Strong Child-Parent Relationships Lead to Better Long-Term Health Outcomes in Young Adults

Summary: Children and adolescents who report having a strong relationship with their parents have better long-term health outcomes, a new study reports.

Source: CHOP

Researchers from Children’s Hospital of Philadelphia (CHOP) have found that adolescents who report strong relationships with their parents have better long-term health outcomes.

Study findings, published today in JAMA Network Open, suggest that investments in improving parent–adolescent relationships could help improve general health, mental health and sexual health while also reducing substance use in young adulthood.

Prior research shows that positive characteristics of parent-adolescent relationships are associated with improved mental health, sexual health and overall general health, while also reducing the risk of substance abuse and cardiovascular issues.

However, these studies have often been limited by small sample sizes, short-term outcomes, differing measures for parent–adolescent relationship characteristics, lack of diversity and a focus only on relationships with mothers rather than relationships with mothers and fathers.

To help address these issues, this study used data from the National Longitudinal Study of Adolescent to Adult Health. Researchers tested whether adolescents’ reports of specific, measurable characteristics of their relationships with mother- and father-figures with whom they live were linked to health outcomes measured 14 years later. The researchers looked at data from more than 15,000 adults who were initially enrolled in the study in the mid-1990s when they were between 12 and 17 years old.

“Our goal was to establish a clearer understanding of how different characteristics of mother-adolescent and father-adolescent relationships might be associated with a wide range of favorable outcomes in young adulthood,” said senior study author Carol A. Ford, MD, Chief of the Craig-Dalsimer Division of Adolescent Medicine and the Orton P. Jackson Endowed Chair in Adolescent Medicine at CHOP.

In this study, the researchers looked at characteristics such as reported parental warmth, communication, time together and academic expectations as assessed when the participants were between 12 and 17 years old. When those same participants were 24 to 32 years old, they reported on current levels of stress, depression, optimism, nicotine dependence and substance abuse and other measures of general health.

The study controlled for age, race, ethnicity, family structure and other factors and separated the data based on relationships with mother and father figures who lived in the home. More than 10,000 participants were analyzed for the study.

This shows a mom and daughter
The study found that participants who reported higher levels of mother-adolescent and father-adolescent warmth, communication, time together, academic expectations, relationship or communication satisfaction and inductive discipline reported significantly higher levels of general health in young adulthood. Image is in the public domain

The study found that participants who reported higher levels of mother-adolescent and father-adolescent warmth, communication, time together, academic expectations, relationship or communication satisfaction and inductive discipline reported significantly higher levels of general health in young adulthood. Similarly, they reported significantly higher levels of optimism and romantic relationship quality, and lower levels of stress and depressive symptoms as young adults.

Higher levels of adolescent-reported parental warmth, time together and relationship or communication satisfaction were also significantly associated with lower levels of nicotine dependence and substance abuse in young adulthood as well as lower odds of unintended pregnancy.

“The overall pattern of these results suggests strong relationships between adolescents and their mothers and fathers leads to better health and well-being in young adulthood,” Ford said. “Efforts to strengthen parent-adolescent relationships may have important long-term health benefits.”

About this neurodevelopment research news

Author: Press Office
Source: CHOP
Contact: Press Office – CHOP
Image: The image is in the public domain

Original Research: Open access.
Associations between mother-adolescent and father-adolescent relationships and young adult health” by Carol A. Ford et al. JAMA Network Open


Abstract

Associations between mother-adolescent and father-adolescent relationships and young adult health

Importance  

Studies linking the quality of parent-adolescent relationships with young adult health outcomes could inform investments to support these complex relationships.

Objective  

To evaluate whether consistently measured, modifiable characteristics of parent-adolescent relationships are associated with young adult health across multiple domains.

Design, Setting, and Participants 

 This cohort study used data from waves I (1994-1995; ages 12-17 years) and IV (2008-2009; ages 24-32 years) of the US National Longitudinal Study of Adolescent to Adult Health. Of 20 745 adolescents enrolled in wave I, 15 701 of 19 560 who were eligible completed wave IV (response rate, 80.3%). Data analyses were conducted from February 2019 to November 2020.

Exposures  

Parental warmth, parent-adolescent communication, time together, relationship and communication satisfaction, academic expectations, and maternal inductive discipline as reported at wave I by adolescent participants.

Main Outcomes and Measures  

Wave IV participant-reported self-rated health, depression, stress, optimism, nicotine dependence, substance abuse symptoms (alcohol, cannabis, or other drugs), unintended pregnancy, romantic relationship quality, physical violence, and alcohol-related injury. Separate regression models were run for mother-adolescent and father-adolescent relationships while controlling for age, biological sex, race and ethnicity, parental educational level, family structure, and child maltreatment experiences.

