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Mental Health Literacy, Anxiety, and Insomnia in Chinese Chronically Ill Older Adult-Caregiver Dyads: Actor-Partner Interdependence Moderation Model 心理健康素养、焦虑和失眠:行动者-伴侣相互依赖调节模型。
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-10-26 DOI: 10.1111/famp.70077
Xinyu Fan, Huiqiong Zheng, Shibin Wang, Wenyan Tan, Jing Liao

Anxiety and insomnia are correlated in older adults and their caregivers, yet the moderating role of mental health literacy (MHL) is unclear. This study aimed to explore dyadic effects of anxiety on insomnia among Chinese chronically ill older adults and family caregivers across age groups and whether MHL moderates these effects. Data came from 1033 dyads of older adults and their family caregivers in China through the Guangdong Mental Health Survey. Anxiety was assessed with the Generalized Anxiety Disorder-7, insomnia with the Insomnia Severity Index, and MHL with the Chinese National Mental Health Literacy Scale (consisting of mental health knowledge, attitudes, and capacity). The Actor-Partner Interdependence Moderation Model was applied for analysis. Young caregivers' mental health attitudes, β = −0.558, p = 0.002, mitigated the effect of their anxiety on their insomnia, while older adults' mental health knowledge, β = 0.428, p = 0.019, enhanced this relationship. Older adults' mental health attitudes, β = −0.731, p = 0.004, reduced the impact of middle-aged caregivers' anxiety on the latter's insomnia. Middle-aged caregivers' mental health capacity, β = −0.367, p = 0.004, attenuated the effect of older adults' anxiety on caregivers' insomnia. No significant moderating effects were observed in the dyad group of older adults and older caregivers. Within caregiving dyads, enhancing MHL can potentially reduce the impact of anxiety on insomnia. Interventions aimed at improving the mental health attitudes of older adults and caregivers are more likely to alleviate anxiety and insomnia than mental health knowledge and capacity.

焦虑和失眠在老年人及其照顾者中存在相关性,但心理健康素养(MHL)的调节作用尚不清楚。本研究旨在探讨焦虑对中国各年龄组慢性病老年人和家庭照顾者失眠的双重影响,以及MHL是否能调节这些影响。数据来自广东省心理健康调查,来自中国1033对老年人及其家庭照顾者。用广泛性焦虑障碍-7量表评估焦虑,用失眠症严重程度指数评估失眠,用中国国家心理健康素养量表(包括心理健康知识、态度和能力)评估MHL。运用行动者-伙伴相互依赖调节模型进行分析。青少年照顾者的心理健康态度(β = -0.558, p = 0.002)减轻了焦虑对失眠的影响,老年人照顾者的心理健康知识(β = 0.428, p = 0.019)增强了焦虑对失眠的影响。老年人的心理健康态度(β = -0.731, p = 0.004)降低了中年照顾者焦虑对后者失眠的影响。中年照顾者的心理健康能力(β = -0.367, p = 0.004)减弱老年人焦虑对照顾者失眠的影响。在老年人和老年照顾者的双组中没有观察到显著的调节作用。在照顾者中,提高MHL可以潜在地减少焦虑对失眠的影响。旨在改善老年人和照顾者心理健康态度的干预措施,比心理健康知识和能力更有可能减轻焦虑和失眠。
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引用次数: 0
Financial Stress, Shame, and Dyadic Coping Among Highly Distressed Couples in Therapy: An Interpretative Phenomenological Analysis 财务压力、羞耻感和治疗中高度痛苦夫妻的二元应对:解释性现象学分析。
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-10-13 DOI: 10.1111/famp.70080
Joanna Rzadkowska, Terje Tilden, Helene Amundsen Nissen-Lie, Kristoffer Whittaker, KariAnne Vrabel

Despite the detrimental impact financial stress has on mental health and relationships, couples experiencing it remain an under-researched group, especially in a therapy setting. In this study, we conducted interviews with 10 participants from five couples who struggled financially during residential couple treatment in Norway. The empirical material was analyzed using interpretative phenomenological analysis (IPA) to examine couples' experiences and subjective meaning-making. The findings revealed: (a) a sense of existential threat, (b) dyadic coping strategies with advantages and costs, (c) ways in which the community of helpers both supported and hindered the families. The core finding was a pervasive sense of shame that affected how the participants perceived themselves, their relationships, and their place in society. We discuss how shame and dyadic coping can influence both the couples' relationships and their finances, and how systemic and couple therapists can contribute by highlighting positive coping strategies and directly addressing financial shame.

