BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the deve...BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.展开更多
This study examined the role of moral disengagement dual system of self-control in the relationship between parental psychological control and cyberbullying.Participants were involved 802 vocational college students(4...This study examined the role of moral disengagement dual system of self-control in the relationship between parental psychological control and cyberbullying.Participants were involved 802 vocational college students(46.01%females;M=18.11,SD=1.23).They completed measures on parental psychological control,moral disengagement,dual system of self-control(impulse and control system),and cyberbullying.The results from mediation-moderation analysis indicated that parental psychological control directly predicts higher cyberbullying.Specifically,moral disengagement partially mediated this relationship,as higher parental psychological control increases moral disengagement,which in turn elevates the risk of cyberbullying.Furthermore,parental psychological control moderated the relationship between parental control and cyberbullying through impulse control systems within the dual system of self-control.Individuals with high impulsivity scores are more likely to engage in cyberbullying when exposed to high levels of parental psychological control,whereas individuals with low impulsivity scores exhibit a lower incidence of cyberbullying.展开更多
People that herd livestock for a living are known as herders,and they are found throughout Mongolia’s wild vast steppe.The purpose of the study is to investigate herder parents’belief systems for preparing the un-pr...People that herd livestock for a living are known as herders,and they are found throughout Mongolia’s wild vast steppe.The purpose of the study is to investigate herder parents’belief systems for preparing the un-preschooled children for schooling in the context of herder community in rural Mongolia.The belief systems of herder parents are shaped by three main characteristics:They lack a clear plan for their children’s education,are deeply concerned about it,and feel incapable of preparing their children for formal schooling.Herders’lives revolve around their livestock,and they must remain flexible,moving when necessary due to factors like water scarcity and poor grazing conditions caused by insufficient rain.While they desire better education for their children,the nomadic lifestyle makes it difficult to achieve.Herder parents’attitudes are contradictory;they want their children to be educated and live in urban areas,yet they also prefer them to become herders rather than educated but unemployed individuals.The hard work of herding makes them reluctant to pass it on to the next generation.展开更多
BACKGROUND Children diagnosed with autism spectrum disorder(ASD)may have great difficulties when their routines change,and this may affect the psychological wellbeing of their parents.For this reason,it is important t...BACKGROUND Children diagnosed with autism spectrum disorder(ASD)may have great difficulties when their routines change,and this may affect the psychological wellbeing of their parents.For this reason,it is important to examine studies that address the mental health of parents in order to adapt to the coronavirus disease 2019(COVID-19)pandemic.AIM To determine the mental health status of parents with children diagnosed with ASD in the COVID-19 pandemic.METHODS The study,which is a systematic review,was conducted between December 15,2020 and December 30,2020 by scanning articles in English.The Scopus,Science Direct,PubMed,Cochrane,Web of Science,and Google Scholar databases were used for scanning.The keywords COVID-19 AND(“autism”OR“autistic”OR“autism spectrum disorder”)AND parent AND(“mental health”OR“anxiety”OR“stress”)were used in the search process.The inclusion criteria in the study were findings regarding the mental health of parents with children diagnosed with ASD in the COVID-19 pandemic,addressing their anxiety and stress situations,being a research article,and accessing the full text of the article.RESULTS In the study,a total of 6389 articles were reached,and the full texts of 173 articles were evaluated for eligibility.After the articles excluded by the full-text search were eliminated,12 studies involving 7105 parents were included in the analysis.The findings obtained from the articles containing data on mental health in the COVID-19 pandemic of parents with children with autism spectrum disorder were discussed in three groups.These were findings on the experiences of parents with children with ASD in the COVID-19 pandemic regarding the areas where parents with children with ASD need support in the COVID-19 pandemic and methods of coping with the COVID-19 pandemic for parents with children with ASD.In the systematic review,it was determined that the anxiety and stress of the parents increased,they needed more support compared to the pre-pandemic period,and they had difficulty coping.CONCLUSION In this systematic review,it was concluded that the COVID-19 pandemic negatively affected the mental health of the parents of children with ASD.展开更多
Objectives: Social relationships throughout lifespan are critical for health and wellbeing.Oxytocin,often called the'hormone of attachment'has been suggested as playing an important role in early-life nurturin...Objectives: Social relationships throughout lifespan are critical for health and wellbeing.Oxytocin,often called the'hormone of attachment'has been suggested as playing an important role in early-life nurturing and resulting social bonding.The objective of this paper is to synthesize the associations between oxytocin levels and interactions between infants and parents that may trigger oxytocin release,and in turn facilitate attachments.Methods: A comprehensive cross-disciplinary systematic search was completed using electronic data-bases.The inclusion criteria included studies that focused on mother-infant and father-infant interaction and measured both baseline and post-interaction oxytocin levels.Results: Seventeen studies were included in the final systematic review.The reviewed studies used mother-infant and/or father-infant play and skin-to-skin contact between maternal-infant and paternalinfant dyads to examine the oxytocin role in early life bonding and parenting processes.Studies showed a positive correlation between parent-infant contact and oxytocin levels in infancy period.Increased maternal oxytocin levels were significantly related to more affectionate contact behaviors in mothers following mother-infant contact,synchrony,and engagement.Meanwhile,increased paternal oxytocin levels were found to be related to more stimulatory contact behaviors in fathers following father-infant contact.Oxytocin levels significantly increased in infants,mothers and fathers during skin-to-skin contact and parents with higher oxytocin levels exhibited more synchrony and responsiveness in their infant interactions.Conclusion: The review suggests that oxytocin plays an important role in the development of attachment between infants and parents through early contact and interaction.The complexities of oxytocinergic mechanisms are rooted in neurobiological,genetic,and social factors.展开更多
