Child Care Health and Development最新文献

Caregiver Experiences of a Peer Mentor Family Physical Activity Programme in England: A Qualitative Interview Study

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-24 DOI: 10.1111/cch.70053

Rebecca Symes, Leah Jayes, Elizabeth Orton

Background

Physical inactivity is a major risk factor for developing chronic disease and contributes to health inequalities. Many children and adults do not achieve recommended physical activity targets. Active Families was a pilot programme that aimed to increase physical activity in families in the East Midlands, UK, using volunteer peer mentor support. This study aimed to explore caregiver experiences of family physical activity in participants of the programme Active Families.

Methods

Qualitative, semi-structured interviews were conducted with 13 caregiver participants of Active Families. Interview transcripts were explored using thematic analysis.

Results

Most caregivers reported increased family physical activity and improvements in health and relationships. Attitudes towards family physical activity became more positive and role modelling encouraged families to be active. Volunteer peer mentors aided families using behaviour change techniques and provided psychological, emotional and practical support. Volunteers maintained programme delivery during the coronavirus pandemic, and exercise was used by some as a coping strategy. Some older children did not engage well with the programme, and maintaining physical activity was a challenge for others.

Conclusion

Caregivers reported improved experiences of family physical activity, with positive impacts on wellbeing and family life reported. The family–volunteer relationship appeared to be key. Behaviour change techniques and providing holistic support should therefore be considered when designing family physical activity programmes. Further research is needed to understand how best to engage older children in family physical activity and ensuring physical activity is maintained.

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引用次数: 0

Outpatient Management of Clinical Comorbidities in Children With Cerebral Palsy in Low- and Middle-Income Countries

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-22 DOI: 10.1111/cch.70052

Bruno Leonardo Scofano Dias, Lenamaris Mendes Rocha Duarte, Daniela Fava, Fernanda Marinho de Lima

Background

Cerebral palsy (CP) is the most common physical disability of childhood. Its prevalence in low-and middle-income countries (LMICs) is over 3/1000 live births, about double the 1.6/1000 in high income countries (HICs). Multimorbidity is highly prevalent in CP. In LMICs, there are higher rates of prevalence, severity, comorbidities and mortality in children with CP. The evidence base for the recommendations in CP emanates overwhelmingly from studies conducted in HICs. Research conducted in LMICs settings, involving local clinicians, considering local context and investigating local solutions are urgently needed.

Methods

This scoping review aimed to identify and synthesise current evidence on management of clinical comorbidities in children with CP in LMICs. The Joanna Briggs Institute guidelines were followed for the data extraction and analysis phases. The following questions guided the scoping review: What are the main clinical comorbidities in children with CP? What are the gold standards for diagnosis and treatment of these comorbidities? What options do we have to diagnose and treat these comorbidities in LMICs when gold standards are not available?

Results

A total of 22 188 citations were identified by our search strategy, with 21 380 remaining after the removal of 808 duplicates. After screening titles and abstracts, 1918 citations progressed to full text review. A total of 194 articles met the eligibility criteria and were included in the review. The guiding questions of the review were answered for the following morbidities: respiratory impairments, dysphagia and aspiration, gastroesophageal reflux disease, drooling, obstructive sleep apnea syndrome, malnutrition, constipation, epilepsy, sleep disorders, spasticity, dystonia, pain, hip disorders, scoliosis and osteoporosis.

Conclusion

This article highlights the need for interventions adapted to the realities of LMICs. Empowering paediatricians and healthcare professionals in LMICs is crucial for early diagnosis and proactive interventions. Specific guidelines for LMICs can better guide professionals in managing these complex conditions.

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引用次数: 0

Effect of Telerehabilitation on Handwriting Performance in Children With Attention Deficit Hyperactivity Disorder: Randomized Controlled Trial 远程康复训练对注意力缺陷多动障碍儿童手写能力的影响：随机对照试验

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-20 DOI: 10.1111/cch.70055

Büşra Kaplan Kılıç, Gonca Bumin, Hakan Öğütlü

Background

Children with attention deficit hyperactivity disorder (ADHD) frequently encounter challenges in their fine motor skills, an area that therapists target for enhancement through therapeutic interventions. This study aimed to effect of telerehabilitation on handwriting performance in children with ADHD.