Results  

A total of 10 744 participants (mean [SD] age at wave IV, 28.2 [1.8] years; 52.0% female; 67.3% non-Hispanic White) and 8214 participants (mean [SD] age at wave IV, 28.2 [1.8] years; 50.8% female; 71.9% non-Hispanic White) had valid sampling weights and complete data for mother-adolescent and father-adolescent relationship characteristics, respectively.

Adolescents who reported higher levels of mother-adolescent warmth (β = 0.11 [95% CI, 0.06-0.15]), communication (β = 0.02 [95% CI, 0.00-0.04]), time together (β = 0.07 [95% CI, 0.05-0.09]), academic expectations (β = 0.05 [95% CI, 0.02-0.08]), relationship or communication satisfaction (β = 0.07 [95% CI, 0.04-0.10]), and inductive discipline (β = 0.03 [95% CI, 0.01-0.05]) reported significantly higher levels of self-rated general health in young adulthood.

Adolescents who reported higher levels of father-adolescent warmth (β = 0.07 [95% CI, 0.03-0.11]), communication (β = 0.03 [95% CI, 0.01-0.05]), time together (β = 0.06 [95% CI, 0.03-0.08]), academic expectations (β = 0.04 [95% CI, 0.01-0.06]), and relationship satisfaction (β = 0.07 [95% CI, 0.04-0.10]) also reported significantly higher levels of self-rated general health in young adulthood.

Adolescents reporting higher levels of all exposures also reported significantly higher levels of optimism and romantic relationship quality in young adulthood (β coefficient range, 0.02 [95% CI, 0.00-0.04] to 0.24 [95% CI, 0.15-0.34]) and lower levels of stress and depressive symptoms (β coefficient range, −0.07 [95% CI, –0.12 to –0.02] to −0.48 [95% CI, –0.61 to –0.35]).

Higher levels of parental warmth, time together, and relationship or communication satisfaction were significantly associated with lower levels of nicotine dependence (odds ratio range, 0.78 [95% CI, 0.72-0.85] to 0.89 [95% CI, 0.81-0.98]) and substance abuse symptoms (incidence rate ratio range, 0.60 [95% CI, 0.50-0.73] to 0.94 [95% CI, 0.89-0.99]), as well as lower odds of unintended pregnancy (odds ratio range, 0.81 [95% CI, 0.74-0.88] to 0.93 [95% CI, 0.86-0.99]). Patterns were less consistent for physical violence and alcohol-related injury. Characteristics of mother-adolescent and father-adolescent relationships were similarly associated with young adult outcomes.

Conclusions and Relevance  

The findings of this cohort study suggest that adolescents’ positive perceptions of their relationships with their mothers and fathers are associated with a wide range of favorable outcomes in young adulthood. Investments in improving parent-adolescent relationships may have substantial benefits for young adult population health.

Join our Newsletter
I agree to have my personal information transferred to AWeber for Neuroscience Newsletter ( more information )
Sign up to receive our recent neuroscience headlines and summaries sent to your email once a day, totally free.
We hate spam and only use your email to contact you about newsletters. You can cancel your subscription any time.
  1. The area of aptitude most likely has to do with the job market. In My opinion, spacial relations has a lot to do, with mechanics, perception for professional drivers, and essentially any heavy-duty handy job like construction, or forklift, involves space, building a building, building a car, a business, or reflecting the infrastructure. I’m not a big fan of standardized testing as an accurate way to encompass the infinite types of intelligence. You can recognize trends, but it’s also horrible what you could omit. If you only tested one thing you could pretend the entire person was irrelevant if the tester wasn’t interested in their area of skill. This is interesting, but I get concerned putting one human in charge of whether or not they are downsizing the all encompassing wherewithal of another human for their own personal options. I find the trends interesting, but I don’t know that I would put this much confidence in a person’s ability not to pretend the results are in favor of their own opinions of what matters. You could invalidate highly intelligent people simply by what’s omitted. However, I do think you can recognize trends. I just don’t believe in individuals abilities not to be partial to their own area of expertise winning. The problem is this also doesn’t necessarily show other skills. I know some people who are highly skilled, but what they need to know for that skill tends to be the area of focus. Even who designs the test becomes a factor. In my option, caution to the wind. The capability of a human’s brain is kind of difficult to slim down and yet you’re trying to get an idea of what may be happening overall.

Comments are closed.