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ArticleEuropean child & adolescent psychiatry2025

Maternal attitudes and child mental health across cultures: a European /Chinese comparison.

Viviane Kovess-Masfety, Nathalie Touma, Guoli Yan, Huifang Yin, Dietmar Goelitz, Adina Bitfoi, Sigita Lesinskiene, Zlatka Mihova, Roy Otten, Guangming Xu

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Viviane Kovess-MasfetyLaboratoire de Psychopathologie et Processus de Santé (LPPS-UR 4057), Université Paris Cité, Paris, France. vkovess@gmail.com.ORCID http://orcid.org/0000-0001-7045-6175
Nathalie ToumaLaboratoire de Psychopathologie et Processus de Santé (LPPS-UR 4057), Université Paris Cité, Paris, France.
Guoli YanTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China.
Huifang YinTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China. yinhf1983@163.com.
Dietmar GoelitzDepartment of Didactics, Friedrich-Alexander-University Erlangen-Nuernberg, Erlangen, Germany.
Adina BitfoiThe Romanian League for Mental Health, Bucharest, Romania.
Sigita LesinskieneClinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Zlatka MihovaNew Bulgarian University, Sofia, Bulgaria.
Roy OttenBehavioural Science Institute, Radboud University Nijmegen, Pluryn, Research and Development, Nijmegen, The Netherlands.
Guangming XuTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China.

Funding

European Union, DG SANCO 2006336Tianjin Key Medical Discipline TJYXZDXK-033A
6 · The paper itself

Abstract

This study sought to identify factors associated with parenting across Western Europe, Eastern Europe and China countries, and determine whether the associations between parental attitudes and child's mental health differ across countries. This cross-sectional study included mothers and their children. European data were drawn from the School Child Mental Health in Europe study, conducted in the Netherlands, Germany, Lithuania, Bulgaria and Romania, including 4104 dyads. Chinese data were collected from the Dongli District of Tianjin, including 1000 dyads. Parental attitudes were auto reported using Parenting Scale and Parent Behavior and Attitude Questionnaire. Children's mental health was auto reported using the Dominic Interactive. Parenting vary across cultures and impact children's mental health differently. Whatever the parental attitudes, the main determinants were related to family configuration, parental well-being and place of residence. Some associations were culture-specific: parent's distress associated with laxness, over-reactivity and low autonomy-promoting attitudes in Europe. Single parenting correlated with low autonomy-promoting attitudes in China but low caring in Western Europe. Urban parents exhibited less laxness and low caring in Eastern Europe. The impact on children's mental health also varied: over-reactivity was linked to internalized and externalized disorders in Western Europe, verbosity associated with internalized and externalized disorders in China, and low caring was linked to externalized disorders in Eastern Europe. Parental diverse attitudes are associated with different children mental health problems; these associations are not identical in the different regions emphasizing the need to tailor existing supporting parental interventions with a culturally sensitive approach.

Indexed as

Cross-Cultural ComparisonMental HealthMothersParentingAdultChildChinaCross-Sectional StudiesEast Asian PeopleEuropeFemaleHumansMaleChildrenChinaCross-cultural studyEuropeMental healthParental attitudes

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.