Perceived parenting and risk for major depression in Chinese women
Wellcome Trust Centre for Human Genetics1, Fudan University2, Shanghai Jiao Tong University3, Tongji University4, Jiangsu University5, Zhejiang Chinese Medical University6, Zhengzhou University7, Harbin Medical University8, Sichuan University9, Capital Medical University10, China Medical University (PRC)11, Sun Yat-sen University12, Shanxi Medical University13, Jinan University14, Hebei Medical University15, Lanzhou University16, Fourth Military Medical University17, Virginia Commonwealth University18
TL;DR: The results suggest that cultural factors impact on patterns of parenting and their association with MD, and high parental protectiveness is generally pathogenic in Western countries but protective in China, especially when received from the father.
Abstract: Background. In Western countries, a history of major depression (MD) is associated with reports of received parenting that is low in warmth and caring and high in control and authoritarianism. Does a similar pattern exist in women in China? Method. Received parenting was assessed by a shortened version of the Parental Bonding Instrument (PBI) in two groups of Han Chinese women: 1970 clinically ascertained cases with recurrent MD and 2597 matched controls. MD was assessed at personal interview. Results. Factor analysis of the PBI revealed three factors for both mothers and fathers : warmth, protectiveness, and authoritarianism. Lower warmth and protectiveness and higher authoritarianism from both mother and father were significantly associated with risk for recurrent MD. Parental warmth was positively correlated with parental protectiveness and negatively correlated with parental authoritarianism. When examined together, paternal warmth was more strongly associated with lowered risk for MD than maternal warmth. Furthermore, paternal protectiveness was negatively and maternal protectiveness positively associated with risk for MD. Conclusions. Although the structure of received parenting is very similar in China and Western countries, the association with MD is not. High parental protectiveness is generally pathogenic in Western countries but protective in China, especially when received from the father. Our results suggest that cultural factors impact on patterns of parenting and their association with MD.
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TL;DR: In this paper, the authors explored the early trauma experiences, parenting styles and personality patterns in depression and examined relationship between the variables to understand the vulnerability factors for depression and to examine relationship between variables.
Abstract: The study was carried out to understand the vulnerability factors for depression. The objectives were to, explore the early trauma experiences, parenting styles and personality patterns in depression and to examine relationship between the variables.The Sample composed of 30 individuals diagnosed with depression and 30 controls from the community in the age range of 18–45 years. The tools used were Socio demographic sheet, MINI-International Neuropsychiatric Interview Plus, Beck Depression Inventory- II, Early Trauma Inventory Self Report-Short Form, Parental Bonding Instrument, Sociotropy-Autonomy Scale, and General Health Questionnaire –12. Study group had significantly lower score on father care and higher overprotection from both parents along with higher scores on general punishment, emotional abuse, total trauma score and sociotropy compared to control group. Depression and early trauma experiences were positively correlated with mother’s overprotection and negatively correlated with mother ...
4 citations
Cites background from "Perceived parenting and risk for ma..."
...Also Unlike the western context, father care played a significant role in lowering risk for depression (Gao et al., 2012)....
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...…father care seems to be a protective factor against trauma experiences which is well documented in the literature from eastern cultures that lack of father care was more strongly associated with risk for major depression, and suicidality (for e.g., Gao et al., 2012; Singh et al., 2012) (Table 2)....
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...Cultural variations in terms of eastern and western cultures on parenting were reported in a study carried out in women having recurrent depression from China....
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...High parental protectiveness is generally pathogenic in Western countries but protective in China (Gao et al., 2012)....
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TL;DR: The acute stress response of soldiers performing various tasks was influenced by many factors, including the task characteristics and external factors, and affected their work efficiency.
Abstract: To examine Chinese soldiers’ acute stress responses, we did this study. The soldiers completed the Acute Stress Response Scale (ASRS) when engaged in major tasks, such as earthquake rescue in Wenchuan, Sichuan, and maintaining social stability in Urumchi, Xinjiang. The ASRS has good reliability and validity. The study enrolled 1,832 male soldiers. The results showed significant differences among five dimensions and the overall response index when comparing four diverse military tasks. Further analysis found that reduced work efficiency and 24 symptom clusters were significantly positively correlated. The acute stress response of soldiers performing various tasks was influenced by many factors, including the task characteristics and external factors. In addition, the acute stress response affected their work efficiency.
