Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

Impulsivity mediates the association between parenting styles and self-harm in Chinese adolescents

Authors: Hailiang Ran, Die Fang, Ahouanse Roland Donald, Rui Wang, Yusan Che, Xingting He, Tianlan Wang, Xiufeng Xu, Jin Lu, Yuanyuan Xiao

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Parenting styles are significantly associated with self-harm (SH) in adolescents. Nevertheless, little is known about the mechanism underlying this association. This study primarily aimed to evaluate the potential mediating role of impulsivity in the association between parenting styles and SH in Chinese adolescents.

Methods

Self-administered questionnaires were used to conduct a survey among a sample population consisting of 3146 adolescents in southwest China. Logistic regression analyses were performed to evaluate the association between parenting styles, impulsivity, and SH. A path model investigation further examined the mediating role of impulsivity in terms of the association between parenting styles and SH.

Results

The age range of participants was 10 to 17 years old. The prevalence of SH was 47.0% (95% CI: 36.3–58.0%). Impulsivity, less paternal emotional warmth, maternal over-protection, and rejection were significantly associated with SH. The path model identified impulsivity as a salient mediator, accounting for 23.4% of the total association between parenting styles and SH. The hypothesized path model indicated differences in the parenting styles of fathers and mothers: Impulsivity played a significant mediating role, though only in respect to the maternal over-protection and rejection paths.

