Mother-daughter relationship and daughter's self-esteem in female college students
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EurAsian Journal of BioSciences Eurasia J Biosci 14, 2455-2459 (2020) Mother-daughter relationship and daughter’s self-esteem in female college students Izzatul Fithriyah 1,2*, Nalini Muhdi 1,3, Yunias Setiawati 1,3, Nining Febriyana 1,3 1 Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya 60131, INDONESIA 2 Department of Psychiatry, Universitas Airlangga Hospital, Surabaya 60115, INDONESIA 3 Department of Psychiatry, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya 60131, INDONESIA *Corresponding author: izzatul-fithriyah@fk.unair.ac.id Abstract Introduction: Mothers play an important role in the development of their daughter’s self-esteem. This study aimed to examine the correlation between mother-daughter relationship and daughter self- esteem in female college student at Faculty of Medicine, Universitas Airlangga, Surabaya. Methods: This was an analytic cross-sectional study. Mother-daughter relationship was measured by mother-adult daughter questionnaire (MADQ). The self-esteem was measured by Rosenberg self- esteem scale (RSES). Results: Connectedness and interdependency subscale in the mother-daughter relationship had significant correlation to daughter’s self-esteem (p = 0.000, r = 0.333; p = 0.016, r 0.025; repspectively). This showed that the higher connectedness and interdependency between mother and daughter, the higher level of self-esteem in daughters. However, the trust in hierarchy subscale did not correlate to daughter’s self-esteem (p = 0.515). Conclusion: Connectedness and interdependency in mother-daughter relationship were important to daughter’s self-esteem. Keywords: mother-daughter relationship, self-esteem, daughter Fithriyah L, Muhdi N, Setiawati Y, Febriyana N (2020) Mother-daughter relationship and daughter’s self-esteem in female college students. Eurasia J Biosci 14: 2455-2459. © 2020 Fithriyah et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License. INTRODUCTION of energy and interest, feelings of guilt, reduced concentration and attention, loss of appetite, and the Typically, psychological capital is very important in presence of thoughts about death or suicide (Agus et al. students (Ahmed et al., 2017). Therein, for daughters, 2019, Starki et al. 2019). Adolescents from lower- mothers play an essential role in the development of income families or neighborhoods also report higher rate their self-esteem. The quality of daughters’ experiences of suicidal ideation (CheeK.-Y. et al. 2015). Other with their mothers is positively related to self-esteem. In studies suggest low self-esteem shows lower physical addition, when a mother supports and shows interest in and mental health, poorer economic prospects, and her daughter’s ideals, she will support the development higher levels of criminal behavior (Trzesniewski et al. of her daughter’s psychological well-being. In addition, 2006). The prevalence of depression in medical mother-daughter relationships have a significant role in students is higher than general population (Alkaff et al. the lives of girls (Luo, 2020). Girls who have insecure 2018). Female students undergoing medical education bonds with their mothers during infancy tend to have study programs experience higher psychiatric disorders. psychological problems and are not functioning well, Previous study also support that female medical such as reactive attachment disorder, personality students show more disruption in axis I multiaxial problems, and interpersonal relationship problems, diagnosis than male students (Strous et al. 2012). especially in adulthood (Onayli, 2010). According to a study with respondents of medical Self-esteem is one of the factors that determine a students in Egypt (Haseeb et al., 2020), the results of person’s mental health. Self-esteem that is owned by an neuroticism and depression scores were higher in individual shows whether the individual has high or low female students than in male students (Amr et al. 2008). self-esteem (Djau et al. 2017). Low self-esteem is very Another report in 2009 showed that female students closely related to depression, hopelessness, and suicidal ideas (Overholser et al. 1995). Stress can occur Received: October 2019 causing the induction of depressive symptoms (Effendy Accepted: April 2020 et al. 2019). They with depressive mood experience loss Printed: July 2020 2455
