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 overprotection 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.
基金:
Basic Research Program of Yunnan [202401AY070001-001]; National Natural Science Foundation of China [82360670, 82060601]; Yunnan Revitalization Talent Support Program [YNWR-QNBJ-2018-286]; Applied foundation of Kunming Medical University and Yunnan Provincial Department of Science [202101AY070001-051]; NHC Key Laboratory of Drug Addiction Medicine [2020DAMARA-006]
第一作者机构:[1]Kunming Med Univ, Sch Publ Hlth, Div Epidemiol & Hlth Stat, NHC Key Lab Drug Addict Med, Kunming, Yunnan, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Kunming Med Univ, Sch Publ Hlth, Div Epidemiol & Hlth Stat, NHC Key Lab Drug Addict Med, Kunming, Yunnan, Peoples R China[5]Yunnan Prov Dept Educ, Key Lib Publ Hlth & Dis Prevent & Control, Kunming, Peoples R China[6]1168 West Chunrong Rd, Kunming 650500, Yunnan, Peoples R China
推荐引用方式(GB/T 7714):
Chen Lin,Lu Jin,Li Qiongxian,et al.Childhood maltreatment, parenting style and anxiety in Chinese youths: A case-control study[J].CHILD ABUSE & NEGLECT.2024,153:doi:10.1016/j.chiabu.2024.106807.
APA:
Chen, Lin,Lu, Jin,Li, Qiongxian,Shi, Yuanyu,Liu, Shuqing...&Xiao, Yuanyuan.(2024).Childhood maltreatment, parenting style and anxiety in Chinese youths: A case-control study.CHILD ABUSE & NEGLECT,153,
MLA:
Chen, Lin,et al."Childhood maltreatment, parenting style and anxiety in Chinese youths: A case-control study".CHILD ABUSE & NEGLECT 153.(2024)