Conclusions

For Chinese children and adolescents who experience a harsher maternal parenting style, impulsivity-centered intervention measures might be effective in reducing SH related to parenting styles.
Appendix
Available only for authorised users
Literature
1.
Hawton K, Hall S, Simkin S, Bale L, Bond A, Codd S, Stewart A. Deliberate self-harm in adolescents: a study of characteristics and trends in Oxford, 1990-2000. J Child Psychol Psychiatry. 2003;44(8):1191–8.CrossRef
2.
Xiao Y, He L, Chang W, Zhang S, Wang R, Chen X, Li X, Wang Z, Risch HA. Self-harm behaviors, suicidal ideation, and associated factors among rural left-behind children in West China. Ann Epidemiol. 2020;42:42–9.CrossRef
3.
Xiao Y, Chen Y, Meng Q, Tian X, He L, Yu Z, Wang Y. Suicide ideation and suicide plan in Chinese left-behind children: prevalence and associated factors. J Affect Disord. 2019;257:662–8.CrossRef
4.
Swannell SV, Martin GE, Page A, Hasking P, St John NJ. Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, Meta-Analysis and Meta-Regression. Suicide Life-Threat Behav. 2014;44(3):273–303.CrossRef
5.
Lang J, Yao Y. Prevalence of nonsuicidal self-injury in Chinese middle school and high school students: a meta-analysis. Medicine. 2018;97(42):e12916.CrossRef
6.
Hawton K, Saunders KEA, O'Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373–82.CrossRef
7.
Darling N, Steinberg L. Parenting style as context: an integrative model. Psychol Bull. 1993;113:487–96.CrossRef
8.
Leung CL, Kwok SY, Ling CC. An integrated model of suicidal ideation in transcultural populations of Chinese adolescents. Community Ment Health J. 2016;52(5):574–81.CrossRef
9.
Huang XQ, Zhang HM, Li MC, Wang JA, Zhang Y, Tao R. Mental health, personality, and parental rearing styles of adolescents with internet addiction disorder. Cyberpsychology Behav Soc Netw. 2010;13(4):401–6.CrossRef
10.
Shute R, Maud M, McLachlan A. The relationship of recalled adverse parenting styles with maladaptive schemas, trait anger, and symptoms of depression and anxiety. J Affect Disord. 2019;259:337–48.CrossRef
11.
Martin J, Bureau JF, Yurkowski K, Lafontaine MF, Cloutier P. Heterogeneity of relational backgrounds is associated with variation in non-suicidal self-injurious behavior. J Abnorm Child Psychol. 2016;44(3):511–22.CrossRef
12.
Liu Y, Xiao Y, Ran H, He X, Jiang L, Wang T, Yang RX, Xu X, Yang G, Lu J. Association between parenting and non-suicidal self-injury among adolescents in Yunnan, China: a cross-sectional survey. PeerJ. 2020;8:e10493.CrossRef
13.
Moeller FG, Barratt ES, Dougherty DM, Schmitz JM, Swann AC. Psychiatric aspects of impulsivity. Am J Psychiat. 2001;158(11):1783–93.CrossRef
14.
Hamza CA, Willoughby T. Impulsivity and nonsuicidal self-injury. A longitudinal examination among emerging adults. J Adolesc. 2019;75:37–46.CrossRef
15.
Curry I, Luk JW, Trim RS, Hopfer CJ, Hewitt JK, Stallings MC, Brown SA, Wall TL. Impulsivity dimensions and risky sex behaviors in an at-risk Young adult sample. Arch Sex Behav. 2018;47(2):529–36.CrossRef
16.
Mann JJ, Arango VA, Avenevoli S, Brent DA, Champagne FA, Clayton P, Currier D, Dougherty DM, Haghighi F, Hodge SE, et al. Candidate Endophenotypes for genetic studies of suicidal behavior. Biol Psychiatry. 2009;65(7):556–63.CrossRef
17.
McHugh CM, Lee RSC, Hermens DF, Corderoy A, Large M, Hickie IB. Impulsivity in the self-harm and suicidal behavior of young people: a systematic review and meta-analysis. J Psychiatr Res. 2019;116:51–60.CrossRef
18.
Shu E, Deng Y, Yuan H, Guan B. The relationship of impulsive personality and parental rearing patterns in junior middle school students. Chin J Behav Med Brain Sci. 2011;20(06):552–4.
19.
Somer E, Ginzburg K, Kramer L. The role of impulsivity in the association between childhood trauma and dissociative psychopathology: mediation versus moderation. Psychiatry Res. 2012;196(1):133–7.CrossRef
20.
Arens AM, Gaher RM, Simons JS. Child maltreatment and deliberate self-harm among college students: testing mediation and moderation models for impulsivity. Am J Orthop. 2012;82(3):328–37.CrossRef
21.
Mishara BL. Conceptions of death and suicide in children ages 6-12 and their implications for suicide prevention. Suicide Life Threat Behav. 1999;29(2):105–18.PubMed
22.
Ran H, Cai L, He X, Jiang L, Wang T, Yang R, Xu X, Lu J, Xiao Y. Resilience mediates the association between school bullying victimization and self-harm in Chinese adolescents. J Affect Disord. 2020;277:115–20.CrossRef
23.
Feng Y. The relation of adolescents’ self-harm behaviors, Individual Emotion Characteristics and Family Environment Factor. master. Wuhan: Central China Norm Univ; 2008. (In Chinese)
24.
Jiang J. The preliminary revision of Short-Egna Minnen Barndoms Uppfostran-Chinese. Psychol Dev Educ. 2010;1:94-9.