EurAsian Journal of BioSciences 14: 2455-2459 (2020) Fithriyah et al. Table 1. Mother-daughter relationship score, with connectedness, interdependency and trust in hierarchy subscale and self-esteem score Variables N Minimum Score Maximum Score Mean SD Connectedness 115 20 45 37.69 5.37 Interdependency 115 3 15 12.72 2.28 Trust in hierarchy 115 8 30 23.20 3.76 Self-esteem 115 9 26 18.29 3.35 showed higher psychiatric disorders and obtained a Table 2. Correlation of mother-daughter relationship with significant negative correlation of psychiatric morbidity self-esteem Variables p r with self-esteem (Aarif et al. 2009). In addition, utilization Connectedness 0.000 0.333 of psychotropic medication for treatment of psychiatric Interdependency 0.016 0.225 disorders in children and adolescents increase (CheeK. Trust in hierarchy 0.515 - Y. et al. 2016). Therefore, this study examined the correlation between mother-daughter relationship and the highest level of education of mothers was college daughter self-esteem in female college student at graduates (69.5%). Most of the mothers of the study Faculty of Medicine, Universitas Airlangga, Surabaya. subjects were working outside the home (47%). Mostly, the income of subject parents was above 5 million METHODS (61.7%) with mostly democratic parenting parents (67%). This was an analytic cross-sectional design study of The subjects mostly had to cover a distance of 0-5 female students of the Faculty of Medicine, Universitas km (32.8%), met with mothers every day (31%), and Airlangga, Surabaya, Indonesia. This study was communicated with their mothers every day (74.1%). If conducted at the Faculty of Medicine, Universitas cost was no longer a problem, most research subjects Airlangga, Surabaya in September 2015. This study (50%) wanted communication with the same frequency used cluster random sampling method. Samples were as now. The research subjects were 65.5% who stated taken at each level in the first, second, third and fourth that their relationship with their mother was closer than year with a minimum sample size of n = 112. Sample other family members, and the level of satisfaction of the and data collection was carried out after obtaining subjects towards their relationship with the mother was approval from the Ethics Commission of the Faculty of the overwhelming majority. Medicine, Universitas Airlangga. The inclusion criteria in Before analyzing the relationship of the mother- this study were female students of the Faculty of daughter relationship subscale and the level of self- Medicine, Universitas Airlangga, Surabaya, aged ≥18 esteem, the data distribution normality test was years, still having biological mothers, being cared for by conducted with the Kolmogorov-Smirnov One-Sample biological mothers both in total and assisted by others, test with the result that the subscale data obtaining information about this study (listed in the connectedness, trust in hierarchy, and self-esteem were information for consent), willing to follow it (sign informed normally distributed, while the interdependency consent), and understanding Indonesian verbally and in subscale was not normally distributed. The normally writing. The exclusion criteria for this study were distributed connectedness and trust in hierarchy respondents who did not complete the questionnaire. subscales were correlated with the level of self-esteem The instruments used in this study were demographic with the Pearson’s correlation test. Interdependency data collection sheets, mother-daughter relationship scale not normally distributed was correlated with the questionnaire (MADQ) sheets and self-esteem level of self-esteem using Spearman’s correlation test. questionnaire sheets using Rosenberg self-esteem The connectedness subscale had a significant scale (RSES). Data were analyzed statistically using meaningful relationship with the level of self-esteem (p Pearson’s correlation test if data were normally = 0.000). This shows that the higher connectedness distributed and Spearman’s correlation test if data were between mother and daughter, the higher level of self- not normally distributed. esteem in girls. The interdependency subscale had a significant relationship with the level of self-esteem but RESULTS with weak strength (p = 0.016). This means that the Subjects who met the inclusion criteria and agreed to higher the level of interdependency, the higher the level participate in this study were 116 persons. One subject of self-esteem. This trust subscale of hierarchy had no was excluded because she did not complete the relationship with self-esteem (p = 0.515). This indicates questionnaire. The data processed amounted to 115 that the higher or lower the scale of trust in hierarchy people. Most of the study subjects were 21 years old was not related to the level of self-esteem (Table 2). (50.4%) with mostly Javanese (75.7%) and mostly in the first birth order (44.3%). The marital status of the parents of the study subjects was mostly married (94.8%), and 2456
