1
|
Lin C, Ren X, Dai M, Wu Y, Pan L, Song Y, Cen Y, Fan Q, Xie C, Shao J, Chen Y, Wang Y, Luo J. Prevalence and associated factors of adolescent psychological abuse, neglect in Western China a multi-center cross-sectional study. Eur J Psychotraumatol 2024; 15:2382651. [PMID: 39051621 PMCID: PMC11275532 DOI: 10.1080/20008066.2024.2382651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Revised: 06/18/2024] [Accepted: 07/06/2024] [Indexed: 07/27/2024] Open
Abstract
Background: The western region of China has a dense population, relatively underdeveloped economy, and a significant number of left-behind children. Currently, the prevalence of adolescent psychological abuse, neglect, and the factors associated with these issues in the region remain unclear. This study aims to evaluate the current status of adolescent psychological abuse and neglect and its associated factors in this region.Methods: Data were collected from 50 schools in western China through cluster sampling to target adolescents aged 12 to 18. A comprehensive survey form was used to collect socio-demographic characteristics of adolescents. The Child Psychological Abuse and Neglect Scale was employed to assess the current psychological abuse and neglect of adolescents. Independent samples t-tests were used for inter-group comparisons. A Directed Acyclic Graph was constructed for controlling confounding variables. Subsequently, binary logistic regression analysis was performed, and a nomogram risk factors model was developed using R Studio.Results: This study included 12,743 teenagers, with an average age of 15.53(±1.39) years. Among them, 4,965 individuals, accounting for 39.0%, reported experiences of psychological abuse, while 4,167 individuals, accounting for 32.7%, reported experiences of neglect. The rates of psychological abuse and neglect in adolescents are influenced by gender, grade, left-behind experience, parental marital status, and living on campus (P < .05).Conclusion: Adolescents in western China exhibit higher rates of psychological abuse and neglect compared to those in the eastern and northern regions of China. Gender, grade, left-behind experience, and family factors significantly influence the psychological abuse and neglect of adolescents.
Collapse
Affiliation(s)
- Cen Lin
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Xiaohong Ren
- Department of Hematology, Affiliated Hospital of North Sichuan Medical College, Nanchong City, People's Republic of China
| | - Mengqin Dai
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Yuhang Wu
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Lu Pan
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Yuqin Song
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Yu Cen
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Qiuyue Fan
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Cailin Xie
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Jiarui Shao
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Ying Chen
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Yao Wang
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
| | - Jiaming Luo
- Mental Health Center, Afffliated Hospital of North Sichuan Medical College, Nanchong City, People’s Republic of China
- School of Psychiatry, North Sichuan Medical College, Nanchong City, People’s Republic of China
| |
Collapse
|
2
|
Vega-Díaz M, González-García H, de Labra C. Influence of parental involvement and parenting styles in children's active lifestyle: a systematic review. PeerJ 2023; 11:e16668. [PMID: 38144179 PMCID: PMC10749091 DOI: 10.7717/peerj.16668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 11/22/2023] [Indexed: 12/26/2023] Open
Abstract
Background Parents influence their children's lifestyles through modeling and support, which modifies how children approach physical activity. As such, this systematic review aims to know the influence of parental involvement in children's active lifestyles and the influence of parenting styles on children's practice and motivation towards physical activity. Methodology PubMed, Google Scholar, Scopus, ResearchGate, and Web of Science databases were searched from 15 July 2022 to 30 August 2022. The publication date of the included manuscripts was between November 2012 and January 2021. The methodological quality of the studies was analyzed using the Scale for Evaluating Scientific Articles in Social and Human Science. Furthermore, it was utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. Results The sample of the 10 included studies (in which different self-report measures were administered) was 1,957 children and their parents. In one study, parental involvement across limits decreased sedentary behaviours. In another, parent-child co-participation in physical activity improved participation in it. In one study, democratic parents predicted moderate-vigorous physical activity. In another, authoritarian styles were associated with sports practice. In another, permissive styles were associated with the worst physical activity practice. In one study, permissive parents were not significantly related to physical activity. In another, negligent parents were negatively associated with sports practice. In two studies, parenting styles were not associated with physical activity. In a study, the autonomy support of permissive parents and the structure of democratic parents is related to autonomous motivations. The coercive control of authoritarian parents and the lack of structure of negligent parents are related to non-self-determined motivations or amotivation. Conclusions Parental involvement contributes to children's participation in physical activity. There is no unanimity in the results obtained in parenting styles and the practice of physical activity. Democratic and permissive styles are associated with self-determined motivations, as opposed to negligent and authoritarian ones. The results obtained have been extracted from studies where different self-report measures are administered, so it would be advisable to continue researching this subject.
