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Enchanced Sensitivity to Agoraphobic Experiences and Early Representation of Parental Rearing Behaviour at Healthy Young Adults

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Abstract

Background: This study examined the sensitivity of agoraphobic fears influenced by perceived parental rearing behaviour, which can play important role in emergence of psychosomatic illnesses and health related behavior, using a sample of healthy, young students.

Methods: 305 students (140 women, 165 men, 22.01 ± 2.00) participated. Self- reported questionnaires were used: FSS and EMBU.

Results:Agoraphobic fear for girls are statistically significantly more frequent. In the parent's point of view, the lack of an emotional warm father and the existence of the overprotection is sensitizing factor. In the same case of maternal behaviour, the mother's emotional attitude of acceptance, emotional warmth was positively related to the agoraphobic fears.

Conclusions: The results suggest that the agoraphobic concerns not only being discovered in clinical levels of anxiety, but as a result of unique upbringing conditions, in healthy persons, which has a relevance in prevention of anxiety and in planning of screening processes.

Introduction

This study examined the sensitivity to agoraphobic fears influenced by perceived parental rearing behavior using a sample of healthy, young university students. Our goal was the partial mapping of the development of avoidance behavior, which can play an important role in the emergence of psychosomatic illnesses. In the first place, we analyzed the relationship between the memory representations of the parents’ rearing style and the avoidance behavior.

Parental care and protection defend and limit dangerous situations for children. Parents foster feelings of safety in their children, which facilitates the exploration of unfamiliar environments. In most cultures parents are of the opinion that girls are exposed to greater danger than boys. Girls' limited amount of early childhood navigation experiences represent parental anxiety but do not tell us anything about the reasons for subjects' individual fears that trigger the subject to avoid dangerous or unfamiliar situations

Methods

305 students (140 women and 165 men, mean age 22.01 ± 2.00) participated in the study. Self- reported questionnaires were used: the Fear Survey Schedule (FSS) and the EMBU evaluation list questionnaire (Egna Minne Betraffende Uppfostran; “On My Mem-ories of Upbringing”), which is responsible to assess the recall of the parental rearing style .

The EMBU is a widely utilized measure for the assessment of adults’ perceptions of their parents’

child-rearing behavior. It provides factorially derived subscale measures: Rejection, Emotional Warmth, Overprotection. The questionnaire consists of 23 items to rate on a 1-4 point scale the behavior of the mother and father respectively. The subjects were asked “…try to remember to your parents’ behavior towards you as you yourself experienced it.”

The Fear Survey Shedule (Arrindell, 1987; 2003) consists of 52 items, and there is the factor structure: (1) social fears; (2) agoraphobic fears; (3) bodily injury, death and illness fears;(4) fears of sexual and aggressive scenes; (5) fears of harmless animals. It is standardized in Hungarian (Arrindell, 1989). We used in this study, just the Hungarian standard factor of agoraphobic fears (2., 3., 6., 7., 11., 17., 18., 19., 23., 24., 35., 40., 42. items) (Cronbach-alfa=0,850).

Results

The results show that there is a link between agoraphobic fear and the represen-tations of parents' rearing behavior. With respect to gender differences and in accordance with the anxiety disorder epidemiological data, agoraphobic fears were found to be more frequent among girls than boys, and the difference was statistically significant (β = —0.176; p = 0.005). With respect to the parents’ rearing attitudes, the data show that the lack of an emotionally warm father (β = 0.207; p

= 0.011), and paternal overprotection (β = 0.214; p = 0.002) are sensitizing factors.

During the evolution the fathers’ role was much more different than mothers’ role and it has a consequnce nowadays. If fathers’ behavior is acceptable it seems to be normal. But fathers’

worrying behavior shows danger as he is not able to show security through his distance keeping and unattainable style.

Further, both the mothers’ attitude of acceptance and their emotional warmth were positively related to agoraphobic fears (β = 1.298; p<0.001).

Tables and figures

Conclusions

The results suggest that agoraphobic avoidance behavior can occur not only among individuals with clinical levels of anxiety, but also among healthy individuals as a result of unique upbringing conditions. The representations of parents’ rearing behavior adversely affect a person's process of experience. Several sensitizing factors were not ex-amined, and the investigation of normal people limits the interpretation of the results. The outlined theoretical model, however, could serve as a basis of further investigations on avoidance behavior.

References

Arrindell, W.A., Pickersgill, M.J., Bridges, K.R., Kartsounis, L.D., Mervyn-Smith, J., Van der Ende, J., et al. (1987). Self–reported fears of American, British and Dutch university students: a cross–cultural comparative study. Advances in Behavior Research and Therapy, 9, 207-245.

Arrindell, W.A., Perris, C., Van der Ende, J., Gaszner, P., Eisemann, M., & Perris, H. (1989). Cross–

national generalizability of dimensions of perceived parental rearing practices: Hungary and the Netherlands, a correction and repetition with helathy adolescents. Psychological Reports, 65, 1079-1088.

Arrindell, W.A., Eisemann, M., Richter, J., Oei, T. P. S., E. Caballo, V., van der Ende, J., Sanavio, E., Bages, N., Feldman, L., Torres, B., Sica, C., Iwawaki, S., Hatzichristou, C. (2003).

