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Caregiving stress and maternal mental health during the COVID-19 pandemic. COVID-19 大流行期间的护理压力和产妇心理健康。
IF 2.6 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-07-08 DOI: 10.1111/famp.13033
Kelsey M Quigley, Rachel Kwon, Charles A Nelson, Michelle Bosquet Enlow

It has now been extensively documented that parental mental health has deteriorated since the beginning of the COVID-19 pandemic. Although pandemic-related stress has been widespread, parents faced the unique challenge of navigating remote schooling. Parental oversight of children's education, loss of access to school supportive resources, and the challenges of remote learning may have been most problematic for parents of children with or at elevated risk for mental health difficulties. In the current study, we examined interactive effects of parent-reported pandemic-related caregiving stress and child internalizing and externalizing problems on parental depressive symptoms in a community-based cohort (N = 115) in the Northeast of the United States. Results indicated that parents experiencing higher levels of pandemic-related caregiving stress whose children exhibited elevated externalizing behaviors reported heightened levels of depressive symptoms. Greater child internalizing problems were associated with higher parental depressive symptoms independent of caregiving stress. These findings point to conditions that might heighten risk for parent mental health challenges in the context of ongoing remote or hybrid learning and pandemic-associated restrictions. Further, the findings point to conditions and characteristics that may be screened to identify and intervene with vulnerable families to mitigate mental health problems.

大量资料表明,自 COVID-19 大流行开始以来,家长的心理健康状况每况愈下。尽管与大流行相关的压力普遍存在,但家长们还面临着远程教育的独特挑战。父母对子女教育的监督、无法获得学校的支持资源以及远程学习的挑战,可能是那些有心理健康问题或心理健康问题风险较高的儿童的父母所面临的最大问题。在本研究中,我们以美国东北部一个社区为基础的队列(N = 115)为研究对象,考察了父母报告的与大流行病相关的护理压力以及儿童的内化和外化问题对父母抑郁症状的交互影响。结果表明,如果父母在照顾孩子时承受了较大的大流行相关压力,而孩子又表现出较高的外化行为,那么父母的抑郁症状就会加重。儿童内化问题的增加与父母抑郁症状的增加有关,与护理压力无关。这些研究结果表明,在持续的远程或混合学习以及与大流行相关的限制条件下,可能会增加父母面临心理健康挑战的风险。此外,研究结果还指出了可以通过筛查来识别和干预脆弱家庭以减轻心理健康问题的条件和特征。
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引用次数: 0
One way or another…or both: Different roles of fathers, mothers, and adolescents in the intergenerational transmission of inclusive attitudes. 一种方式或另一种方式......或两者兼而有之:父亲、母亲和青少年在包容性态度代际传递中的不同角色。
IF 2.6 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-06-24 DOI: 10.1111/famp.13023
Fabio Maratia, Elisabetta Crocetti

This study aimed to examine the processes of intergenerational transmission of attitudes toward migrant integration policies in families with adolescents. Participants included 809 adolescents (Mage = 15.61, range: 13.87-20.04 years), 545 fathers (Mage = 51.19, range: 38-77 years), and 716 mothers (Mage = 48.11, range: 33-68 years) involved in a longitudinal study with two assessments and a time-lag of 1 year between them. Each family member completed the Attitudes towards Migrant Integration Policies scale. In addition, adolescents reported their perception of discussion of current events with parents and the level of support they receive from them. The cross-lagged model highlighted a unidirectional transmission, with fathers' but not mothers' attitudes toward migrant integration policies influencing adolescents' attitudes. Furthermore, it has been examined which factors can either amplify or reduce the strength of intergenerational transmission processes considering individual characteristics of both adolescents (i.e., sex, age) and their parents (i.e., political orientation), and cultural (i.e., family, ethnic background) and relational (i.e., discussion of current events, perceived support from fathers and mothers) family characteristics. Individual factors (i.e., fathers' political orientation) and family relational characteristics (i.e., perceived support from fathers) moderated the transmission processes. The transmission was bidirectional when fathers reported being left-wing and politically oriented and stronger when adolescents reported high support from their fathers. Thus, this study underscores the complexity of the family context, highlighting that the transmission of inclusive attitudes does not always operate in one way (e.g., from parents to children) or another, but in some cases, simultaneously.