Methods

In this randomized controlled trial, 70 children (33 girls and 37 boys) with ADHD aged between 6 and 8 years were randomly assigned to intervention and control groups. Fine motor skills and handwriting performance of both groups were evaluated pre–post-intervention using the Bruininks-Oseretsky Test of Motor Proficiency-2nd Edition (BOT-2) and Minnesota Handwriting Assessment (MHA) tests. The intervention group received fine motor skills training through telerehabilitation for 8 weeks, 3 days a week, 40 min each session (totalling 24 sessions). The control group was placed on a waiting list for 8 weeks and did not receive any intervention. Statistical methods analysed changes within and between groups pre–post-intervention.

Results

In the intervention group, intra-group change pre–post-intervention was observed in all subdomains of MHA except legibility (p < 0.05). Compared with the control group, the intervention group showed significant differences in BOT-2 and MHA's subdomains.

Discussion

The results of this study suggest that fine motor skills training through telerehabilitation may be effective in improving the handwriting performance of children with ADHD.

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引用次数: 0

Environmental Factors Linked to Birth Outcomes in Urban Localities Across Argentina

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-20 DOI: 10.1111/cch.70054

Micaela Natalia Campero, María Dolores Román, Carlos Marcelo Scavuzzo

Background

The impact of environmental factors on health is a key focus in public health research. More studies are needed to explore how environmental determinants influence birth outcomes. This study investigates the regional relationship between environmental conditions and birth outcomes in urban areas of Argentina during 2018–2019.

Methods

Data from 657 urban localities were analyzed. Prevalence rates of low birth weight (LBW), macrosomia, preterm births (PTB), and small for gestational age (SGA) births were calculated using data from the Health Statistics and Information Division. Environmental data were obtained from satellite sources. A principal component analysis with varimax rotation was applied to 22 environmental variables using Stata v15. The Kaiser–Meyer–Olkin (KMO) test evaluated sampling adequacy, and factor scores were calculated using regression analysis. Spatial distributions were mapped in QGIS 3.28, and clusters of environmental factors were identified through optimized hotspot analysis in ArcGIS Pro 3.2. Correlations between environmental factors and birth outcomes were assessed using correlograms in RStudio (p < 0.05).

Results

The spatial distribution of birth outcomes varied across the country. The analysis identified five factors, with a KMO score of 0.73. Spatial clustering was observed for all factors, with Pampeana and northern regions of Argentina showing the strongest adherence. Factor 1 (related to urban expansion) and Factor 3 (associated with high temperature) showed positive correlations with all birth outcomes. Factor 2 (favorable for vegetation) positively correlated with LBW and SGA births but negatively with macrosomia. Factor 4 (linked to extensive agriculture) was positively associated with LBW and PTB. Factor 5 (PM10 concentration) negatively correlated with macrosomia and SGA births.

Conclusion

This study provides new insights into environmental determinants of birth outcomes. Regional analysis of these factors is essential for evidence-based decision-making, particularly in climate change context.

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引用次数: 0

Psychosocial Functioning for Preschool-Aged Siblings of Children With Chronic Disorders: A Scoping Review

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-18 DOI: 10.1111/cch.70039

Caitlin M. Prentice, Krister Fjermestad, Yngvild Bjartveit Haukeland, Torun M. Vatne

Background

School-aged siblings of children with chronic disorders, including somatic, neurodevelopmental and psychological diagnoses, are at a small but significant risk of experiencing psychosocial difficulties. It is unclear whether this is the case for such siblings when they are preschool age.

Objective

This scoping review examined research describing psychosocial challenges and adaptation among preschool-aged children who have a sibling with a chronic disorder, and interventions aimed to serve this population.

Design

We searched online databases for peer-reviewed studies published between 1998 and 2024 and identified 18 studies that reported psychosocial functioning such as psychological states, mental health variables and descriptions of experiences for 3- to 6-year-olds who were siblings of children with a neurodevelopmental disorder, somatic illness, mental illness or rare genetic disorder.

Results

Of the 18 studies included, 15 were related to siblings of autistic children, and 12 of these aimed to study the development of autism in infants. Only two intervention studies were identified, and these had very small samples with maximum three participants in the 3- to 6-year-old age range.

Conclusions

Results across the included studies suggest that preschool-aged siblings may be at an increased risk of psychosocial difficulties, but it was difficult to draw definitive conclusions due to the large proportion of included studies related to the development of autism and the heterogeneity of study types represented. Future research should focus on the psychosocial functioning of preschool-aged siblings and target preschool-aged siblings of children with chronic disorders beyond autism.