Masculinity-femininity as a national characteristic and its relationship with national agoraphobic fear levels: Fodor’s sex role hypothesis revitalized. Behavior Research and Therapy, 41, 795-807

Bernstein, G.A., Layne, A.E., Egan, E.A., & Nelson, L.P. (2005). Maternal phobic anxiety and child anxiety. Journal of Anxiety Disorders, 19, 658-672.

Biederman, J., Petty, C.R., Hirshfeld-Becker, D.R., Henin, A., Faraone, S.V., Fraire, M., et al. (2007).

Developmental trajectories of anxiety disorders in offspring at high risk for panic disorder and major depression. Psychiatry Research, 153, 245-252.

Doerfler, L.A., Toscano Jr., P.F., Connor, D.F. (2008). Separation anxiety and panic disorder in clinically referred youth. Journal of Anxiety Disorders, 22, 602-611.

Table 1. shows the factor strucuture of representations of fathers’ rearing behavior Representations of

fathers' rearing behavior

Item Number of

items

Cronbach- alfa Emotional warmth 2, 6, 12, 14, 19, 23, 1 7 0, 82

Overprotection 3, 5, 8, 9, 11, 17, 18, 20, 22,

9 0, 76

Rejection 4, 7, 13, 15,16, 21, 10 7 0, 78

Table 2. shows the factor strucuture of representations of mothers’ rearing behavior Representations of

mothers’ rearing behavior

Item Number of

items

Cronbach- alfa Emotional warmth 2, 6, 12, 14, 19, 23 6 0, 79

Overprotection 3, 5, 8, 9, 11, 17, 18, 20; 22,

9 0, 80

Rejection 1, 4, 7, 10, 13, 15, 16, 21

8 0, 74

Table 3 shows the descriptive statistic of 3 -3 factor of parental rearing style

Quartils

N Mean SD Minimum Maximum Q1 Q2

(Medián)

Q3 Emotionally warm

father

255 16,243 4,240 6,00 24,00 13,00 16,00 20,00

Overprotecting father 256 11,445 3,584 6,00 24,00 9,00 11,00 13,00 Rejecting father 256 5,8984 1,801 4,00 12,00 5,00 5,00 7,00 Emotionally warm

mother

256 18,222 3,742 8,00 24,00 15,00 19,00 21,00

Overprotecting mother

256 13,414 3,700 6,00 24,00 11,00 13,00 16,00

Rejecting mother 255 10,670 3,139 6,00 22,00 8,00 10,00 12,00

Table 4. shows the connection between the parental rearing style and the gender of the subjects

Emotionally warm father

Overprotecting father

Rejecting father

Emotionally warm mother

Overprotectin g mother

Rejecting mother

Mann–Whitney U 7019,0 8133,5 7181,5 7427,5 7947,0 7224,5

Wilcoxon W 14400,0 17313,5 16361,5 14808,5 17127,0 14605,5

Z -1,854 -,058 -1,705 -1,256 -,374 -1,511

Significancy 0,064 0,954 0,088 0,209 0,708 0,131

Table 5. shows the descriptive statistic of standardised parenting rearing bahaviors

Quartils N Minimum Maximum

Q1 Q2 (Medián) Q3 Emotionally warm

father

254 -3,185 1,874 -,625 ,059 ,768

Overprotecting father

254 -2,007 4,327 -,667 -,151 ,557

Rejecting father 254 -2,613 3,631 -,639 -,118 ,577 Emotionally warm

mother

254 -2,832 2,062 -,718 ,118 ,764

Overprotecting mother

254 -3,196 3,435 -,761 -,147 ,656

Rejecting mother 254 -2,107 3,642 -,704 -,085 ,536

Table 6. shows the connection of standardised parenting style with gender

Emotionally warm father

Overprotecting father

Rejecting father

Emotionally warm mother

Overprotectin g mother

Rejecting mother Mann–Whitney U 7185,00 7940,00 7061,00 7056,00 7488,00 6246,00 Wilcoxon W 14566,00 15321,00 15972,00 14316,00 16533,00 13506,00

Z -1,473 -,182 -1,685 -1,683 -,944 -3,069

Szignifikancia 0,141 0,855 0,092 0,092 0,345 0,002

Table 7. shows the correlation between gender, parenting rearing style and agoraphobic fears.

Non standardised koefficients

B Std. Error

Standardised koefficients

(beta)

t Sig.

Emotionally warm father

-1,228 0,479 -0,207 -2,565 0,011

Overprotecting father

9,332 0,420 0,214 3,072 0,002

Rejecting father 0,295 0,439 0,050 0,671 0,503

Emotionally warm mother

1,770 0,476 0,298 3,720 <0,001

Overprotecting mother

0,507 0,416 0,085 1,219 0,224

Rejecting mother 0,509 0,446 0,086 1,143 0,254

Gender -2,087 0,730 -0,176 -2,860 0,005

Linear regression analysis (R2 = 0,174) significancy level: (F = 7,36; p<0, 001)

Table 8. shows the direction between agoraphobic fears and gender

gender N Meanrank Sum of rank

men 162 132,14 21406,00

Agoraphobic fears

women 135 169,24 22847,00

Supporting Scientific Training of

Talented Youth at the University of Pécs SROP-4.2.2./B-10/1-2010-0029

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