Thefirst years of life and the family context are key to the promotion and protection of children’s health and well-being,emphasizing the need for interventions aimed to support families with young children.This revi...Thefirst years of life and the family context are key to the promotion and protection of children’s health and well-being,emphasizing the need for interventions aimed to support families with young children.This review aimed to explore the effectiveness of early childhood interventions developed for promoting mental health and parenting among families with young children in the Nordic countries.Six electronic databases were systematically searched,and 20 articles covering 16 studies applying various quantitative and qualitative methods met the study inclusion criteria.The studied interventions were assessed as universal health-promoting interventions and health-promoting interventions with elements of prevention.Outcomes of interest encompassed mental health,related risk and protective factors among the parents and/or the children,or child-parent interaction.The results from studies applying statistical methods show significant improvements in parents’self-efficacy,self-esteem,and parental satisfaction,while few improvements in parents’social support or parental relationship were identified.Improvements in social support and parental relationships were however reported in qualitative studies.Most quantitative studies reporting on parents’mental health problems and stress found a significant decrease,and qualitative studies highlighted experienced positive effects on mental health and well-being.The majority of stu-dies reporting on children’s mental health and/or development as well as strengths and difficulties indicated a statistically significant positive development.No significant changes were however found for existing behavioral problems.The majority of studies examining parenting strategies and/or parent-child interaction found signifi-cant positive changes after the interventions.In sum,althoughfindings are heterogeneous,early childhood inter-ventions show various positive effects on the parenting and mental health of both children and their parents.The fact that different types of initiatives have been developed and implemented can be seen as an advantage,con-sidering the varying needs and expectations of different families.展开更多
Social anxiety is a common psychological problem among left-behind children(LBC)and has been a popular issue in recent years.Children with higher levels of social anxiety have more emotional and behavioral problems an...Social anxiety is a common psychological problem among left-behind children(LBC)and has been a popular issue in recent years.Children with higher levels of social anxiety have more emotional and behavioral problems and are prone to negative life events.Although several studies have explored the differences in social anxiety between LBC and non-left-behind children(N-LBC),the findings have not been consistent.In this study,a systematic review and meta-analysis method was used,with 411 papers retrieved on October 01,2023,from Pubmed,Embase,Web of Science,and Chinese databases(CNKI,VIP,and Wanfang)(PROSPERO registry number:CRD42023472463).Twenty-one studies met the research criteria and included 11,254 LBC and 13,096 N-LBC.LBC scored significantly higher for social anxiety([WMD(95%CI):0.35[0.23,0.48],p<0.001])and social avoidance and distress([WMD(95%CI):0.35[0.23,0.48],p<0.001]).Subgroup analyses showed significant differences in effect sizes for the overall proportion of children left behind(p=0.02).In addition,different types of parental migration may influence the social anxiety of LBC,double-parent migration was associated higher social anxiety than father migration(p<0.001).Future research should focus on treatments to decrease social anxiety of left-behind children.These findings suggest that due to the long-term absence of parental migration,LBC are more vulnerable to negative emotional experiences and behaviours such as anxiety,distress,and avoidance during social interaction,especially for those with both parents absent from the home.Future research should focus on treatments to reduce social anxiety in LBC.展开更多
<b>Background:</b></span></b></span><span><span><span style="font-family:""> Central nervous system (CNS) tumors are the most common solid tumors among ch...<b>Background:</b></span></b></span><span><span><span style="font-family:""> Central nervous system (CNS) tumors are the most common solid tumors among children. Due to the severity of the tumors and the complexity of therapeutic regimes, it is very important to examine whether parents of the children with CNS tumors have positive coping methods against the disease. This study aims to analyze the coping methods of the parents and the factors influencing the methods. <b>Methods:</b> A total of 108 parents of brain cancer children admitted from January 2019 to September 2020 were selected as subjects. After collecting the general information of the parents, they were studied using the Coping Health Inventory for Parents (CHIP, Chinese ver<span>sion). Additionally, their coping pattern and the influencing factors were</span> analyzed. <b>Results:</b> The average scores of the three subscales of the CHIP were (4.25 ± 0.939), (3.11 ± 1.205) and (3.60 ± 1.187), respectively. Univariate analysis showed that parents’ education, medical payment methods, places of residence and economic concerns were the main factors influencing the coping methods (all <i>P</i> < 0.05). <b>Conclusions:</b> Healthcare staff should fully evaluate the coping methods adopted by the parents having children with CNS tumors, take targeted nursing measures accordingly, and assist the parents in seeking social support and learning disease-related knowledge. In addition, public education on disease is equally important.</span></span></span><span style="font-family:""></span> </p>展开更多
This case study presents different strategies that were explored by the patient’s mother (who is a researcher in music and medicine) when her 17-year-old daughter was diagnosed with ME (Myalgic Encephalomyelitis), al...This case study presents different strategies that were explored by the patient’s mother (who is a researcher in music and medicine) when her 17-year-old daughter was diagnosed with ME (Myalgic Encephalomyelitis), also known as Chronic Fatigue Syndrome (CFS). ME is not widely recognized in the Global as well as the Swedish population at large, and within healthcare, there are no standardized recommended treatments, partly due to the lack of published evidence-based studies. This case study aims to provide insights into how the Swedish healthcare system works, how different clinics and hospitals within it operate and interconnect;and how these contribute to health outcomes after 15 months of treatment.展开更多
BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current statu...BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.展开更多
Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and t...Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.展开更多