尽管经济压力对心理健康和人际关系有不利影响,但经历经济压力的夫妇仍然是一个研究不足的群体,尤其是在治疗环境中。在这项研究中,我们采访了来自挪威住院夫妇治疗期间经济困难的五对夫妇的10名参与者。运用解释现象学分析(IPA)对实证材料进行分析,考察夫妻的体验与主观意义建构。研究结果显示:(a)存在威胁感;(b)优势与成本的二元应对策略;(c)帮助者社区支持和阻碍家庭的方式。研究的核心发现是一种普遍存在的羞耻感,这种羞耻感会影响参与者对自己、人际关系和社会地位的看法。我们讨论了羞耻和二元应对如何影响夫妻关系和他们的财务,以及系统和夫妻治疗师如何通过强调积极的应对策略和直接解决财务羞耻来做出贡献。
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引用次数: 0
Parental In-Session Behaviors and LGBTQ+ Young Adults' Perceived Parental Rejection and Acceptance in Attachment-Based Family Therapy 依恋型家庭治疗中父母在诊行为与LGBTQ+青年对父母拒绝和接受的感知
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-10-13 DOI: 10.1111/famp.70079
Rotem Boruchovitz-Zamir, Eran Bar-Kalifa, Gary M. Diamond

This study examined whether decreases in parents' negative in-session behaviors predicted reductions in LGBTQ+ young adults' perceived parental rejection and increases in their perceived parental acceptance over the course of attachment-based family therapy for sexual and gender minority (ABFT-SGM) young adults and their nonaccepting parents. A total of 126 videotaped sessions from 22 families who participated in an open clinical trial of ABFT-SGM were coded to assess changes in parents' positive and negative in-session behaviors. Young adults' perceived parental rejection and acceptance were measured at baseline, 8 weeks, 16 weeks, 24 weeks, and 36 weeks. In line with findings from the open clinical trial, on average, perceived parental rejection decreased and perceived parental acceptance increased over the course of therapy. For both mothers and fathers, decreases in negative in-session behaviors moderated increases in young adults' perceived parental acceptance but not reductions in perceived parental rejection. Findings underscore the importance of reducing negative parental in-session behaviors, such as criticism and invalidation, during conjoint sessions with their LGBTQ+ young adult.

本研究考察了在针对性和性别少数群体(ABFT-SGM)的年轻人及其不接受父母的依恋家庭治疗过程中,父母在会话中消极行为的减少是否预示着LGBTQ+年轻人对父母拒绝的感知减少和对父母接受的感知增加。对参加ABFT-SGM公开临床试验的22个家庭的126段视频进行编码,以评估家长在治疗过程中积极和消极行为的变化。在基线、8周、16周、24周和36周时测量年轻人对父母拒绝和接受的感知。与公开临床试验的结果一致,平均而言,在治疗过程中,感知到的父母排斥减少了,感知到的父母接受度增加了。对于母亲和父亲来说,消极的会话行为的减少缓和了年轻人感知到的父母接受的增加,但没有减少感知到的父母拒绝。研究结果强调了在与LGBTQ+年轻人联合治疗期间,减少父母在治疗期间的负面行为(如批评和无效化)的重要性。
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引用次数: 0
Dyadic Relationship and Coparenting Quality During the Transition to Parenthood for Couples With Childhood Maltreatment History 有童年虐待史的夫妻向为人父母过渡期间的二元关系与父母教养质量。
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-10-12 DOI: 10.1111/famp.70078
Laura N. Martin, Keith D. Renshaw, Timothy W. Curby, Mark E. Feinberg