Collapse
Affiliation(s)
- Marta Vega-Díaz
- Faculty of Nursing and Podiatry, University of A Coruña (UDC), A Coruña, Galicia, Spain
| | - Higinio González-García
- Education, Universidad Internacional de La Rioja (UNIR), TECNODEF Research Group, La Rioja, Spain
| | - Carmen de Labra
- 3NEUROcom, Center for Advanced Scientific Research (CICA), Biomedical Research Institute of A Coruña (INIBIC), Faculty of Nursing and Podiatry, University of A Coruña, A Coruña, Spain
| |
Collapse
|
3
|
Shalani B, Azadfallah P, Farahani H, Brand S. Why Do Iranian Preschool-Aged Children Spend too Much Time in Front of Screens? A Preliminary Qualitative Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1193. [PMID: 37508690 PMCID: PMC10378130 DOI: 10.3390/children10071193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 06/28/2023] [Accepted: 07/03/2023] [Indexed: 07/30/2023]
Abstract
There is evidence that Iranian preschool children are increasingly spending their time in front of screens (screen time: ST; time spent with any screen such as TVs, computers, tablets, smartphones, game consoles, or video games), but few studies have explored the possible causes of such an increase. Given this, the present study aimed to qualitatively explore determinants of excessive ST in Iranian children. To this end, parents of preschool children were interviewed, and their answers were qualitatively clustered to identify additional important factors. Key informant interviews were conducted with parents of preschool children in Tehran (Iran). A semi-structured interview was developed to assess child and family life, daily routine, family rules, family interactions, and home climate as possible contributing factors to ST. Parents' audiotaped statements were transcripted verbatim, coded, and clustered into main themes using thematic analysis with the MaxQda® software. A total of 20 parents of children aged 2 to 7 were interviewed, and a total of 6 key themes and 28 subthemes were extracted from their interviews. The results of the analysis identified a broad range of both independent and interrelated factors leading to the development and maintenance of ST behaviors among preschool children. Our findings indicate that the central concept is the family. Considering screen-related behaviors, family life encompasses parental health literacy (e.g., parenting pattern, monitoring standards, thoughtful parenting), family psychological atmosphere (e.g., presence of parents, family norms, parent-parent and parent-child interaction, congruency/incongruency of parents with each other) and the digital structure of the home. The child's and parents' actions and characteristics can influence family interactions. A child's and parent's behavior is also influenced by social/cultural factors. Parents' behaviors and attitudes, family communications, and interactions contribute to healthy ST habits in children. It is not possible to examine the child's behavior without considering the family and the dominant environment, since the behavior of family members as a whole affects each family member. Given this, interventions should make parents aware of their role and responsibilities in reducing children's ST and consider the family system as a whole, and interventions also can benefit from considering the parental perceptions of children's behaviors.
Collapse
Affiliation(s)
- Bita Shalani
- Department of Psychology, Tarbiat Modares University, Tehran 14117-13116, Iran
| | - Parviz Azadfallah
- Department of Psychology, Tarbiat Modares University, Tehran 14117-13116, Iran
| | | | - Serge Brand
- Center for Affective, Sleep and Stress Disorders, Psychiatric Clinics of the University of Basel, 4002 Basel, Switzerland
- Division of Sport Science and Psychosocial Health, Department of Sport, Exercise and Health, Faculty of Medicine, University of Basel, 4002 Basel, Switzerland
- Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah 67158-47141, Iran
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah 67158-47141, Iran
- School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran 14166-34793, Iran
- Center for Disaster Psychiatry and Disaster Psychology, Psychiatric Clinics of the University of Basel, 4002 Basel, Switzerland
| |
Collapse
|
4
|
Correlates of Sedentary Time Among Children and Adolescents in Ethiopia: A Cross-Sectional Study. Pediatr Exerc Sci 2023; 35:15-22. [PMID: 35894895 DOI: 10.1123/pes.2021-0077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 03/21/2022] [Accepted: 05/04/2022] [Indexed: 02/01/2023]
Abstract
PURPOSE To assess the correlates of sedentary time among children and adolescents in Ethiopia. METHODS The study was conducted in representative samples of children and adolescents in the capital city of Ethiopia, Addis Ababa. Multivariable logistic regression models were used to determine associations of sedentary time and predictor variables. RESULTS The mean sedentary time was 4.61 (95% confidence interval [CI], 4.35-4.86) hours per day. Overall, the prevalence of high sedentary time (>3 h/d) was 68.2% (95% CI, 64.2-72.2). Results of multivariable logistic regression analyses showed a statistically significant association between high sedentary time and female household head (adjusted odds ratio [AOR] = 0.50; 95% CI, 0.32-0.80), literate mothers (AOR = 1.98; 95% CI, 1.26-3.11), child attending public school (AOR = 1.79; 95% CI, 1.12-2.85), children who belonged to the poor and rich household wealth tertiles compared with medium wealth tertile (AOR = 2.30; 95% CI, 1.42-3.72 and AOR = 2.04; 95% CI, 1.14-3.65, respectively), and those families that did not have adequate indoor play space for children (AOR = 0.45; 95% CI, 0.29-0.72). CONCLUSION The study found that time spent sedentary was high in the study area as compared with other studies of similar settings. Several modifiable factors were identified that can be targeted in interventions to reduce sedentary time in the study setting.
