Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in primary school students

ZHANG Ying; XU Huiqiong; LI Shuqin; LI Ruoyu; GAO Yue; WAN Yuhui

doi:10.16835/j.cnki.1000-9817.2024262

Volume 45 Issue 9

Sep. 2024

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(9): 1319-1323

ZHANG Ying, XU Huiqiong, LI Shuqin, LI Ruoyu, GAO Yue, WAN Yuhui. Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2024262

Citation:

ZHANG Ying, XU Huiqiong, LI Shuqin, LI Ruoyu, GAO Yue, WAN Yuhui. Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2024262

Citation:

ZHANG Ying, XU Huiqiong, LI Shuqin, LI Ruoyu, GAO Yue, WAN Yuhui. Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2024262

PDF( 1015 KB)

Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in primary school students

doi: 10.16835/j.cnki.1000-9817.2024262

ZHANG Ying¹,
XU Huiqiong²,
LI Shuqin³,
LI Ruoyu³,
GAO Yue¹,
WAN Yuhui^{1, 3
,
,}

1.
Department of Health Promotion and Behavioral Science, School of Public Health, Anhui Medical University, Hefei (230032), Anhui Province, China

Received Date: 2024-05-11
Rev Recd Date: 2024-05-16

Available Online: 2024-10-08

Publish Date: 2024-09-25

Abstract

Abstract

Objective To understand the association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems (EBPs) in primary school students, so as to provide a reference for the prevention of EBPs in primary school students. Methods In May 2023, a convenient cluster sampling method was used to select 1 324 students from two primary schools in Hefei City, Anhui Province as the study subjects.The Generalized Anxiety Disorder-7(GAD-7), Patient Health Questionnaire (PHQ-9), Family Adaptation and Cohesion Evaluation ScalesⅡ(FACES Ⅱ), and Strengths and Difficulties Questionnaire (SDQ) of parental version were used to investigate maternal emotional symptoms, parent-child relationship, and EBPs of primary school students, respectively.Multivariate Logistic regression analysis model was used to analyze the association of different maternal emotional symptoms and parent-child relationship with EBPs of primary school students. Results The abnormal detection rates of emotional symptoms, conduct problems, hyperactivity disorder, peer problems, prosocial behavior and total difficulties in primary school students were 13.6%, 19.4%, 20.2%, 36.5%, 20.9% and 51.9%, respectively.Multivariate Logistic regression analysis showed that the detection rates of EBPs in primary school students whose mothers had anxiety and depression symptoms with low level of parent-child relationship increased (OR=1.52-6.97, P < 0.01).The combined effect of mothers who had anxiety and depression symptoms with low level of parent-child relationship increased the risk of EBPs in all dimensions of primary school students (OR=4.07-10.14, P < 0.01).After gender stratification, the combined effect of mothers who had anxiety and depression symptoms with low level of parent-child relationship increased the risk of EBPs in all dimensions of boys and girls (OR=3.71-10.95, P < 0.01). Conclusions Maternal emotional symptoms and parent-child relationship are associated with EBPs in primary school students.Reducing maternal anxiety and depression symptoms, and improving parent-child relationship are beneficial to reduce the incidence of EBPs problems in primary school students.
- Mothers,
- Emotions,
- Parent-child relations,
- Mental health,
- Regression analysis,
- Students

FullText(HTML)

References(31)