本研究旨在探讨有青少年的家庭对移民融入政策的态度的代际传递过程。参与者包括 809 名青少年(年龄为 15.61 岁,年龄范围为 13.87-20.04 岁)、545 名父亲(年龄为 51.19 岁,年龄范围为 38-77 岁)和 716 名母亲(年龄为 48.11 岁,年龄范围为 33-68 岁),他们参与了一项纵向研究,并接受了两次评估,两次评估之间的时间间隔为 1 年。每个家庭成员都填写了 "对移民融入政策的态度 "量表。此外,青少年还报告了他们对与父母讨论时事的看法以及从父母那里获得的支持程度。交叉滞后模型强调了单向传播,父亲而非母亲对移民融入政策的态度会影响青少年的态度。此外,考虑到青少年的个体特征(即性别、年龄)及其父母的个体特征(即政治倾向),以及家庭的文化特征(即家庭、种族背景)和关系特征(即对时事的讨论、感知到的父亲和母亲的支持),我们还研究了哪些因素可以放大或缩小代际传递过程的强度。个人因素(即父亲的政治倾向)和家庭关系特征(即感知到的来自父亲的支持)调节了传播过程。当父亲表示自己是左翼政治取向时,这种传播是双向的;当青少年表示父亲对自己的支持力度大时,这种传播就更强。因此,本研究强调了家庭环境的复杂性,突出表明包容性态度的传播并不总是以一种方式(如从父母到子女)或另一种方式进行,而是在某些情况下同时进行。
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引用次数: 0
"Saying 'I'm not okay' is extremely risky": Postpartum mental health, delayed help-seeking, and fears of the child welfare system among queer parents. 说'我不好'风险极大":同性恋父母的产后心理健康、延迟求助以及对儿童福利制度的恐惧。
IF 2.6 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-06-23 DOI: 10.1111/famp.13032
Abbie E Goldberg, Reihonna L Frost

Parent mental health challenges in the postpartum and early parenthood have profound implications for parent, child, and family well-being. Little research has focused on postpartum mental health challenges and barriers to help-seeking among queer birthing people, including members of this community who may be particularly vulnerable to mental health difficulties, such as queer cis women partnered with men, trans/nonbinary parents, and queer parents who are young, low-income, and/or of color. This mixed-methods study of queer parents (n = 99), all of whom were assigned female at birth (AFAB) and gave birth to a child within the past several years, explores parents' postpartum mental health difficulties and perceived barriers to seeking help. Using a structural stigma framework, this study found that participants reported high rates of postpartum mental health difficulties (89%) and reported various barriers to seeking support including fears of discrimination and being deemed "unfit" by providers, which might lead to child welfare system involvement. Young parents and low-income parents were particularly fearful of child welfare system contact and potential child removal. Factors that encouraged help-seeking (e.g., desire to be a good parent; partner pressure to seek help) and implications for family practitioners are discussed.

父母在产后和为人父母初期所面临的心理健康挑战对父母、子女和家庭的幸福有着深远的影响。很少有研究关注产后心理健康挑战和同性恋生育者寻求帮助的障碍,包括这个群体中可能特别容易出现心理健康问题的成员,如与男性同居的同性恋女性、变性/非二元制父母,以及年轻、低收入和/或有色人种的同性恋父母。这项混合方法研究的对象是同性恋父母(n = 99),他们在出生时都被指派为女性(AFAB),并在过去几年内生育了一个孩子,研究探讨了父母产后心理健康方面的困难以及在寻求帮助时遇到的障碍。本研究采用结构性污名框架,发现参与者报告产后心理健康困难的比例很高(89%),并报告了寻求支持的各种障碍,包括害怕歧视和被提供者视为 "不合适",这可能会导致儿童福利系统的介入。年轻的父母和低收入的父母尤其害怕与儿童福利系统接触和可能将孩子带走。本文讨论了鼓励寻求帮助的因素(例如,成为好父母的愿望;伴侣要求寻求帮助的压力)以及对家庭从业者的影响。
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引用次数: 0
Interparental conflict trajectories across various child residence arrangements when parents live apart. 父母分居时,各种儿童居住安排下的父母间冲突轨迹。
IF 3.9 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-18 DOI: 10.1111/famp.13028
Tonje Holt, Maren Sand Helland, Linda Larsen, Kristin Gustavson, Bruce Smyth

