Sahithya B R, Raman Vijaya
Dept. of Clinical Psychology, Dharwad Institute of Mental health and Neurosciences, Dharwad, Karnataka, India.
Dept. of Psychiatry, St. John's National Academy of Health Sciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2021 Sep;43(5):382-391. doi: 10.1177/0253717620973376. Epub 2021 Feb 1.
Anxiety disorders are common in children and contribute to adverse developmental outcomes. Although etiological models of child anxiety have identified various environmental factors, very few studies in India have examined these factors in children presenting with anxiety disorders. Therefore, the present study was designed to examine parenting styles, parental personality, and child temperament in children with anxiety disorders in an Indian outpatient setting.
In total, 42 children with anxiety disorders and 42 typically developing children, matched on age and gender, were screened using Child Behavior Checklist, Color Progressive Matrices, and Screen for Child Anxiety Related Emotional Disorders Parent version. Their parents were screened using Mini International Neuropsychiatric Interview 5.0, following which they filled the questionnaires for parenting styles, parent personality, and child temperament.
There were significant differences between the two groups on parenting style, parent personality, and child temperament. Anxiety disorder was positively associated with the father's permissiveness and negatively with the mother's authoritativeness and child's sociability. A combination of parenting styles and child temperament explained 69% of the variances in child anxiety disorders. There were significant associations between parental personality, child temperament, and parenting style. Parent and child characteristics explained 14%-46% of the variances in parenting styles.
Results of this study are generally consistent with Western studies outlining the influence of child temperament and parenting styles on child outcome and have important implications for clinical management of anxiety disorders.
焦虑症在儿童中很常见,并会导致不良的发育结果。尽管儿童焦虑症的病因模型已经确定了各种环境因素,但在印度,很少有研究在患有焦虑症的儿童中考察这些因素。因此,本研究旨在印度门诊环境中,考察患有焦虑症儿童的养育方式、父母性格和儿童气质。
总共42名患有焦虑症的儿童和42名年龄和性别匹配的发育正常儿童,使用儿童行为量表、彩色渐进矩阵测验和儿童焦虑相关情绪障碍筛查量表家长版进行筛查。他们的父母使用迷你国际神经精神访谈5.0进行筛查,随后填写关于养育方式、父母性格和儿童气质的问卷。
两组在养育方式、父母性格和儿童气质方面存在显著差异。焦虑症与父亲的放任型养育方式呈正相关,与母亲的权威型养育方式和儿童的社交性呈负相关。养育方式和儿童气质的综合因素解释了儿童焦虑症69%的方差。父母性格、儿童气质和养育方式之间存在显著关联。父母和儿童的特征解释了养育方式14%-46%的方差。
本研究结果总体上与西方研究一致,这些研究概述了儿童气质和养育方式对儿童结果的影响,对焦虑症的临床管理具有重要意义。