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The effects of parent-child relationships on later life mental health status in two national birth cohorts

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Morgan, Z., Brugha, T. S. (Traolach S.), Fryers, Tom and Stewart-Brown, Sarah L.. (2012) The effects of parent-child relationships on later life mental health status in two national birth cohorts. Social Psychiatry and Psychiatric Epidemiology, Vol.47 (No.11). pp. 1707-1715. ISSN 0933-7954

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Official URL: http://dx.doi.org/10.1007/s00127-012-0481-1

Abstract

Purpose Abusive and neglectful parenting is an established determinant of adult mental illness, but longitudinal studies of the impact of less severe problems with parenting have yielded inconsistent findings. In the face of growing interest in mental health promotion, it is important to establish the impact of this potentially remediable risk factor. Methods Participants: 8,405 participants in the 1958 UK birth cohort study, and 5,058 in the 1970 birth cohort study Exposures: questionnaires relating to the quality of relationships with parents completed at age 16 years. Outcomes: 12-item General Health Questionnaire and the Malaise Inventory collected at age 42 years (1958 cohort) and 30 years (1970 cohort). Statistical methodology: logistic regression analyses adjusting for sex, social class and teenage mental health problems. Results 1958 cohort: relationships with both mother and father predicted mental health problems in adulthood; increasingly poor relationships were associated with increasing mental health problems at age 42 years. 1970 cohort: positive items derived from the Parental Bonding Instrument predicted reduced risk of mental health problems; negative aspects predicted increased risk at age 30 years. Odds of mental health problems were increased between 20 and 80% in fully adjusted models. Conclusions Results support the hypothesis that problems with parent–child relationships that fall short of abuse and neglect play a part in determining adult mental health and suggest that interventions to support parenting now being implemented in many parts of the Western world may reduce the prevalence of mental illness in adulthood.

Item Type: Journal Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing
Library of Congress Subject Headings (LCSH): Child abuse -- Psychological aspects, Mental illness -- Etiology, Parental influences, Parent and child
Journal or Publication Title: Social Psychiatry and Psychiatric Epidemiology
Publisher: Dr. Dietrich Steinkopff Verlag
ISSN: 0933-7954
Date: 2012
Volume: Vol.47
Number: No.11
Page Range: pp. 1707-1715
Identification Number: 10.1007/s00127-012-0481-1
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
References: [1] Fryers T. (2007) Children at Risk: Childhood Determinants of Adult Mental Illness. STAKES. Helsinki. [2] Overbeek G, Vollebergh W, Meeus W, Graaf R, Engels R. (2004) Young adults' recollections of parental bonds. Soc Psychiatry Psychiatr Epidemiol 39:703-710. [3] Overbeek G, Have M, Vollebergh W, Graaf R. (2007) Parental lack of care and overprotection. Soc Psychiatry Psychiatr Epidemiol 42:87-93. [4] Weich S, Patterson J, Shaw R, Stewart-Brown S. (2009) Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies. Br J Psychiatry 194(5):392-8. [5] Heider D, Matschinger H, Bernert S, Alonso J, Angermeyer MC. (2006) Relationship between parental bonding and mood disorder in six European countries. Psychiatry Res 143(1):89-98. [6] Heider D, Matschinger H, Bernert S, Alonso J, Brugha T, Bruffaerts R, et al. (2008) Adverse parenting as a risk factor in the occurrence of anxiety disorders. Soc Psychiatry Psychiatr Epidemiol 43:266-272. [7] Wolchik SA, Sandler IN, Millsap RE, Plummer BA, Greene SM, Anderson ER, et al. (2002) Six-year follow-up of preventive interventions for children of divorce: a randomized controlled trial. JAMA 288(15):1874-81. [8] Stewart-Brown SL, Fletcher L, Wadsworth ME. (2005) Parent-child relationships and health problems in adulthood in three UK national birth cohort studies. Eur J Public Health 15(6):640-6. [9] Rodgers B. Reported parental behaviour and adult affective symptoms. (1996) Associations and moderating factors. Psychol Med 26(1):51-61. [10] Rodgers B, Pickles A, Power C, Collishaw S, Maughan B. (1999) Validity of the Malaise Inventory in general population samples. Soc Psychiatry Psychiatr Epidemiol 34(6):333-41. [11] Stewart-Brown S, Shaw R (2004) The roots of social capital: relationships in the home during childhood and health in later life. In Social Capital for Health: issues of definition, measurement and links to health. Edited by Morgan A, Swann C. London: Health Development Agency; 157-86. http://www.nice.org.uk/nicemedia/documents/socialcapital_issues.pdf [12] Goldberg D, Gater G, Sartorius N, Ustun T, Piccinelli M, Gureje O, et al. (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27:191-7. [13] McGee R, Williams S, Silva PA. (1986) An evaluation of the Malaise Inventory. J Psychosom Res 30(2):147-52. [14] Rutter M, Tizard J, Whitmore K. (1970) Education, health and behaviour. Longmans, London. [15] Rodgers B, Pickles C, Power C, Collisham S, Maughan B. (1999) Validity of the Malaise Inventory in General Population Samples. Social Psychiatry and Psychiatric Epidemiology 34(6):333-41. [16] Parker G. (1990) The Parental Bonding Instrument. A decade of research. Soc Psychiatry Psychiatr Epidemiol 25(6):281. [17] Jorm A, Dear K, Rodgers B, Christensen H. (2003) interaction between mother's and father's affection as a risk factor for anxiety and depression symptoms. Social Psychiatry and Psychiatric Epidemiology 38:173-179. [18] Stewart-Brown SL, Schrader AS. (2010) Promoting the mental health of children and parents: evidence and outcomes for home and community based parenting support interventions. Report of Workpackage 2 of the DATAPREV Project. European Community 6th Framework Research ProgrammeSP5A-CT-2007-044145. http://wrap.warwick.ac.uk/3239/1/WRAP_Stewart_brown_DataPrev_final_12_03_10_ AS__(2)_(2).pdf.
URI: http://wrap.warwick.ac.uk/id/eprint/48012

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