In Norway, as in most Western countries, a growing proportion of parents living apart choose shared residence for their children. The aim of this study was to investigate trajectories of five interparental conflict dimensions across four child residence arrangement groups (and three combination groups) to improve understanding of different conflict trajectories when parents live apart. We used data from the Dynamics of Family Conflict study. Families (N = 1136) were recruited from 37 family counseling centers across Norway. Parents answered questionnaires in three waves: Wave 1 (December 2017 through August 2019); Wave 2 (November 2019 through January 2021); and Wave 3 (April through May 2021). Mixed effects analyses indicated that (a) for all conflict dimensions, there was less conflict and more cooperation over time across all residence arrangements; (b) except for children's involvement in conflict, the conflict dimensions did not develop differently over time between residence arrangements; (c) families with arrangements in which one parent had minority time (1%-14% and 15%-34%) were more likely to report children being involved in their parents' arguments over time than the 35%-49% and 50/50 residence groups; (d) for families with high relational risk pattern, children's involvement in conflict did not decline in either a high (1-34%) or a low degree (35%-49%) of sharing; and (e) families with a violent risk pattern and low degree of sharing (1%-34%) had the steepest decrease in conflict frequency/intensity over time. Even with an average decrease in destructive conflict dimensions over time, the findings point to the need for providing support for parents with complex needs, particularly for parents with a high relational risk pattern.

在挪威,与大多数西方国家一样,越来越多的分居父母选择与子女共同居住。本研究旨在调查四个子女居住安排组(和三个组合组)中父母间五个冲突维度的轨迹,以加深对父母分居时不同冲突轨迹的理解。我们使用了家庭冲突动态研究的数据。我们从挪威的 37 个家庭咨询中心招募了家庭(N = 1136)。家长们分三波回答了问卷:第1波(2017年12月至2019年8月);第2波(2019年11月至2021年1月);第3波(2021年4月至5月)。混合效应分析表明:(a) 就所有冲突维度而言,在所有居住安排中,随着时间的推移,冲突减少,合作增加;(b) 除儿童参与冲突外,不同居住安排的冲突维度随着时间的推移没有不同的发展;(c) 与 35%-49% 和 50/50 居住组相比,父母一方时间占少数(1%-14% 和 15%-34%)的家庭更有可能报告儿童随着时间的推移参与父母的争吵;(d) 在关系风险模式较高的家庭中,无论是分享程度高(1-34%)还是分享程度低 (35%-49%)的家庭,子女参与冲突的程度都没有下降;以及 (e) 在暴力风险模式和分享程度低(1%-34%)的家庭中,随着时间的推移,冲突 频率/强度的下降幅度最大。即使随着时间的推移,破坏性冲突的维度平均有所下降,但研究结果表明,有必要为有复杂需求的家长提供支持,尤其是关系风险模式较高的家长。
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引用次数: 0
Family-centered profiles of mindful parenting: Longitudinal associations with negative parenting and youth emotional and behavioral problems. 以家庭为中心的心智养育概况:消极养育与青少年情绪和行为问题的纵向联系。
IF 3.9 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-18 DOI: 10.1111/famp.13030
Maite Larrucea-Iruretagoyena, Justin Parent, Izaskun Orue

