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Open Access 01-12-2024 | Research

Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience

Authors: Jiana Wang, Xinyuan Huang, Zhe Li, Kun Chen, Zhiyu Jin, Jing He, Bingsong Han, Lin Feng, Nana Meng, Cong Yang, Zhuang Liu

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Although previous studies have found that parenting style significantly predicts emotional and behavioral problems (EBPs) among Chinese adolescents, the mechanism between different parenting styles and EBPs requires in-depth investigation. In our study, we aimed to investigate the mediating effect of resilience, a positive psychological characteristic, between parenting style and EBPs among Chinese adolescents.

Methods

In this cross-sectional study, we used a multistage stratified cluster random sampling method to collect data in Shenyang, Liaoning Province from November to December 2019. Self-developed questionnaires were distributed to 1028 adolescents aged 10–18. Finally, the study consisted of 895 participants. The bootstrap method was used to investigate the role of resilience as a mediator in the relationship between different parenting styles and EBPs from a positive psychology perspective.

Results

The mean score of EBPs was 12.71 (SD = 5.77). After controlling for variables such as gender, age, left-behind children, family type and family income, resilience partially played a mediating role in the associations of paternal rejection (a × b = 0.051 BCa95%CI:0.023,0.080), maternal rejection (a × b = 0.055 BCa95%CI: 0.024, 0.086), paternal emotional warmth (a × b = -0.139 BCa95%CI: -0.182, -0.099) and maternal emotional warmth (a × b = -0.140 BCa95%CI: -0.182, -0.102), with EBPs. The effect sizes were11.28%, 11.51%, 40.76%, and 38.78%, respectively.

Conclusions

Resilience could partially mediate the relationship between parenting style and EBPs, highlighting that parents should adopt a positive parenting style and that resilience improvement could be effective in reducing EBPs among Chinese adolescents.

GBD Results Tool. In: Global Health Data Exchange [website]. Seattle: Institute for Health Metrics and Evaluation. 2019. https://vizhub.healthdata.org/gbd-results. Accessed 15 Mar 2023.

Aronen ET, Soininen M. Childhood depressive symptoms predict psychiatric problems in young adults. The Canadian Journal of Psychiatry. 2000;45(5):465–70.PubMedCrossRef

Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. The Lancet. 2012;379(9820):1056–67.CrossRef

Carvajal-Velez L, Harris Requejo J, Ahs JW, Idele P, Adewuya A, Cappa C, et al. Increasing data and understanding of adolescent mental health worldwide: UNICEF’s measurement of mental health among adolescents at the population level Initiative. J Adolesc Health. 2023;72(1S):S12–4.PubMedCrossRef

Wang H, Guo X, Song Q, Liang Q, Su W, Li N, et al. Adverse childhood experiences of emotional and physical abuse and emotional and behavioral problems: the mediating effects of family function and resilience. Psychol Health Med. 2023;28(8):2121–36.PubMedCrossRef

World Health Organization. Global health estimates for 2019. Geneva, Switzerland: World Health Organization. 2020. https://www.who.int/data/global-health-estimates. Accessed 15 Mar 2023.

United Nations Children’s Fund. On my mind: promoting, protecting and caring for children’s mental health. New York: United Nations Children’s Fund. 2021. https://www.unicef.org/reports/state-worlds-children. Accessed 20 June 2022.

UNICEF China. Adolescent mental health. https://www.unicef.cn/en/reports/adolescent-mental-health. Accessed 16 Mar 2023.

Tang X, Tang S, Ren Z, Wong DFK. Prevalence of depressive symptoms among adolescents in secondary school in mainland China: A systematic review and meta-analysis. J Affect Disord. 2019;245:498–507.PubMedCrossRef

10.

National Health Commission of the People’s Republic of China (2019a). The Healthy China Action Plan (2019–2030). Planning and Development Division. http://www.gov.cn/xinwen/2019-07/15/content_5409694. htm. Accessed 17 Feb 2023.

11.

National Health Commission of the People’s Republic of China (2019b). The Healthy China Action Plan—Children and Adolescents’ Mental Health Plan. Bureau for Disease Control and Prevention. http://www.nhc.gov.cn/jkj/tggg1/201912/6c810a8141374adfb3a16a6d919c0dd7.shtml. Accessed 17 Feb 2023.

12.

Cox MJ, Paley B. Families as systems. Annu Rev Psychol. 1997;48:243–67.PubMedCrossRef

13.

Tudge JRH, Mokrova I, Hatfield BE, Karnik RB. Uses and Misuses of Bronfenbrenner’s Bioecological Theory of Human Development. J Fam Theory Rev. 2009;1:198–210.CrossRef

14.

Parke RD. Development in the Family. Annu Rev Psychol. 2004;55(1):365–99.PubMedCrossRef

15.

