Evidence map›Paper›PMID 41501736›Full record

ArticleBMC public health2026

What contributes to alienation towards parents in left-behind children: development of alienation ecological system theoretical framework.

Xiaoxiao Sun, Xuemei Qin, Peixia Shi, Qin Dai

Abstract read
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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Xiaoxiao SunDepartment of Pain, Southwest Hospital, Army Medical University, Chongqing, 400038, China.
Xuemei QinSchool of Psychology, Shandong Normal University, Jinan, 250358, China.
Peixia ShiDepartment of Pain, Southwest Hospital, Army Medical University, Chongqing, 400038, China.
Qin DaiDepartment of Pain, Southwest Hospital, Army Medical University, Chongqing, 400038, China. daiqin101@hotmail.com.

Funding

Chongqing Municipal Social Science Planning Fund 2023NDYB94Natural science funding of Chongqing CSTB2025NSCQ-GPX0065
6 · The paper itself

Abstract

backgroundLeft-behind children (LBC), defined as those with at least one parent absent from home for over six months, experience greater alienation towards their parents than non-LBC. However, what contributes to their alienation towards parents remains unrevealed. Attachment theory mainly discusses the antecedents of parent-child attachment from parenting behavior. Alienation develops much later during children's growth than attachment, which may generate gradually from parenting behavior and environment. Combined with ecological system theory, this study aims to develop an alienation ecological system theoretical framework by evaluating the antecedents of alienation towards parents from family and child perspectives within Chinese LBC.

methodsBetween September and October 2022, 23 LBC and 42 parents participated in interviews, following a survey with the inventory of alienation toward parents.

resultsLBC with younger siblings, divorced parents, and mothers with lower educational level reported higher alienation. The interview obtained 3 categories (parental, interpersonal, and personal factors), 8 clusters, and 20 codes. In the alienation theoretical framework, inharmonic parents' relationship interacted with inadequate parental rearing styles. The two folds of parental factors might contribute to personal factors (lower emotional stability, unique behavioral characteristics, and lower self-esteem). Parental and personal factors interacted with interpersonal factors (lower willingness, less frequency, superficial communication, poor communication results with parents, lower perceived closeness, and less interpersonal interaction), collectively contributed to alienation towards parents.

conclusionThese findings are among the first to elucidate how parental, interpersonal, and personal factors affect children's alienation towards parents. The newly developed alienation ecological system theoretical framework tries to understand the development of alienation. These results offer valuable suggestions for future family and school interventions, i.e., to prevent high alienation towards parents in LBC, more attention should be paid on parental, interpersonal, and personal factors.

Indexed as

Parent-Child RelationsParentingParentsSocial AlienationAdultChildChild, PreschoolChinaFemaleHumansInterviews as TopicMaleUnaccompanied MinorsAlienation ecological system theoretical frameworkAlienation towards parentsInterpersonal factorParental factorPersonal factorQualitative interview

Identifiers

PMID41501736
PMCPMC12870048

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