Parenting Styles and Psychiatric Disorders in Children of Bipolar Parents

Arman, Soroor; Salimi, Hajar; Maracy, Mohammad Reza

Parenting Styles and Psychiatric Disorders in Children of Bipolar Parents

Document Type : Original Article

Authors

¹ Department of Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

² Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran

³ Department of Epidemiology and Biostatistics, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Bipolar disorders (BD) in parents can have different effects on children and perhaps as a reason of the incidence of various psychiatric disorders in them and they may show a particular parenting style due to features of their disease. Given a crucial role of parenting style in upbringing children, this study aimed to evaluate different styles of parenting and its relationship with psychiatric disorders in children of parents with bipolar disorder (PBD) compared with controls. Materials and Methods: In this case–control study, 500 parents with children aged 6–17 years were included that 250 of them with BD were selected as the case group and 250 of them were healthy as control group. The parents were selected according to the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) by a physician. Psychiatric disorders in children were assessed by The Kiddie Schedule for Affective Disorders and Schizophrenia for school-age children (KSADS). The collected data were analyzed with SPSS (version 20). Results: According to KSADS, there was significant difference between two groups of children in depression, mania, attention-deficit hyperactivity disorder, and posttraumatic stress disorder (P < 0.05). In authoritative dimension, parenting styles were effective in the incidence of psychosis (odds ratio [OR] [95% confidence interval (CI)]: 0.775 [0.63–0.95]) and led to a decrease of 0.320 times in the chance of oppositional defiant disorder incidence (OR [95% CI]: 0.320 [0.21–0.74]; P = 0.043) but an increase of 1.129 times in the chance of cigarette/tobacco use (OR [95% CI]: 1.129 [1.02–1.25]; P = 0.016). Conclusion: The chance of psychiatric disorder's incidence in children of PBD was so far more than children of healthy parents. Hence, the incidence of some psychiatric disorders in children can be associated with parenting styles.