There has been great interest in analyzing the potential of mindful parenting in promoting family well-being. Studies indicated that there is a lack of research on the predictive relationship between parenting practice and youth emotional and behavioral problems analyzed from a multi-informant perspective. This study evaluates the family-centered profiles of mothers and fathers' mindful parenting and negative parenting and youth problems associated with those profiles. A total of 441 youths (aged 9-14 years), along with their parents, answered self-report questionnaires in a three-wave longitudinal study conducted over 1 year. A latent profile analysis was performed to examine the mindful parenting profiles and to identify their associations with youth emotional and behavioral problems and negative parenting as outcomes. The results of latent profile analyses supported a three-profile solution: low mindful parenting family (35%), high maternal mindful parenting family (24%), and average mindful parenting family (41%). The low mindful parenting family profile showed the highest scores on negative parenting and youth emotional and behavioral problems. The high maternal mindful parenting family profile had the lowest scores on youth negative outcomes but demonstrated similar levels to those of the average mindful parenting family profile regarding negative parenting. Our findings highlight the importance of analyzing specific family profiles that help to develop personalized interventions with optimized treatments regarding family cohesion and environment.

人们对分析用心养育在促进家庭幸福方面的潜力非常感兴趣。研究表明,目前缺乏从多信息源角度分析养育实践与青少年情绪和行为问题之间预测关系的研究。本研究评估了以家庭为中心的母亲和父亲用心养育的概况,以及与这些概况相关的负面养育和青少年问题。在为期一年的三波纵向研究中,共有 441 名青少年(9-14 岁)和他们的父母一起回答了自我报告问卷。研究人员进行了潜意识特征分析,以检查正念养育特征,并确定其与青少年情绪和行为问题以及负面养育结果之间的关联。潜特征分析的结果支持三特征解决方案:低正念养育家庭(35%)、高母亲正念养育家庭(24%)和一般正念养育家庭(41%)。低心智养育家庭在消极养育以及青少年情绪和行为问题方面得分最高。高正念父母家庭在青少年负面结果方面得分最低,但在消极养育方面与一般正念父母家庭表现出相似的水平。我们的研究结果凸显了分析特定家庭状况的重要性,这有助于制定个性化干预措施,优化家庭凝聚力和环境方面的治疗。
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引用次数: 0
Dealing with couple infidelity in romantic relationships: A group intervention feasibility study. 处理浪漫关系中的夫妻不忠问题:小组干预可行性研究
IF 3.9 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-16 DOI: 10.1111/famp.13029
Karen Ripoll-Núñez, Kristina Coop Gordon

The extent to which group therapy benefits individuals who have experienced couple infidelity remains unexamined. In this study, a brief group intervention for individuals who experienced couple infidelity was designed, and the feasibility of the intervention was evaluated (i.e., acceptability; implementation; measurements' performance and, limited-efficacy testing). The final sample was composed of 20 women and 4 men (M = 29.95 years, SD = 12.3). Twenty-four completed pre and post assessments and 20 of these completed the follow-up assessment. At pre, post, and follow-up, participants responded to a questionnaire packet that included measures of depression, anxiety and PTSD symptoms, relationship self-efficacy, centrality of event, cognitive fusion, and decision to forgive. Also, follow-up interviews were conducted. The closed group intervention consisted of eight 90-min weekly sessions. The group therapy process component was based on solution-focused therapy. Psychoeducation component included mindfulness, reflection on personal values, factors that contribute to infidelity, and forgiveness. Session rating scores indicated an overall high acceptance of the intervention, its contents, and goals. Interview reports showed that dealing with thoughts and emotions, understanding infidelity, and forgiveness were the most helpful contents. Group support and processes were also positively valued. Repeated-measures MANOVA results indicated statistically significant decrease in symptoms, cognitive fusion, and importance of the event, as well as an increase in self-efficacy. Measurement instruments showed adequate reliability. These results indicate that a group treatment may be an alternative format to help individuals deal with psychological consequences of couple infidelity, when couple therapy is not possible.

