Skip to main content
Top
Published in: BMC Public Health 1/2007

Open Access 01-12-2007 | Research article

Comparison of children's self-reports of depressive symptoms among different family interaction types in northern Taiwan

Authors: Wen-chi Wu, Chi-Hsien Kao, Lee-Lan Yen, Tony Szu-Hsien Lee

Published in: BMC Public Health | Issue 1/2007

Login to get access

Abstract

Background

Previous research has shown that family interactions are associated with depressive symptoms in children. However, detailed classifications of family interaction types have not been studied thoroughly. This study aims to understand the types of family interactions children experience and to identify the specific types of family interactions that are associated with a higher risk of depressive symptoms in children.

Methods

Data used in the study was collected as part of the Child and Adolescent Behavior in Long term Evolution (CABLE) project in 2003. CABLE is a longitudinal cohort study that commenced in 2001 and collects data annually from children in Taipei city and Hsinchu county in northern Taiwan. The data analyzed in this study was that obtained from the sixth graders (aged 11 to 12 years old) in 2003. Of the 2,449 sixth graders, 51.2% were boys and 48.8% were girls. Factor analysis and cluster analysis were used to investigate the types of family interactions. One way ANOVA was used to establish the relationship between family interaction types and children's self-reports of depressive symptoms.

Results

Based on the results of factor analysis, the latent factors for family interactions included supporting activities, psychological control, parental discipline, behavioral supervision, and family conflict. After conducting cluster analysis using factor scores, four types of family interactions were revealed: supervised (29.66%), disciplined (13.56%), nurtured (40.96%) and conflict (15.82%). Children from the disciplined or conflict families were more likely to report depressive symptoms. Children from the nurtured families were least likely to report depressive symptoms.