Becoming a parent is one of life's most significant transitions and can be a challenging period for many couples. One factor that may increase the difficulty couples experience in adjusting to parenthood is having a history of childhood maltreatment. This study explored whether a history of childhood maltreatment in either partner is associated with couples' relationship functioning as they adjust to parenthood. Structural equation modeling was used to examine the association of childhood maltreatment history with relationship and coparenting quality in both partners of 398 heterosexual couples in the United States having their first child. Relationship quality was assessed during pregnancy, and both relationship quality and coparenting quality were assessed twice during the postpartum period at 10–12 months and 2 years after birth. Father's history of childhood maltreatment was negatively associated with mother's reports of relationship quality at both time points after birth (p < 0.05), and father's maltreatment history was negatively associated with mother's reports of coparenting quality 2 years after birth (p = 0.01). Follow-up analyses accounting for the interaction of both partners' maltreatment history revealed that a combination of maltreatment in both partners was associated with poorer relationship quality reported by mothers during pregnancy and 10–12 months after birth and with poorer coparenting quality ratings by mothers 2 years after birth (p < 0.05). Results suggest that a history of maltreatment in both parents can have negative impacts on relationship and coparenting quality during the transition to parenthood, with mothers appearing more sensitive to such effects than fathers. These findings highlight the importance of assessing both parents' histories of childhood maltreatment in postpartum clinical care to better identify families at risk and tailor supports that strengthen relationship and coparenting quality.

为人父母是人生中最重要的转变之一,对许多夫妇来说可能是一个充满挑战的时期。可能会增加夫妻适应为人父母经历的困难的一个因素是有童年虐待史。这项研究探讨了在适应为人父母的过程中,任何一方的童年虐待史是否与夫妻关系功能有关。本研究以美国398对有第一个孩子的异性恋夫妇为研究对象,采用结构方程模型分析了童年虐待史与夫妻关系和教养质量的关系。在怀孕期间对关系质量进行评估,在产后10-12个月和出生后2年对关系质量和父母教养质量进行两次评估。父亲的童年虐待史与母亲在出生后两个时间点的关系质量报告呈负相关
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引用次数: 0
Multisystemic Therapy for Youths With Problem Sexual Behaviors: Development and Dissemination of a Family-Based Treatment 青少年性行为问题的多系统治疗:以家庭为基础的治疗的发展和传播。
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-10-05 DOI: 10.1111/famp.70076
Charles M. Borduin, Russell J. Borduin

Sexual offenses and other problematic sexual behaviors by youths are viewed in many countries as a legal problem rather than as a public health problem that can be treated. Multisystemic Therapy for Problem Sexual Behaviors (MST-PSB) was developed to address the dearth of effective treatments for youths with criminal and non-criminal sexual behavior problems. This article begins by describing the empirical and theoretical underpinnings of the MST-PSB treatment model and the various characteristics of the model that make it well suited for the treatment of youths with problem sexual behaviors. Next, we discuss the various clinical interventions used in MST-PSB and delineate how the model is operationalized and provided to youths and their families. Research findings that demonstrate the positive clinical outcomes, mechanisms of change, and economic benefits of MST-PSB are then reviewed, followed by a summary of how MST-PSB is implemented by provider organizations using a comprehensive approach to establishing and maintaining treatment fidelity. For family therapists who treat youths with problem sexual behaviors but are not practicing within an MST-PSB program, we hope that the conceptual framework, clinical interventions, and treatment principles described in this article can contribute to the effectiveness of your work. In addition, we suggest that administrators of programs that treat youths who engage in problem sexual behaviors should consider the current evidence base as they make decisions about the adoption of interventions for this clinical population of youths. Finally, we recommend that comprehensive, empirically supported treatment models such as MST-PSB be increasingly considered by policymakers when allocating scarce financial resources to treatments for youths with problem sexual behaviors.