EurAsian Journal of BioSciences 14: 2455-2459 (2020) Fithriyah et al. DISCUSSION Connectedness will show behavior that is emotionally The dimensions of connectedness and close, indicating a concern. Connectedness is often interdependency in mother-daughter relationships are termed closeness in some literature (Rastogi 2002). related to the level of self-esteem. The value of Closeness of children with significant figures, mother, is connectedness has the same value as the average of significantly related to self-esteem. The relationship a the connectedness subscale in previous study in Turkey child has with a significant figure, in this case the mother, on 426 female students with an average value of will affect the perception of how the child will carry connectedness as much as 37.80, SD = 5.43 (Rastogi themselves. Child’s reflection and acceptance of the 2002). Most subjects communicated with their mothers opinion of significant figures contribute to the formation every day, and they stated that their relationship with of self-esteem (Burnett et al. 1996). Parents, especially their mothers was very satisfying (Sittisom, 2020). The mothers, who have a high level of connectedness will closeness between girls and mothers in the study enjoy time together, communicate freely and openly, subjects shows a secure attachment andcan provide a support and respect, share life values, and have an sense of security and comfort and give positive optimistic outlook on the future. Closeness between affirmationsto girls. daughter and mother shows a strong attachment and The value of interdependency in this study was can provide a sense of security and comfort to the girl higher compared to previous study conducted in Turkey. and can give positive affirmation to the girl. The close Interdependence indicates emotional and practical relationship of parents, in this case the mother, will be a dependence on mother and child relationships in a protective factor against the prevention of various kinds positive context. In the high interdependence, there is a of mental and social health problems (such as relationship seeking advice and assistance between the substance abuse, violence, unwanted pregnancy) (Lezin mother and child with a feeling of openness without any et al. 2004). However, there are still many factors pressure (Rastogi 2002). The small difference in the influencing the level of self-esteem in addition to value of interdependence in this study from before could closeness in mother-daughter relationships. be due to cultural differences in the two countries. In this study, the interdependency subscale had a Interdependence assessment is closely related to a meaningful but weak relationship with the level of self- country’s culture. esteem. This results are in accordance with theory that The value of trust in hierarchy in the subjects of this interdependency has a positive meaning in which a girl study was higher than that of previous studies in Turkey. tries to seek advice or help from her mother, vice versa. Trust in hierarchy shows intergenerational relationships Interdependency also includes emotional dependence in several collectivistic cultures. Women who score high without distress (Rastogi 2002). The results of this study on this subscale will show high obedience to the mother are also consistent with previous study in 63 young regardless of the age of the daughter. Trust in hierarchy adults, showing independence is negatively related to shows respect for mother’s wisdom because of her self-esteem. The higher level of independence, the higher status in the family (Rastogi 2002). lower the level of self-esteem a daughter has. It also The level of self-esteem in this study was lower than means that the interdependence of girls and their that of the study in Turkey. This is consistent with the mothers will have a good effect on self-esteem (Bosacki theory that self-esteem in the Asian race is lower than et al. 1997). According to a meta-analysis study in 1999, the Caucasoid (Sarandria 2012). Another study on positive interdependence in the form of cooperation had medical students in the suburbs of India showed a a positive relationship with self-esteem. Positive similar average of self-esteem values of 18.97±4.23. interdependence can occur if there is a positive This could be due to Indonesia and India being relationship between individuals to achieve a positive developing countries with the same economic level and goal. Valuable collaboration in positive interdependence having the same racial family, Asian (IMF 2015). In will result in psychological health rather than accordance with existing theories, that the level of self- independence where one aspect of psychological health esteem may also be influenced by racial groups and is self-esteem. The experience of cooperation in positive social and economic status (Sarandria 2012). interdependence is related to the intrinsic belief that The connectedness subscale had a significant someone is valuable, and others will judge the positive meaningful relationship with the level of self-esteem. side of someone that is, capable, competent and This is consistent with previous research that successful compared to others. On the other hand, connectedness is significantly related to the level of self- independence leading to individualism tends to lead to esteem. The higher the level of connectedness, the conditional self-esteem based on winning or losing and higher the level of self-esteem (Onayli et al. 2013). leads to basic self-rejection. Positive interdependence Women who have high scores on connectedness will be gives positive results: higher achievement, higher level able to share feelings and opinions with their mothers of reasoning, more accurate perspective taking, more and also show satisfaction in mother-child relationships. accepted by others, and a more positive attitude towards conflict (Stanne, Mary Beth et al. 1999). 2457
