Department of Global Health Entrepreneurship, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, 113-8519, Japan.
Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
BMC Psychol. 2019 Mar 18;7(1):16. doi: 10.1186/s40359-019-0294-z.
The mental well-being of adolescents is a crucial issue affecting lives of both adults and young people. Bullying and mental health problems are important factors that can have a negative impact on the mental well-being of adolescents. Public awareness of mental health problems among adolescents is rapidly growing in Vietnam. However, current approaches to identifying risk factors influencing mental health problems do not pay attention to potentially protective factors. This study was performed to examine the associations between parent-adolescent bonding and mental health outcomes as protective elements during the adolescent period.
Data collected from 3331 respondents in grade 8-12 as part of the Vietnam Global School-based Student Health Survey (GSHS) 2013 was used for the analysis. A three-stage cluster sample design was used to produce data representative of students. Multivariate logistic regression analysis was performed to examine the association of demographic characteristics and data regarding parent-adolescent bonding associations with status of mental health problems in adolescents.
Parental understanding, parental monitoring were significantly associated with reduced likelihood of being bullied and mental health problems (P < 0.05). However, parental control was significantly associated with greater likelihoods of being physically attacked (adjusted odd ratio (aOR) = 1.36, 95%CI, 1.06, 1.75) and mental health problems, such as suicidal ideation, and loneliness (aOR = 1.96, 95%CI, 1.49, 2.57, aOR = 2.35, 95%CI, 1.75, 3.15, respectively), after adjusting for potential confounders.
The study indicated the significant associations between parental understanding, monitoring and control in a proxy of parent-adolescent bonding and mental well-being during the period of adolescent rebellion. Thus, parent-adolescent bonding in Southeast Asian cultural context may provide an effective means to promote the mental well-being of adolescents.
青少年的心理健康是影响成年人和年轻人生活的一个关键问题。欺凌和心理健康问题是重要的影响青少年心理健康的负面因素。公众对青少年心理健康问题的认识在越南迅速提高。然而，目前识别影响心理健康问题的风险因素的方法并没有关注潜在的保护因素。本研究旨在探讨青少年时期亲子关系与心理健康结果之间的关联，作为保护因素。
本研究使用了 2013 年越南全球学校学生健康调查（GSHS）中 3331 名 8-12 年级学生的数据进行分析。采用三阶段聚类样本设计生成具有代表性的学生数据。采用多变量逻辑回归分析方法，考察了人口统计学特征和亲子关系数据与青少年心理健康问题状况之间的关联。
父母的理解和监督与减少被欺凌和心理健康问题的可能性显著相关（P<0.05）。然而，父母的控制与被身体攻击（调整后的优势比（aOR）=1.36，95%置信区间（CI），1.06，1.75）和心理健康问题（如自杀意念和孤独感）的可能性显著相关，调整潜在混杂因素后，aOR 分别为 1.96（95%CI，1.49，2.57）和 2.35（95%CI，1.75，3.15）。
研究表明，在青少年叛逆时期，亲子关系中父母的理解、监督和控制与心理健康之间存在显著关联。因此，在东南亚文化背景下，亲子关系可能是促进青少年心理健康的有效途径。