小组疗法在多大程度上能让经历过夫妻不忠的人受益,目前仍未得到研究。在这项研究中,我们为经历过夫妻不忠的人设计了一个简短的小组干预,并对干预的可行性进行了评估(即可接受性、实施、测量表现和有限疗效测试)。最终样本由 20 名女性和 4 名男性组成(男 = 29.95 岁,女 = 12.3 岁)。24 人完成了前后评估,其中 20 人完成了后续评估。在事前、事后和后续评估中,参与者回答了一份问卷,其中包括抑郁、焦虑和创伤后应激障碍症状、人际关系自我效能感、事件中心性、认知融合和原谅决定的测量。此外,还进行了后续访谈。封闭式小组干预包括每周八节 90 分钟的课程。小组治疗过程以焦点解决疗法为基础。心理教育部分包括正念、对个人价值观的反思、导致不忠的因素以及宽恕。疗程评分表明,受试者对干预措施、其内容和目标的总体接受度较高。访谈报告显示,处理思想和情绪、理解不忠和宽恕是最有帮助的内容。小组支持和过程也得到了积极评价。重复测量 MANOVA 的结果表明,症状、认知融合和事件重要性在统计学上有显著下降,自我效能感也有所提高。测量工具显示出足够的可靠性。这些结果表明,在无法进行夫妻治疗的情况下,小组治疗可能是帮助个人处理夫妻不忠心理后果的另一种形式。
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引用次数: 0
Critical consciousness and anti-racist action as rooted in family processes 扎根于家庭进程的批判意识和反种族主义行动。
IF 2.6 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-06-16 DOI: 10.1111/famp.13025
Yesenia Mejia, N. Keita Christophe, Frances M. Lobo, Ariane Desmarais, Gabriela L. Stein

Racially ethnically marginalized communities in the United States are exposed to structural and interpersonal forms of racism that have harmful effects on their health, wealth, education, and employment (Centers for Disease Control and Prevention, Racism and Health. https://www.cdc.gov/minorityhealth/racism-disparities/index.html, 2021). Although a plethora of research exists outlining these harmful effects, research examining how youth from diverse backgrounds effectively combat racism is lacking. Emerging research demonstrates that families may play a key role in the development of critical consciousness and participation in anti-racist actions (Bañales et al., Journal of Social Issues, 2021, 77, 964; Blanco Martinez et al., American Journal of Community Psychology, 2022, 70, 278; Lozada et al., Journal of Black Psychology, 2017, 43, 493). Yet, many key family processes have not been examined in relation to youth development of anti-racist practices. The current study included a sample of 327 racially ethnically diverse emerging adults (Mage = 18.80, SD = 1.28, range = 18–25), and explored the association between ethnic–racial socialization (cultural socialization, preparation for bias) and youth critical consciousness (reflection, motivation, action) and anti-racist (interpersonal, communal, political change) actions, and how familism values impact these associations. Results found that ethnic–racial socialization was positively associated with all aspects of critical consciousness and anti-racist actions. Results also found that familism significantly interacted with ethnic–racial socialization to predict some aspects of critical consciousness and anti-racist actions, but not others. Implications of the findings and future research directions are discussed.