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引用次数: 0

Needs and Expectations of Nurse-Led Digital Support Among Parents of Children in Child Health Care

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-14 DOI: 10.1111/cch.70032

Lotha Valan, Ulf Isaksson, Åsa Hörnsten

Introduction

Sweden has an extensive national child health care programme (CHCP) implying that all parents are offered support to raise their children and support them for healthy development. The programme is today built on personal physical contacts and digital components unusual. Although the digital world could be frightening and insecure, it also has benefits, because it is not dependent on face-to face meetings and is accessible more hours. In order to develop a digital channel to complement the CHPC, for the support of parents of children within child health care (CHC), parents' perspectives must be investigated. The aim of the study was therefore to describe parents' needs and expectations of digital support in the context of child health care.

Methods

The study had a qualitative approach using workshop discussions with parents as data. The interview data were analysed using qualitative content analysis.

Results

The main theme highlights that parents expected that a digital support channel would be something that might strengthen them towards independence concerning the care of their children, in a positive way. However, they also felt that they needed personal support and that relationships with other parents and the child health care nurse were significant and meaningful. Another parental desire that emerged was that a future digital channel would facilitate and simplify access to care and they suggested having both planned and urgent times available for parents to book. The digital channel was expected to make this possible and be a good complement to the physical contacts the traditional child health care currently offers.

Discussion/Conclusions

The parents in this study believed that digital solutions could increase their parental power in relation to the care of their children. Examples were given as digital nurse-led parent groups where parents with similar problems and experiences around their children could support each other and were expected to strengthen them over time. The parents stressed that a planned digital support channel also needs satisfactory solutions for both contact and response and have bookable digital meetings for both planned and urgent needs.

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引用次数: 0

Barriers and Facilitators of Home Programmes in Children With Cerebral Palsy: A Systematic Review and a Metasynthesis

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-12 DOI: 10.1111/cch.70049

Mª. Inmaculada Medina-Valera, Aarón Fernández-Del Olmo, Elena Pinero-Pinto

Introduction

One of the treatments with the greater scientific support for children with cerebral palsy (CP) are home programmes (HP). However, its implementation may be complex in some cases. A systematic review was conducted to explore the existing literature on the following question: What are the barriers and facilitators to implementing HP for children with CP?

Material and Methods

The articles were extracted from the Web of Science (WoS), Scopus, ERIC, PubMed and CINAHL databases. Inclusion criteria: articles based on therapies conducted at home, for children with CP aged 0–8 years and their families, published in English and Spanish. Exclusion criteria: reviews, studies of cases and controls and one-case studies. The risk of bias was assessed through Cochrane tools Risk of Bias (RoB) I, RoB 2 and RoB E.

Results

Twenty-one articles were selected from a total of 1.336, with 523 families and professionals. A qualitative research was carried out through content analysis using inductive coding and subsequent analytical categorization within an interpretative paradigm. Six themes were obtained: participation, personal cost and social support, family impact, training, professional role and efficacy. The quantitative results were analysed descriptively. They address HP research in a superficial manner.

Conclusions

Barriers: lack of time or availability to attend to the children one by one, poor economic and social support networks and sensitive emotional situation. Facilitators: training, adapted treatment objectives, activities within the daily routine and fluid family-professional communication. Limitation: Only one article could be found that analysed family variables, considering the possible confounding variables. There is no funding source for this review. Registered in PROSPERO with code number: CRD42023477735.

{"title":"Barriers and Facilitators of Home Programmes in Children With Cerebral Palsy: A Systematic Review and a Metasynthesis","authors":"Mª. Inmaculada Medina-Valera, Aarón Fernández-Del Olmo, Elena Pinero-Pinto","doi":"10.1111/cch.70049","DOIUrl":"https://doi.org/10.1111/cch.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>One of the treatments with the greater scientific support for children with cerebral palsy (CP) are home programmes (HP). However, its implementation may be complex in some cases. A systematic review was conducted to explore the existing literature on the following question: What are the barriers and facilitators to implementing HP for children with CP?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>The articles were extracted from the Web of Science (WoS), Scopus, ERIC, PubMed and CINAHL databases. Inclusion criteria: articles based on therapies conducted at home, for children with CP aged 0–8 years and their families, published in English and Spanish. Exclusion criteria: reviews, studies of cases and controls and one-case studies. The risk of bias was assessed through Cochrane tools Risk of Bias (RoB) I, RoB 2 and RoB E.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-one articles were selected from a total of 1.336, with 523 families and professionals. A qualitative research was carried out through content analysis using inductive coding and subsequent analytical categorization within an interpretative paradigm. Six themes were obtained: participation, personal cost and social support, family impact, training, professional role and efficacy. The quantitative results were analysed descriptively. They address HP research in a superficial manner.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Barriers: lack of time or availability to attend to the children one by one, poor economic and social support networks and sensitive emotional situation. Facilitators: training, adapted treatment objectives, activities within the daily routine and fluid family-professional communication. Limitation: Only one article could be found that analysed family variables, considering the possible confounding variables. There is no funding source for this review. Registered in PROSPERO with code number: CRD42023477735.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigation of Complementary Feeding Transition Behaviours in Mothers in the Process of Transition to Complementary Feeding: A Cross-Sectional Study