Good mental well-being is necessary for achievement in science at any level.There are extrinsic factors that have the potential to determine a learner’s mental well-being,and the role of the parent(s)cannot be underm...Good mental well-being is necessary for achievement in science at any level.There are extrinsic factors that have the potential to determine a learner’s mental well-being,and the role of the parent(s)cannot be undermined.Therefore,this study examined the relationships between parental engagement(PE),parents’attitude to science(PAS),and mental well-being(MWb)among junior science students.This descriptive survey involved a population of Junior Secondary Three(3)students studying Basic Science in public co-educational schools.A sample of three hundred(300)respondents was randomly drawn from 10 schools within the metropolis.Quantitative data were sourced using three validated questionnaires and analyzed using descriptive and inferential statistics.The research showed that PE(2.19)and PAS(2.13)are relatively high,while MWb(2.51)is moderately normal.The influence of PE and PAS on MWb is significant.Both PE and PAS have a significant positive relationship with MWb.Also,PE and PAS were found to jointly contribute to students’MWb.In conclusion,PE and PAS have implications for the child’s mental well-being and ultimate success in science.We,therefore,recommend that more parental engagement be encouraged by improving sensitization,and orientation programs could be organized for parents of science students.This may provide an avenue for parents to be better equipped to support their young scientists.展开更多
Objective:To explore the impact of parenting care guidance combined with preventive healthcare on child family parenting.Methods:Ninety-two child families were included as research subjects and randomly divided into a...Objective:To explore the impact of parenting care guidance combined with preventive healthcare on child family parenting.Methods:Ninety-two child families were included as research subjects and randomly divided into a control group and an observation group,with 46 cases in each group.The former implemented basic preventive healthcare,while the latter simultaneously carried out parenting care guidance combined with preventive healthcare.The intervention results of the two groups were compared.Results:The observation group had a higher awareness rate of family parenting knowledge and a higher formation rate of healthy behaviors,P<0.05.At the same time,parents’parenting anxiety scores were lower,and family health management ability scores were higher,P<0.05.Moreover,the observation group showed higher scores in children’s social skills,P<0.05.Conclusion:Parenting care guidance combined with preventive healthcare can effectively improve the status of child family parenting,and it is worthy of promotion and application.展开更多
With the widespread adoption of smartphones,parental phubbing behaviors have become increasingly prevalent,potentially affecting preschool children’s development.Current research primarily focuses on adolescent popul...With the widespread adoption of smartphones,parental phubbing behaviors have become increasingly prevalent,potentially affecting preschool children’s development.Current research primarily focuses on adolescent populations,while the mechanisms through which parental phubbing and authoritarian parenting style influence preschool children’s behavioral problems within the Chinese cultural context remain to be explored.Our investigation seeks to examine the factors contributing to behavioral difficulties among children of preschool age and provide theoretical guidance for prevention.Methods In our research,we utilized a convenience sampling approach to collect data from parents whose children(n=612)were between 3 and 7 years of age.The questionnaire distribution was facilitated via the Wenjuanxing online survey platform.Research instruments included the Parental Phubbing Scale,Parent-Child Relationship Scale,Authoritarian Parenting Style Scale,and Conners Child Behavior Rating Scale.For analytical procedures,we employed SPSS 24.0 to generate descriptive statistics and correlation analysis.Chain mediation effects were examined via Process macro,while significance assessment of the mediating effects relied on the Bootstrap method for constructing 95%confidence intervals.Results A statistically significant positive association was observed between parental phubbing and behavioral problems exhibited by children(r=0.251,p<0.001).Parental phubbing exhibited a significant direct effect on children’s behavioral problems(β=0.088,p<0.001).Analysis of sequential mediation demonstrated that authoritarian parenting style together with parent-child conflict functioned as significant intermediary variables in the relationship between parental phubbing and children’s problem behaviors(β=0.163,p<0.001),with these indirect pathways constituting 64.94%of the total effect.Conclusion Parental phubbing significantly contributes to behavioral problems in preschool children.Parents should monitor their media use,improve their parenting approach,and enhance parent-child relationships to reduce behavioral problems in preschool children.展开更多
Parents play a very important role in our lives.They not only give us life,but also help us grow into responsible persons.There is no doubt that we should respect our parents.Firstly,we should communicate with them mo...Parents play a very important role in our lives.They not only give us life,but also help us grow into responsible persons.There is no doubt that we should respect our parents.Firstly,we should communicate with them more often,and share our joys and sorrows with them.Secondly,we can show our respect by doing small daily things.For example,we can help with housework.Simple things like washing dishes or taking out the rubbish can show our love.More importantly,we should work hard and take good care of ourselves.展开更多
BACKGROUND Increasing evidence has shown an increased risk of non-suicidal self-injury(NSSI)in left-behind children and adolescents(LBCAs).However,a systematic summary of studies comparing the risk of NSSI between LBC...BACKGROUND Increasing evidence has shown an increased risk of non-suicidal self-injury(NSSI)in left-behind children and adolescents(LBCAs).However,a systematic summary of studies comparing the risk of NSSI between LBCAs and non-LBCAs in China is lacking.AIM To investigate the risk of NSSI among LBCAs in China.METHODS We performed a systematic search of Embase,PubMed,and Web of Science from initiation to October 25,2024,for all relevant studies of NSSI and LBCAs.The effect sizes were reported as odds ratios(ORs)with 95%confidence intervals(CI).Sensitivity analyses were conducted to further confirm the stability of the findings.RESULTS A total of 10 studies with 165276 children and adolescents were included in this study.LBCAs had significantly higher rates of NSSI compared with non-LBCAs(OR=1.33,95%CI:1.19-1.49),with high heterogeneity observed(I^(2)=77%,P<0.001).Further sensitivity analyses were consistent with the primary analysis(OR=1.29,95%CI:1.21-1.39,I^(2)=0%).CONCLUSION LBCAs are found to be at an increased risk of NSSI compared with children and adolescents of non-migrants.More attention and intervention are urgently needed for LBCAs,especially those living in developing countries.展开更多