Conclusion

Family interactions can be classified into four different types, which are related to children's self-reports of depressive symptoms. The creation of a family interaction environment that is beneficial for children's mental health is an important issue for health education and health promotion professionals.
Literature
1.
go back to reference World Health Organization: World Health Report 2001: Mental Health: New Understanding, New Hope. 2001, Geneva World Health Organization: World Health Report 2001: Mental Health: New Understanding, New Hope. 2001, Geneva
2.
go back to reference Eisenberg L: Psychiatry and health in low-income populations. Compr Psychiatry. 1997, 38: 69-73. 10.1016/S0010-440X(97)90083-3.CrossRefPubMed Eisenberg L: Psychiatry and health in low-income populations. Compr Psychiatry. 1997, 38: 69-73. 10.1016/S0010-440X(97)90083-3.CrossRefPubMed
3.
go back to reference Homedes N: The disability-adjusted life year (DALY): definition, measurement and potential use. Human Capital Development and Operations Policy Working Paper. 1995, Washington, DC: The World Bank Homedes N: The disability-adjusted life year (DALY): definition, measurement and potential use. Human Capital Development and Operations Policy Working Paper. 1995, Washington, DC: The World Bank
4.
go back to reference Holden C: Global survey examines impact of depression. Science. 2000, 288: 9-40. 10.1126/science.288.5463.39.CrossRef Holden C: Global survey examines impact of depression. Science. 2000, 288: 9-40. 10.1126/science.288.5463.39.CrossRef
5.
go back to reference Bethell CD, Read D, Blumberg SJ: Mental health in the United States: health risk behaviors and conditions among persons with depression – new Mexico, 2003. MMWR. 2005, 54: 981-991. Bethell CD, Read D, Blumberg SJ: Mental health in the United States: health risk behaviors and conditions among persons with depression – new Mexico, 2003. MMWR. 2005, 54: 981-991.
6.
go back to reference Simon GE, Katon WJ, Lin EH, Ludman E, Vonkorff M, Ciechanowski P, Young BA: Diabetes complications and depression as predictors of health service costs. Gen Hosp Psychiatry. 2005, 27: 344-351. 10.1016/j.genhosppsych.2005.04.008.CrossRefPubMed Simon GE, Katon WJ, Lin EH, Ludman E, Vonkorff M, Ciechanowski P, Young BA: Diabetes complications and depression as predictors of health service costs. Gen Hosp Psychiatry. 2005, 27: 344-351. 10.1016/j.genhosppsych.2005.04.008.CrossRefPubMed
7.
go back to reference Birmaher B, Ryan Neal, Williamson DE, Brent DA, Kaufman J, Dahl RE, Perel J, Nelson B: Childhood and adolescent depression: A review of the past 10 years (Part I). J Am Acad Child Adolesc Psychiatry. 1996, 35: 1427-1439. 10.1097/00004583-199611000-00011.CrossRefPubMed Birmaher B, Ryan Neal, Williamson DE, Brent DA, Kaufman J, Dahl RE, Perel J, Nelson B: Childhood and adolescent depression: A review of the past 10 years (Part I). J Am Acad Child Adolesc Psychiatry. 1996, 35: 1427-1439. 10.1097/00004583-199611000-00011.CrossRefPubMed
8.
go back to reference Kau MY, Wu CI, Lue BH: The Relationships between Inept Parenting and Adolescent Depression Dimension and Conduct Behaviors. Chinese J Fam Med. 1998, 8: 11-21. Kau MY, Wu CI, Lue BH: The Relationships between Inept Parenting and Adolescent Depression Dimension and Conduct Behaviors. Chinese J Fam Med. 1998, 8: 11-21.
9.
go back to reference Department of Statistics, Ministry of The Interior in Taiwan: The National Survey of Physical and Mental Health of Youth in Taiwan. 1999, Taipei Department of Statistics, Ministry of The Interior in Taiwan: The National Survey of Physical and Mental Health of Youth in Taiwan. 1999, Taipei
10.
go back to reference Aronen ET, Soininen M: Childhood depressive symptoms predict psychiatric problems in young adults. Can J Psychiatry. 2000, 45: 465-470.PubMed Aronen ET, Soininen M: Childhood depressive symptoms predict psychiatric problems in young adults. Can J Psychiatry. 2000, 45: 465-470.PubMed
