pain. We aimed to implement evidence-based practice for parental involvement in a urology ward, to increase parents' participation in children's postoperative pain management.

DESIGN

The project was conducted in a paediatric urology ward using the framework and methods of the Fudan University Evidence-Based Nursing Center's Evidence-based Continuous Quality Improvement Model.

METHODS

Fifteen audit criteria were used to represent best practice recommendations for parental involvement in postoperative pain management. A pre-implementation audit was conducted with 211 randomly sampled children and parents. Obstacles, promoting factors and key strategies were analysed, and evidence-based interventions implemented to improve compliance. A follow-up audit using the same audit criteria was conducted with 202 children and parents to assess the effect of targeted strategies on compliance with best practice. The SQUIRE guidelines were followed.

RESULTS

At the baseline audit, compliance with the evidence-based criteria was 0%-71.5%; only five audit criteria achieved a compliance rate > 60%. After best practice implementation, the follow-up audit showed compliance improvements for all criteria; compliance for three criteria improved to 100%.

PATIENT OR PUBLIC CONTRIBUTION

This best practice implementation project improved parents' participation in children's postoperative pain management. The findings demonstrate how audits can promote best practice in postoperative pain management for children. Additional studies will be conducted to address children's postoperative life quality based on best practice.

Effect of parental absence during infancy and early childhood on cognition and depression in later life: A national household longitudinal study

BACKGROUND

Early life experiences may have a persistent influence throughout life. However, little is known about the effect of parental absence during infancy and early childhood on offspring's cognition and risk of depression.

METHODS

Data were obtained from the China Family Panel Studies (CFPS). We examined the effect of parental absence during infancy and early childhood on cognitive development and depression in later life using weighted linear regression models. A series of sensitivity analyses and subgroup analyses were also conducted.

RESULTS

Parental absence during infancy and early childhood was associated with poor mathematics performance and high depression scores measured 8 years later. The coefficients of association between parental absence and math test performance and depression were -0.012 (95%CI: -0.024, -0.001, P = 0.031) and 0.009 (95%CI: 0.001, 0.017, P = 0.028) in adjusted models, respectively. Moreover, a similar association was observed among children who were females, urban dwellers, and had more years of education.

LIMITATIONS

Recall bias may exist for the exposure measure, and the current study cannot control residual confounders.

CONCLUSION

Long parental absence during infancy and early childhood may attenuate the cognitive process and increase risk of depression in later life, indicating the necessity of parental care as an intervention initiative.

Co-developmental trajectories of parental involvement: Relations to academic achievement and externalizing and internalizing problems among Chinese elementary schoolchildren

BACKGROUND

Parental involvement is an important multi-faceted factor in children's academic performance and school behaviour. However, most prior studies have involved cross-sectional designs, with few studies exploring the co-developmental nature of various parental involvement characteristics over time and their associations with children's academic achievement, externalizing, and internalizing problems.

AIMS

This study explored (a) co-developmental trajectories of seven parental involvement characteristics in elementary schoolchildren, and (b) relations to children's academic achievement, externalizing, and internalizing problems.

SAMPLE AND METHODS

A total of 3553 Chinese elementary schoolchildren (M_age  = 9.90, SD = .72; 53.9% boys) completed relevant measures on 4 occasions at 6-month intervals. Parallel process latent class growth modelling was used for examining study hypotheses.

RESULTS

Four co-developmental trajectories of parental involvement were identified: 'High motivation and involvement', 'Low motivation and involvement', 'Incongruent motivation and involvement', and 'Incongruent motivation and high involvement'. The highest academic achievement and fewest externalizing and internalizing problems were observed for schoolchildren in the 'High motivation and involvement' class, followed by those who were in the 'Incongruent motivation and high involvement' and 'Incongruent motivation and involvement' classes, and finally, schoolchildren were the 'Low motivation and involvement' class.

CONCLUSIONS

The identification of heterogeneous trajectories with differential outcomes highlights the importance of individual differences considerations in understanding the co-developmental patterns of parental involvement, suggesting that specific interventions need to be formulated for differing groups.

Positive childhood experiences can moderate the impact of adverse childhood experiences on adolescent depression and anxiety: Results from a cross-sectional survey

BACKGROUND

Adverse childhood experiences (ACEs) are common and have a wide range of impact on human physical and mental health. The role of positive childhood experiences (PCEs) and its interaction with ACEs on adolescent depression and anxiety are less known.

METHODS

A cross-sectional survey on Chinese primary and secondary school students was conducted to investigate information of ACEs, PCEs, depression, anxiety and demographic characteristics (n = 6363). Logistic regression analyses were performed to evaluate the association between specific types and cumulative of PCEs and ACEs and risk of depression, anxiety and its comorbidity. Interaction analyses were conducted to determine the moderation role of PCEs on the impact of ACEs.

RESULTS

ACEs were positively correlated with the risk of depression and anxiety and there was a significant positive does-response relationship between cumulative ACEs exposure and risk of depression, anxiety and its comorbidity. PCEs were negatively associated with the risk of depression and anxiety and there was an inverse does-response relationship between cumulative PCEs exposure and risk of depression. Adolescents with low ACEs (<4 counts) and high PCEs (6-7 counts) exposure showed significant lower risk of depression and there were negative additive interactions between PCEs and ACEs exposure on risk of depression and the comorbidity of depression and anxiety.

CONCLUSIONS

PCEs can moderate the impact of ACEs on mental health of adolescents. Early and proactively promoting PCEs contributes to promoting well-being, especially for adolescents with ACEs.