Collapse
|
5
|
Ray C, van der Borgh-Sleddens E, Augusta de Oliveira Figueiredo R, Gubbels J, Bjelland M, Roos E. Psychometric properties of the item-reduced version of the comprehensive general parenting questionnaire for caregivers of preschoolers in a Finnish context. PLoS One 2022; 17:e0270869. [PMID: 35925931 PMCID: PMC9352000 DOI: 10.1371/journal.pone.0270869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Accepted: 06/19/2022] [Indexed: 11/19/2022] Open
Abstract
Introduction
Many instruments for assessing general parenting have been reported as burdensome and are thus seldom used in studies exploring children’s energy balance-related behaviors or weight. This study evaluates the factorial structure of the item-reduced version of the Comprehensive General Parenting Questionnaire (CGPQ), which assesses five constructs of general parenting.
Methods
The study uses data from two cross-sectional studies: Study 1 in 2014 (n = 173) and Study 2 in 2015–16 (n = 805). Parents of children aged three to six answered the CGPQ; in Study 1 the 69-item version, and in Study 2 the 29-item version. The reduction was based on the results of the confirmatory factor analyses (CFA) in Study 1. In both datasets, internal consistency, as Cronbach’s alphas and intraclass correlations between the items of each construct, was tested. A combined assessment of the CFA and items response theory evaluated the construct validity and the item importance for the 29-item version, and a further the reduced 22-item version.
Results
In Study 1, the highest Cronbach’s alphas were shown for the five constructs in the 69-item version. A higher intraclass correlation was found between the constructs in the 69- and 29-item versions, than between the 69- and the 22-item version. However, a high concordance was found between the constructs in the 29- and 22-item versions in both Study 1 and in Study 2 (0.76–1.00). Testing the goodness-of-fit of the CFA models revealed that the 22-item model fulfilled all the criteria, showing that it had a better factorial structure than the 29-item model. Standard estimations ranged from 0.20 to 0.76 in the 22-item version.
Conclusion
The reduced 22- and 29-item versions of the 69-item CGPQ showed good model fit, the 22-item version the better of the two. These short versions can be used to assess general parenting without overburdening the respondents.
Collapse
Affiliation(s)
- Carola Ray
- Folkhälsan Research Center, Helsinki, Finland
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
- * E-mail:
| | | | | | - Jessica Gubbels
- Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
| | - Mona Bjelland
- Department of Nutrition, University of Oslo, Oslo, Norway
| | - Eva Roos
- Folkhälsan Research Center, Helsinki, Finland
- Department of Public Health, University of Helsinki, Helsinki, Finland
- Department of Food studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden
| |
Collapse
|
6
|
Positive Parenting Styles Tied to Less Unmet Dental Needs in Children with Developmental Disabilities. J Autism Dev Disord 2022; 52:5395-5402. [PMID: 35037185 DOI: 10.1007/s10803-021-05351-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2021] [Indexed: 10/19/2022]
Abstract
This study aimed to identify factors, particularly positive parenting styles, associated with unmet dental needs, defined as no dental visit for the past 12 months, in children with developmental disabilities (DD). Participants included 263 primary caregivers of children with DD. Children exposed to less positive parenting styles were more than two times (aOR, 2.19, 95%CI, 1.12-4.32) more likely to have unmet dental needs. Children who were male (aOR, 1.88, 95%CI, 1.04-3.41), aged < 4 years (aOR, 2.95, 95%CI, 1.2-7.27) or aged ≥ 11 years (aOR, 2.65, 95%CI, 1.25-5.64), had higher illness severity (aOR, 2.04, 95%CI, 1.09-3.81), had primary caregivers with less than or equal to high school education (aOR, 2.45, 95%CI, 1.13-5.30) were also more likely to have unmet dental needs.
Collapse
|
7
|
Yu HJ, Zheng M, Liu XX, Liu MW, Chen QT, Zhang MZ, Eckhart RA, He QQ. The association of child neglect with lifestyles, depression, and self-esteem: Cross-lagged analyses in Chinese primary schoolchildren. Behav Res Ther 2021; 146:103950. [PMID: 34509130 DOI: 10.1016/j.brat.2021.103950] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Revised: 07/25/2021] [Accepted: 08/26/2021] [Indexed: 12/24/2022]
Abstract
Child neglect robustly predicts many behavioral problems and adulthood mental disorders, but little is known about its association with daily lifestyles and psychological development during childhood, particularly in the longitudinal study. We aimed to examine the association of child neglect with physical activity (PA), screen time (ST), eating habits (EHs), and depression/self-esteem using a two-wave follow-up study of primary schoolchildren in Wuhan, China. Data of 1085 schoolchildren aged 8-10 years (boys: 53.5%) were analyzed. Child neglect, lifestyles, and depression/self-esteem were collected in 2018 (T1) and 2019 (T2). Autoregressive cross-lagged models (ARCLMs) were fitted to explore the interrelationships among these variables. In ARCLM including child neglect and lifestyles, higher child neglect at T1 was significantly associated with higher ST and more risky EHs at T2, while insignificantly associated with PA. In ARCLM including child neglect and depression/self-esteem, lower T1 child neglect significantly predicted a higher T2 depression, but insignificantly for T2 self-esteem. In ARCLM including all variables, child neglect still significantly predicted later ST and depression, but insignificantly predicted EHs. Our study underscores that child neglect is strongly intertwined with ST, EHs, and depression during childhood. The prevention of child neglect may promote some healthy lifestyles and depression in children.