Darling N, Steinberg L. Parenting style as context: an integrative model. Psychol Bull. 1993;113(3):487–96.CrossRef

16.

Tobe H, Sakka M, Kamibeppu K. The efficacy of a resilience-enhancement program for mothers in Japan based on emotion regulation: study protocol for a randomized controlled trial. BMC Psychology. 2019;7(1):69.PubMedPubMedCentralCrossRef

17.

Hosokawa R, Katsura T. Marital relationship, parenting practices, and social skills development in preschool children. Child Adolesc Psychiatry Ment Health. 2017;11:2.PubMedPubMedCentralCrossRef

18.

Zou W, Wang H, Xie L. Examining the effects of parental rearing styles on first-year university students’ audience-facing apprehension and exploring self-esteem as the mediator. Curr Psychol. 2021. https://doi.org/10.1007/s12144-021-02287-1.CrossRef

19.

Kaufmann D, Gesten E, Lucia RCS, Salcedo O, Gadd R. The Relationship Between Parenting Style and Children’s Adjustment: The Parents’ Perspective. J Child Fam Stud. 2000;9(2):231–45.CrossRef

20.

Adubale AA. Parenting styles as predicators of anxiety and depression of in-school adolescents in Nigeria. Africa Educ Rev. 2017;14(3–4):1–11.

21.

Delvecchio E, Germani A, Raspa V, Lis A, Mazzeschi C. Parenting Styles and Child’s Well-Being: The Mediating Role of the Perceived Parental Stress. Eur J Psychol. 2020;16(3):514–31.PubMedPubMedCentralCrossRef

22.

Cui G, Lan X. The associations of parental harsh discipline, adolescents′ gender, and grit profiles with aggressive behavior among Chinese early adolescents. Front Psychol. 2020;11:323.PubMedPubMedCentralCrossRef

23.

Shaw ZA, Starr LR. Intergenerational transmission of emotion dysregulation the role of authoritarian parenting style and family chronic stress. J Child Family Stud. 2019;28(12):3508–18.CrossRef

24.

Buliva JK, Maragia SN, Poipoi M. Influence of Authoritarian Parenting Style on Forms of Delinquent Behaviour Among Secondary School Students in Butere Sub-County. Kenya J Educ Prac. 2019;10:19.

25.

Francis A, Pai MS, Badagabettu S. Psychological Well-being and Perceived Parenting Style among Adolescents. Compr Child Adolesc Nurs. 2021;44(2):134–43.PubMedCrossRef

26.

Ding G, Xu L, Sun L. Association between parental parenting style disparities and mental health: an evidence from Chinese medical college students. Front Public Health. 2022;10:841140.PubMedPubMedCentralCrossRef

27.

Deal JE, Halverson CF, Wampler KS. Parental agreement on child-rearing orientations-relations to parental, marital, family, and child characteristics. Child Dev. 1989;60(5):1025–34.PubMedCrossRef

28.

Floyd FJ, Gilliom LA, Costigan CL. Marriage and the Parenting Alliance: Longitudinal Prediction of Change in Parenting Perceptions and Behaviors. Child Dev. 1998;69(5):1461–79.PubMedCrossRef

29.

Feinberg ME, Hetherington MLKM. The Longitudinal Influence of Coparenting Conflict on Parental Negativity and Adolescent Maladjustment. J Marriage Fam. 2010;69(3):687–702.CrossRef

30.

Schoppe SJ, Mangelsdorf SC, Frosch CA. Coparenting, family process, and family structure: Implications for preschooler’s externalizing behavior problems. J Fam Psychol. 2001;15(3):526–45.PubMedCrossRef

31.

Wang JL, Zhang DJ, Zimmerman MA. Resilience theory and its implications for Chinese adolescents. Psychol Rep. 2015;117(2):354–75.PubMedCrossRef

32.

Liu J, Meng HM. Understanding on the Ecological System Theory of Bronfenbrenner Developmental Psychology. China J Health. 2009;17(02):250–2.

33.

Lerner RM, Theokas C, Bobek DL. Concepts and Theories of Human Development: Historical and Contemporary Dimensions. 1st ed. Mahwah, Netherlands: Lawrence Erlbaum Associates Publishers; 2005.

34.

Zhang WX, Chen GH. Core developmental contextualism: an instance of development system theories. Adv Psychol Sci. 2009;17(4):736–44.

35.

Windle G. What is resilience? A review and concept analysis. Rev Clin Gerontol. 2011;21(2):152–69.CrossRef

36.

Ong AD, Bergeman CS, Bisconti TL, Wallace KA. Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Pers Soc Psychol. 2006;91:730–49.PubMedCrossRef

37.