Background:While various factors contributing to delinquency have been explored,the role of selfesteem in this specific context has received little attention.Hence,this study aims to investigate the complex issue of a...Background:While various factors contributing to delinquency have been explored,the role of selfesteem in this specific context has received little attention.Hence,this study aims to investigate the complex issue of adolescent delinquency in Iran by focusing on the mediating role of self-esteem in the relationship between parental attachment and delinquent behavior.Methods:Using the multistage cluster random sampling method,the research involved 528 high school students in Tehran.Each student completed validated scales assessing their parental attachment,self-esteem,and delinquency at school.Multiple regression analyses with the Sobel test and bootstrappingmethod were used to examine mediated effects.Results:Thefindings reveal that self-esteem significantly mediates the relationship betweenmaternal attachment and delinquency(standardized coefficient=−0.0292;p=0.04).Adolescents with secure maternal attachments tend to exhibit higher self-esteem,which reduces the likelihood of delinquent behavior.In contrast,paternal attachment did not show a significant mediating effect in this study.These results underscore the importance of cultivating secure maternal relationships and fostering positive self-esteem to address adolescent delinquency.Conclusion:The study suggests that targeted interventions that strengthen maternal attachment and boost self-esteem could effectively mitigate delinquent behaviors among Iranian adolescents.These interventions should prioritize the emotional support and value of secure maternal bonds as key factors in promoting healthy adolescent development.展开更多
Numerous hypotheses predict associations between phenotype-associated breeder traits and reproductive success.In secondary cavity-nesting passerine birds,which have been investigated most,up to more than 90parental ch...Numerous hypotheses predict associations between phenotype-associated breeder traits and reproductive success.In secondary cavity-nesting passerine birds,which have been investigated most,up to more than 90parental characteristics have been linked to at least one field measure of breeding performance.However,within study populations,different parental traits,such as clutch size,first-egg date,egg size,nest architecture,plumage colour,adult morphometry,or song performance,are often weakly correlated across female and/or male breeders.Furthermore,many of these studies have been conducted outside the theoretical framework of the'Individual Optimisation Hypothesis' of clutch size(IOH).IOH predicts that:(i) females with larger clutches will have larger broods at hatching and fledging compared to those with smaller clutches;and(ii) clutch size,which is adaptively adjusted to the parents' ability to rear nestlings,should always maximize the percentage of eggs producing fledglings so that variation in clutch size becomes disconnected from variation in breeding success.In this paper,we present the first detailed review of implications of IOH for parental characters other than clutch size.Our review covered 188 non-experimental studies and 1074 statistical results that examined how parental traits influence breeding success in Western Palearctic Great Tits(Parus major),Blue Tits(Cyanistes spp.),and flycatchers(Ficedula spp.).Clutch size explained one third of the variation in brood size at hatching and fledging within study populations.However,most parental characteristics associated weakly with the number of hatchlings or fledglings,likely because they did not correlate with clutch size.Overall,parental traits were poorly correlated with the proportion of hatchlings and fledglings per egg.We discuss why intraspecific variation in phenotype-associated breeder traits is often disconnected from interindividual differences in breeding success,and highlight the importance of underexplored research problems in avian breeding biology.展开更多
BACKGROUND Childhood trauma and parental socialization have been postulated as environmental factors of at-risk mental state(ARMS).Parental socialization is the process through which parents shape children’s self-reg...BACKGROUND Childhood trauma and parental socialization have been postulated as environmental factors of at-risk mental state(ARMS).Parental socialization is the process through which parents shape children’s self-regulation by providing guidance and protection.Although the impact of trauma on ARMS has been theorized,its clinical implications have not yet been fully clarified in adolescence,nor have explanatory models of parenting styles been established.AIM To investigate the role of traumatic experiences in the appearance of ARMS in the general adolescent population,considering the influence of parental socialization.METHODS A cross-sectional study of 697 adolescents aged 11-15 years was conducted,during which several questionnaires assessing childhood trauma,psychotic symptoms,and parenting styles were administered.The sample was divided into control,low-risk,medium-risk,and high-risk groups.RESULTS Some 2.8%(n=19)of the adolescents presented ARMS and the presence of childhood trauma was associated with an increased risk of ARMS.Furthermore,the presence of abuse was greater in the high-risk and low-risk groups compared to controls.Regarding parental socialization,it was determined that a family socialization style based on greater affection–communication decreased the probability of ARMS.Finally,using PROCESS model 1(regressionbased path analysis that uses ordinary least squares regression),results suggested that low levels of affection and communication may mediate the relationship between childhood trauma and ARMS in adolescents.CONCLUSION These results highlight the importance of the early detection of trauma in preventing ARMS,without forgetting the importance of socialization styles.展开更多
Background:Parenting exerts a profound influence on children’s mental health and behavioral development.Despite the high prevalence of children’s emotional and behavioral problems(CEBP)in China,evidence-based parent...Background:Parenting exerts a profound influence on children’s mental health and behavioral development.Despite the high prevalence of children’s emotional and behavioral problems(CEBP)in China,evidence-based parenting interventions remain scarcely investigated as preventive public health strategies.This pilot study evaluated a school-based intervention for preventing CEBP.Methods:We employed a quasi-experimental design with propensity score matching(PSM)to select 28 families(intervention:n=13;control:n=15)from two matched urban primary schools.Quantitative data from seven validated scales were analyzed using t-tests and ANCOVA.Qualitative insights were derived from 10 semi-structured interviews via thematic analysis.Results:Compared to the control group,the intervention group demonstrated significantly greater improvements in CEBP(p=0.020,Cohen’s d=0.92),parental adjustment(p=0.031,Cohen’s d=0.80),parenting confidence(p=0.003,Cohen’s d=1.04),and parentchild relationships(p=0.001,Cohen’s d=1.46).Non-significant effects were observed for parenting style,parental relationship,and parenting conflict(p>0.05).Qualitative analysis corroborated these findings and further identified contributing factors for non-significant outcomes,including challengeswithmeasurement adaptability and inconsistent co-parenting practices.Conclusions:This pilot study suggests that an authoritative parenting style may be effective and culturally adaptable in China.Positive parenting interventions appear to mitigate CEBP by reducing risk factors and enhancing protective factors.However,improving parental relationships and parenting conflict may require targeted strategies.Given the pilot nature of this PSM-matched study(n=28),the findings should be interpreted as exploratory and used primarily for intervention refinement.展开更多
文摘BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.