EurAsian Journal of BioSciences 14: 2455-2459 (2020) Fithriyah et al. The trust in hierarchy subscale in mother-daughter CONCLUSION relationship did not show a meaningful relationship with The level of the mother-daughter relationship among the level of self-esteem. These results are consistent female students of the Faculty of Medicine, Universitas with previous research conducted in Turkey. There are Airlangga showed quite good results with the average no significant relationship between trust in hierarchy and value being above the middle range value and the level the level of self-esteem. Trust in hierarchy subscale of of self-esteem showing the average range. The mother-daughter relationships changes according to dimensions of connectedness and interdependency in cultural change (Onayli et al. 2013). The hierarchy of mother-daughter relationships are related to the level of mother-daughter relationships differs between self-esteem. The dimension of trust in the hierarchy generations. The old generation lives in control, while subscale is not related to the level of self-esteem. the current generation is more autonomous. In this Connectedness in mother-daughter relationships is study, trust in hierarchy was not a predictor of self- strongly correlated with the level of self-esteem. esteem. Limitations in this study are the research subjects ACKNOWLEDGEMENT consisting of specific population of female students of the Faculty of Medicine, Universitas Airlangga with a We thank Prof. Mudita Rastogi who has permitted limited sample. Therefore, the results of the study the use of the mother-adult daughter relationship cannot be generalized to the general population of girls. questionnaire and Mrs. Sarandria who has permitted the This study also uses a self-measured rating scale that use of the Indonesian version of the Rosenberg self- can lead to social desirability problems and can affect esteem scale questionnaire in this study. research results; thus it requires cross-validation of research with more extensive and more diverse samples. REFERENCES Aarif SMM, Mishra BN, (2009) Are the Future Doctors Low on Mental Health and Self Esteem : a Cross Sectional Study From a Rural Health University. Indian J. Prev. Soc. Med 40(3): Ahmed U, Umrani WA, Pahi MH, Shah SMM (2017) Engaging PhD students: Investigating the role of supervisor support and psychological capital in a mediated model. Iranian Journal of Management Studies, 10(2): 283-306. Agus DF, Effendy E, Camellia V, (2019) Screening of anxiety and depression related cd4 count of people living with HIV/aids with anti-retroviral in Medan, Indonesia. Open Access Macedonian Journal of Medical Sciences 7(16): 2590–2594. https://doi.org/10.3889/oamjms.2019.396 Alkaff FF, Syamlan AT, Jonatan M, Nugraha RA, Octora TN, Karimah A, (2018) Depression Level Difference Between Gifted and Non-gifted Medical Students. Biomolecular and Health Science Journal 1(2): 105–108. https://doi.org/10.20473/bhsj.v1i2.9716 Amr M, El Gilany AH, El-Hawary A, (2008) Does Gender Predict Medical Students’ Stress in Mansoura, Egypt? Medical Education Online 13(1): 4481. https://doi.org/10.3402/meo.v13i.4481 Bosacki S, Innerd W, Towson S, (1997) Field Independence–Dependence and Self-Esteem in Preadolescents: Does Gender Make a Difference? Journal of Youth and Adolescence 26(6): 691–703. Burnett PC, Demnar WJ, (1996) The relationship between closeness to significant others and self-esteem. Journal of Family Studies 2(2): 121–129. Chee K-Y, Tripathi A, Avasthi A, Chong M-Y, Xiang Y-T, Sim K, et al., (2015) Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies. Asia-Pacific Psychiatry 7(3): 276–285. https://doi.org/10.1111/appy.12170 Chee KY, Tripathi A, Avasthi A, Chong MY, Xiang YT, Sim K, et al., (2016) Prescribing pattern of antidepressants in children and adolescents: Findings from the research on Asia psychotropic prescription pattern. East Asian Archives of Psychiatry 26(1): 10–17. Djau NRF, Cahyono R, (2017) Hubungan antara self-esteem dengan flow akademik pada siswa cerdas istimewa. Jurnal Psikologi Pendidikan dan Perkembangan 6: 65–71. Effendy E, Amin MM, de Vega L, Utami N, (2019) The association between CD-4 level, stress and depression symptoms among people living with HIV/AIDS. Open Access Macedonian Journal of Medical Sciences 7(20): 3459–3463. https://doi.org/10.3889/oamjms.2019.446 2458
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