Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis

Objective: To compare the characteristics of recalled parent-child relationships in suicide attempters vs. non-attempters Methods: A total of 509 patients - 249 presenting with pain at a psychosomatic clinic and 260 from the offices of general practitioners - were interviewed retrospectively about s...

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Main Authors: Hardt, J, Egle, UT, Johnson, JG
Format: Article in Journal/Newspaper
Language:English
Published: German Medical Science GMS Publishing House; Düsseldorf 2007
Subjects:
suicide
maternal care patterns
case control study
Selbstmordversuche
mütterliches Erziehungsverhalten
Fall-Kontroll-Studie
ddc: 610
Arctic
Online Access:http://www.egms.de/en/journals/psm/2007-4/psm000044.shtml
id ftgms:oai:oai-gms.dimdi.de:GApsm000044
record_format openpolar
institution Open Polar
collection GMS - German Medical Science
op_collection_id ftgms
language English
topic suicide
maternal care patterns
case control study
Selbstmordversuche
mütterliches Erziehungsverhalten
Fall-Kontroll-Studie
ddc: 610
spellingShingle suicide
maternal care patterns
case control study
Selbstmordversuche
mütterliches Erziehungsverhalten
Fall-Kontroll-Studie
ddc: 610
Hardt, J
Egle, UT
Johnson, JG
Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
topic_facet suicide
maternal care patterns
case control study
Selbstmordversuche
mütterliches Erziehungsverhalten
Fall-Kontroll-Studie
ddc: 610
description Objective: To compare the characteristics of recalled parent-child relationships in suicide attempters vs. non-attempters Methods: A total of 509 patients - 249 presenting with pain at a psychosomatic clinic and 260 from the offices of general practitioners - were interviewed retrospectively about suicide attempts and parent-child relationships. Results: The overall rate of those reporting a suicide attempt was 17%. Bivariate analyses showed associations of poor parent-child relationships with suicide attempts throughout. In a multivariate analysis, the combinations high maternal control*low perceived love (p<.001) and high control*high role reversal (p=.002) were associated with particularly elevated risks for suicide attempts. Conclusion: Beside the two most extensively explored dimensions of parent-child relationships, parental affection and control, one other dimension, role reversal, also contributes strongly to risk for offspring suicide attempts and should be considered in future studies. Fragestellung: Unterscheiden sich die retrospektiven Berichte der Eltern-Kind-Beziehungen von Personen, die mindestens einen Suizidversuch im Leben unternahmen von solchen Personen, die keinen Suizidversuch unternahmen. Methode: Insgesamt 509 Patienten, davon 249 aus einer psychosomatischen Klinik und 260 aus Hausarztpraxen, wurden retrospektiv zu Eltern-Kind-Beziehungen und zu Suizidversuchen befragt. Ergebnisse: Insgesamt zeigt sich eine Rate von 17% an berichteten Suizidversuchen. Bivariate Analysen zeigen fast durchweg schlechtere Eltern-Kind-Beziehungen bei Personen, die einen Suizidversuch unternahmen. Eine multivariate Analyse weist zwei Interaktionen als besondere Risiko-Faktoren für Suizidversuche aus: hohe mütterliche Kontrolle kombiniert mit wenig mütterlicher Liebe und hohe mütterliche Rollenumkehr kombiniert mit wenig mütterlicher Liebe. Schlussfolgerung: Kontrolle und Liebe stellen die zwei am häufigsten untersuchten Dimensionen elterlichen Erziehungsverhaltens dar. Sie zeigen in ihrer Interaktion ...
format Article in Journal/Newspaper
author Hardt, J
Egle, UT
Johnson, JG
author_facet Hardt, J
Egle, UT
Johnson, JG
author_sort Hardt, J
title Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
title_short Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
title_full Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
title_fullStr Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
title_full_unstemmed Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
title_sort suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis
publisher German Medical Science GMS Publishing House; Düsseldorf
publishDate 2007
url http://www.egms.de/en/journals/psm/2007-4/psm000044.shtml
genre Arctic
genre_facet Arctic
op_source GMS Psycho-Social-Medicine; VOL: 4; DOC12 /20071011/
op_relation Beautrais AL, Joyce PR, Mulder RT, Fergusson DM, Deavoll BJ, Nightingale SK. Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: a case-control study. Am J Psychiatry. 1996;153:1009-14.
Bertolote JM, Fleischmann A, De Leo D, Bolhari J, Botega N, De Silva D, et al. Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community study. Psychol Med. 2005;35:1457-65.
Boszormenyi-Nagy I, Spark GM. Unsichtbare Bindungen. Stuttgart: Klett-Cotta; 1981.
Bowlby J. Attachment and loss. Vol 3: Loss, sadness and depression. New York: Basic Books; 1980.
Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, Giles WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. JAMA. 2001;286:3126-7.
Egle UT, Hardt J. MSBI: Mainzer Strukturiertes Biografisches Interview. In: Strauss B, Schumacher J, editors. Klinische Interviews und Ratingskalen. Diagnostik für Klinik und Praxis (Band 4). Göttingen: Hogrefe; 2004 p. 261-5.
Favaretto E, Torresani S. Parental bonding as a predictive factor for the development of adult psychiatric disorders. Epidemiol Psichiatr Soc. 1997;6:124-38.
Fergusson DM, Lynskey MT. Childhood circumstances, adolescent adjustment, and suicide attempts in a New Zealand birth cohort. J Am Acad Child Adolesc Psychiatry. 1995;34:612-22.
Fergusson DM, Lynskey MT. Suicide attempts and suicidal ideation in a birth cohort of 16-year-old New Zealanders. J Am Acad Child Adolesc Psychiatry. 1995;34:1308-17.
Fergusson DM, Woodward LJ, Horwood LJ. Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychol Med. 2000;30:23-39.
Hardt J. Psychische Langzeitfolgen manifester Kindheitsbelastungen: Die Rolle von Eltern-Kind-Beziehungen. Lengerich: Pabst; 2004.
Hardt J, Johnson JG, Courtney EA, Sareen J. Childhood adversities associated with risk for suicidal behaviour. Psychiatr Times. 2006;23:32-6.
Hardt J, Egle UT, Engfer A. Der Kindheitsfragebogen, ein Instrument zur Beschreibung der erlebten Kindheitsbeziehungen zu den Eltern. Z Diff Diag Psychol. 2003;24:33-43.
Hunzinger J, Egle UT, Vossel G, Hardt J. Stabilität und Stimmungsabhängigkeit retrospektiver Berichte elterlichen Erziehungsverhaltens. Z Klin Psychol Psychother. In press.
Johnson JG, Zhang B, Prigerson HG. Investigation of a developmental model of risk for depression and suicidality following spousal bereavement. Suicide Life Threat Behav. In press.
Johnson JG, Cohen P, Gould MS, Kasen S, Brown J, Brook JS. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry. 2002;59:741-9.
Johnson JG, Cohen P, Gould MS, Kasen S, Brown J, Brook JS. Childhood adversities, interpersonal difficulties, and risk for suicide attemps during late adolescence and early adulthood. Arch Gen Psychiatry. 2002;59:741-9.
Kappis B, Hardt J. Strukturierte Verfahren zur retrospektiven Erfassung von Kindheitsbelastungen. In: Egle UT, Hoffmann SO, Joraschky P, Editors. Sexueller Missbrauch, Misshandlung, Vernachlässigung: Erkennung, Therapie und Prävention der Folgen früher Stresserfahrungen. 3. ed. Stuttgart: Schattauer; 2004. p. 211-21.
Maughan B, Pickles A, Quinton D. Parental hostility, childhood behaviour, and adult social functioning. In: McCord J, editor. Coercion and punishment in long term perspectives. New York: Cambridge University Press; 1995. p. 34-58.
Minuchin S, Rosman BL, Baker L. Psychosomatische Krankheiten in der Familie. Stuttgart: Klett-Cotta; 1981.
Oquendo MA, Lizardi D, Greenwald S, Weissmann MM, Mann JJ. Rates of lifetime suicide attempts and rates of lifetime major depression in different ethnic groups in the United States. Acta Psychiat Scand. 2004;110:446-51.
Parker G. Parental characteristics in relation to depressive disorders. Br J Psychiatry. 1979;134:138-47.
Parker G. The Parental Bonding Instrument: psychometric properties reviewed. Psychiatr Dev. 1989;7:317-35.
Parker G. Parental 'affectionless control' as an antecedent to adult depression. A risk factor delineated. Arch Gen Psychiatry. 1983;40:956-60.
Richter H-E. Eltern, Kinder, Neurose. Reinbeck: Rowohlt; 1963.
Roy A. Relationship of childhood trauma to age of first suicide attempt and number of attempts in substance dependent patients. Acta Psychiat Scand. 2004;109:121-5.
SPSSinc. SPSS V 6.1.3. Chicago, Illinois; 1995.
StataCorp. Stata Statistical Software 8.2 ed. College Station, Texas: Stata Corporation; 2004.
Statham DJ, Heath AC, Madden PA, Buchholz KK, Bierut LJ, Dinwiddie SH, et al. Suicidal behaviour: an epidemiological and genetic study. Psychol Med. 1998;28:839-55.
Tester FJ, McNicoll P. Isumagijaksaq: mindful of the state: social constructions of Inuit suicide. Soc Sci Med. 2004;58:2625-36.