基金supported by the Industry-Education Integration and Collaborative Education Project(No.230806121220054)the Joint Founding Project of Innovation Research Institute of Xijing Hospital(LHJJ24XL06).
文摘This study examined the role of moral disengagement dual system of self-control in the relationship between parental psychological control and cyberbullying.Participants were involved 802 vocational college students(46.01%females;M=18.11,SD=1.23).They completed measures on parental psychological control,moral disengagement,dual system of self-control(impulse and control system),and cyberbullying.The results from mediation-moderation analysis indicated that parental psychological control directly predicts higher cyberbullying.Specifically,moral disengagement partially mediated this relationship,as higher parental psychological control increases moral disengagement,which in turn elevates the risk of cyberbullying.Furthermore,parental psychological control moderated the relationship between parental control and cyberbullying through impulse control systems within the dual system of self-control.Individuals with high impulsivity scores are more likely to engage in cyberbullying when exposed to high levels of parental psychological control,whereas individuals with low impulsivity scores exhibit a lower incidence of cyberbullying.
文摘People that herd livestock for a living are known as herders,and they are found throughout Mongolia’s wild vast steppe.The purpose of the study is to investigate herder parents’belief systems for preparing the un-preschooled children for schooling in the context of herder community in rural Mongolia.The belief systems of herder parents are shaped by three main characteristics:They lack a clear plan for their children’s education,are deeply concerned about it,and feel incapable of preparing their children for formal schooling.Herders’lives revolve around their livestock,and they must remain flexible,moving when necessary due to factors like water scarcity and poor grazing conditions caused by insufficient rain.While they desire better education for their children,the nomadic lifestyle makes it difficult to achieve.Herder parents’attitudes are contradictory;they want their children to be educated and live in urban areas,yet they also prefer them to become herders rather than educated but unemployed individuals.The hard work of herding makes them reluctant to pass it on to the next generation.
文摘BACKGROUND Children diagnosed with autism spectrum disorder(ASD)may have great difficulties when their routines change,and this may affect the psychological wellbeing of their parents.For this reason,it is important to examine studies that address the mental health of parents in order to adapt to the coronavirus disease 2019(COVID-19)pandemic.AIM To determine the mental health status of parents with children diagnosed with ASD in the COVID-19 pandemic.METHODS The study,which is a systematic review,was conducted between December 15,2020 and December 30,2020 by scanning articles in English.The Scopus,Science Direct,PubMed,Cochrane,Web of Science,and Google Scholar databases were used for scanning.The keywords COVID-19 AND(“autism”OR“autistic”OR“autism spectrum disorder”)AND parent AND(“mental health”OR“anxiety”OR“stress”)were used in the search process.The inclusion criteria in the study were findings regarding the mental health of parents with children diagnosed with ASD in the COVID-19 pandemic,addressing their anxiety and stress situations,being a research article,and accessing the full text of the article.RESULTS In the study,a total of 6389 articles were reached,and the full texts of 173 articles were evaluated for eligibility.After the articles excluded by the full-text search were eliminated,12 studies involving 7105 parents were included in the analysis.The findings obtained from the articles containing data on mental health in the COVID-19 pandemic of parents with children with autism spectrum disorder were discussed in three groups.These were findings on the experiences of parents with children with ASD in the COVID-19 pandemic regarding the areas where parents with children with ASD need support in the COVID-19 pandemic and methods of coping with the COVID-19 pandemic for parents with children with ASD.In the systematic review,it was determined that the anxiety and stress of the parents increased,they needed more support compared to the pre-pandemic period,and they had difficulty coping.CONCLUSION In this systematic review,it was concluded that the COVID-19 pandemic negatively affected the mental health of the parents of children with ASD.
文摘Objectives: Social relationships throughout lifespan are critical for health and wellbeing.Oxytocin,often called the'hormone of attachment'has been suggested as playing an important role in early-life nurturing and resulting social bonding.The objective of this paper is to synthesize the associations between oxytocin levels and interactions between infants and parents that may trigger oxytocin release,and in turn facilitate attachments.Methods: A comprehensive cross-disciplinary systematic search was completed using electronic data-bases.The inclusion criteria included studies that focused on mother-infant and father-infant interaction and measured both baseline and post-interaction oxytocin levels.Results: Seventeen studies were included in the final systematic review.The reviewed studies used mother-infant and/or father-infant play and skin-to-skin contact between maternal-infant and paternalinfant dyads to examine the oxytocin role in early life bonding and parenting processes.Studies showed a positive correlation between parent-infant contact and oxytocin levels in infancy period.Increased maternal oxytocin levels were significantly related to more affectionate contact behaviors in mothers following mother-infant contact,synchrony,and engagement.Meanwhile,increased paternal oxytocin levels were found to be related to more stimulatory contact behaviors in fathers following father-infant contact.Oxytocin levels significantly increased in infants,mothers and fathers during skin-to-skin contact and parents with higher oxytocin levels exhibited more synchrony and responsiveness in their infant interactions.Conclusion: The review suggests that oxytocin plays an important role in the development of attachment between infants and parents through early contact and interaction.The complexities of oxytocinergic mechanisms are rooted in neurobiological,genetic,and social factors.