11.
go back to reference Lewinsohn PM, Roberts RE, Seely JR, Rohde P, Gotlib IH, Hops H: Adolescent psychopathology: α Psychosocial Risk Factors for Depression. J Abnorm Psycho. 1994, 103: 302-315. 10.1037/0021-843X.103.2.302.CrossRef Lewinsohn PM, Roberts RE, Seely JR, Rohde P, Gotlib IH, Hops H: Adolescent psychopathology: α Psychosocial Risk Factors for Depression. J Abnorm Psycho. 1994, 103: 302-315. 10.1037/0021-843X.103.2.302.CrossRef
12.
go back to reference Levendosky AA, Okun A, Parker JG: Depression and maltreatment as predictors of social competence and social problem-solving skills in school-age children. Child Abuse Negl. 1995, 19: 1183-1195. 10.1016/0145-2134(95)00086-N.CrossRefPubMed Levendosky AA, Okun A, Parker JG: Depression and maltreatment as predictors of social competence and social problem-solving skills in school-age children. Child Abuse Negl. 1995, 19: 1183-1195. 10.1016/0145-2134(95)00086-N.CrossRefPubMed
13.
go back to reference Messer SC, Gross AM: Childhood depression and family interaction: A naturalistic observation study. J Clin Child Psychol. 1995, 24: 77-88. 10.1207/s15374424jccp2401_10.CrossRef Messer SC, Gross AM: Childhood depression and family interaction: A naturalistic observation study. J Clin Child Psychol. 1995, 24: 77-88. 10.1207/s15374424jccp2401_10.CrossRef
14.
go back to reference Burbach DJ, Borduin CM: Parent-child relations and the etiology of depression: A review of methods and findings. Clin Psychol Rev. 1986, 6: 133-153. 10.1016/0272-7358(86)90009-7.CrossRef Burbach DJ, Borduin CM: Parent-child relations and the etiology of depression: A review of methods and findings. Clin Psychol Rev. 1986, 6: 133-153. 10.1016/0272-7358(86)90009-7.CrossRef
15.
go back to reference Cole DA, Rehm LP: Family interactions patterns and childhood depression. J Abnorm Child Psychol. 1986, 14: 297-314. 10.1007/BF00915448.CrossRefPubMed Cole DA, Rehm LP: Family interactions patterns and childhood depression. J Abnorm Child Psychol. 1986, 14: 297-314. 10.1007/BF00915448.CrossRefPubMed
16.
go back to reference Peluso PR, Peluso JP, Kern RM, Kern RM, White JAF: A Comparison of Attachment Theory and Individual Psychology: A Review of the Literature. J Couns Dev. 2004, 82: 139-145.CrossRef Peluso PR, Peluso JP, Kern RM, Kern RM, White JAF: A Comparison of Attachment Theory and Individual Psychology: A Review of the Literature. J Couns Dev. 2004, 82: 139-145.CrossRef
17.
go back to reference Armsden GC, McCauley E, Greenberg MT, Burke PM, Mitchell JR: Parent and peer attachment in early adolescent depression. J Abnorm Child Psychol. 1990, 18: 683-697. 10.1007/BF01342754.CrossRefPubMed Armsden GC, McCauley E, Greenberg MT, Burke PM, Mitchell JR: Parent and peer attachment in early adolescent depression. J Abnorm Child Psychol. 1990, 18: 683-697. 10.1007/BF01342754.CrossRefPubMed
18.
go back to reference Windle M: Temperament and social support in adolescence: Interrelations with depressive symptoms and delinquent behaviors. J Youth Adolesc. 1992, 21: 1-21. 10.1007/BF01536980.CrossRefPubMed Windle M: Temperament and social support in adolescence: Interrelations with depressive symptoms and delinquent behaviors. J Youth Adolesc. 1992, 21: 1-21. 10.1007/BF01536980.CrossRefPubMed
19.
go back to reference Patten CA, Gillin JC, Farkas AJ, Gilpin EA, Berry CC, Pierce JP: Depressive symptoms in California adolescents: family structure and parental support. J Adolesc Health. 1997, 20: 271-278. 10.1016/S1054-139X(96)00170-X.CrossRefPubMed Patten CA, Gillin JC, Farkas AJ, Gilpin EA, Berry CC, Pierce JP: Depressive symptoms in California adolescents: family structure and parental support. J Adolesc Health. 1997, 20: 271-278. 10.1016/S1054-139X(96)00170-X.CrossRefPubMed
20.
