Maternal adverse childhood experiences and behavioral problems in preschool offspring: the mediation role of parenting styles.
Background: Maternal history of adverse childhood experiences (ACEs) has been found to be associated with children's health outcomes. However, the underlying mechanisms were unclear. This study aimed to examine the association between maternal ACEs and behavioral problems in their preschool offsprin...
| Published in: | Child & Adolescent Psychiatry & Mental Health Vol. 17; no. 1; pp. 1 - 12 |
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| Main Authors: | , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
BioMed Central
8/10/2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=169870688&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 169870688 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17532000 78JH jtl: Child & Adolescent Psychiatry & Mental Health issn: 17532000 maglogo: N pubinfo: dt: 8/10/2023 vid: 17 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 169870688 169870688 169870688 10.1186/s13034-023-00646-3 169870688 ppf: 1 ppct: 11 formats: tig: atl: Maternal adverse childhood experiences and behavioral problems in preschool offspring: the mediation role of parenting styles. aug: au: Luo, Shengyu Chen, Dezhong Li, Chunrong Lin, Li Chen, Weiqing Ren, Yan Zhang, Yuchi Xing, Fenglin Guo, Vivian Yawei affil: Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China sug: subj: Mothers Psychosocial Factors Adverse Childhood Experiences Child Behavior Disorders Parenting Maternal Attitudes Human Child, Preschool Cross Sectional Studies Sampling Methods Questionnaires Clinical Assessment Tools Scales Emotional Abuse Emotions Psychological Tests One-Way Analysis of Variance Chi Square Test Data Analysis Software Descriptive Statistics Odds Ratio Confidence Intervals Funding Source Child, Preschool: 2-5 years ab: Background: Maternal history of adverse childhood experiences (ACEs) has been found to be associated with children's health outcomes. However, the underlying mechanisms were unclear. This study aimed to examine the association between maternal ACEs and behavioral problems in their preschool offspring and to explore the potential mediating role of maternal parenting styles in the association. Methods: A cross-sectional study was conducted involving 4243 mother-child dyads in Chengdu, China. Mothers completed the Adverse Childhood Experiences-International Questionnaire (ACE-IQ) to assess their history of ACEs (i.e., physical abuse, emotional abuse, physical neglect, emotional neglect, witnessing domestic violence, household substance abuse, household mental illness, incarcerated household member, parental separation or divorce, parental death, bullying, and community violence), the short Egna Minnen Beträffande Uppfostran Parent Form (S-EMBU-P) to evaluate their parenting styles (i.e., emotional warmth, rejection, and overprotection), and the 48-item Conners' Parent Rating Scale (CPRS-48) to measure behavioral problems in their children. Logistic regression models were established to examine the association between cumulative number of maternal ACEs and children's behavioral problems. The mediating role of parenting styles in this association was explored by generalized structural equation models (GSEM). Results: Of the participating mothers, 85.8% (n = 3641) reported having experienced at least one type of ACE. Children of mothers with ≥2 ACEs showed a significantly increased risk of behavioral problems across all dimensions, including conduct problems, learning problems, psychosomatic problems, impulsive-hyperactive, anxiety, and hyperactivity index, in both crude and adjusted models (all p-values < 0.05). Dose-response patterns were also observed between the cumulative number of maternal ACEs and children's behavioral problems. In addition, maternal parenting styles of rejection emerged as a significant mediator, accounting for approximately 8.4–15.0% of the associations. Conclusions: Our findings indicated an intergenerational association of maternal ACEs with behavioral problems in preschool offspring, which was mediated by maternal parenting styles of rejection. Early screening and targeted intervention strategies are critical to mitigate the downstream consequences of maternal ACEs on young children's outcomes. Providing support and resources to improve parenting skills may prove beneficial. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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