Wattanatchariya Kewalin, Narkpongphun Assawin, Kawilapat Suttipong
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, 110 Intawaroros Road, Si, Phum, Muang, Chiang Mai 50200, Thailand.
Acta Psychol (Amst). 2024 Mar;243:104166. doi: 10.1016/j.actpsy.2024.104166. Epub 2024 Jan 30.
Adverse childhood experiences (ACEs) are strongly related to the development of various health problems. Several previous studies have revealed the link between ACEs, parental mental health, and child psychopathology. However, the direct association between ACEs and parenting behaviors is still understudied.
To examine the relationship between parental ACEs and parenting, the effect of mental health which possibly mediated parenting behaviors, and the prevalence of ACEs.
Data was obtained from 403 parents of 6-18-year-old students in Chiang Mai, Thailand, from January to February 2023.
Relationships among ACEs, depression, anxiety, stress, and parenting behaviors were examined using correlation analysis and path analysis. The direct and indirect effects of potential associated factors on parenting behaviors were also examined.
Overall, 62.5 % of parents reported at least one ACE. Path analysis revealed significant direct effects of ACEs on poorer mental health in all subscales: depression, anxiety, and stress (β = 0.19, 0.21, 0.18 respectively). ACEs were directly associated with the use of corporal punishment (β = 0.15). Stress also had a positive direct effect on inconsistent discipline (β = 0.18).
ACEs are common in parents and associated with mental health problems. ACEs also affect parenting behaviors via direct and indirect pathways. It is important to detect and provide interventions to parents having a history of ACEs and poor mental health to improve the quality of parenting practices.
童年不良经历(ACEs)与各种健康问题的发展密切相关。先前的几项研究揭示了ACEs、父母心理健康和儿童精神病理学之间的联系。然而,ACEs与养育行为之间的直接关联仍未得到充分研究。
探讨父母的ACEs与养育方式之间的关系、可能介导养育行为的心理健康的影响以及ACEs的患病率。
数据于2023年1月至2月从泰国清迈403名6至18岁学生的父母那里获得。
使用相关分析和路径分析研究ACEs、抑郁、焦虑、压力和养育行为之间的关系。还研究了潜在相关因素对养育行为的直接和间接影响。
总体而言,62.5%的父母报告至少有一次ACEs。路径分析显示,ACEs在所有子量表(抑郁、焦虑和压力)上对较差的心理健康有显著直接影响(β分别为0.19、0.21、0.18)。ACEs与体罚的使用直接相关(β = 0.15)。压力对不一致的管教也有正向直接影响(β = 0.18)。
ACEs在父母中很常见,并且与心理健康问题相关。ACEs还通过直接和间接途径影响养育行为。检测并为有ACEs病史和心理健康不佳的父母提供干预措施以提高养育方式的质量很重要。