4 citations
Cites background from "Perceived parenting and risk for ma..."
...Consequently, in China, we need to study the mental health of soldiers [4,5], so that they can recover more quickly....
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TL;DR: Zhang et al. as discussed by the authors assessed the age, period, and cohort effects on the incidence trends of major depressive disorder (MDD) in China between 1993 and 2017 using age-period-cohort analysis.
4 citations
TL;DR: The research draws from a sample of 102 Pakistani families living in the USA and suggests that the “spillover effect” explains the association between spousal rejection and perceived parental rejection.
Abstract: This study explores the question: To what extent are Pakistani American children’s perceptions of maternal and paternal rejection related to their parents’ perceptions of spousal rejection? The research draws from a sample of 102 Pakistani families living in the USA. Urdu language versions of the Intimate Partner Acceptance-Rejection Questionnaire were used by husbands and wives. English language versions of the Parental Acceptance-Rejection Questionnaire were used by children. Results of analyses showed that wives’ perceptions of husbands’ rejection predicted children’s perceptions of both maternal and paternal rejection. Similarly, husbands’ perceptions of wives’ rejection predicted children’s perceptions of both maternal and paternal rejection. These results suggest that the “spillover effect” explains the association between spousal rejection and perceived parental rejection.
4 citations
Dissertation•
01 Jan 2015
TL;DR: This article explored the experiences, stressors and beliefs of Chinese-born women living in Canada with a history of suicidal behaviour and found restricted patterns of emotional communication, feelings of lack of agency, experiences of victimization and oppression and stress related to traditional gender expectations and those related to social change.
Abstract: Recent studies have highlighted higher rates of suicidal ideation and behaviour and associated themes of gender role stress in Chinese women residing in North America (Chung, 2004). Through qualitative interviewing and analysis, this study explores the experiences, stressors and beliefs of Chinese-born women living in Canada with a history of suicidal behaviour. They describe restricted patterns of emotional communication, feelings of lack of agency, experiences of victimization and oppression and stress related to traditional gender expectations and those related to social change. Expectations of immigration often go unmet and stress arises from financial, educational and family pressures. As the women struggle to endure this distress, they experience a negative view of self, worsening depressive symptoms and hopelessness. They come to a "breaking point" leading to suicidal behaviour that can be understood as an escape from pain, a strategy to communicate distress and a consequence of pervasive hopelessness.
3 citations
Cites background from "Perceived parenting and risk for ma..."
...Several studies have hypothesized a link between psychological distress in women mediated by the one-child policy (J. J.-L. Chen & Liu, 2011; Gao et al., 2012; X. Li et al., 2012)....
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References
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TL;DR: An issue concerning the criteria for tic disorders is highlighted, and how this might affect classification of dyskinesias in psychotic spectrum disorders.
Abstract: Given the recent attention to movement abnormalities in psychosis spectrum disorders (e.g., prodromal/high-risk syndromes, schizophrenia) (Mittal et al., 2008; Pappa and Dazzan, 2009), and an ongoing discussion pertaining to revisions of the Diagnostic and Statistical Manuel of Mental Disorders (DSM) for the upcoming 5th edition, we would like to take this opportunity to highlight an issue concerning the criteria for tic disorders, and how this might affect classification of dyskinesias in psychotic spectrum disorders.