文摘Thefirst years of life and the family context are key to the promotion and protection of children’s health and well-being,emphasizing the need for interventions aimed to support families with young children.This review aimed to explore the effectiveness of early childhood interventions developed for promoting mental health and parenting among families with young children in the Nordic countries.Six electronic databases were systematically searched,and 20 articles covering 16 studies applying various quantitative and qualitative methods met the study inclusion criteria.The studied interventions were assessed as universal health-promoting interventions and health-promoting interventions with elements of prevention.Outcomes of interest encompassed mental health,related risk and protective factors among the parents and/or the children,or child-parent interaction.The results from studies applying statistical methods show significant improvements in parents’self-efficacy,self-esteem,and parental satisfaction,while few improvements in parents’social support or parental relationship were identified.Improvements in social support and parental relationships were however reported in qualitative studies.Most quantitative studies reporting on parents’mental health problems and stress found a significant decrease,and qualitative studies highlighted experienced positive effects on mental health and well-being.The majority of stu-dies reporting on children’s mental health and/or development as well as strengths and difficulties indicated a statistically significant positive development.No significant changes were however found for existing behavioral problems.The majority of studies examining parenting strategies and/or parent-child interaction found signifi-cant positive changes after the interventions.In sum,althoughfindings are heterogeneous,early childhood inter-ventions show various positive effects on the parenting and mental health of both children and their parents.The fact that different types of initiatives have been developed and implemented can be seen as an advantage,con-sidering the varying needs and expectations of different families.
基金the Talent Cultivation Project of Central Support for Reform and Development Funds for Local Universities in Heilongjiang Provincial Undergraduate Colleges in 2021 and the Social Science Fund Project of Qiqihar Medical College(QYSKL2022-03ZD).
文摘Social anxiety is a common psychological problem among left-behind children(LBC)and has been a popular issue in recent years.Children with higher levels of social anxiety have more emotional and behavioral problems and are prone to negative life events.Although several studies have explored the differences in social anxiety between LBC and non-left-behind children(N-LBC),the findings have not been consistent.In this study,a systematic review and meta-analysis method was used,with 411 papers retrieved on October 01,2023,from Pubmed,Embase,Web of Science,and Chinese databases(CNKI,VIP,and Wanfang)(PROSPERO registry number:CRD42023472463).Twenty-one studies met the research criteria and included 11,254 LBC and 13,096 N-LBC.LBC scored significantly higher for social anxiety([WMD(95%CI):0.35[0.23,0.48],p<0.001])and social avoidance and distress([WMD(95%CI):0.35[0.23,0.48],p<0.001]).Subgroup analyses showed significant differences in effect sizes for the overall proportion of children left behind(p=0.02).In addition,different types of parental migration may influence the social anxiety of LBC,double-parent migration was associated higher social anxiety than father migration(p<0.001).Future research should focus on treatments to decrease social anxiety of left-behind children.These findings suggest that due to the long-term absence of parental migration,LBC are more vulnerable to negative emotional experiences and behaviours such as anxiety,distress,and avoidance during social interaction,especially for those with both parents absent from the home.Future research should focus on treatments to reduce social anxiety in LBC.
文摘<b>Background:</b></span></b></span><span><span><span style="font-family:""> Central nervous system (CNS) tumors are the most common solid tumors among children. Due to the severity of the tumors and the complexity of therapeutic regimes, it is very important to examine whether parents of the children with CNS tumors have positive coping methods against the disease. This study aims to analyze the coping methods of the parents and the factors influencing the methods. <b>Methods:</b> A total of 108 parents of brain cancer children admitted from January 2019 to September 2020 were selected as subjects. After collecting the general information of the parents, they were studied using the Coping Health Inventory for Parents (CHIP, Chinese ver<span>sion). Additionally, their coping pattern and the influencing factors were</span> analyzed. <b>Results:</b> The average scores of the three subscales of the CHIP were (4.25 ± 0.939), (3.11 ± 1.205) and (3.60 ± 1.187), respectively. Univariate analysis showed that parents’ education, medical payment methods, places of residence and economic concerns were the main factors influencing the coping methods (all <i>P</i> < 0.05). <b>Conclusions:</b> Healthcare staff should fully evaluate the coping methods adopted by the parents having children with CNS tumors, take targeted nursing measures accordingly, and assist the parents in seeking social support and learning disease-related knowledge. In addition, public education on disease is equally important.</span></span></span><span style="font-family:""></span> </p>
文摘This case study presents different strategies that were explored by the patient’s mother (who is a researcher in music and medicine) when her 17-year-old daughter was diagnosed with ME (Myalgic Encephalomyelitis), also known as Chronic Fatigue Syndrome (CFS). ME is not widely recognized in the Global as well as the Swedish population at large, and within healthcare, there are no standardized recommended treatments, partly due to the lack of published evidence-based studies. This case study aims to provide insights into how the Swedish healthcare system works, how different clinics and hospitals within it operate and interconnect;and how these contribute to health outcomes after 15 months of treatment.
基金Supported by the Shijiazhuang Science and Technology Research and Development Program,No.221460383.
文摘BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.
基金supported by the Humanities and Social Sciences Research Planning Fund of Chinese Ministry of Education(22YJAZH150).
文摘Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.
