Abstract
Objectives
This study examined the relationship between trustful communication with parents and frequency of emotional symptoms in schoolchildren and whether this relationship was modified by the family’s socio-economic position.
Methods
Pooled data (n = 15,646) from the Danish Health Behaviour in School-aged Children surveys 2002, 2006 and 2010 were analysed by multilevel multivariable logistic regression.
Results
8 % of all schoolchildren reported emotional symptoms almost daily. Odds ratio for daily symptoms was 2.1 (1.8–2.4) for children without trustful communication with parents compared to children with trustful communication. This association appears unaffected by family occupational class. A substantial socio-economic gradient in emotional symptoms persisted, independent of parent–child communication.
Conclusions
Trustful communication with parents might have a fundamental importance, regardless of socio-economic position.
References
Branje SJ, Hale WW 3rd, Frijns T, Meeus WH (2010) Longitudinal associations between perceived parent–child relationship quality and depressive symptoms in adolescence. J Abnorm Child Psychol 38:751–763
Brumariu LE, Kerns KA (2010) Parent–child attachment and internalizing symptoms in childhood and adolescence: a review of empirical findings and future directions. Dev Psychopathol 22:177–203
Colonnesi C, Draijer EM, Jan JM, Stams G, Van der Bruggen CO, Bögels SM, Noom MJ (2011) The relation between insecure attachment and child anxiety: a meta-analytic review. J Clin Child Adolesc Psychol 40:630–645
Currie C, Zanotti C, Morgan A et al (2012) Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. WHO Regional Office for Europe, Copenhagen
DuBois D, Felner RD, Meares H, Krier M (1994) Prospective investigation of the effects of socioeconomic disadvantage, life stress and social support on early adolescent adjustment. J Abnorm Psychol 103:511–532
Due P, Krølner R, Rasmussen M, Andersen A, Damsgaard MT, Graham H, Holstein BE (2011) Pathways and mechanisms in adolescence contribute to adult health inequalities. Scand J Public Health 39(Suppl 6):62–78
Gecková A, van Dijk JP, Stewart R, Groothoff JW, Post D (2003) Influence of social support on health among gender and socio-economic groups of adolescents. Eur J Public Health 13:44–50
Haugland S, Wold B, Stevenson J, Aaroe LE, Woynarowska B (2001) Subjective health complaints in adolescence. A cross-national comparison of prevalence and dimensionality. Eur J Public Health 11:4–10
Lien N, Friestad C, Klepp KI (2001) Adolescents’ proxy reports of parents’ socioeconomic status: how valid are they? J Epidemiol Community Health 55:731–737
Morgan Z, Brugha T, Fryers T, Stewart-Brown S (2012) The effects of parent–child relationships on later life mental health status in two national birth cohorts. Soc Psychiatry Psychiatr Epidemiol 47:1707–1715
Patel V, Flisher AJ, Hetrick S, MacGorry P (2007) Mental health of young people: a global public-health challenge. Lancet 369:1302–1313
Reiss F (2013) Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Soc Sci Med 90:24–31
Roberts C, Freeman J, Samdal O, Schnohr CW, de Looze ME, Nic Gabhainn S, Iannotti R, Rasmussen M (2009) The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health 54(Suppl 2):140–150
Salonna F, Geckova AM, Zezula I, Sleskova M, Groothoff JW, Reijneveld SA, van Dijk JP (2012) Does social support mediate or moderate socioeconomic differences in self-rated health among adolescents? Int J Public Health 57:609–617
Small S, Memmo M (2004) Contemporary models of youth development and problem prevention: toward an integration of terms, concepts, and models. Fam Relat 53:3–11
Smith M, Calam R, Bolton C (2009) Psychological factors linked to self-reported depression symptoms in late adolescence. Behav Cogn Psychother 37:73–85
Stewart-Brown SL, Fletcher L, Wadsworth ME (2005) Parent–child relationships and health problems in adulthood in three UK national birth cohort studies. Eur J Public Health 15:640–646
van Eijck FEAM, Branje SJ, Hale WW 3rd, Meeus WHJ (2012) Longitudinal associations between perceived parent–adolescent attachment relationship quality and generalized anxiety disorder symptoms in adolescence. J Abnorm Child Psychol 40:871–883
Wright RG, Botticello AL, Aneschensel CS (2006) Socioeconomic context, social support, and adolescent mental health: a multilevel investigation. J Youth Adolesc 35:115–126
Acknowledgments
The Nordea foundation supported the HBSC study 2010 and the HBSC Trend Data Base. We thank Pernille Due and Pia Wichmann Henriksen for their contribution to the conception of the study. We thank Pernille Due, the Principal Investigator of the Danish HBSC study, for access to the data.
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Damsgaard, M.T., Holstein, B.E., Koushede, V. et al. Close relations to parents and emotional symptoms among adolescents: beyond socio-economic impact?. Int J Public Health 59, 721–726 (2014). https://doi.org/10.1007/s00038-014-0600-8
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DOI: https://doi.org/10.1007/s00038-014-0600-8