References

[1]	荣璠, 李若瑜, 高畅, 等. 母亲童年期不良经历及教养方式与学龄前儿童情绪行为问题的关联[J]. 中国学校卫生, 2022, 43(8): 1134-1138. doi: 10.16835/j.cnki.1000-9817.2022.08.004 RONG F, LI R Y, GAO C, et al. Association of maternal adverse childhood experiences and parenting styles with emotional behavior problems in preschool children[J]. Chin J Sch Health, 2022, 43(8): 1134-1138. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.004
[2]	WANG Y, WU X, CHEN H. Mothers' depressive symptoms and chil-dren's behavioral adjustment: the role of negative parental emotional states[J]. J Fam Psychol, 2023, 37(8): 1220-1229. doi: 10.1037/fam0001151
[3]	王心柱, 李若瑜, 杨亚红, 等. 母亲情绪症状与学龄前儿童情绪行为问题的关联[J]. 中国学校卫生, 2023, 44(2): 256-265. doi: 10.16835/j.cnki.1000-9817.2023.02.022 WANG X Z, LI R Y, YANG Y H, et al. Relationship between maternal emotional symptoms and emotional and behavioral problems of preschool offspring[J]. Chin J Sch Health, 2023, 44(2): 256-265. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.02.022
[4]	SUN J, HU J, ZHOU X, et al. Relationship between anxiety and depressive trajectories of women who conceived through assisted reproductive technology and their children's emotional and behavioral problems: a prospective cohort study[J]. J Affect Disord, 2023, 332: 150-158. doi: 10.1016/j.jad.2023.03.020
[5]	SHUFFREY L C, MORALES S, JACOBSON M H, et al. Association of gestational diabetes mellitus and perinatal maternal depression with early childhood behavioral problems: an environmental influences on child health outcomes (ECHO) study[J]. Child Dev, 2023, 94(6): 1595-1609. doi: 10.1111/cdev.13938
[6]	何海燕, 余敏, 宁曼, 等. 母子关系在母亲养育压力与学龄前儿童情绪行为问题关联中的作用[J]. 中国当代儿科杂志, 2023, 25(4): 394-400. HE H Y, YU M, NING M, et al. The role of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children[J]. Chin J Contemp Pediatr, 2023, 25(4): 394-400. (in Chinese)
[7]	YANG M, QI H, MENG Z, et al. Destructive interparental conflict affects Chinese children's emotional and behavioral problems: indirect pathways via parent-child attachment and emotional insecurity[J]. Front Psychol, 2022, 13: 1024325. doi: 10.3389/fpsyg.2022.1024325
[8]	YU X, HE T, TAN Y, et al. Intergenerational effects of childhood maltreatment: the relationships among parental childhood emotional neglect, emotional expressiveness and children's problem behaviors[J]. Child Abuse Negl, 2023, 140: 106147. doi: 10.1016/j.chiabu.2023.106147
[9]	PAN W L, LIN L C, KUO L Y, et al. Effects of a prenatal mindfulness program on longitudinal changes in stress, anxiety, depression, and mother-infant bonding of women with a tendency to perinatal mood and anxiety disorder: a randomized controlled trial[J]. BMC Pregnancy Childbirth, 2023, 23(1): 547. doi: 10.1186/s12884-023-05873-2