文摘Good mental well-being is necessary for achievement in science at any level.There are extrinsic factors that have the potential to determine a learner’s mental well-being,and the role of the parent(s)cannot be undermined.Therefore,this study examined the relationships between parental engagement(PE),parents’attitude to science(PAS),and mental well-being(MWb)among junior science students.This descriptive survey involved a population of Junior Secondary Three(3)students studying Basic Science in public co-educational schools.A sample of three hundred(300)respondents was randomly drawn from 10 schools within the metropolis.Quantitative data were sourced using three validated questionnaires and analyzed using descriptive and inferential statistics.The research showed that PE(2.19)and PAS(2.13)are relatively high,while MWb(2.51)is moderately normal.The influence of PE and PAS on MWb is significant.Both PE and PAS have a significant positive relationship with MWb.Also,PE and PAS were found to jointly contribute to students’MWb.In conclusion,PE and PAS have implications for the child’s mental well-being and ultimate success in science.We,therefore,recommend that more parental engagement be encouraged by improving sensitization,and orientation programs could be organized for parents of science students.This may provide an avenue for parents to be better equipped to support their young scientists.
文摘Objective:To explore the impact of parenting care guidance combined with preventive healthcare on child family parenting.Methods:Ninety-two child families were included as research subjects and randomly divided into a control group and an observation group,with 46 cases in each group.The former implemented basic preventive healthcare,while the latter simultaneously carried out parenting care guidance combined with preventive healthcare.The intervention results of the two groups were compared.Results:The observation group had a higher awareness rate of family parenting knowledge and a higher formation rate of healthy behaviors,P<0.05.At the same time,parents’parenting anxiety scores were lower,and family health management ability scores were higher,P<0.05.Moreover,the observation group showed higher scores in children’s social skills,P<0.05.Conclusion:Parenting care guidance combined with preventive healthcare can effectively improve the status of child family parenting,and it is worthy of promotion and application.
文摘With the widespread adoption of smartphones,parental phubbing behaviors have become increasingly prevalent,potentially affecting preschool children’s development.Current research primarily focuses on adolescent populations,while the mechanisms through which parental phubbing and authoritarian parenting style influence preschool children’s behavioral problems within the Chinese cultural context remain to be explored.Our investigation seeks to examine the factors contributing to behavioral difficulties among children of preschool age and provide theoretical guidance for prevention.Methods In our research,we utilized a convenience sampling approach to collect data from parents whose children(n=612)were between 3 and 7 years of age.The questionnaire distribution was facilitated via the Wenjuanxing online survey platform.Research instruments included the Parental Phubbing Scale,Parent-Child Relationship Scale,Authoritarian Parenting Style Scale,and Conners Child Behavior Rating Scale.For analytical procedures,we employed SPSS 24.0 to generate descriptive statistics and correlation analysis.Chain mediation effects were examined via Process macro,while significance assessment of the mediating effects relied on the Bootstrap method for constructing 95%confidence intervals.Results A statistically significant positive association was observed between parental phubbing and behavioral problems exhibited by children(r=0.251,p<0.001).Parental phubbing exhibited a significant direct effect on children’s behavioral problems(β=0.088,p<0.001).Analysis of sequential mediation demonstrated that authoritarian parenting style together with parent-child conflict functioned as significant intermediary variables in the relationship between parental phubbing and children’s problem behaviors(β=0.163,p<0.001),with these indirect pathways constituting 64.94%of the total effect.Conclusion Parental phubbing significantly contributes to behavioral problems in preschool children.Parents should monitor their media use,improve their parenting approach,and enhance parent-child relationships to reduce behavioral problems in preschool children.
文摘Parents play a very important role in our lives.They not only give us life,but also help us grow into responsible persons.There is no doubt that we should respect our parents.Firstly,we should communicate with them more often,and share our joys and sorrows with them.Secondly,we can show our respect by doing small daily things.For example,we can help with housework.Simple things like washing dishes or taking out the rubbish can show our love.More importantly,we should work hard and take good care of ourselves.
基金Supported by the Fujian Provincial Health and Family Planning Youth Scientific Research Project,No.2022QNB029.
文摘BACKGROUND Increasing evidence has shown an increased risk of non-suicidal self-injury(NSSI)in left-behind children and adolescents(LBCAs).However,a systematic summary of studies comparing the risk of NSSI between LBCAs and non-LBCAs in China is lacking.AIM To investigate the risk of NSSI among LBCAs in China.METHODS We performed a systematic search of Embase,PubMed,and Web of Science from initiation to October 25,2024,for all relevant studies of NSSI and LBCAs.The effect sizes were reported as odds ratios(ORs)with 95%confidence intervals(CI).Sensitivity analyses were conducted to further confirm the stability of the findings.RESULTS A total of 10 studies with 165276 children and adolescents were included in this study.LBCAs had significantly higher rates of NSSI compared with non-LBCAs(OR=1.33,95%CI:1.19-1.49),with high heterogeneity observed(I^(2)=77%,P<0.001).Further sensitivity analyses were consistent with the primary analysis(OR=1.29,95%CI:1.21-1.39,I^(2)=0%).CONCLUSION LBCAs are found to be at an increased risk of NSSI compared with children and adolescents of non-migrants.More attention and intervention are urgently needed for LBCAs,especially those living in developing countries.
基金supported in part by the Higher Education Sprout Project,Ministry of Education,to the Headquarters of University Advancement at National Cheng Kung University(NCKU).