25.
Li X, Fei L, Xu D, Zhang Y, Yang S, Tong Y, Wang Z, Niu Y. Reliability and validity of an adapted Chinese version of Barratt impulsiveness scale. Chin Ment Health J. 2011;25(8):610–5 (In Chinese).
26.
Chen Z, Wang Y, Chen L, Wang J, Jing Y, Yao J. Self-injurious behavior among college students and its association with parental rearing styles. Chin J School Health. 2019;40(4):546–9 (In Chinese).
27.
Bai Y, Cui D, Zheng H, Xu Y, Zhu J, Wu Y, Shen H, Du Y. The correlation study between adolescent bipolar disorder and parental rearing pattern. China J Health Psychol. 2020;28(10):1441-4. (In Chinese).
28.
Barber BK, Olsen JE, Shagle SC. Associations between parental psychological and behavioral control and youth internalized and externalized behaviors. Child Dev. 1994;65(4):1120–36.CrossRef
29.
Sun L, Tian W, Bian Y. Effect of adolescent depression and anxiety on the development tendency of parental psychological control: a 3 years follow-up study. Chin J Clin Psychol. 2018;26(4):730–5.
30.
Zhang W, Wei X, Ji L, Chen L, Deater-Deckard K. Reconsidering parenting in Chinese culture: subtypes, stability, and change of maternal parenting style during early adolescence. J Youth Adolesc. 2017;46(5):1117–36.CrossRef
31.
Chua A. Battle hymn of the tiger mother: Bloomsbury publishing; 2011.
32.
Kim SY, Wang Y, Orozco-Lapray D, Shen Y, Murtuza M. Does “Tiger parenting” exist? Parenting profiles of Chinese Americans and adolescent developmental outcomes. Asian Am J Psychol. 2013;4(1):7–18.CrossRef
33.
Rueth JE, Otterpohl N, Wild E. Influence of parenting behavior on psychosocial adjustment in early adolescence: mediated by anger regulation and moderated by gender. Soc Dev. 2017;26(1):40–59.CrossRef
34.
Mo J, Wang C, Niu X, Jia X, Liu T, Lin L. The relationship between impulsivity and self-injury in Chinese undergraduates: the chain mediating role of stressful life events and negative affect. J Affect Disord. 2019;256:259–66.CrossRef
35.
Maxfield BL, Pepper CM. Impulsivity and response latency in non-suicidal self-injury: the role of negative urgency in emotion regulation. Psychiatr Q. 2018;89(2):417–26.CrossRef
36.
Taylor J, Peterson CM, Fischer S. Motivations for self-injury, affect, and impulsivity: a comparison of individuals with current self-injury to individuals with a history of self-injury. Suicide Life Threat Behav. 2012;42(6):602–13.CrossRef
37.
Glenn CR, Klonsky ED. A multimethod analysis of impulsivity in nonsuicidal self-injury. Personal Disord. 2010;1(1):67–75.CrossRef
38.
Madge N, Hawton K, McMahon EM, Corcoran P, De Leo D, de Wilde EJ, Fekete S, van Heeringen K, Ystgaard M, Arensman E. Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) study. Eur Child Adolesc Psychiatry. 2011;20(10):499–508.CrossRef
39.
Basso LA, Fortes AB, Maia CPE, Steinhorst E, Wainer R. The effects of parental rearing styles and early maladaptive schemas in the development of personality: a systematic review. Trends Psychiatr Psychother. 2019;41(3):301–13.CrossRef
40.
Young JE, Weinberger AD, Beck AT. Cognitive therapy for depression. In: Barlow DH, editor. Clinical handbook of psychological disorders: a step-by-step treatment manual. New York: The Guilford Press; 2001. p. 264–308.
41.
Young J. Cognitive therapy for personality disorders: a schema focused approach. Professional Resource Press/Professional Resource Exchange; 1990.
42.
Musci RJ, Bradshaw CP, Maher B, Uhl GR, Kellam SG, Ialongo NS. Reducing aggression and impulsivity through school-based prevention programs: a gene by intervention interaction. Prev Sci. 2014;15(6):831–40.CrossRef
Metadata
Title
Impulsivity mediates the association between parenting styles and self-harm in Chinese adolescents
Authors
Hailiang Ran
Die Fang
Ahouanse Roland Donald
Rui Wang
Yusan Che
Xingting He
Tianlan Wang
Xiufeng Xu
Jin Lu
Yuanyuan Xiao
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10386-8

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue

Research

Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study

Research

Self-reported health and life satisfaction in older emergency department patients: sociodemographic, disease-related and care-specific associated factors

Research article

Analgesic purchases among older adults – a population-based study

Research article

Obesity and occupation in Thailand: using a Bayesian hierarchical model to obtain prevalence estimates from the National Health Examination Survey

Research

Effect of public health interventions during the first epidemic wave of COVID-19 in Cyprus: a modelling study

Research article

Revisiting the continuum of resistance model in the digital age: a comparison of early and delayed respondents to the Norwegian counties public health survey