在许多国家,青少年的性犯罪和其他有问题的性行为被视为一个法律问题,而不是一个可以治疗的公共卫生问题。问题性行为多系统治疗(MST-PSB)是为了解决青少年犯罪和非犯罪性行为问题缺乏有效治疗的问题而开发的。本文首先描述了MST-PSB治疗模式的经验和理论基础,以及该模式的各种特征,使其非常适合治疗有问题性行为的青少年。接下来,我们讨论了MST-PSB中使用的各种临床干预措施,并描述了该模型如何运作并提供给青少年及其家庭。然后回顾了证明MST-PSB的积极临床结果、变化机制和经济效益的研究结果,然后总结了MST-PSB是如何由提供者组织使用综合方法来建立和维持治疗保密性的。对于那些治疗有问题性行为的青少年但没有在MST-PSB项目中实践的家庭治疗师,我们希望这篇文章中描述的概念框架、临床干预和治疗原则能对你的工作有所帮助。此外,我们建议那些治疗有问题性行为的青少年的项目管理者在决定对这些临床青少年采取干预措施时,应该考虑当前的证据基础。最后,我们建议决策者在分配稀缺的财政资源用于治疗青少年问题性行为时,应越来越多地考虑综合的、实证支持的治疗模式,如MST-PSB。
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引用次数: 0
Humility as a Parenting Practice for Promoting the Health and Safety of Transgender and Gender Diverse Youth 谦逊作为促进跨性别和性别多样化青年健康和安全的育儿实践。
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-10-01 DOI: 10.1111/famp.70075
Katie Heiden-Rootes, Michelle R. Dalton, M. Paz Galupo

Parent–child relationship quality, including the degree of emotional support and acceptance, is the single biggest predictor of suicidal ideation, suicide attempts, and mental health for transgender and gender diverse (TGD) youth. Family intervention research is underway for identifying how to change poor parent–child relationships where parents reject or are ambiguous about TGD identities. This manuscript conceptualizes parental gender-affirming cultural humility based on previous research on humility in psychology and cultural humility in psychotherapy. Parental gender-affirming cultural humility (PGACH) is applied to parent–child relationships with TGD youth, specifically. TGD youth and their cisgender parents occupy a cross-cultural relationship; parental humility practices may offer an effective point of family intervention for cultivating a new interpersonal process in the family. A case study is described with dialogue and analysis of the case for illustrating how parental humility could be cultivated and enacted in a family therapy context with parents and a TGD adolescent. Finally, implications for practice indicate a need for therapists to exercise cultural humility when engaging parents with respect and care, given their cultural backgrounds while simultaneously supporting the youth. Continued research is needed on scale formation for PGACH for measuring outcomes in family research and intervention.

亲子关系质量,包括情感支持和接受程度,是跨性别和性别多样化(TGD)青少年自杀意念、自杀企图和心理健康的最大预测因素。家庭干预研究正在进行中,以确定如何改变父母拒绝或对TGD身份模棱两可的不良亲子关系。本文基于先前心理学和心理治疗中的文化谦卑研究,将父母性别肯定文化谦卑概念化。父母性别确认文化谦卑(PGACH)是适用于亲子关系与TGD青年,具体。TGD青年与顺性父母具有跨文化关系;父母谦卑的做法可以提供一个有效的家庭干预点,在家庭中培养新的人际关系过程。一个案例研究通过对话和案例分析来说明如何在父母和TGD青少年的家庭治疗背景下培养和实施父母的谦逊。最后,对实践的启示表明,治疗师需要在尊重和关心父母的同时,考虑到他们的文化背景,在支持年轻人的同时,锻炼文化谦逊。PGACH量表的形成,以衡量家庭研究和干预的结果,有待进一步的研究。
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引用次数: 0
Stepfamily Dynamics and Emerging Adults' Adjustment in Japan: Four Patterns Affecting Stepchildren's Outcomes 继家庭动态与日本新生成人的适应:影响继子女结局的四种模式
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-09-26 DOI: 10.1111/famp.70071
Yasumitsu Jikihara, Mari Kikuchi, Shinji Nozawa