Collapse
Affiliation(s)
- Hong-Jie Yu
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Miaobing Zheng
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3125, Australia
| | - Xiang-Xiang Liu
- Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Ming-Wei Liu
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Qiu-Tong Chen
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Min-Zhe Zhang
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Robert A Eckhart
- The Wuhan University-Ohio State University Center for American Culture, Wuhan University, Wuhan, China; Minsk State Linguistic University, Minsk, Belarus
| | - Qi-Qiang He
- School of Health Sciences, Wuhan University, Wuhan, China; Hubei Biomass-Resource Chemistry and Environmental Biotechnology Key Laboratory, Wuhan University, Wuhan, China.
| |
Collapse
|
8
|
Andermo S, Rydberg H, Norman Å. Variations in perceptions of parenting role related to children's physical activity and sedentary behaviours - a qualitative study in a Northern European context. BMC Public Health 2021; 21:1550. [PMID: 34391388 PMCID: PMC8364006 DOI: 10.1186/s12889-021-11537-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 07/22/2021] [Indexed: 11/10/2022] Open
Abstract
Background The aim of the study was to increase understanding of the variation in parental perceptions of their roles and responsibilities in relation to children’s physical activity and sedentary behaviours. Methods This qualitative study was based on data from the Healthy School Start intervention study II, in the form of recorded motivational interviewing (MI) sessions with mothers and fathers participating in the intervention. Forty-one MI sessions where parents discussed physical activity and/or sedentary behaviour were selected for analysis. Data analysis was performed using a phenomenographic approach. Results Three categories describing a structural relationship of parents’ different views on their own role in relation to their child’s habits were identified: 1) The parent decides – Child physical activity according to my beliefs and views as a parent and where I, as a parent, decide, 2) Parent-child interaction – child physical activity is formed in interaction between me as a parent and my child or 3) The child/someone else decides – The child or someone other than me as a parent decides or has the responsibility for my child’s physical activity. All three categories included four subcategories of specific activities: organised activity, activity in everyday life, being active together and screen time, describing practical approaches used in each of the three categories. Conclusions This study found variation in mothers’ and fathers’ perceptions of their roles and responsibilities for their child’s physical activity and sedentary behaviours related to specific types of activities. The results indicate areas where parents need support in how to guide their children and how parental responsibility can have a positive influence on children’s physical activity and sedentary habits.
Collapse
Affiliation(s)
- Susanne Andermo
- Department of Global Public Health, Karolinska Institutet, SE-171 77, Stockholm, Sweden. .,Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
| | - Helena Rydberg
- Department of Global Public Health, Karolinska Institutet, SE-171 77, Stockholm, Sweden
| | - Åsa Norman
- Department of Global Public Health, Karolinska Institutet, SE-171 77, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77, Stockholm, Sweden
| |
Collapse
|
9
|
Prasetyo YB, Dewi YS, Arifin H, Kamel AD. The Effect of Learning Module Program on Mothers’ Ability to Adapt to New Foods, Feeding Styles, and Self-efficacy to Their Children with Avoidant Restrictive Food Intake Disorder. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: The education to improve a mother’s knowledge is deemed to be important because it may improve children’s nutritional status.
AIM: The aim of this study was to examine the effects of learning module program on the mothers’ ability to adapt to new foods, feeding styles, and self-efficacy to their children with avoidant restrictive food intake disorder (ARFID).
METHODS: Quasi-experimental design was used to evaluate the effectiveness of learning module program. Fifteen mothers of experimental group were given four meetings within 4 weeks. Each meeting ran about 50 min. Fifteen mothers of control group were conducted home visit and received twice education about the health principals of feeding children. Both experimental group and control group had pre-test and post-test. The data were analyzed using Chi-square test, Fisher’s exact test, and Mann–Whitney U-test.
RESULTS: The participants of the experimental group have shown bigger surge of new foods adaptation (t = –2.973, p < 0.003), feeding style (t = –4.646, p < 0.001), self-efficacy (t = –3.652, p = 0.001) than the control group has.
CONCLUSION: The findings indicated that the learning module program was deemed to be effective to improve mothers’ ability to adapt to new foods, feeding styles, and self-efficacy to their children with ARFID.
