Intensive parenting, guilt, shame, and psychological well-being of stay-at-home mothers in Pakistan: a cross-sectional survey Authors Laiba Qayyum Department of Psychiatry and Behavioural Sciences, King Edward Medical University, Lahore, Pakistan https://orcid.org/0009-0009-9880-0199 Aiman Javed Department of Psychiatry and Behavioural Sciences, King Edward Medical University, Lahore, Pakistan Muhammad Shoaib Zafar Department of Psychiatry and Behavioural Sciences, Mayo Hospital, Lahore, Pakistan Mirrat Gul Department of Psychiatry and Behavioural Sciences, Mayo Hospital, Lahore, Pakistan DOI: https://doi.org/10.47391/JPMA.21923 Keywords: parenting, Guilt, Shame, Mental health, Mothers Abstract Objective: To explore the prevalence of intensive parenting attitudes among stay-at-home mothers, the relationship between such attitudes and psychological wellbeing, and the mediating role of guilt and shame between intensive parenting attitudes and psychological wellbeing. Method: The cross-sectional study was conducted from August 2023 to February 2024 after approval from the ethics review board of King Edward Medical University, Lahore, Pakistan, and comprised stay-at-home mothers aged 20-65 years from the Punjab province. Data was collected using the Intensive Parenting Attitudes Questionnaire, the Guilt and Shame Experience Scale, and the Ryff’s Scale of Psychological Wellbeing. Data was analysed using SPSS 27. Results: Of the 200 mothers with mean age 42.5+/-9.0 years, 176(88%) from urban areas, 24(12%) from rural areas, 14(7%) had no formal education, 7(3.5%) had a postgraduate degree, and 192(96%) were married. Overall, psychological wellbeing of the mothers was predicted positively by fulfilment, and negatively by shame and guilt (p<0.001). Conclusion: Stay-at-home mothers endorsed intensive parenting attitudes, which, along with guilt and shame, predicted their psychological wellbeing. Key Words: Parenting, Guilt, Shame, Mental health, Mothers. Downloads Full Text Article Published 2026-01-27 How to Cite Qayyum, L., Javed, A., Zafar, M. S., & Gul, M. (2026). Intensive parenting, guilt, shame, and psychological well-being of stay-at-home mothers in Pakistan: a cross-sectional survey. Journal of the Pakistan Medical Association, 76(02), 181–186. https://doi.org/10.47391/JPMA.21923 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 76 No. 02 (2026): FEBRUARY Section RESEARCH ARTICLE License Copyright (c) 2026 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.