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-11 DOI: 10.1111/cch.70043

Fatma Şule Bilgiç

Background

The transition to complementary feeding directly affects child health. In this period, economic and cultural factors affect the transition to complementary feeding. The aim of this study was to investigate the transition behaviours of mothers with 6-month-old babies who were in the process of transition to complementary feeding.

Method

The cross-sectional study was conducted between February and April 2024. The study sample consisted of 721 mothers with 6-month-old babies. The data were obtained through snowball sampling method on the online platform. The study focused on mothers' demographic and Transition to Complementary Feeding Behaviors Scale (TCFBS) results. Data were obtained on an online platform. Difference, correlation and regression analyses were performed.

Results

The mean age of the mothers included in the study was 27.58 ± 3.87. The TCFBS total score of the mothers included in the study was 92.01 ± 15.18. There was a statistically significant difference between the education and income status of the mothers and the gender of the baby and TCFBS total score (p < 0.05). According to the regression analysis, it is possible to explain approximately 46.4% of the variable of transition behaviour to complementary feeding in dependent mothers with the gender of the baby and the educational status of the mother.

Conclusion

Complementary feeding transition behaviour of mothers in the process of transition to complementary feeding was found to be positive. It was found that the complementary feeding behaviour of the mothers was affected by the gender of the baby and education, and the transition to complementary feeding behaviours of mothers with female babies and university graduates were positive. It can be said that mothers need care and counselling from midwives and nurses in this period.

{"title":"Investigation of Complementary Feeding Transition Behaviours in Mothers in the Process of Transition to Complementary Feeding: A Cross-Sectional Study","authors":"Fatma Şule Bilgiç","doi":"10.1111/cch.70043","DOIUrl":"https://doi.org/10.1111/cch.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The transition to complementary feeding directly affects child health. In this period, economic and cultural factors affect the transition to complementary feeding. The aim of this study was to investigate the transition behaviours of mothers with 6-month-old babies who were in the process of transition to complementary feeding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The cross-sectional study was conducted between February and April 2024. The study sample consisted of 721 mothers with 6-month-old babies. The data were obtained through snowball sampling method on the online platform. The study focused on mothers' demographic and Transition to Complementary Feeding Behaviors Scale (TCFBS) results. Data were obtained on an online platform. Difference, correlation and regression analyses were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the mothers included in the study was 27.58 ± 3.87. The TCFBS total score of the mothers included in the study was 92.01 ± 15.18. There was a statistically significant difference between the education and income status of the mothers and the gender of the baby and TCFBS total score (<i>p</i> < 0.05). According to the regression analysis, it is possible to explain approximately 46.4% of the variable of transition behaviour to complementary feeding in dependent mothers with the gender of the baby and the educational status of the mother.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Complementary feeding transition behaviour of mothers in the process of transition to complementary feeding was found to be positive. It was found that the complementary feeding behaviour of the mothers was affected by the gender of the baby and education, and the transition to complementary feeding behaviours of mothers with female babies and university graduates were positive. It can be said that mothers need care and counselling from midwives and nurses in this period.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Affiliate Stigma and Its Predictors in Parents of Children With Autism in the Early Post-diagnosis Phase

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-11 DOI: 10.1111/cch.70048

Yao Wei, Yan Ji, Miaoying Chen, Tao Deng, Shaofei Liu, Yushen Dai, Lifeng Zhang

Background

Affiliated stigma refers to internalized stigma among family members of stigmatized individuals. Affiliate stigma experienced by parents of children with autism plays a vital role in both the child's rehabilitation and the parents' well-being, whereas the affiliate stigma and its possible predictors need to be further examined.

Aims

The study aims to describe the characteristics of affiliate stigma experienced by parents of children with autism in the early post-diagnosis period and to explore its predictors.

