A strong maternal or paternal bond between the parent and child can make the condition worse. The role of the parent while the child is still living with them is more hands-on and immediate than is possible when they have moved out, particularly if the distance means that visits are difficult.
Empty nest syndrome has become more prevalent in modern times, as the extended family is becoming less common than in past generations, and the elderly are left living by themselves.
In many cultures, such as those in Africa, India, the Middle East, and East Asia, one's elderly parents were held in very high esteem and it was considered almost a duty to care for and respect them. In contrast to most Western societies, extended families were common in those places. However, nowadays, even in these countries, as cities become more Westernized and industrialized, values are gradually changing. It is sometimes rather inconvenient or impractical to live with or care extensively for one's parents in a modern setting. This is also true if these relatives were abusive or otherwise repressive. Empty Nest Syndrome is starting to surface in some of those nations as well, where traditional values come in conflict with Westernization. This has been especially the case for Hong Kong.