Stepfamilies are increasingly prevalent worldwide; however, research on non-Western stepfamilies remains limited. This study examines stepparenting, parenting behaviors, stepcouple relationships, and biological parents' co-parenting quality in Japan, exploring their impact on the psychological adjustment of emerging adults (EAs). The sample included 421 Japanese EAs (aged 20–29) raised in stepfamilies with a resident biological mother and stepfather and a nonresident biological father. Using latent profile analysis, we identified four relationship patterns: Residence-Centered (37.8%) with strong resident motherstepfather ties, Inclusive (15.9%) with positive bonds across all parental figures, Inter-household Ambivalent Loyalty (22.8%) with an ambivalent nonresident father bond and biological parents' conflictive co-parenting, and High Stepfamily Conflict (23.5%) with frequent residential stepfamily conflict. The latter two profiles were associated with low self-esteem, high depression and anxiety, and increased aggression. Similar patterns in Western studies suggest that the key aspects of stepfamily functioning may be shared across cultural contexts. Our findings suggest that balanced parental involvement and positive stepparent relationships may influence stepfamily adaptation. Providing effective support for stepfamilies requires assessing the entire family system—including nonresidential biological parents—rather than focusing solely on individual relationships. Positive parenting and connections are important; however, we found that differences in adjustment were more strongly linked to negative relational features. Hence, interventions that reduce these negative dynamics may benefit families facing considerable difficulties. Clinicians should attempt to deepen their understanding of what does and does not work in stepfamily settings.

再婚家庭在世界范围内越来越普遍;然而,对非西方再婚家庭的研究仍然有限。本研究考察了日本继父母、父母行为、继夫妻关系和亲生父母共同抚养质量,探讨其对新兴成人(EAs)心理适应的影响。样本包括421名在继家庭中长大的日本青年(年龄在20-29岁之间),他们的生母和继父都在日本居住,生父则不在日本居住。利用潜在特征分析,我们确定了四种关系模式:以居住为中心(37.8%),具有强烈的常住母亲-继父关系;包容(15.9%),所有父母都有积极的联系;家庭间矛盾忠诚(22.8%),具有矛盾的非常住父亲关系和亲生父母的冲突共同抚养;高度继家庭冲突(23.5%),常住继家庭冲突频繁。后两种情况与低自尊、高度抑郁和焦虑以及攻击性增加有关。西方研究的类似模式表明,再婚家庭功能的关键方面可能在不同的文化背景下共享。我们的研究结果表明,平衡的父母参与和积极的继父母关系可能会影响继家庭适应。为再婚家庭提供有效的支持需要评估整个家庭系统,包括不居住的亲生父母,而不是仅仅关注个人关系。积极的父母教育和人际关系很重要;然而,我们发现调整的差异与负相关特征的联系更为紧密。因此,减少这些消极动力的干预措施可能有利于面临相当困难的家庭。临床医生应该尝试加深他们对再婚家庭中什么可行,什么不可行的理解。
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引用次数: 0
Families' Experience of Family Therapy by Videoconference During the First Lockdown: A Qualitative Study 第一次禁闭期间家庭视频会议治疗的经验:一项定性研究
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-09-26 DOI: 10.1111/famp.70073
R. Barge-Chanty, S. Minassian, E. Hellier, R. Radjack, S. Grandclerc, M. R. Moro