Rapid, non-rhythmic, abnormal movements can appear in psychosis spectrum disorders, as well as in a host of commonly co-occurring conditions, including Tourette’s Syndrome and Transient Tic Disorder (Kerbeshian et al., 2009). Confusion can arise when it becomes necessary to determine whether an observed movement (e.g., a sudden head jerk) represents a spontaneous dyskinesia (i.e., spontaneous transient chorea, athetosis, dystonia, ballismus involving muscle groups of the arms, legs, trunk, face, and/or neck) or a tic (i.e., stereotypic or patterned movements defined by the relationship to voluntary movement, acute and chronic time course, and sensory urges). Indeed, dyskinetic movements such as dystonia (i.e., sustained muscle contractions, usually producing twisting and repetitive movements or abnormal postures or positions) closely resemble tics in a patterned appearance, and may only be visually discernable by attending to timing differences (Gilbert, 2006).
When turning to the current DSM-IV TR for clarification, the description reads: “Tic Disorders must be distinguished from other types of abnormal movements that may accompany general medical conditions (e.g., Huntington’s disease, stroke, Lesch-Nyhan syndrome, Wilson’s disease, Sydenham’s chorea, multiple sclerosis, postviral encephalitis, head injury) and from abnormal movements that are due to the direct effects of a substance (e.g., a neuroleptic medication)”. However, as it is written, it is unclear if psychosis falls under one such exclusionary medical disorder. The “direct effects of a substance” criteria, referencing neuroleptic medications, further contributes to the uncertainty around this issue. As a result, ruling-out or differentiating tics in psychosis spectrum disorders is at best, a murky endeavor.
Historically, the advent of antipsychotic medication in the 1950s has contributed to the confusion about movement signs in psychiatric populations. Because neuroleptic medications produce characteristic movement disorder in some patients (i.e. extrapyramidal side effects), drug-induced movement disturbances have been the focus of research attention in psychotic disorders. However, accumulating data have documented that spontaneous dyskinesias, including choreoathetodic movements, can occur in medication naive adults with schizophrenia spectrum disorders (Pappa and Dazzan, 2009), as well as healthy first-degree relatives of chronically ill schizophrenia patients (McCreadie et al., 2003). Taken together, this suggests that movement abnormalities may reflect pathogenic processes underlying some psychotic disorders (Mittal et al., 2008; Pappa and Dazzan, 2009).
More specifically, because spontaneous hyperkinetic movements are believed to reflect abnormal striatal dopamine activity (DeLong and Wichmann, 2007), and dysfunction in this same circuit is also proposed to contribute to psychosis, it is possible that spontaneous dyskinesias serve as an outward manifestation of circuit dysfunction underlying some schizophrenia-spectrum symptoms (Walker, 1994). Further, because these movements precede the clinical onset of psychotic symptoms, sometimes occurring in early childhood (Walker, 1994), and may steadily increase during adolescence among populations at high-risk for schizophrenia (Mittal et al., 2008), observable dyskinesias could reflect a susceptibility that later interacts with environmental and neurodevelopmental factors, in the genesis of psychosis.
In adolescents who meet criteria for a prodromal syndrome (i.e., the period preceding formal onset of psychotic disorders characterized by subtle attenuated positive symptoms coupled with a decline in functioning), there is sometimes a history of childhood conditions which are also characterized by suppressible tics or tic like movements (Niendam et al., 2009). On the other hand, differentiating between tics and dyskinesias has also complicated research on childhood disorders such as Tourette syndrome (Kompoliti and Goetz, 1998; Gilbert, 2006).
We propose consideration of more explicit and operationalized criteria for differentiating tics and dyskinesias, based on empirically derived understanding of neural mechanisms. Further, revisions of the DSM should allow for the possibility that movement abnormalities might reflect neuropathologic processes underlying the etiology of psychosis for a subgroup of patients. Psychotic disorders might also be included among the medical disorders that are considered a rule-out for tics.
Related to this, the reliability of movement assessment needs to be improved, and this may require more training for mental health professionals in movement symptoms. Although standardized assessment of movement and neurological abnormalities is common in research settings, it has been proposed that an examination of neuromotor signs should figure in the assessment of any patient, and be as much a part of the patient assessment as the mental state examination (Picchioni and Dazzan, 2009).