Gao F, Yao Y, Yao C, Xiong Y, Ma H, Liu H. The mediating role of resilience and self-esteem between negative life events and positive social adjustment among left-behind adolescents in China: a cross-sectional study. BMC Psychiatry. 2019;19(1):239.PubMedPubMedCentralCrossRef

38.

Arslan G. Psychological maltreatment, emotional and behavioral problems in adolescents: The mediating role of resilience and self-esteem. Child Abuse Negl. 2016;52:200–9.PubMedCrossRef

39.

Liu WJ, Zhou L, Wang XQ, Yang BX, Wang Y, Jiang JF. Mediating role of resilience in relationship between negative life events and depression among Chinese adolescents. Arch Psychiatr Nurs. 2019;33(6):116–22.PubMedCrossRef

40.

Goldstein AL, Faulkner B, Wekerle C. The relationship among internal resilience, smoking, alcohol use, and depression symptoms in emerging adults transitioning out of child welfare. Child Abuse Negl. 2013;37(1):22–32.PubMedCrossRef

41.

Zhai Y, Liu K, Zhang L, Gao H, Chen Z, Du S, et al. The relationship between post-traumatic symptoms, parenting style, and resilience among adolescents in Liaoning, China: A Cross-Sectional Study. PLoS ONE. 2015;10(10):e0141102.PubMedPubMedCentralCrossRef

42.

Pereira L, Matos AP, Pinheiro M do R, Costa JJ. Resilience and depressive symptomatology in adolescents: The moderator effect of psychosocial functioning. Ich&hpsy International Conference on Health & Health Psychology. 2016. https://doi.org/10.15405/epsbs.2016.07.02.7.

43.

Xiao Y, Liu F, Ran H, Deng W, Che Y, Fang D, et al. Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children. BMC Public Health. 2021;21(1):2055.PubMedPubMedCentralCrossRef

44.

Xiang Y, Chen Z, Zhao J. How childhood maltreatment impacts aggression from perspectives of social comparison and resilience framework theory. J Aggre Maltreatment Trauma. 2020;29(9):1113–24.CrossRef

45.

Cheng Q, Yu WB, li KK, Zuo Y, Jiao QX, Liu XH, et al. A CiteSpace-based Analysis of Hotspots and Cutting-edge Trends in Mental Health among Middle School Students Research. Chinese General Practice. 2023. https://doi.org/10.12114/j.issn.1007-9572.2023.0280.

46.

Goodman R. The Strengths and Difficulties Questionnaire: A Research Note. J Child Psychol Psychiatry. 1997;38(5):581–6.PubMedCrossRef

47.

Banzon T, Elklit A. Greenlandic norms for the parent-report and self-report versions of the Strengths and Difficulties Questionnaire (SDQ). Int J Circumpolar Health. 2023;82(1):2279790.PubMedPubMedCentralCrossRef

48.

Mathai J, Anderson P, Bourne A. The Strengths and Difficulties Questionnaire (SDQ) as a screening measure prior to admission to a Child and Adolescent Mental Health Service (CAMHS). Australian J Adv Mental Health. 2002;1(3):235–46.CrossRef

49.

Jianhua K, Yasong D, Liming X. Formulation of children strengths and difficulties Questionnaire (the Edition for Students) for Shanghai Norm. J Chin Mental Health. 2007;15(1):3–5.

50.

Shujun L, Yi H, Xianhua D, Xian T, Ling X, Min J. Preliminary factor analysis of the Chinese version of the strengths and difficulties scale. West China Med J. 2006;21(2):295–6.

51.

Qu G, Liu H, Han T, Zhang H, Ma S, Sun L, et al. Association between adverse childhood experiences and sleep quality, emotional and behavioral problems and academic achievement of children and adolescents. Eur Child Adolesc Psychiatry. 2023;33(2):1–12.

52.

Yang M, Qi H, Meng Z, Duan X, Zhang L. Destructive interparental conflict affects Chinese children’s emotional and behavioral problems: Indirect pathways via parent-child attachment and emotional insecurity. Frontiers Psychology. 2022;13:1024325.CrossRef

53.

Arrindell WA, Sanavio E, Aguilar G, Sica C, Ende J. The development of a short form of the EMBU: Its appraisal with students in Greece, Guatemala, Hungary and Italy. Personality Individ Differ. 1999;27(4):613–28.CrossRef

54.

Yu X, Zhang J. Factor Analysis and Psychometric Evaluation of the Connor-Davidson Resilience Scale (CD-RISC) With Chinese People. Soc Behav Personal Int J. 2007;35(1):19–30.MathSciNetCrossRef

55.

Xiao X, Guo L, Zhao YP, Chen FG. Cumulative Ecological Risk on Bullying Victimization in Junior High School Students: The Moderating Effects of Resilience. Psychol Dev Educ. 2022;38(5):648–57.

56.

Xie JS, Mei L. The impact of bullying victimization of secondary school students on their internalizing problems: a moderated mediation model. Psychol Explor. 2019;39(4):379–84.