Collapse
|
10
|
Hayek J, Tueni M, Schneider F, de Vries H. Parenting style as longitudinal predictor of adolescents' health behaviors in Lebanon. HEALTH EDUCATION RESEARCH 2021; 36:100-115. [PMID: 33325508 PMCID: PMC7986055 DOI: 10.1093/her/cyaa045] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Accepted: 10/21/2020] [Indexed: 06/10/2023]
Abstract
This prospective study aimed to examine how parenting style relates to health behaviors and body mass index of Lebanese adolescents while checking for interactive effect of child characteristics (age and gender). About 341 students from private and public schools in Mount Lebanon and Beirut area, aged between 16 and 18 years, completed a self-administered survey assessing socio-demographics, parenting styles and health behaviors. Adolescents were surveyed at two time points, six months apart. Anthropometric measurements were also taken. Authoritative parenting was associated with better outcomes compared to the neglectful style. Adolescents raised with an authoritative style had higher adherence to the Mediterranean diet and lower consumption of alcohol intake. Parenting style was a significant predictor of eating behavior and alcohol intake of Lebanese adolescent. Interventions aiming at improving health behaviors should also encompass healthy parenting style strategies.
Collapse
Affiliation(s)
- Joyce Hayek
- Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, POB 616, 6200 MD Maastricht, The Netherlands
- Department of Biology, Nutrition and Dietetics, Faculty of Sciences, Lebanese University, POB 90656, Fanar, Jdeidet El Maten, Lebanon
| | - Maya Tueni
- Department of Biology, Nutrition and Dietetics, Faculty of Sciences, Lebanese University, POB 90656, Fanar, Jdeidet El Maten, Lebanon
| | - Francine Schneider
- Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, POB 616, 6200 MD Maastricht, The Netherlands
| | - Hein de Vries
- Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, POB 616, 6200 MD Maastricht, The Netherlands
| |
Collapse
|
11
|
Liu MC, Chang JC, Lee CS. Interactive association of maternal education and peer relationship with oppositional defiant disorder: an observational study. BMC Psychiatry 2021; 21:160. [PMID: 33752611 PMCID: PMC7983394 DOI: 10.1186/s12888-021-03157-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Accepted: 03/04/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND The objectives of this research were to gain insights on the interactive effects, by measuring familial and peer-related risk factors in youths with oppositional defiant disorder (ODD). METHODS Participants were college students recruited nationwide, with age between 18 and 25. Through the consensus of expert meetings, a set of questionnaires were used to evaluate the familial status, participant's peer group conditions, high-risk environment of illicit substance use, and oppositional symptoms. The logistic regression was performed to see the independent and interactive risk factors for ODD. RESULTS A total of 981 subjects were enrolled. Six variables significantly associated with ODD at the multivariate logistic regression, including male, night division, poor academic performance, high risk environment, peer with illicit substance use and high maternal education level. High maternal education exerted independent protective effect on the development of ODD (adjusted odds ratio, aOR = 0.65, 95% CI = 0.44-0.99). Peer with illicit substance use was more likely to associate with ODD in the low maternal education group. The 2-way interactive effect of maternal education and peer with substance use on the development of ODD was OR = 4.96 (2.96, 8.31). CONCLUSION The present study highlights the influence of maternal education level to ODD and its interaction with peer of illicit substance use. Our findings imply that the familial attachment and peer interaction are essential stages for the development of human behavior. TRIAL REGISTRATION The research protocol was reviewed and approved by the ethical review committee of National Taiwan University Hospital (number 201505057RINC ) and registered at clinical trial systems at National Taiwan University. In addition, subjects' information was anonymous and de-identified prior to any analysis.
Collapse
Affiliation(s)
- Ming-Chia Liu
- Department of Psychiatry, MacKay Memorial Hospital, Taipei, Taiwan
| | - Jung Chen Chang
- School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.,Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan
| | - Chau-Shoun Lee
- Department of Psychiatry, MacKay Memorial Hospital, Taipei, Taiwan. .,Department of Medicine, MacKay Medical College, New Taipei City, Taiwan.
| |
Collapse
|
12
|
Associations between parenting styles and excessive screen usage in preschool children. Turk Arch Pediatr 2021; 56:261-266. [PMID: 34104919 DOI: 10.14744/turkpediatriars.2020.43765] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 09/16/2020] [Indexed: 11/20/2022]
Abstract
Objective Young children and preschoolers are now growing up in settings filled with a variety of technological devices. Despite the recommendation that parents should limit screen time, many preschoolers are exposed to screens at very early ages and for a long time. This study aimed to investigate the associations between parenting styles and the excessive screen time of preschool-aged children. Material and Methods This cross-sectional descriptive study included preschool children with low screen exposure (<1 hour; n=176) and excessive screen exposure (>4 hours; n=74). A self-completion-structured survey form and Parent Attitude Scale were filled by the mothers. Results More than half (52.0%) of them were male children. Increased number of children, increased household sizes, mothers being unemployed, birth order ≥2, and home-based care were found to be statistically significantly higher in the excessive screen exposure group than in the low screen exposure group. Mothers and fathers in the excessive screen exposure group had lower educational levels compared with their counterparts in the low screen exposure group (p<0.001). Multivariate logistic regression analyses showed that mothers' high authoritative (democratic) scores were associated with low screen exposure(adjusted odds ratio (AOR): 0.3; 95% confidence interval (CI): 0.1-0.9). High overprotective and permissive parenting subscale scores were related to excessive screen exposure after adjusting potential confounders (AOR: 2.8, 95% CI: 1.1-6.7; AOR: 4.5, 95% CI: 1.8-11.6). Conclusion Excessive screening time may indicate a problematic parent-child relationship. Establishing a positive parent-child relationship can be an effective way of managing screen time in preschool children.
