Mental Health

Exploring how parental mental health and rearing styles relate to children's mental health: a cross-sectional study among migrant and local primary school students in China.

TL;DR

Maternal anxiety was significantly associated with children's self-blaming and sensitivity tendencies, with parental rearing styles (particularly overprotection and emotional warmth) acting as mediators, and these mediation effects were stronger among urban children than migrant children.

Key Findings

Maternal anxiety was significantly associated with children's self-blaming and sensitivity tendencies.

  • The study used the Generalised Anxiety Disorder-7 (GAD-7) to measure maternal anxiety.
  • Children's mental health was assessed using the Mental Health Test.
  • The associations were identified through exploratory mediation and structural equation modelling analyses.
  • Paternal mental health associations with children's outcomes were not highlighted as significant in the same manner.

Parental rearing styles mediated the relationship between maternal anxiety and children's mental health outcomes.

  • Overprotection and emotional warmth were the specific rearing style dimensions identified as mediators.
  • Parental rearing styles were assessed using the Egna Minnen Beträffande Uppfostran (EMBU) and the Hereford Parents' Attitudes Survey.
  • Mediation and structural equation modelling were applied to test these associations.
  • The mediation pathways suggest rearing behavior is a mechanism linking maternal anxiety to child mental health.

Mediation effects of parental rearing styles were stronger among urban children compared with migrant children.

  • The study compared two groups: local urban children and rural-to-urban migrant children in Hangzhou, eastern China.
  • Data were collected from two primary schools, one primarily serving migrant children and one serving local urban children.
  • A total of 929 children in grades 4–6 and 1,273 parents participated.
  • The differential mediation effect suggests that contextual factors shape parent-child dynamics differently across migrant and local populations.

The study included a cross-sectional sample of 929 children and 1,273 parents from two primary schools in Hangzhou, China.

  • Children were in grades 4–6.
  • Inclusion criteria required parental consent and child assent; exclusion criteria were inability to complete questionnaires.
  • Parental depression was measured with the Patient Health Questionnaire-9 (PHQ-9) in addition to anxiety measured by GAD-7.
  • The study was conducted in eastern China and specifically targeted both migrant and local urban populations.

The cross-sectional and exploratory nature of the study limits causal inference regarding the identified associations.

  • Authors explicitly note the 'cross-sectional and exploratory nature limits causal inference.'
  • The authors call for 'further longitudinal research to clarify these pathways.'
  • The study is described as exploratory throughout, indicating findings are preliminary.
  • Despite limitations, findings are suggested to inform interventions addressing both parental mental health and rearing practices, 'particularly in migrant populations.'

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Citation

Wu H, Zhu S, Tan Z, Zhou G, Ni Z, Xu L, et al.. (2026). Exploring how parental mental health and rearing styles relate to children's mental health: a cross-sectional study among migrant and local primary school students in China.. BMJ open. https://doi.org/10.1136/bmjopen-2025-109510