Methods

The study was conducted from September 2020 to March 2022 in Guangzhou, China. Participants included 116 parents of children newly diagnosed with autism who completed baseline self-report measures of affiliate stigma (Affiliate Stigma Scale [ASS]), coping style (Simplified Coping Style Questionnaire [SCSQ]) and social support (Social Support Rating Scale [SSRS]) at the initial diagnosis (T1) and 1-year follow-up (T2). Autism features were assessed by parents using the Autism Behavior Checklist at T1. Generalized estimating equations were used to identify the key predictors of affiliate stigma.

Results

Scores for parental affiliate stigma were 43.4 ± 13.7 at the initial diagnosis and 44.7 ± 15.9 one year later. Parents of children with siblings or co-occurring conditions experienced higher levels of affiliate stigma, and negative coping styles and lower levels of subjective support predicted higher affiliate stigma during the first year after autism diagnosis.

Conclusions

Parents experienced moderate and stable affiliate stigma during the first year after their children's autism diagnosis, especially those with children who have siblings or co-occurring conditions and thus need additional support. Interventions should be focused on reducing negative coping and providing more subjective social support.

{"title":"Affiliate Stigma and Its Predictors in Parents of Children With Autism in the Early Post-diagnosis Phase","authors":"Yao Wei, Yan Ji, Miaoying Chen, Tao Deng, Shaofei Liu, Yushen Dai, Lifeng Zhang","doi":"10.1111/cch.70048","DOIUrl":"https://doi.org/10.1111/cch.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Affiliated stigma refers to internalized stigma among family members of stigmatized individuals. Affiliate stigma experienced by parents of children with autism plays a vital role in both the child's rehabilitation and the parents' well-being, whereas the affiliate stigma and its possible predictors need to be further examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The study aims to describe the characteristics of affiliate stigma experienced by parents of children with autism in the early post-diagnosis period and to explore its predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted from September 2020 to March 2022 in Guangzhou, China. Participants included 116 parents of children newly diagnosed with autism who completed baseline self-report measures of affiliate stigma (Affiliate Stigma Scale [ASS]), coping style (Simplified Coping Style Questionnaire [SCSQ]) and social support (Social Support Rating Scale [SSRS]) at the initial diagnosis (T1) and 1-year follow-up (T2). Autism features were assessed by parents using the Autism Behavior Checklist at T1. Generalized estimating equations were used to identify the key predictors of affiliate stigma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Scores for parental affiliate stigma were 43.4 ± 13.7 at the initial diagnosis and 44.7 ± 15.9 one year later. Parents of children with siblings or co-occurring conditions experienced higher levels of affiliate stigma, and negative coping styles and lower levels of subjective support predicted higher affiliate stigma during the first year after autism diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents experienced moderate and stable affiliate stigma during the first year after their children's autism diagnosis, especially those with children who have siblings or co-occurring conditions and thus need additional support. Interventions should be focused on reducing negative coping and providing more subjective social support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship Between Family Functioning and Depressive Symptoms in Primary School Children: The Mediating Role of Friendship Quality and the Moderating Role of Teacher–Student Relationship

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-02-10 DOI: 10.1111/cch.70050

Qin Yang, Yachun Ai, Yan Chi, Xuanru Guo, Shuangjin Liu, Qi Qi, Yiqiu Hu

Background

This study drew on social ecosystem theory, the comprehensive model of family socialization and the multiple-attachment theory to explore three key aspects: the association between family functioning and depressive symptoms in primary school children, the mediating role of friendship quality and the moderating role of teacher–student relationship in these associations.

Methods

A total of 1024 students in Grades 4 through 6 from five schools in Hunan Province were surveyed using the Short Form of the Center for Epidemiological Studies Depression Scale, the Family Caring Index Questionnaire, the Friendship Quality Questionnaire (FQQ) and teacher–student relationship Subscale of the ‘My Class’ questionnaire.

Results

(1) Depressive symptoms were significantly negatively correlated with family functioning, friendship quality, and teacher–student relationship. (2) Family functioning was significantly associated with depressive symptoms in primary school children. (3) Friendship quality mediated the relationship between family functioning and depressive symptoms. (4) Teacher–student relationship moderated the relationship between family functioning and friendship quality, as well as between friendship quality and depressive symptoms in primary school children.

Conclusions

Effective family functioning was significantly associated with improved friendship quality in primary school children, which in turn was associated with lower depressive symptoms. This association was further strengthened by a positive teacher–student relationship. These findings provide valuable insights for developing collaborative interventions within the family–school framework to address childhood depression.

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引用次数: 0