Collapse
|
13
|
Mérelle S, Van Bergen D, Looijmans M, Balt E, Rasing S, van Domburgh L, Nauta M, Sijperda O, Mulder W, Gilissen R, Franx G, Creemers D, Popma A. A multi-method psychological autopsy study on youth suicides in the Netherlands in 2017: Feasibility, main outcomes, and recommendations. PLoS One 2020; 15:e0238031. [PMID: 32853213 PMCID: PMC7451645 DOI: 10.1371/journal.pone.0238031] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 07/19/2020] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES In the Netherlands, there was a sharp increase in the number of suicides among 10- to 19-year-olds in 2017. A multi-method psychological autopsy study (PA) was conducted to assess feasibility, identify related factors, and study the interplay of these factors to inform suicide prevention strategies. METHODS Coroners identified youth suicides in 2017 in their records and then general practitioners (GPs) contacted the parents of these youths. Over a period of 7 months, 66 qualitative interviews were held with the parents, peers, and teachers, providing information on precipitating factors and five topics involving 35 cases (17 boys and 18 girls, mean age 17 years). Furthermore, 43 parents and care professionals filled in questionnaires to examine risk and care-related factors. Qualitative and quantitative analyses were performed. RESULTS Although registration problems faced by coroners and resistance to contacting bereaved families by GPs hampered the recruitment, most parents highly appreciated being interviewed. Several adverse childhood experiences played a role at an individual level, such as (cyber) bullying, parental divorce, sexual abuse, as well as complex mental disorders, and previous suicide attempts. Two specific patterns stood out: (1) girls characterized by insecurity and a perfectionist attitude, who developed psychopathology and dropped out of school, and (2) boys with a developmental disorder, such as autism, who were transferred to special needs education and therefore felt rejected. In addition, adolescents with complex problems had difficulty finding appropriate formal care. Regarding potential new trends, contagion effects of social media use in a clinical setting and internet use for searching lethal methods were found. CONCLUSION This first national PA study showed that, as expected, a variety of mostly complex clusters of problems played a role in youth suicides. An infrastructure is needed to continuously monitor, evaluate, and support families after each youth suicide and thereby improve prevention strategies.
Collapse
Affiliation(s)
- Saskia Mérelle
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Diana Van Bergen
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
- Faculty of Pedagogical and Educational Sciences, University of Groningen, Groningen, The Netherlands
| | - Milou Looijmans
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Elias Balt
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Sanne Rasing
- Child and Adolescent Psychiatry, GGZ Oost Brabant, Boekel, The Netherlands
- Radboud University, Nijmegen, The Netherlands
| | - Lieke van Domburgh
- Quality of Care & Innovation, Pluryn, Nijmegen, The Netherlands
- Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands
| | - Maaike Nauta
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands
| | - Onno Sijperda
- Forensic department, GGD Noord- en Oost-Gelderland, Warnsveld, The Netherlands
| | - Wico Mulder
- Youth healthcare, Dutch Centre for Youth Health (NCJ), Utrecht, The Netherlands
| | - Renske Gilissen
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Gerdien Franx
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Daan Creemers
- Child and Adolescent Psychiatry, GGZ Oost Brabant, Boekel, The Netherlands
- Radboud University, Nijmegen, The Netherlands
| | - Arne Popma
- Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands
| |
Collapse
|
14
|
Erat Nergiz M, Çaylan N, Yalçin SS, Oflu A, Tezol Ö, Foto Özdemir D, Çiçek Ş, Yıldız D. Excessive screen time is associated with maternal rejection behaviours in pre-school children. J Paediatr Child Health 2020; 56:1077-1082. [PMID: 32196138 DOI: 10.1111/jpc.14821] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 01/07/2020] [Accepted: 02/02/2020] [Indexed: 11/26/2022]
Abstract
AIM Early childhood screen exposure leads to multiple adverse health events and parents have a major influence on their children's screen time. Our aim was to determine the association between maternal acceptance-rejection/control behaviours and excessive screen exposure in pre-school children. METHODS In this cross-sectional descriptive study, children aged 2-5 years who had daily screen time <1 h (n = 76) and >4 h (n = 62) were enrolled. A structured survey form and Parental Acceptance-Rejection/Control Questionnaire were completed by mothers. RESULTS Total rejection scores were found to be lower in those with screen time <1 h than cases with >4 h (82.7 ± 13.2, 89.3 ± 17.2; P = 0.015). In addition, higher hostility, neglect and reverse-affection scores were detected in excessive screen-exposed group (P = 0.033, P = 0.003, P = 0.047, respectively). Multivariate logistic regression analyses revealed that mothers' low acceptance of their children and high neglect score were associated with excessive screen exposure after adjusting possible confounding factors. The undifferentiated rejection and control behaviours of the mothers had no association with excessive screen exposure. CONCLUSION Children with excessive screen time may have a problematic relationship with their mothers. The relationship between parent and child should be examined and corrective actions should be taken.
