Department of Family & Child Sciences, The Florida State University, Tallahassee, FL 32306, USA.
J Pediatr Psychol. 2012 May;37(4):404-13. doi: 10.1093/jpepsy/jsr104. Epub 2011 Dec 13.
To further test the validity of the Biobehavioral Family Model (BBFM), a biopsychosocial approach to explaining the effects of family processes on illness, by testing the model with adolescents with asthma involved in child protective services (CPS), a sample for whom the model's constructs are highly relevant.
Data are from the National Survey of Child and Adolescent Well-Being, CPS sample (n = 5,501). Adolescents with asthma (n = 101, ages 11-15 years) self-reported their negative family emotional climate (NFEC; caregiver psychological aggression and caregiver relationship quality), caregiver-adolescent relational security, and depressive symptoms. Caregivers rated adolescent health quality. Models were tested using path analyses and bootstrapping.
Path analyses and bootstrapping results demonstrate support for the BBFM in explaining health quality for this sample.
Applying the BBFM to families involved with CPS demonstrates pathways by which family processes affect health quality of adolescents with asthma, underscoring the need for biopsychosocial assessments and services.
通过对参与儿童保护服务（CPS）的青少年哮喘患者进行测试，进一步检验生物心理社会家庭模型（BBFM）的有效性，该模型是一种解释家庭过程对疾病影响的生物心理社会方法，该模型的结构对这一患者群体具有高度相关性。
数据来自国家儿童和青少年福利调查，CPS 样本（n=5501）。患有哮喘的青少年（n=101，年龄 11-15 岁）自我报告了他们的负面家庭情感氛围（NFEC；照顾者心理攻击和照顾者关系质量）、照顾者-青少年关系安全感和抑郁症状。照顾者评估青少年的健康质量。使用路径分析和自举法检验模型。
路径分析和自举结果表明，该模型支持解释该样本的健康质量。
将 BBFM 应用于参与 CPS 的家庭，展示了家庭过程影响哮喘青少年健康质量的途径，强调了进行生物心理社会评估和服务的必要性。
