TY - JOUR
PY - 2024//
TI - Childhood maltreatment, parenting style and anxiety in Chinese youths: a case-control study
JO - Child abuse and neglect
A1 - Chen, Lin
A1 - Lu, Jin
A1 - Li, Qiongxian
A1 - Shi, Yuanyu
A1 - Liu, Shuqing
A1 - He, Yandie
A1 - Zheng, Guiqing
A1 - Xiang, Yi
A1 - Xiao, Yuanyuan
SP - e106807
EP - e106807
VL - 153
IS -
N2 - BACKGROUND: Although evidence in supporting the associations between childhood maltreatment (CM), parenting style and anxiety in children and adolescents exists, few high-quality analytical epidemiological studies which focusing on clinically diagnosed anxiety disorders (AD) had been published.
OBJECTIVE: The aim of this study was to further corroborate the associations between CM, parenting style, and AD in a large representative sample of Chinese children and adolescents. PARTICIPANTS AND SETTING: Study subjects were derived from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), a population-based cross-sectional program.
METHODS: Individually matched case-control study design was adopted. Univariate and multivariate conditional binary logistic regression models were used to estimate the associations between CM, parenting style and AD. Dose-response trends were estimated using the Cochran-Armitage Chi-square test. A series of stratified analyses were conducted to explore effect modification on exposure-outcome association by some important features.
RESULTS: Totally we screened out 202 cases and 404 matched controls, with an age mean of 14.43 years. Conditional logistic regression models revealed that EA and a higher level of parental over-protection were significantly associated with increased risk of AD, with adjusted ORs of 3.39 (95 % CI: 2.07-5.56) and 1.93 (95 % CI: 1.28-2.90). Stratified analysis identified noticeable effect modification by sex, age, and whether the only child in the family.
CONCLUSIONS: Major findings of this study suggested that children and adolescents who had experienced EA or raised up by over-protective parents are at increased risk of AD. Targeted intervention measures should be developed and implemented for these high-risk youths.
Language: en
LA - en SN - 0145-2134 UR - http://dx.doi.org/10.1016/j.chiabu.2024.106807 ID - ref1 ER -