Collapse
Affiliation(s)
- Meryem Erat Nergiz
- Department of Pediatrics, Yıldırım Beyazıt University, Yenimahalle Research Hospital, Ankara, Turkey
| | - Nilgün Çaylan
- Department of Child and Adolescents Health, Ministry of Health, Ankara, Turkey
| | | | - Ayşe Oflu
- Department of Pediatrics, Afyonkarahisar Health Sciences University, Faculty of Medicine, Afyonkarahisar, Turkey
| | - Özlem Tezol
- Department of Pediatrics, Mersin University, Faculty of Medicine, Mersin, Turkey
| | - Dilşad Foto Özdemir
- Department of Child and Adolescents Psychiatry, Hacettepe University, Faculty of Medicine, Ankara, Turkey
| | - Şeyma Çiçek
- Department of Pediatrics, Etimesgut Şehit Sait Ertürk Hospital, Ankara, Turkey
| | - Deniz Yıldız
- Department of Pediatrics, Dr. Sami Ulus Child Hospital, Ankara, Turkey
| |
Collapse
|
15
|
Detnakarintra K, Trairatvorakul P, Pruksananonda C, Chonchaiya W. Positive mother-child interactions and parenting styles were associated with lower screen time in early childhood. Acta Paediatr 2020; 109:817-826. [PMID: 31509278 DOI: 10.1111/apa.15007] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 09/03/2019] [Accepted: 09/06/2019] [Indexed: 01/01/2023]
Abstract
AIM This study examined long-term associations between mother-child interactions and parenting styles and electronic screen time. METHODS We studied 280 healthy children (53.2% girls) enrolled at a mean age of 36 ± 0.4 months from February 2015 to September 2016. The study included retrospective data on 267 children who had been recruited from medical facilities in Thailand at 6 months of age. Mother-child interaction, parenting styles and screen time were assessed at various ages and path analyses were performed to elucidate the directionality and relationships between the variables. RESULTS Increased mother-child interaction at 18 months of age was positively associated with less screen time at 2 and 3 years of age. Likewise, nurturing authoritative parenting at 3 years of age was directly related to lower media exposure at 4 years. The total screen time at younger ages had positive direct relationships with relaxed permissive and strict authoritarian parenting styles, but negative direct relationships with nurturing authoritative parenting in subsequent years. CONCLUSION Early mother-child interaction and nurturing authoritative parenting were associated with subsequent decreased screen time, while media exposure at the age of two was related to relaxed permissive and strict authoritarian parenting at 3 years of age.
Collapse
Affiliation(s)
- Khanittha Detnakarintra
- Division of Growth and Development Department of Pediatrics Faculty of Medicine The Thai Red Cross SocietyKing Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand
| | - Pon Trairatvorakul
- Division of Growth and Development Department of Pediatrics Faculty of Medicine The Thai Red Cross SocietyKing Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand
- Maximizing Thai Children’s Developmental Potential Research Unit Department of Pediatrics Faculty of Medicine Chulalongkorn University Bangkok Thailand
| | - Chandhita Pruksananonda
- Division of Growth and Development Department of Pediatrics Faculty of Medicine The Thai Red Cross SocietyKing Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand
- Maximizing Thai Children’s Developmental Potential Research Unit Department of Pediatrics Faculty of Medicine Chulalongkorn University Bangkok Thailand
| | - Weerasak Chonchaiya
- Division of Growth and Development Department of Pediatrics Faculty of Medicine The Thai Red Cross SocietyKing Chulalongkorn Memorial HospitalChulalongkorn University Bangkok Thailand
- Maximizing Thai Children’s Developmental Potential Research Unit Department of Pediatrics Faculty of Medicine Chulalongkorn University Bangkok Thailand
| |
Collapse
|
16
|
Prasetyo YB, Kurnia AD, Masruroh NL, Nursalam N, Hargono R, Ahsan A, Kumboyono K. Factors influencing promotive behaviours in mothers of Indonesian children with avoidant restrictive food intake disorder. J Taibah Univ Med Sci 2019; 14:454-459. [PMID: 31728144 PMCID: PMC6838962 DOI: 10.1016/j.jtumed.2019.07.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 07/24/2019] [Accepted: 07/26/2019] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES This study aimed to identify predictors of promotive behaviours in mothers of Indonesian children with avoidant restrictive food intake disorder (ARFID). METHODS A cross-sectional descriptive survey was administered to 245 mothers who were caring for children with ARFID. Data were collected with a self-administered questionnaire. For descriptive data analysis, independent t-test, Mann-Whitney U test, one-way analysis of variance, Kruskal-Wallis, and multiple linear regression were employed. RESULTS The factors related to promotive behaviours in these mothers were embodied in mutual parenting, especially in terms of childcare (p = 0.001 < 0.05) and interaction with children (p = 0.001 < 0.05. Additionally, multiple linear regression showed that mutual parenting remained at the communication domain, with children as the primary predictor (β 0.401, p 0.001), where the number of children (β -0.201, p = 0.008) influenced the promotive behaviours. CONCLUSIONS This study found that the number of children and mutual parenting in interacting with children were key factors that influenced promotive behaviours in mothers of children with ARFID. We suggest that nursing interventions can potentially improve promotive behaviours in this population.