57.

Dehnel R, Dalky H, Sudarsan S, Al-Delaimy WK. Resilience and Mental Health Among Syrian Refugee Children in Jordan. J Immigr Minor Health. 2022;24(2):420–9.PubMedCrossRef

58.

Campbell O, Bann D, Patalay P. The gender gap in adolescent mental health: a cross-national investigation of 566,829 adolescents across 73 countries. SSM Population Health. 2021;13:100742.PubMedPubMedCentralCrossRef

59.

Zhang W, Wang Z. Parenting styles and adolescents’ problem behaviors: the mediating effect of adolescents’ self-control. Psychol Rep. 2023;126(6):2979–99.MathSciNetPubMedCrossRef

60.

Pan W, Gao B, Long Y, Teng Y, Yue T. Effect of caregivers’ parenting styles on the emotional and behavioral problems of left-behind children: the parallel mediating role of self-Control. Int J Environ Res Public Health. 2021;18(23):12714.PubMedPubMedCentralCrossRef

61.

Silk JS, Vanderbilt-Adriance E, Shaw DS, Forbes EE, Whalen DJ, Ryan ND, et al. Resilience among children and adolescents at risk for depression: Mediation and moderation across social and neurobiological contexts. Dev Psychopathol. 2007;19(3):841–65.PubMedCrossRef

62.

Sturge-Apple ML, Davies PT, Martin MJ, Cicchetti D, Hentges RF. An examination of the impact of harsh parenting contexts on children’s adaptation within an evolutionary framework. Dev Psychol. 2012;48(3):791–805.PubMedCrossRef

63.

Klevens J, Hall J. The Importance of Parental Warmth, Support, and Control in Preventing Adolescent Misbehavior. J Child Adolesc Behav. 2014;2:121.CrossRef

64.

Yoon S, Pei F, Benavides JL, Ploss A, Logan J, Hamby S. The Long-Term Effects of Early Childhood Resilience Profiles on School Outcomes among Children in the Child Welfare System. Int J Environ Res Public Health. 2022;19(10):5987.PubMedPubMedCentralCrossRef

65.

Martinsone B, Stokenberga I, Damberga I, Supe I, Simões C, Lebre P, et al. Adolescent social emotional skills, resilience and behavioral problems during the COVID-19 pandemic: A longitudinal study in three European countries. Frontiers Psychiatry. 2022;13:942692.CrossRef

66.

Petrowski K, Brähler E, Zenger M. The relationship of parental rearing behavior and resilience as well as psychological symptoms in a representative sample. Health Qual Life Outcomes. 2014;12:95.PubMedPubMedCentralCrossRef

67.

Mesman E, Vreeker A, Hillegers M. Resilience and mental health in children and adolescents: an update of the recent literature and future directions. Curr Opin Psychiatry. 2021;34(6):586–92.PubMedPubMedCentralCrossRef

68.

Langevin R, Hébert M, Cossette L. Emotion regulation as a mediator of the relation between sexual abuse and behavior problems in preschoolers. Child Abuse Negl. 2015;46:16–26.PubMedCrossRef

69.

Kobasa SC, Maddi SR, Kahn S. Hardiness and health: a prospective study. J Per Soc Psychol. 1982;42(1):168–77.CrossRef

70.

Fazel M. Proactive depression services needed for at-risk populations. Lancet Psychiatry. 2016;3(1):6–7.PubMedCrossRef

71.

Collishaw S, Hammerton G, Mahedy L, Sellers R, Owen MJ, Craddock N, et al. Mental health resilience in the adolescent offspring of parents with depression: a prospective longitudinal study. Lancet Psychiatry. 2016;3(1):49–57.PubMedPubMedCentralCrossRef

72.

Mezulis AH, Hyde JS, Clark R. Father involvement moderates the effect of maternal depression during a child’s infancy on child behavior problems in kindergarten. J Fam Psychol. 2004;18(4):575–88.PubMedCrossRef

73.

Richter-Kornweitz A. Equality and difference-the relationship between resilience, gender and health. In: Zander M, editor. Handbook Resilience Promotion. Wiesbaden: VS Verlag; 2011. p. 240–74.

74.

Moon JR, Song J, Huh J, Kang IS, Park SW, Chang SA, et al. The Relationship between Parental Rearing Behavior, Resilience, and Depressive Symptoms in Adolescents with Congenital Heart Disease. Frontier Cardiovascular Medicine. 2017;4:55.CrossRef

Title: Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience
Authors: Jiana Wang
Xinyuan Huang
Zhe Li
Kun Chen
Zhiyu Jin
Jing He
Bingsong Han
Lin Feng
Nana Meng
Cong Yang
Zhuang Liu
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18167-9

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Springer Medicine

Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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