美国的种族边缘化社区面临着结构性和人际形式的种族主义,这对他们的健康、财富、教育和就业产生了有害影响(美国疾病控制和预防中心,《种族主义与健康》。https://www.cdc.gov/minorityhealth/racism-disparities/index.html, 2021)。尽管有大量研究概述了这些有害影响,但缺乏对来自不同背景的青少年如何有效打击种族主义的研究。新兴研究表明,家庭在培养批判意识和参与反种族主义行动方面可能发挥着关键作用(Bañales 等人,《社会问题期刊》,2021 年,77,964;Blanco Martinez 等人,《美国社区心理学期刊》,2022 年,70,278;Lozada 等人,《黑人心理学期刊》,2017 年,43,493)。然而,许多关键的家庭过程与青少年反种族主义实践发展的关系尚未得到研究。目前的研究纳入了 327 名不同种族的新兴成年人样本(Mage = 18.80,SD = 1.28,范围 = 18-25),探讨了民族-种族社会化(文化社会化、偏见准备)与青少年批判意识(反思、动机、行动)和反种族主义(人际、社区、政治变革)行动之间的关联,以及家庭主义价值观如何影响这些关联。结果发现,民族-种族社会化与批判意识和反种族主义行动的各个方面都呈正相关。结果还发现,家庭主义与民族-种族社会化之间存在明显的互动关系,可以预测批判意识和反种族主义行动的某些方面,但不能预测其他方面。本文讨论了研究结果的意义和未来的研究方向。
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引用次数: 0
A special section: Contributions of family science to anti-racism efforts 特别章节:家庭科学对反种族主义工作的贡献。
IF 2.6 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2024-06-12 DOI: 10.1111/famp.13027
Emma M. Sterrett-Hong

Concomitant with a growing recognition of demographic shifts toward greater racial/ethnic diversity in the United States and widespread depictions of racial injustice, desires for increased racial/ethnic tolerance and inclusivity have been expressed in various sectors of U.S. society, including education, healthcare, and business. However, the literature on effective strategies and interventions for advancing anti-racism, or efforts to reduce racial/ethnic injustice, is minimal and underdeveloped. The family science field, characterized by rich theories on human systems and interactions, strategies for changing interpersonal dynamics, and the recognition that perceived knowledge is dependent on sociopolitical location, has much to offer the study of strategies to actualize increased racial/ethnic equity. The articles in this special section demonstrate potential contributions family science can make to the endeavor for racial/ethnic equity, through presenting theoretical, empirical, and practice innovations and findings steeped in the family science orientation toward addressing systems, cycles, and change.

随着人们日益认识到美国的人口结构正朝着种族/族裔更加多样化的方向转变,以及对种族不公正现象的广泛描述,美国社会的各个领域,包括教育、医疗保健和商业领域,都表达了加强种族/族裔宽容和包容性的愿望。然而,有关推进反种族主义或努力减少种族/族裔不公正的有效战略和干预措施的文献极少,也不发达。家庭科学领域的特点是关于人类系统和互动的丰富理论、改变人际动态的策略,以及认识到感知的知识取决于社会政治位置,因此在研究实现种族/族裔平等的策略方面大有可为。本专栏的文章展示了家庭科学在理论、实证和实践方面的创新,以及在解决系统、周期和变化方面的研究成果,从而为种族/民族平等的努力做出潜在的贡献。
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引用次数: 0
The indirect impact of infant negative emotionality on interparental conflict via perceptions of coparenting challenges: What prenatal resources mitigate this risk? 婴儿的负面情绪通过对共同养育挑战的感知对父母间冲突产生间接影响:哪些产前资源可降低这种风险?
IF 3.9 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-09 DOI: 10.1111/famp.13024
Frances C Calkins, Seth D Finkelstein, Meredith J Martin, Rebecca L Brock

Research clearly demonstrates that conflictual interparental relationship dynamics can create a family context that contributes to child emotional insecurity and psychopathology. Significantly less research has examined familial factors that contribute to maladaptive conflict between parents. Scholars have alluded to the disruptive impacts of parenting a child with certain temperamental characteristics (e.g., negative emotionality). Yet, there is a lack of empirical research examining if and how child temperament contributes to later interparental conflict. Using an established multi-informant, multi-method sample of 150 families first assessed during pregnancy, and again when the child was 1, 2, and 3.5 years of age, the present study aimed to test an integrated conceptual model examining whether infants' negative emotionality assessed at age 1 predicts interparental conflict at age 3.5, as mediated through destructive coparenting dynamics in toddlerhood, and identifying prenatal protective factors mitigating this maladaptive pathway. Findings suggest that greater infant negative emotionality predicts worse interparental conflict management during preschool age by undermining the mother's (but not the father's) report of coparenting relationship quality during toddlerhood. However, these results were significant only to the extent that parents were lacking certain prenatal regulatory resources (i.e., low paternal self-compassion; less secure relationship between parents). Importantly, results point to the need for intervention and prevention efforts during pregnancy that might disrupt the deleterious impacts of parenting a child who is more reactive and prone to expressing negative emotions.