To this end it is important for researchers and clinicians to be aware of differentiating characteristics for these two classes of abnormal movement. For example, tics tend to be more complex than myoclonic twitches, and less flowing than choreoathetodic movements (Kompoliti and Goetz, 1998). Patients with tics often describe a sensory premonition or urge to perform a tic, and the ability to postpone tics at the cost of rising inner tension (Gilbert, 2006). For example, one study showed that patients with tic disorders could accurately distinguish tics from other movement abnormalities based on the subjective experience of some voluntary control of tics (Lang, 1991). Another differentiating factor derives from the relationship of the movement in question to other voluntary movements. Tics in one body area rarely occur during purposeful and voluntary movements in that same body area whereas dyskinesia are often exacerbated by voluntary movement (Gilbert, 2006). Finally, it is noteworthy that tics wax and wane in frequency and intensity and migrate in location over time, often becoming more complex and peaking between the ages of 9 and 14 years (Gilbert, 2006). In the case of dyskinesias among youth at-risk for psychosis, there is evidence that the movements tend to increase in severity and frequency as the individual approaches the mean age of conversion to schizophrenia spectrum disorders (Mittal et al., 2008).
As revisions to the DSM are currently underway in preparation for the new edition (DSM V), we encourage greater attention to the important, though often subtle, distinctions among subtypes of movement abnormalities and their association with psychiatric syndromes.
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TL;DR: The development of a 10-item self-report scale (EPDS) to screen for Postnatal Depression in the community was found to have satisfactory sensitivity and specficity, and was also sensitive to change in the severity of depression over time.
Abstract: The development of a 10-item self-report scale (EPDS) to screen for Postnatal Depression in the community is described. After extensive pilot interviews a validation study was carried out on 84 mothers using the Research Diagnostic Criteria for depressive illness obtained from Goldberg's Standardised Psychiatric Interview. The EPDS was found to have satisfactory sensitivity and specificity, and was also sensitive to change in the severity of depression over time. The scale can be completed in about 5 minutes and has a simple method of scoring. The use of the EPDS in the secondary prevention of Postnatal Depression is discussed.
10,857 citations
"Perceived parenting and risk for ma..." refers methods in this paper
...Information on postnatal depression was assessed using an adaptation of the Edinburgh Scale (Cox et al. 1987)....
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01 Jan 2010
TL;DR: In this article, the R Foundation for Statistical Computing (RFC) gave permission to make and distribute verbatim copies of this manual provided the copyright notice and this permission notice are preserved on all copies.
Abstract: Copyright (©) 1999–2009 R Foundation for Statistical Computing. Permission is granted to make and distribute verbatim copies of this manual provided the copyright notice and this permission notice are preserved on all copies. Permission is granted to copy and distribute modified versions of this manual under the conditions for verbatim copying, provided that the entire resulting derived work is distributed under the terms of a permission notice identical to this one. Permission is granted to copy and distribute translations of this manual into another language, under the above conditions for modified versions, except that this permission notice may be stated in a translation approved by the R Development Core Team.
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4,527 citations
"Perceived parenting and risk for ma..." refers background in this paper
...Typically, these investigations use a different parenting typology from ours, distinguishing between authoritarian and authoritative styles (Baumrind, 1971)....
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TL;DR: The Maudsley Obsessional-Compulsive Inventory (OCI) and Leyton Obsessionality Inventory (LOI) were used by as discussed by the authors to assess perceived levels of parental care and overprotection.
Abstract: The view that those with obsessive compulsive disorder or obsessional personality have been exposed to overcontrolling and overcritical parenting is examined. Two measures of obsessionality (the Maudsley Obsessional-Compulsive Inventory and the Leyton Obsessionality Inventory) were completed by 344 nonclinical subjects. They also scored their parents on the Parental Bonding Instrument (PBI), a measure assessing perceived levels of parental care and overprotection, before and after controlling for levels of state depression, trait anxiety and neuroticism in the analyses. Those scoring as more obsessional returned higher PBI protection scale scores. Links with PBI care scale scores were less clear, essentially restricted to the Maudsley Inventory, and variably influenced by controlling other variables.
3,197 citations