Collapse
Affiliation(s)
- Yoyok B. Prasetyo
- Department of Health Sciences, Faculty of Public Health, Airlangga University, Indonesia
| | - Anggraini D. Kurnia
- Community Department, Department of Nursing, Faculty of Health Sciences, University of Muhammadiyah Malang, Indonesia
| | - Nur L. Masruroh
- Community Department, Department of Nursing, Faculty of Health Sciences, University of Muhammadiyah Malang, Indonesia
| | | | - Rahmat Hargono
- Department of Health Education and Behavioral Sciences, Faculty of Public Health, Airlangga University, Indonesia
| | - Ahsan Ahsan
- Department of Nursing, Faculty of Medicine, Brawijaya University, Indonesia
| | | |
Collapse
|
17
|
Lindsay AC, Moura Arruda CA, Machado MM, Greaney ML. "If You Let Them, They Will Be on It 24 Hours a Day": Qualitative Study Conducted in the United States Exploring Brazilian Immigrant Mothers' Beliefs, Attitudes, and Practices Related to Screen Time Behaviors of Their Preschool-Age Children. JMIR Pediatr Parent 2019; 2:e11791. [PMID: 31518308 PMCID: PMC6715394 DOI: 10.2196/11791] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 12/03/2018] [Accepted: 12/09/2018] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND The increasing prevalence of excessive screen time (ST) among children is a growing public health concern, with evidence linking it to an increased risk of overweight and obesity among children. OBJECTIVE This study aimed to explore the beliefs, attitudes, and practices of Brazilian immigrant mothers living in the United States related to their preschool-age children's ST behaviors. METHODS A qualitative study comprising 7 focus group discussions (FGDs) was conducted with Brazilian immigrant mothers living in the United States. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analyzed using thematic analysis. RESULTS In total, 37 women participated in the FGDs. Analyses revealed that although most mothers expressed concerns for their preschool-age children's ST, nearly all viewed ST as an acceptable part of their children's daily lives. Furthermore, mothers perceived that ST has more benefits than disadvantages. The mothers' positive beliefs about (eg, educational purposes and entertainment) and perceived functional benefits of ST (eg, ability to keep children occupied so tasks can be completed and facilitation of communication with family outside the United States) contributed to their acceptance of ST for their preschool-age children. Nevertheless, most mothers spoke of needing to balance their preschool-age children's ST with other activities. Mothers reported using several parenting practices including monitoring time and content, setting limits and having rules, and prompting their children to participate in other activities to manage their preschool-age children's ST. CONCLUSIONS This study provides new information on the beliefs, attitudes, and practices of Brazilian immigrant mothers living in the United States related to their preschool-age children's ST. Study findings revealed several potentially modifiable maternal beliefs and parenting practices that may provide important targets for parenting- and family-based interventions aimed at limiting preschool-age children's ST.
Collapse
Affiliation(s)
- Ana Cristina Lindsay
- Department of Exercise and Health Sciences, University of Massachusetts Boston, Boston, MA, United States
| | | | - Márcia Mt Machado
- Department of Community Health, School of Medicine, Federal University of Ceara, Fortaleza, Brazil
| | - Mary L Greaney
- Department of Kinesiology, University of Rhode Island, Kingston, RI, United States
| |
Collapse
|
18
|
Nijhof SL, Vinkers CH, van Geelen SM, Duijff SN, Achterberg EM, van der Net J, Veltkamp RC, Grootenhuis MA, van de Putte EM, Hillegers MH, van der Brug AW, Wierenga CJ, Benders MJ, Engels RC, van der Ent CK, Vanderschuren LJ, Lesscher HM. Healthy play, better coping: The importance of play for the development of children in health and disease. Neurosci Biobehav Rev 2018; 95:421-429. [DOI: 10.1016/j.neubiorev.2018.09.024] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Revised: 08/27/2018] [Accepted: 09/26/2018] [Indexed: 12/20/2022]
|