go back to reference Liu YL: Parent-child interaction and children's depression: the relationships between Parent-Child interaction and children's depressive symptoms in Taiwan. J Adolesc. 2003, 26: 447-57. 10.1016/S0140-1971(03)00029-0.CrossRefPubMed Liu YL: Parent-child interaction and children's depression: the relationships between Parent-Child interaction and children's depressive symptoms in Taiwan. J Adolesc. 2003, 26: 447-57. 10.1016/S0140-1971(03)00029-0.CrossRefPubMed
21.
go back to reference Stein D, Williamson DE, Birmaher B, Brent DA, Kaufman J, Dahl RE, Perel JM, Ryan ND: Parent-child bonding and family functioning in depressed children and children at high risk and low risk for future depression. J Am Acad Child Adolesc Psychiatry. 2000, 39: 1387-1395. 10.1097/00004583-200011000-00013.CrossRefPubMed Stein D, Williamson DE, Birmaher B, Brent DA, Kaufman J, Dahl RE, Perel JM, Ryan ND: Parent-child bonding and family functioning in depressed children and children at high risk and low risk for future depression. J Am Acad Child Adolesc Psychiatry. 2000, 39: 1387-1395. 10.1097/00004583-200011000-00013.CrossRefPubMed
22.
go back to reference Olson DH, Douglas HS, Cindy SR: Circumplex model of marital and family system- Cohesion and adaptability dimensions, family types, and clinical application. Fam Process. 1979, 18: 3-28. 10.1111/j.1545-5300.1979.00003.x.CrossRefPubMed Olson DH, Douglas HS, Cindy SR: Circumplex model of marital and family system- Cohesion and adaptability dimensions, family types, and clinical application. Fam Process. 1979, 18: 3-28. 10.1111/j.1545-5300.1979.00003.x.CrossRefPubMed
23.
go back to reference Lavee Y, Olson DH: Family types and response to stress. J Marriage Fam. 1991, 53: 786-799. 10.2307/352751.CrossRef Lavee Y, Olson DH: Family types and response to stress. J Marriage Fam. 1991, 53: 786-799. 10.2307/352751.CrossRef
24.
go back to reference Lamborn SD, Mounts NS, Steinberg L, Dornbusch SM: Patterns of Competence and Adjustment among Adolescents from Authoritative, Authoritarian, Indulgent, and Neglectful Families. Child Dev. 1991, 62: 1049-1065. 10.2307/1131151.CrossRefPubMed Lamborn SD, Mounts NS, Steinberg L, Dornbusch SM: Patterns of Competence and Adjustment among Adolescents from Authoritative, Authoritarian, Indulgent, and Neglectful Families. Child Dev. 1991, 62: 1049-1065. 10.2307/1131151.CrossRefPubMed
25.
go back to reference Maccoby EE, Martin JA: Socialization in the context of the family: Parent-child interaction. Handbook of child psychology: Socialization, personality, and social development. Edited by: Mussen PH, Hetherington EM. 1983, New York: Wiley, 4: 1-101. 4 Maccoby EE, Martin JA: Socialization in the context of the family: Parent-child interaction. Handbook of child psychology: Socialization, personality, and social development. Edited by: Mussen PH, Hetherington EM. 1983, New York: Wiley, 4: 1-101. 4
26.
go back to reference CABLE Research Team: Child and adolescent behavior in long-term evolution (CABLE): a school-based health lifestyle study. Annual Report 2003–2004. 2005, Taipei CABLE Research Team: Child and adolescent behavior in long-term evolution (CABLE): a school-based health lifestyle study. Annual Report 2003–2004. 2005, Taipei
27.
go back to reference Yen LL, Chen LW, Lee SH, Hsiao CH, Pan LY: Child and adolescent behavior in long-term evolution (CABLE): a school-based health lifestyle study. IUHPE-Promotion and Education. 2002, 33-40. Suppl l Yen LL, Chen LW, Lee SH, Hsiao CH, Pan LY: Child and adolescent behavior in long-term evolution (CABLE): a school-based health lifestyle study. IUHPE-Promotion and Education. 2002, 33-40. Suppl l
28.
go back to reference Kovacs M: Rating scales to assess depression in school-aged children. Acta Paedopsychiatr. 1980, 46 (5-6): 305-315. Kovacs M: Rating scales to assess depression in school-aged children. Acta Paedopsychiatr. 1980, 46 (5-6): 305-315.
29.
