The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren - EHESP - École des hautes études en santé publique Access content directly
Journal Articles Preventive Medicine Year : 2014

The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren

Katherine Keyes
  • Function : Author
Ezra Susser
  • Function : Author
Daniel Pilowsky
  • Function : Author
Ava Hamilton
  • Function : Author
Adina Bitfoi
  • Function : Author
Dietmar Goelitz
  • Function : Author
Rowella C.W.M. Kuijpers
  • Function : Author
Sigita Lesinskiene
  • Function : Author
Zlatka Mihova
  • Function : Author
Roy Otten
  • Function : Author

Abstract

Objective: Unintentional injury is the leading cause of death for schoolchildren. We assessed the association between externalizing psychopathology, parenting style, and unintentional injury in European children in the community. Methods: Data were drawn from the School Children Mental Health in Europe project and included 4517 schoolchildren across seven diverse European regions. Past-year injuries serious enough to seek medical attention were reported by mothers. Child mental health problems were assessed using validated measures and reported by the mothers, teachers, and children. Parenting styles were based on The Parenting Scale and the Parent Behaviors and Attitudes Questionnaire. Results: Children with attention-deficit/hyperactivity symptoms and oppositional defiant symptoms had a higher risk of injury compared to other children whether based on parent report (OR=1.47, 95% C.I. 1.2-1.9), teacher report (OR=1.36, 95% C.I. 1.1-1.7), or parent and teacher report combined (OR=1.53, 95% C.I. 1.1-2.1). Children who self-reported oppositional symptoms also had higher risk of injury (OR=1.6, 95% C.I. 1.1-2.4). Low-caring behavior of parents increased the risk of injury (OR=1.4, 95% C.I. 1.1-1.9). Conclusion: Unintentional injury is a potential adverse health consequence of child externalizing problems. Interventions to improve parent-child relationships and prevention as well as focused treatment for externalizing problems may reduce the burden of injury.

Dates and versions

hal-03118796 , version 1 (22-01-2021)

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Katherine Keyes, Ezra Susser, Daniel Pilowsky, Ava Hamilton, Adina Bitfoi, et al.. The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren. Preventive Medicine, 2014, 67, pp.182-188. ⟨10.1016/j.ypmed.2014.07.030⟩. ⟨hal-03118796⟩
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