[10]	SPITZER R L, KROENKE K, WILLIAMS J B, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7[J]. Arch Intern Med, 2006, 166(10): 1092-1097. doi: 10.1001/archinte.166.10.1092
[11]	KROENKE K, SPITZER R L, WILLIAMS J B. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x
[12]	高星, 刘阳贵, 李北方. 三级康复管理对冠心病患者GAD-7评分、ESCA评分及步行试验的影响[J]. 深圳中西医结合杂志, 2023, 33(1): 134-136. GAO X, LIU Y G, LI B F. Effect of tertiary rehabilitation management on GAD-7 score, ESCA score and walking test in patients with coronary heart disease[J]. Shenzhen J Integr Tradit Chin West Med, 2023, 33(1): 134-136. (in Chinese)
[13]	朱冬青, 陶舒曼, 谢阳, 等. 大学生手机多任务行为与抑郁症状的纵向关联[J]. 中国学校卫生, 2024, 45(4): 465-469. doi: 10.16835/j.cnki.1000-9817.2024120 ZHU D Q, TAO S M, XIE Y, et al. Longitudinal associations between smartphone multitasking and depressive symptoms in college students[J]. Chin J Sch Health, 2024, 45(4): 465-469. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024120
[14]	FULIGNI A J, ZHANG W. Attitudes toward family obligation among adolescents in contemporary urban and rural China[J]. Child Dev, 2004, 75(1): 180-192. doi: 10.1111/j.1467-8624.2004.00662.x
[15]	蒋志成, 徐慧琼, 汪姗姗, 等. 童年期虐待经历和亲子关系与中学生自伤行为的关联[J]. 中国学校卫生, 2020, 41(7): 987-990. doi: 10.16835/j.cnki.1000-9817.2020.07.008 JIANG Z C, XU H Q, WANG S S, et al. Associations between childhood abuse experience, parent-child relationship and non-suicidal self-injury in middle school students[J]. Chin J Sch Health, 2020, 41(7): 987-990. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.07.008
[16]	寇建华, 杜亚松, 夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J]. 上海精神医学, 2005, 17(1): 25-28. KOU J H, DU Y S, XIA L M. Reliability and validity of Children Strengths and Difficulties Questionnaire (Parental Version) in Shanghai norm[J]. Shanghai Arch Psychiatry, 2005, 17(1): 25-28. (in Chinese)
[17]	余伟强, 李若瑜, 黄永玲, 等. 母亲童年期不良经历与学龄前儿童情绪行为问题的关联[J]. 中国学校卫生, 2022, 43(8): 1130-1133, 1138. doi: 10.16835/j.cnki.1000-9817.2022.08.003 YU W Q, LI R Y, HUANG Y L, et al. Relationship between maternal adverse childhood experiences and preschool children's emotional and behavioral problems[J]. Chin J Sch Health, 2022, 43(8): 1130-1133, 1138. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.003
[18]	FAJARDO-BULLÓN F, RASSKIN-GUTMAN I, LEÓN-DEL BARCO B, et al. International and spanish findings in scientific literature about minors' mental health: predictive factors using the strengths and difficulties questionnaire[J]. Int J Environ Res Public Health, 2019, 16(9): 1603. doi: 10.3390/ijerph16091603
[19]	MATOS A P, SALVADOR M C, COSTA J J, et al. The relationship between internalizing and externalizing problems in adolescence: does gender make a difference?[J]. Can Int J Soc Sci Educ, 2017, 8: 45-63.