go back to reference Faulstich ME, Carey MP, Ruggiero L, Enyart P, Gresham F: Assessment of depression in childhood and adolescence: an evaluation of the Center for Epidemiological Studies Depression Scale for Children (CES-DC). Am J Psychiatry. 1986, 143: 1024-1027.CrossRefPubMed Faulstich ME, Carey MP, Ruggiero L, Enyart P, Gresham F: Assessment of depression in childhood and adolescence: an evaluation of the Center for Epidemiological Studies Depression Scale for Children (CES-DC). Am J Psychiatry. 1986, 143: 1024-1027.CrossRefPubMed
30.
go back to reference Kaiser HF: An index of factorial simplicity. Psychometrika. 1974, 39: 31-36. 10.1007/BF02291575.CrossRef Kaiser HF: An index of factorial simplicity. Psychometrika. 1974, 39: 31-36. 10.1007/BF02291575.CrossRef
31.
go back to reference Johnson RA, Wichern DW: Clustering distance methods, and ordination. Applied Multivariate Statixtical Analysis. 2002, Upper Saddle River, New Jersey: Prentice Hall, 668-747. 5 Johnson RA, Wichern DW: Clustering distance methods, and ordination. Applied Multivariate Statixtical Analysis. 2002, Upper Saddle River, New Jersey: Prentice Hall, 668-747. 5
32.
go back to reference Chao RK: Beyond Parental Control and Authoritarian Parenting Style: Understanding Chinese Parenting Through the Cultural Notion of Training. Child Dev. 1994, 65: 1111-1119. 10.2307/1131308.CrossRefPubMed Chao RK: Beyond Parental Control and Authoritarian Parenting Style: Understanding Chinese Parenting Through the Cultural Notion of Training. Child Dev. 1994, 65: 1111-1119. 10.2307/1131308.CrossRefPubMed
33.
go back to reference Chen F, Luster T: Factors Related to Parenting Practices in Taiwan. Early Child Dev Care. 2002, 172: 413-430. 10.1080/03004430214549.CrossRef Chen F, Luster T: Factors Related to Parenting Practices in Taiwan. Early Child Dev Care. 2002, 172: 413-430. 10.1080/03004430214549.CrossRef
34.
go back to reference Lin WY, Wang JW: Taiwan parent's beliefs of child-raising: severely teaching or physical and oral punishment. Indigenous Psychological Research in Chinese Societies. 1995, 3: 2-92. Lin WY, Wang JW: Taiwan parent's beliefs of child-raising: severely teaching or physical and oral punishment. Indigenous Psychological Research in Chinese Societies. 1995, 3: 2-92.
35.
go back to reference McCord J: Unintended consequences of punishment. Pediatrics. 1996, 98: 832-834.PubMed McCord J: Unintended consequences of punishment. Pediatrics. 1996, 98: 832-834.PubMed
36.
go back to reference Nolen-Hoeksema S, Girgus JS, Seligman ME: Learned helplessness in children: a longitudinal study of depression, achievement, and explanatory style. J Adolesc. 1986, 51 (2): 435-442. Nolen-Hoeksema S, Girgus JS, Seligman ME: Learned helplessness in children: a longitudinal study of depression, achievement, and explanatory style. J Adolesc. 1986, 51 (2): 435-442.
37.
go back to reference Nolen-Hoeksema S, Larson J, Grayson C: Explaining the gender difference in depressive symptoms. J Personality Soc Psychology. 1999, 77: 1061-1075. 10.1037/0022-3514.77.5.1061.CrossRef Nolen-Hoeksema S, Larson J, Grayson C: Explaining the gender difference in depressive symptoms. J Personality Soc Psychology. 1999, 77: 1061-1075. 10.1037/0022-3514.77.5.1061.CrossRef
38.
go back to reference Ge X, Lorenz FO, Conger RD, Elder GH, Simons RL: Trajectories of stressful life events and depressive symptoms during adolescence. Dev Psychol. 1994, 30: 467-483. 10.1037/0012-1649.30.4.467.CrossRef Ge X, Lorenz FO, Conger RD, Elder GH, Simons RL: Trajectories of stressful life events and depressive symptoms during adolescence. Dev Psychol. 1994, 30: 467-483. 10.1037/0012-1649.30.4.467.CrossRef
Metadata
Title
Comparison of children's self-reports of depressive symptoms among different family interaction types in northern Taiwan
Authors
Wen-chi Wu
Chi-Hsien Kao
Lee-Lan Yen
Tony Szu-Hsien Lee
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2007
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-7-116

Other articles of this Issue 1/2007

BMC Public Health 1/2007 Go to the issue