文摘Background:While various factors contributing to delinquency have been explored,the role of selfesteem in this specific context has received little attention.Hence,this study aims to investigate the complex issue of adolescent delinquency in Iran by focusing on the mediating role of self-esteem in the relationship between parental attachment and delinquent behavior.Methods:Using the multistage cluster random sampling method,the research involved 528 high school students in Tehran.Each student completed validated scales assessing their parental attachment,self-esteem,and delinquency at school.Multiple regression analyses with the Sobel test and bootstrappingmethod were used to examine mediated effects.Results:Thefindings reveal that self-esteem significantly mediates the relationship betweenmaternal attachment and delinquency(standardized coefficient=−0.0292;p=0.04).Adolescents with secure maternal attachments tend to exhibit higher self-esteem,which reduces the likelihood of delinquent behavior.In contrast,paternal attachment did not show a significant mediating effect in this study.These results underscore the importance of cultivating secure maternal relationships and fostering positive self-esteem to address adolescent delinquency.Conclusion:The study suggests that targeted interventions that strengthen maternal attachment and boost self-esteem could effectively mitigate delinquent behaviors among Iranian adolescents.These interventions should prioritize the emotional support and value of secure maternal bonds as key factors in promoting healthy adolescent development.
文摘Numerous hypotheses predict associations between phenotype-associated breeder traits and reproductive success.In secondary cavity-nesting passerine birds,which have been investigated most,up to more than 90parental characteristics have been linked to at least one field measure of breeding performance.However,within study populations,different parental traits,such as clutch size,first-egg date,egg size,nest architecture,plumage colour,adult morphometry,or song performance,are often weakly correlated across female and/or male breeders.Furthermore,many of these studies have been conducted outside the theoretical framework of the'Individual Optimisation Hypothesis' of clutch size(IOH).IOH predicts that:(i) females with larger clutches will have larger broods at hatching and fledging compared to those with smaller clutches;and(ii) clutch size,which is adaptively adjusted to the parents' ability to rear nestlings,should always maximize the percentage of eggs producing fledglings so that variation in clutch size becomes disconnected from variation in breeding success.In this paper,we present the first detailed review of implications of IOH for parental characters other than clutch size.Our review covered 188 non-experimental studies and 1074 statistical results that examined how parental traits influence breeding success in Western Palearctic Great Tits(Parus major),Blue Tits(Cyanistes spp.),and flycatchers(Ficedula spp.).Clutch size explained one third of the variation in brood size at hatching and fledging within study populations.However,most parental characteristics associated weakly with the number of hatchlings or fledglings,likely because they did not correlate with clutch size.Overall,parental traits were poorly correlated with the proportion of hatchlings and fledglings per egg.We discuss why intraspecific variation in phenotype-associated breeder traits is often disconnected from interindividual differences in breeding success,and highlight the importance of underexplored research problems in avian breeding biology.
基金Supported by Universidad Cardenal Herrera-CEU,CEU Universities,No.GIR24/27。
文摘BACKGROUND Childhood trauma and parental socialization have been postulated as environmental factors of at-risk mental state(ARMS).Parental socialization is the process through which parents shape children’s self-regulation by providing guidance and protection.Although the impact of trauma on ARMS has been theorized,its clinical implications have not yet been fully clarified in adolescence,nor have explanatory models of parenting styles been established.AIM To investigate the role of traumatic experiences in the appearance of ARMS in the general adolescent population,considering the influence of parental socialization.METHODS A cross-sectional study of 697 adolescents aged 11-15 years was conducted,during which several questionnaires assessing childhood trauma,psychotic symptoms,and parenting styles were administered.The sample was divided into control,low-risk,medium-risk,and high-risk groups.RESULTS Some 2.8%(n=19)of the adolescents presented ARMS and the presence of childhood trauma was associated with an increased risk of ARMS.Furthermore,the presence of abuse was greater in the high-risk and low-risk groups compared to controls.Regarding parental socialization,it was determined that a family socialization style based on greater affection–communication decreased the probability of ARMS.Finally,using PROCESS model 1(regressionbased path analysis that uses ordinary least squares regression),results suggested that low levels of affection and communication may mediate the relationship between childhood trauma and ARMS in adolescents.CONCLUSION These results highlight the importance of the early detection of trauma in preventing ARMS,without forgetting the importance of socialization styles.
基金supported by the National Social Science Fund of China[18BSH146].
文摘Background:Parenting exerts a profound influence on children’s mental health and behavioral development.Despite the high prevalence of children’s emotional and behavioral problems(CEBP)in China,evidence-based parenting interventions remain scarcely investigated as preventive public health strategies.This pilot study evaluated a school-based intervention for preventing CEBP.Methods:We employed a quasi-experimental design with propensity score matching(PSM)to select 28 families(intervention:n=13;control:n=15)from two matched urban primary schools.Quantitative data from seven validated scales were analyzed using t-tests and ANCOVA.Qualitative insights were derived from 10 semi-structured interviews via thematic analysis.Results:Compared to the control group,the intervention group demonstrated significantly greater improvements in CEBP(p=0.020,Cohen’s d=0.92),parental adjustment(p=0.031,Cohen’s d=0.80),parenting confidence(p=0.003,Cohen’s d=1.04),and parentchild relationships(p=0.001,Cohen’s d=1.46).Non-significant effects were observed for parenting style,parental relationship,and parenting conflict(p>0.05).Qualitative analysis corroborated these findings and further identified contributing factors for non-significant outcomes,including challengeswithmeasurement adaptability and inconsistent co-parenting practices.Conclusions:This pilot study suggests that an authoritative parenting style may be effective and culturally adaptable in China.Positive parenting interventions appear to mitigate CEBP by reducing risk factors and enhancing protective factors.However,improving parental relationships and parenting conflict may require targeted strategies.Given the pilot nature of this PSM-matched study(n=28),the findings should be interpreted as exploratory and used primarily for intervention refinement.