研究清楚地表明,父母之间的冲突性关系动态会造成一种家庭环境,导致儿童情绪不安全感和心理病理学。对造成父母间适应不良冲突的家庭因素的研究则少得多。学者们曾暗示,养育具有某些脾气特征(如负面情绪)的孩子会产生破坏性影响。然而,对于孩子的脾气是否以及如何导致日后的父母间冲突,却缺乏实证研究。本研究利用一个已建立的多信息、多方法样本,对 150 个家庭进行了首次孕期评估,并在孩子 1 岁、2 岁和 3.5 岁时进行了再次评估,旨在检验一个综合概念模型,研究 1 岁时评估的婴儿负面情绪是否会预测 3.5 岁时的父母间冲突,并通过幼儿期破坏性的共同养育动态进行调解,同时确定产前保护因素,以减轻这种不适应的途径。研究结果表明,婴儿的负面情绪会影响母亲(而非父亲)对幼儿期亲子关系质量的报告,从而预测学龄前父母间冲突管理的恶化。然而,这些结果只有在父母缺乏某些产前调节资源(即父亲的自我同情程度低;父母之间的关系不安全)的情况下才有意义。重要的是,这些结果表明,有必要在怀孕期间进行干预和预防,以消除养育反应性更强、更容易表达负面情绪的孩子所带来的有害影响。
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引用次数: 0
Family bonds and personal factors in caregiver burden in patients at the end of life. 临终病人护理负担中的家庭纽带和个人因素。
IF 3.9 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-05 DOI: 10.1111/famp.13026
Olga Ribera-Asensi, Marián Pérez-Marín, Selene Valero-Moreno

Family caregivers are defined as those who assume substantial responsibilities for the care of an ill loved one without formal health care training. This study aims to analyze the predictors of physical and emotional burden in caregivers of palliative patients using qualitative comparative analysis methodologies (QCA) and taking into account patient and caregiver personal and relational variables. A total of 125 caregivers of patients at the end of life were assessed using an ad hoc emotional and physical burden questionnaire and patient and caregiver personal and relational variables were recorded. Results indicate moderately high levels of both emotional and physical burden. Differences in burden are found only as a function of kinship. Emotional burden is positively associated with the use of physical health medication in the caregiver and kinship; meanwhile, physical burden is positively associated with time since diagnosis, patient functional independence, and economic problems. For the QCA models, several pathways predict the observed variance in the emotional and physical burden of family caregivers of patients at the end of life, based on patient, caregiver, and relationship variables. In conclusion, it is relevant to design intervention programs focused on patient-caregiver relationship to prevent the development of emotional and physical burden.

家庭照护者的定义是那些没有接受过正规医疗保健培训,但承担起照顾患病亲人重大责任的人。本研究旨在采用定性比较分析方法(QCA),并考虑患者和护理者的个人及关系变量,分析姑息治疗患者护理者身体和情感负担的预测因素。共有 125 名处于生命末期的病人护理者接受了评估,评估使用了一份特别设计的情绪和身体负担问卷,并记录了病人和护理者的个人及关系变量。结果表明,患者的情绪和身体负担都处于中等偏高的水平。仅在亲属关系方面发现了负担差异。情感负担与照顾者和亲属使用身体健康药物呈正相关;同时,身体负担与确诊时间、患者功能独立性和经济问题呈正相关。在 QCA 模型中,根据患者、照顾者和关系变量,有几种途径可以预测所观察到的生命末期患者家庭照顾者的情感和身体负担差异。总之,设计以患者和照顾者关系为重点的干预计划以防止情感和身体负担的发展是有意义的。
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引用次数: 0
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