To ensure continuity of care during the Covid-19 pandemic, family therapy sessions were maintained via videoconferencing. Few studies evaluate the effectiveness of this modality. This exploratory qualitative study gathered the experiences of families who underwent videoconferencing family therapy during the first French lockdown and in-person therapy before and after. This study was conducted in France, within a department of adolescent medicine and psychiatry. Ten semi-structured interviews were conducted with eight families and analyzed using Interpretative Phenomenological Analysis. Results show that the absence of travel constraints in videoconferencing limited engagement during sessions. At home, daily life disrupted immersion, close proximity censored conversations, and therapists' virtual presence was perceived as intrusive or alliance-reinforcing. Patients described the sessions as a hiatus in therapy, citing therapists' exclusion from the family system, the paradox of being in therapy without full participation, and weak integration into the family narrative. However, videoconferencing provided crucial support during the crisis, encouraged initiative-taking, enabled participation of typically absent members, and allowed for experimentation with new formats. Some patients proposed alternating between in-person and remote sessions in the future. These challenges highlight the disruption of the therapeutic system during the abrupt transition. Therapists, shifting from active participants to observers, struggled to maintain a cohesive system. Yet, videoconferencing can redistribute control, fostering family initiative and balancing group and individual identities. This tool could complement traditional family therapy. Further research is needed to identify conditions, populations, and stages of therapy where videoconferencing is most effective.

为确保Covid-19大流行期间护理的连续性,通过视频会议维持了家庭治疗会议。很少有研究评估这种方式的有效性。本探索性质的研究收集了在法国第一次封锁期间接受视频会议家庭治疗的家庭的经验,以及在封锁前后接受面对面治疗的家庭的经验。这项研究是在法国青少年医学和精神病学部门进行的。对8个家庭进行了10次半结构化访谈,并使用解释现象学分析进行了分析。结果表明,在视频会议中,没有旅行限制限制了会议期间的参与度。在家里,日常生活扰乱了沉浸感,近距离交谈被审查,治疗师的虚拟存在被认为是侵入性的或加强联盟的。患者将治疗描述为治疗的中断,理由是治疗师被排除在家庭系统之外,没有充分参与治疗的悖论,以及融入家庭叙事的能力较弱。然而,视频会议在危机期间提供了至关重要的支持,鼓励采取主动行动,使通常缺席的成员能够参与,并允许对新形式进行试验。一些患者建议将来在面对面和远程会议之间交替进行。这些挑战突出了在突变过程中治疗系统的中断。治疗师从积极的参与者转变为观察者,努力维持一个有凝聚力的系统。然而,视频会议可以重新分配控制权,培养家庭主动性,平衡团体和个人身份。这个工具可以补充传统的家庭疗法。需要进一步的研究来确定视频会议最有效的治疗条件、人群和阶段。
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引用次数: 0
Dyadic Profiles of Romantic Partners' Suicidal Risk and Relationship Distress Presenting for Couples Therapy 伴侣自杀风险和关系困扰的二元特征在夫妻治疗中的表现
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-09-26 DOI: 10.1111/famp.70074
Preston C. Morgan, Heather A. Love, Garrin L. Morlan, Quintin A. Hunt

Despite the prominence of individuals presenting for therapy with suicidal thoughts and behaviors (STBs), there is little research available that examines how one or both members of a couple experience STBs when presenting for couple therapy. Thus, there is a prominent gap in the literature in understanding the types of STBs for both adult partners in a committed romantic relationship presenting for couple therapy, reducing clinicians' preparedness to address suicidality in this unique therapy modality. We applied the Three-Step Theory as a guiding framework to investigate the types of couples with suicidal risk that present to couple therapy. We used clinical data from the Marriage and Family Therapy Practice Research Network (n = 337 couples) to identify Dyadic Latent Profiles. We determined a three-profile model: Profile 1: Minimal Risk; Profile 2: Active and Passive Risk; and Profile 3: Both Passive Risk. However, nearly all predictors and covariates (e.g., biological sex, race, relationship duration, mental health treatment, pressure to attend therapy, and intimate partner violence) were not associated with profile membership. These results indicate that while most couples who attend couple therapy are unlikely to display elevated suicide risk, 7% of the sample (Profile 2) displayed active risk based on the Three-Step Theory of suicide. These findings aid clinicians in understanding that a small number of couples present an active risk. Results further encourage clinicians to assess STBs with continuous and not binary assessment questions.

