Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore

Introduction: Individuals with psychiatric disorders tend to report having poorer bonds with their parents during their early years. These individuals often experience lower quality of life as well. This study investigated the associations between aspects of parental bonding and health-related quali...

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Main Authors: Yoke Boon Tan, Eng Hong Tay, Shazana Shahwan, Yunjue Zhang, Rajeswari Sambasivam, Mythily Subramaniam
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2024-10-01
Series:Singapore Medical Journal
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Online Access:https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-223
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author Yoke Boon Tan
Eng Hong Tay
Shazana Shahwan
Yunjue Zhang
Rajeswari Sambasivam
Mythily Subramaniam
author_facet Yoke Boon Tan
Eng Hong Tay
Shazana Shahwan
Yunjue Zhang
Rajeswari Sambasivam
Mythily Subramaniam
author_sort Yoke Boon Tan
collection DOAJ
description Introduction: Individuals with psychiatric disorders tend to report having poorer bonds with their parents during their early years. These individuals often experience lower quality of life as well. This study investigated the associations between aspects of parental bonding and health-related quality of life (HRQOL) in a clinical sample of youths. It was hypothesised that high parental care and low parental overprotectiveness would be associated with higher levels of HRQOL. Methods: Data were obtained from a larger cross-sectional study. The sample consisted of 400 psychiatric outpatients: 191 patients aged 14–21 (mean ± standard deviation 18.1 ± 2.22) years and 209 patients aged 22–35 (28.0 ± 4.33) years. The Parental Bonding Instrument was used to measure parental care and overprotectiveness. Short Form-12 measured physical health (physical component summary [PCS]) and mental health (mental component summary [MCS]) components of HRQOL, and the 8-item Patient Health Questionnaire assessed depressive symptoms. These scales and a sociodemographic form were self-administered. Multivariable linear regression was used for analysis. Results: About half of the sample reported affectionless control for mothers (46.6%) and fathers (45.9%). After controlling for sociodemographic variables, no significant relationship was found between aspects of parental bonding and PCS scores. Maternal care was associated with MCS scores (β = 0.32, P < 0.01) and PHQ-8 scores (β = -0.12, P < 0.05). Conclusion: Our results suggest that youths who experienced quality care from their mothers exhibit better mental health functioning despite their clinical diagnoses, which suggests that early maternal care exerts an overall long-term protective effect. Early parental education that promotes positive parenting practices could improve the overall HRQOL of individuals in adulthood despite their clinical diagnoses.
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spelling doaj-art-9a0836d18a1a4ee2bdede4a55e342fec2025-02-09T10:25:26ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352024-10-01651057958510.4103/singaporemedj.SMJ-2023-223Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in SingaporeYoke Boon TanEng Hong TayShazana ShahwanYunjue ZhangRajeswari SambasivamMythily SubramaniamIntroduction: Individuals with psychiatric disorders tend to report having poorer bonds with their parents during their early years. These individuals often experience lower quality of life as well. This study investigated the associations between aspects of parental bonding and health-related quality of life (HRQOL) in a clinical sample of youths. It was hypothesised that high parental care and low parental overprotectiveness would be associated with higher levels of HRQOL. Methods: Data were obtained from a larger cross-sectional study. The sample consisted of 400 psychiatric outpatients: 191 patients aged 14–21 (mean ± standard deviation 18.1 ± 2.22) years and 209 patients aged 22–35 (28.0 ± 4.33) years. The Parental Bonding Instrument was used to measure parental care and overprotectiveness. Short Form-12 measured physical health (physical component summary [PCS]) and mental health (mental component summary [MCS]) components of HRQOL, and the 8-item Patient Health Questionnaire assessed depressive symptoms. These scales and a sociodemographic form were self-administered. Multivariable linear regression was used for analysis. Results: About half of the sample reported affectionless control for mothers (46.6%) and fathers (45.9%). After controlling for sociodemographic variables, no significant relationship was found between aspects of parental bonding and PCS scores. Maternal care was associated with MCS scores (β = 0.32, P < 0.01) and PHQ-8 scores (β = -0.12, P < 0.05). Conclusion: Our results suggest that youths who experienced quality care from their mothers exhibit better mental health functioning despite their clinical diagnoses, which suggests that early maternal care exerts an overall long-term protective effect. Early parental education that promotes positive parenting practices could improve the overall HRQOL of individuals in adulthood despite their clinical diagnoses.https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-223clinical populationhealth-related quality of lifeparental bondingyouths
spellingShingle Yoke Boon Tan
Eng Hong Tay
Shazana Shahwan
Yunjue Zhang
Rajeswari Sambasivam
Mythily Subramaniam
Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore
Singapore Medical Journal
clinical population
health-related quality of life
parental bonding
youths
title Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore
title_full Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore
title_fullStr Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore
title_full_unstemmed Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore
title_short Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14–35 years in Singapore
title_sort associations between parental bonding and health related quality of life in a clinical sample of youths aged 14 35 years in singapore
topic clinical population
health-related quality of life
parental bonding
youths
url https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-223
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