Wagner BM. Family risk factors for child and adolescent suicide behaviour. Psychol Bull. 1997;121:246-98.
World Health Organization. World report on violence and health. Geneva: World Health Organization; 2002.
Young TK, Moffat MEK, O'neil JD, Thika R, Mirdat S. The population survey as a tool for assessing family health in the Keewatin region, NWT, Canada. Arctic Med Res. 1995;54(Suppl 1):77-85.
http://www.egms.de/en/journals/psm/2007-4/psm000044.shtml
op_rights http://creativecommons.org/licenses/by-nc-nd/3.0/
op_rightsnorm CC-BY-NC-ND
_version_ 1766302568469757952
spelling ftgms:oai:oai-gms.dimdi.de:GApsm000044 2023-05-15T14:28:24+02:00 Suicide attempts and retrospective reports about parent-child relationships: evidence for the affectionless control hypothesis Suizidversuche und retrospektive Berichte über Eltern-Kind-Beziehungen: Evidenz für die "affectionless control" Hypothese Hardt, J Egle, UT Johnson, JG 2007-10-11 http://www.egms.de/en/journals/psm/2007-4/psm000044.shtml eng eng German Medical Science GMS Publishing House; Düsseldorf Beautrais AL, Joyce PR, Mulder RT, Fergusson DM, Deavoll BJ, Nightingale SK. Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: a case-control study. Am J Psychiatry. 1996;153:1009-14. Bertolote JM, Fleischmann A, De Leo D, Bolhari J, Botega N, De Silva D, et al. Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community study. Psychol Med. 2005;35:1457-65. Boszormenyi-Nagy I, Spark GM. Unsichtbare Bindungen. Stuttgart: Klett-Cotta; 1981. Bowlby J. Attachment and loss. Vol 3: Loss, sadness and depression. New York: Basic Books; 1980. Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, Giles WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. JAMA. 2001;286:3126-7. Egle UT, Hardt J. MSBI: Mainzer Strukturiertes Biografisches Interview. In: Strauss B, Schumacher J, editors. Klinische Interviews und Ratingskalen. Diagnostik für Klinik und Praxis (Band 4). Göttingen: Hogrefe; 2004 p. 261-5. Favaretto E, Torresani S. Parental bonding as a predictive factor for the development of adult psychiatric disorders. Epidemiol Psichiatr Soc. 1997;6:124-38. Fergusson DM, Lynskey MT. Childhood circumstances, adolescent adjustment, and suicide attempts in a New Zealand birth cohort. J Am Acad Child Adolesc Psychiatry. 1995;34:612-22. Fergusson DM, Lynskey MT. Suicide attempts and suicidal ideation in a birth cohort of 16-year-old New Zealanders. J Am Acad Child Adolesc Psychiatry. 1995;34:1308-17. Fergusson DM, Woodward LJ, Horwood LJ. Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychol Med. 2000;30:23-39. Hardt J. Psychische Langzeitfolgen manifester Kindheitsbelastungen: Die Rolle von Eltern-Kind-Beziehungen. Lengerich: Pabst; 2004. Hardt J, Johnson JG, Courtney EA, Sareen J. Childhood adversities associated with risk for suicidal behaviour. Psychiatr Times. 2006;23:32-6. Hardt J, Egle UT, Engfer A. Der Kindheitsfragebogen, ein Instrument zur Beschreibung der erlebten Kindheitsbeziehungen zu den Eltern. Z Diff Diag Psychol. 2003;24:33-43. Hunzinger J, Egle UT, Vossel G, Hardt J. Stabilität und Stimmungsabhängigkeit retrospektiver Berichte elterlichen Erziehungsverhaltens. Z Klin Psychol Psychother. In press. Johnson JG, Zhang B, Prigerson HG. Investigation of a developmental model of risk for depression and suicidality following spousal bereavement. Suicide Life Threat Behav. In press. Johnson JG, Cohen P, Gould MS, Kasen S, Brown J, Brook JS. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry. 2002;59:741-9. Johnson JG, Cohen P, Gould MS, Kasen S, Brown J, Brook JS. Childhood adversities, interpersonal difficulties, and risk for suicide attemps during late adolescence and early adulthood. Arch Gen Psychiatry. 2002;59:741-9. Kappis B, Hardt J. Strukturierte Verfahren zur retrospektiven Erfassung von Kindheitsbelastungen. In: Egle UT, Hoffmann SO, Joraschky P, Editors. Sexueller Missbrauch, Misshandlung, Vernachlässigung: Erkennung, Therapie und Prävention der Folgen früher Stresserfahrungen. 