尽管以自杀想法和行为(STBs)来治疗的个体很突出,但很少有研究调查夫妻中的一方或双方在进行夫妻治疗时如何经历STBs。因此,在了解性传播感染的类型方面,文献中有一个明显的差距,在一个承诺的浪漫关系中,成年伴侣双方都表现为夫妻治疗,减少了临床医生在这种独特的治疗方式中解决自杀问题的准备。我们应用三步理论作为指导框架来调查有自杀风险的夫妇的类型,目前的夫妻治疗。我们使用来自婚姻和家庭治疗实践研究网络(n = 337对夫妇)的临床数据来确定二元潜在谱。我们确定了一个三特征模型:特征1:最小风险;概况2:主动和被动风险;和概况3:都是被动风险。然而,几乎所有的预测因子和协变量(例如,生理性别、种族、关系持续时间、精神健康治疗、参加治疗的压力和亲密伴侣暴力)都与概况成员无关。这些结果表明,虽然大多数参加夫妻治疗的夫妇不太可能表现出更高的自杀风险,但根据自杀三步理论,7%的样本(图2)表现出积极的自杀风险。这些发现有助于临床医生理解少数夫妇存在主动风险。结果进一步鼓励临床医生用连续的而不是二元的评估问题来评估性传播感染。
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引用次数: 0
Intergenerational Solidarity and Family Functioning Within Korean Families in the Post-Pandemic Transition 大流行后过渡时期韩国家庭的代际团结和家庭功能。
IF 2.2 3区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-09-19 DOI: 10.1111/famp.70072
Woosang Hwang, Merril Silverstein

Although intergenerational solidarity and circumplex models are widely used in family science, the articulation between these two theoretical models is less explored, particularly over time and in response to exogenous shocks such as a pandemic. Therefore, we aimed to identify dyadic latent classes of intergenerational solidarity between parents and adult children following the COVID-19 pandemic in South Korea, and whether the derived classes and their transition patterns were associated with healthy family functioning. Using 2022 (during the pandemic), 2023 (immediate post-pandemic), and 2024 (fully post-pandemic) survey data, we conducted latent class and latent transition analysis with 258 Korean parent–adult child pairs. Multivariate regression was conducted to examine the relationship between transition patterns of solidarity classes and family functioning. Latent class analysis identified the same three latent classes in 2022, 2023, and 2024: tight-knit, distant-but-digitally connected, and ambivalent. Latent transition analysis revealed that the majority of parent and adult child pairs maintained the same solidarity class across the three time points. In multivariate regression analysis, we found that parents and adult children who stayed in the tight-knit solidarity class across the three time points reported healthier post-pandemic family functioning than those who stayed in the ambivalent solidarity class. Our findings suggest that maintaining strong solidarity between parents and adult children is beneficial for healthy family functioning in the aftermath of a global pandemic. Applying both intergenerational solidarity and the circumplex model together can support the identification of problematic family dynamics.

虽然代际团结和循环模型在家庭科学中被广泛使用,但这两种理论模型之间的联系很少被探索,特别是随着时间的推移和对流行病等外生冲击的反应。因此,我们旨在确定韩国COVID-19大流行后父母和成年子女之间代际团结的双重潜在类别,以及衍生类别及其过渡模式是否与健康的家庭功能相关。利用2022年(大流行期间)、2023年(大流行后)和2024年(大流行后)的调查数据,我们对258对韩国父母-成人儿童进行了潜在分类和潜在转变分析。多元回归检验了团结阶层的过渡模式与家庭功能之间的关系。潜在类别分析在2022年、2023年和2024年确定了同样的三个潜在类别:紧密结合、距离遥远但数字连接、矛盾。潜在转变分析显示,大多数父母和成年子女对在三个时间点上保持相同的团结阶级。在多元回归分析中,我们发现,在三个时间点上,留在紧密团结班级的父母和成年子女报告的大流行后家庭功能比留在矛盾团结班级的父母和成年子女更健康。我们的研究结果表明,在全球大流行之后,保持父母和成年子女之间的紧密团结有利于健康的家庭运作。同时应用代际团结和圆周模型可以帮助识别有问题的家庭动态。
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引用次数: 0
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