Keywords

References

1.	Michalak EE, Yatham LN, Kolesar S, Lam RW. Bipolar disorder and quality of life: A patient-centered perspective. Qual Life Res 2006;15:25-37.
2.	Lobban F, Taylor K, Murray C, Jones S. Bipolar disorder is a two-edged sword: A qualitative study to understand the positive edge. J Affect Disord 2012;141:204-12.
3.	Merikangas KR, Akiskal HS, Angst J, Greenberg PE, Hirschfeld RM, Petukhova M, et al. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2007;64:543-52.
4.	Jones S, Wainwright LD, Jovanoska J, Vincent H, Diggle PJ, Calam R, et al. An exploratory randomised controlled trial of a web-based integrated bipolar parenting intervention (IBPI) for bipolar parents of young children (aged 3-10). BMC Psychiatry 2015;15:122.
5.	Goetz M, Sebela A, Mohaplova M, Ceresnakova S, Ptacek R, Novak T. Psychiatric disorders and quality of life in the offspring of parents with bipolar disorder. J Child Adolesc Psychopharmacol 2017;27:483-93.
6.	Wals M, Hillegers MH, Reichart CG, Ormel J, Nolen WA, Verhulst FC. Prevalence of psychopathology in children of a bipolar parent. J Am Acad Child Adolesc Psychiatry 2001;40:1094-102.
7.	Lapalme M, Hodgins S, LaRoche C. Children of parents with bipolar disorder: A metaanalysis of risk for mental disorders. Can J Psychiatry 1997;42:623-31.
8.	Laroche C, Sheiner R, Lester E, Benierakis C, Marrache M, Engelsmann F, et al. Children of parents with manic-depressive illness: A follow-up study. Can J Psychiatry 1987;32:563-9.
9.	Maybery D, Reupert A, Patrick K, Goodyear M, Crase L. Prevalence of children whose parents have a mental illness. Psychiatr Bull 2009;33:22-6.
10.	Weissman MM, Wickramaratne P, Gameroff MJ, Warner V, Pilowsky D, Kohad RG, et al. Offspring of depressed parents: 30 years later. Am J Psychiatry 2016;173:1024-32.
11.	Prince J. Catecholamine dysfunction in attention-deficit/hyperactivity disorder: An update. J Clin Psychopharmacol 2008;28:S39-45.
12.	Wicks-Nelson R, Israel AC, Wicks-Nelson R. Abnormal Child and Adolescent Psychology. Upper Saddle River, NJ: Pearson Prentice Hall; 2009.
13.	Vance YH, Huntley Jones S, Espie J, Bentall R, Tai S. Parental communication style and family relationships in children of bipolar parents. Br J Clin Psychol 2008;47:355-9.
14.	Lau P, Hawes DJ, Hunt C, Frankland A, Roberts G, Wright A, et al. Family environment and psychopathology in offspring of parents with bipolar disorder. J Affect Disord 2018;226:12-20.
15.	Alizadeh H, Andries C. Interaction of parenting styles and attention deficit hyperactivity disorder in Iranian parents. Child Fam Behav Ther 2002;24:37-52.
16.	Endicott J, Spitzer RL. A diagnostic interview: The schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978;35:837-44.
17.	Ghanizadeh A, Mohammadi MR, Yazdanshenas A. Psychometric properties of the Farsi translation of the kiddie schedule for affective disorders and schizophrenia-present and lifetime version. BMC Psychiatry 2006;6:10.
18.	Panaghi L, Hakim Shooshtari M, Sharafi SE, Abbasi M. Behavioral and emotional problems in offsprings of bipolar parents and the control group. Iran J Psychiatry Clin Psychol 2009;15:201-7.
19.	Iacono V, Beaulieu L, Hodgins S, Ellenbogen MA. Parenting practices in middle childhood mediate the relation between growing up with a parent having bipolar disorder and offspring psychopathology from childhood into early adulthood. Dev Psychopathol 2018;30:635-49.
20.	Chang KD, Steiner H, Ketter TA. Psychiatric phenomenology of child and adolescent bipolar offspring. J Am Acad Child Adolesc Psychiatry 2000;39:453-60.
21.	Mohammadi MR, Ahmadi N, Kamali K, Khaleghi A, Ahmadi A. Epidemiology of psychiatric disorders in Iranian children and adolescents (IRCAP) and its relationship with social capital, life style and parents' personality disorders: Study protocol. Iran J Psychiatry 2017;12:66-72.
22.	Duffy A, Alda M, Kutcher S, Fusee C, Grof P. Psychiatric symptoms and syndromes among adolescent children of parents with lithium-responsive or lithium-nonresponsive bipolar disorder. Am J Psychiatry 1998;155:431-3.
23.	DelBello MP, Geller B. Review of studies of child and adolescent offspring of bipolar parents. Bipolar Disord 2001;3:325-34.
24.	Garcia-Amador M, de la Serna E, Vila M, Romero S, Valenti M, Sánchez-Gistau V, et al. Parents with bipolar disorder: Are disease characteristics good predictors of psychopathology in offspring? Eur Psychiatry 2013;28:240-6.
25.	Appleyard ME, Gavaghan SR, Gonzalez C, Ananian L, Tyrell R, Carroll DL, et al. Nurse-coached intervention for the families of patients in critical care units. Crit Care Nurse 2000;20:40-8.
26.	Shamsaei F, Cheraghi F, Dehghani M, Jahangard L. Comparing mental health of school-age children of parents with/without bipolar disorders: A case control study. Avicenna J Neuro Psychol Physiol 2015;2: 1-10.
27.	Dekker MC, Koot HM, van der Ende J, Verhulst FC. Emotional and behavioral problems in children and adolescents with and without intellectual disability. J Child Psychol Psychiatry 2002;43:1087-98.
28.	Ritakallio M, Luukkaala T, Marttunen M, Pelkonen M, Kaltiala-Heino R. Comorbidity between depression and antisocial behaviour in middle adolescence: The role of perceived social support. Nord J Psychiatry 2010;64:164-71.
29.	American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder, Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Association; 2000. p. 739-41.
30.	Sadock BJ, Sadock VA, editors. Kaplan and Sadock's Pocket Handbook of Clinical Psychiatry. 5^th edition, Philadelphia., PA: Lippincott Williams & Wilkins; 2010.
31.	Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management, Wolraich M, Brown L, Brown RT, DuPaul G, et al. ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics 2011;128:1007-22.
32.	Watson SM, Richels C, Michalek AP, Raymer A. Psychosocial treatments for ADHD: A systematic appraisal of the evidence. J Atten Disord 2015;19:3-10.
33.	Abar B, Carter KL, Winsler A. The effects of maternal parenting style and religious commitment on self-regulation, academic achievement, and risk behavior among African-American parochial college students. J Adolesc 2009;32:259-73.
34.	Rinaldi CM, Howe N. Mothers' and fathers' parenting styles and associations with toddlers' externalizing, internalizing, and adaptive behaviors. Early Child Res Q 2012;27:266-73.
35.	Kearney DS, Healy O. Investigating the relationship between challenging behavior, co-morbid psychopathology and social skills in adults with moderate to severe intellectual disabilities in Ireland. Res Dev Disabil 2011;32:1556-63.
36.	Talib J, Mohamad Z, Mamat M. Effects of parenting style on children development. World J Soc Sci 2011;1:14-35.
37.	Aunola K, Nurmi JE. The role of parenting styles in children's problem behavior. Child Dev 2005;76:1144-59.

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