3. ed. Stuttgart: Schattauer; 2004. p. 211-21. Maughan B, Pickles A, Quinton D. Parental hostility, childhood behaviour, and adult social functioning. In: McCord J, editor. Coercion and punishment in long term perspectives. New York: Cambridge University Press; 1995. p. 34-58. Minuchin S, Rosman BL, Baker L. Psychosomatische Krankheiten in der Familie. Stuttgart: Klett-Cotta; 1981. Oquendo MA, Lizardi D, Greenwald S, Weissmann MM, Mann JJ. Rates of lifetime suicide attempts and rates of lifetime major depression in different ethnic groups in the United States. Acta Psychiat Scand. 2004;110:446-51. Parker G. Parental characteristics in relation to depressive disorders. Br J Psychiatry. 1979;134:138-47. Parker G. The Parental Bonding Instrument: psychometric properties reviewed. Psychiatr Dev. 1989;7:317-35. Parker G. Parental 'affectionless control' as an antecedent to adult depression. A risk factor delineated. Arch Gen Psychiatry. 1983;40:956-60. Richter H-E. Eltern, Kinder, Neurose. Reinbeck: Rowohlt; 1963. Roy A. Relationship of childhood trauma to age of first suicide attempt and number of attempts in substance dependent patients. Acta Psychiat Scand. 2004;109:121-5. SPSSinc. SPSS V 6.1.3. Chicago, Illinois; 1995. StataCorp. Stata Statistical Software 8.2 ed. College Station, Texas: Stata Corporation; 2004. Statham DJ, Heath AC, Madden PA, Buchholz KK, Bierut LJ, Dinwiddie SH, et al. Suicidal behaviour: an epidemiological and genetic study. Psychol Med. 1998;28:839-55. Tester FJ, McNicoll P. Isumagijaksaq: mindful of the state: social constructions of Inuit suicide. Soc Sci Med. 2004;58:2625-36. Wagner BM. Family risk factors for child and adolescent suicide behaviour. Psychol Bull. 1997;121:246-98. World Health Organization. World report on violence and health. Geneva: World Health Organization; 2002. Young TK, Moffat MEK, O'neil JD, Thika R, Mirdat S. The population survey as a tool for assessing family health in the Keewatin region, NWT, Canada. Arctic Med Res. 1995;54(Suppl 1):77-85. http://www.egms.de/en/journals/psm/2007-4/psm000044.shtml http://creativecommons.org/licenses/by-nc-nd/3.0/ CC-BY-NC-ND GMS Psycho-Social-Medicine; VOL: 4; DOC12 /20071011/ suicide maternal care patterns case control study Selbstmordversuche mütterliches Erziehungsverhalten Fall-Kontroll-Studie ddc: 610 article 2007 ftgms 2022-05-29T12:46:01Z Objective: To compare the characteristics of recalled parent-child relationships in suicide attempters vs. non-attempters Methods: A total of 509 patients - 249 presenting with pain at a psychosomatic clinic and 260 from the offices of general practitioners - were interviewed retrospectively about suicide attempts and parent-child relationships. Results: The overall rate of those reporting a suicide attempt was 17%. Bivariate analyses showed associations of poor parent-child relationships with suicide attempts throughout. In a multivariate analysis, the combinations high maternal control*low perceived love (p<.001) and high control*high role reversal (p=.002) were associated with particularly elevated risks for suicide attempts. Conclusion: Beside the two most extensively explored dimensions of parent-child relationships, parental affection and control, one other dimension, role reversal, also contributes strongly to risk for offspring suicide attempts and should be considered in future studies. Fragestellung: Unterscheiden sich die retrospektiven Berichte der Eltern-Kind-Beziehungen von Personen, die mindestens einen Suizidversuch im Leben unternahmen von solchen Personen, die keinen Suizidversuch unternahmen. Methode: Insgesamt 509 Patienten, davon 249 aus einer psychosomatischen Klinik und 260 aus Hausarztpraxen, wurden retrospektiv zu Eltern-Kind-Beziehungen und zu Suizidversuchen befragt. Ergebnisse: Insgesamt zeigt sich eine Rate von 17% an berichteten Suizidversuchen. Bivariate Analysen zeigen fast durchweg schlechtere Eltern-Kind-Beziehungen bei Personen, die einen Suizidversuch unternahmen. Eine multivariate Analyse weist zwei Interaktionen als besondere Risiko-Faktoren für Suizidversuche aus: hohe mütterliche Kontrolle kombiniert mit wenig mütterlicher Liebe und hohe mütterliche Rollenumkehr kombiniert mit wenig mütterlicher Liebe. Schlussfolgerung: Kontrolle und Liebe stellen die zwei am häufigsten untersuchten Dimensionen elterlichen Erziehungsverhaltens dar. Sie zeigen in ihrer Interaktion ... Article in Journal/Newspaper Arctic GMS - German Medical Science

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