[20]	黄永玲, 李若瑜, 方亮, 等. 家庭教养方式与3~6岁儿童情绪行为问题的关联[J]. 中国学校卫生, 2022, 43(2): 242-246. doi: 10.16835/j.cnki.1000-9817.2022.02.019 HUANG Y L, LI R Y, FANG L, et al. Relationship between family rearing style and 3-6-year-old children's emotional and behavioral problems[J]. Chin J Sch Health, 2022, 43(2): 242-246. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.02.019
[21]	LUO J, ZOU J, JI M, et al. Emotional and behavioral problems among 3- to 5-year-olds left-behind children in poor rural areas of Hunan Province: a cross-sectional study[J]. Int J Environ Res Public Health, 2019, 16(21): 4188.
[22]	孟伟涵, 葛晓燕, 李晓哲, 等. 亲子关系与儿童情绪行为问题关联性研究[J]. 现代预防医学, 2023, 50(10): 1796-1800, 1858. MENG W H, GE X Y, LI X Z, et al. Research on the correlation between parent-child relationship and children's behavioral and emotional problems[J]. Mod Prev Med, 2023, 50(10): 1796-1800, 1858. (in Chinese)
[23]	FREED R D, TOMPSON M C. Predictors of parental locus of control in mothers of pre- and early adolescents[J]. J Clin Child Adolesc Psychol, 2011, 40(1): 100-110.
[24]	MAHMOODI Z, ROSTAMI M, BAHRAMI G, et al. Predictor factors affecting emotional and behavioral problems in school-aged (6-12 years) children during the COVID-19 pandemic: a cross-sectional study[J]. BMC Psychiatry, 2023, 23(1): 633.
[25]	SUN L, LI A, CHEN M, et al. Mediating and moderating effects of authoritative parenting styles on adolescent behavioral problems[J]. Front Psychol, 2024, 15: 1336354.
[26]	SCOTT J K, NELSON J A, DIX T. Interdependence among mothers, fathers, and children from early to middle childhood: parents' sensitivity and children's externalizing behavior[J]. Dev Psychol, 2018, 54(8): 1528-1541.
[27]	朱大倩, 施慎逊. 母亲焦虑抑郁对儿童情绪和行为的影响作用[J]. 中国儿童保健杂志, 2013, 21(12): 1286-1288. ZHU D Q, SHI S X. The impact of maternal anxiety and depression on children's emotions and behavior[J]. Chin J Child Health Care, 2013, 21(12): 1286-1288. (in Chinese)
[28]	SCHIFF M, PAT-HORENCZYK R, ZIV Y, et al. Multiple traumas, maternal depression, mother-child relationship, social support, and young children's behavioral problems[J]. J Interpers Violence, 2021, 36(1/2): 892-914.
[29]	TAGHIZADE S, MAHMOODI Z, ZANDIFAR A, et al. The relationship model among parent-child relationship, coping responses and behavioral problems in children with attention deficit hyperactivity disorder[J]. BMC Psychiatry, 2022, 22(1): 596.
[30]	WU X, ZHANG L, YANG R, et al. Mother phubbing and harsh mothering: mothers' irritability and adolescents' gender as moderators[J]. Acta Psychol (Amst), 2023, 241: 104086.
[31]	CHAUDHARY S, WONG H K, CHEN Y, et al. Sex differences in the effects of individual anxiety state on regional responses to negative emotional scenes[J]. Biol Sex Differ, 2024, 15(1): 15.

Relative Articles

[1]	CHEN Ping, PENG Wenjia, WANG Wenjuan. Relationship between positive parenting styles and positive academic emotions among junior high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(7): 965-969. doi: 10.16835/j.cnki.1000-9817.2025203
[2]	CHEN Ping, WANG Wenjuan, SHENG QingChao, YU Hang, ZHU Yuqiong, WU Chengcong, LI Tiancheng, JI Chenguang, JIANG Yulian. Analysis of the relationshiop and mediating factors between sleep quality and emotional regulation difficulties in millde school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1008-1011. doi: 10.16835/j.cnki.1000-9817.2024220
[3]	GU Manli, XU Jida, JIANG Maomin, LI Zhixiang, ZHANG Honglai. Association of perceived social support and emotional regulation among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(1): 82-86. doi: 10.16835/j.cnki.1000-9817.2024016
[4]	ZHU Min, ZHA Jinhong, JIA Liyuan, LI Ruoyu, YU Min, HE Haiyan, WAN Yuhui. Effect of maternal emotional symptoms on emotional and behavioral problems in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 993-997. doi: 10.16835/j.cnki.1000-9817.2024226
[5]	WU Jun, LI Ruoyu, ZHA Jinhong, ZHOU Yang, HUANG Yongling, WAN Yuhui. Association between maternal parenting stress and the trajectory of emotional and behavioral problems in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1309-1313. doi: 10.16835/j.cnki.1000-9817.2024263
[6]	XU Zhanbin, NI Yufei, XU Xiaojing, GU Qiuyan, JIANG Chengcheng, WANG Feiying, HE Li. The effect of maternal anxiety during pregnancy on the social-emotional development among toddlers[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1370-1372. doi: 10.16835/j.cnki.1000-9817.2023.09.020
[7]	WANG Xinzhu, LI Ruoyu, YANG Yahong, LIU Tingting, YE Lu, LI Qinglei, WAN Yuhui. Relationship between maternal emotional symptoms and emotional and behavioral problems of preschool offspring[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 256-260. doi: 10.16835/j.cnki.1000-9817.2023.02.022
[8]	WANG Jian, LI Guangyun, XU Shucai. Relationship between adolescent depressive symptoms with childhood psychological trauma and maternal pregnancy[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1165-1168. doi: 10.16835/j.cnki.1000-9817.2023.08.010
[9]	XIONG Yani, MA Xiaoyan, LUO Xincheng, YANG Yuyue, XU Shengchao, HU Kang, HUANG Peng. Associations between social exclusion, personality trait and emotional regulation with the willingness to seek help after being bullied in middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1346-1350. doi: 10.16835/j.cnki.1000-9817.2022.09.016
[10]	ZHANG Guimei, XIANG Ting, CAI Yixian, PAN Jiyang. Personality and cognitive reguation emotion strategies among parents of adolescents with non-suicidal self-injury[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(10): 1525-1528. doi: 10.16835/j.cnki.1000-9817.2022.10.020
[11]	YU Weiqiang, LI Ruoyu, HUANG Yongling, HE Haiyan, PENG Chunyan, WANG Xinzhu, WAN Yuhui. Relationship between maternal adverse childhood experiences and preschool children's emotional and behavioral problems[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1130-1133. doi: 10.16835/j.cnki.1000-9817.2022.08.003
[12]	HUANG Yongling, LI Ruoyu, FANG Liang, WU Shudong, HE Haiyan, PENG Chunyan, WANG Xinzhu, WAN Yuhui. Association of maternal adverse childhood experiences and parent-child relationship in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1139-1142. doi: 10.16835/j.cnki.1000-9817.2022.08.005
[13]	AMAERJIANG Nubiya, XIAO Huidi, ZUNONG Jiawulan, LI Menglong, LI Ziang, HU Yifei. Association between maternal parenting stress and sleep problems among first-grade primary students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 668-670. doi: 10.16835/j.cnki.1000-9817.2022.05.007
[14]	CAI Yuyu, ZHOU Zhengsheng, ZHANG Mengyan, ZHANG Shuhan, SU Puyu, SHAO Shanshan. Association between parent-child relationship and rebelliousness in boarding school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 229-233. doi: 10.16835/j.cnki.1000-9817.2022.02.016
[15]	JIN Qiu, HAN Hui, CHENG Yaohui. Relationship between aggressive behavior and emotion management of middle school students in Bengbu[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1340-1343. doi: 10.16835/j.cnki.1000-9817.2021.09.015
[16]	XUE Cheng, REN Jun, YIN Xiaoya, CHEN Bohao, WANG Shumei. Dose-response relationship between emotional state and anxiety disorder among primary students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(3): 375-380. doi: 10.16835/j.cnki.1000-9817.2021.03.014
[17]	LI Xiaoxiao, LIU Yue, ZHOU Dongyang, XU Shuijing. Gender difference in parent-child interaction and mental health of left-behind adolescents in junior high school[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 876-878, 882. doi: 10.16835/j.cnki.1000-9817.2021.06.018
[18]	JIANG Zhicheng, XU Huiqiong, WANG Shanshan, LI Shuqin, SONG Xianbing, ZHANG Shichen, WAN Yuhui, TAO Fangbiao. Associations between childhood abuse experience, parent-child relationship and non-suicidal self-injury in middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(7): 987-990. doi: 10.16835/j.cnki.1000-9817.2020.07.008
[19]	LI Jing. Parent-child affinity in the relationship between body image disorder and school adaptation in junior high school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(8): 1164-1166,1173. doi: 10.16835/j.cnki.1000-9817.2020.08.012
[20]	XIE Qili. Relationship between teacher-student relationship, parent-child relationship and mental health of junior middle school students in divorced families[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(7): 1019-1021. doi: 10.16835/j.cnki.1000-9817.2020.07.017