Department of Medical Humanities and Social Sciences, Florida State University College of Medicine, Tallahassee, FL 32306-4300, USA.
J Pediatr Psychol. 2012 Jul;37(6):605-11. doi: 10.1093/jpepsy/jss063. Epub 2012 Apr 19.
To demonstrate the use of the actor-partner interdependence model (APIM) of dyadic relationships in a sample of children with cystic fibrosis (CF) and their caregivers.
Multilevel modeling evaluated relations between health-related quality of life (HRQOL) and anxiety in 29 child-caregiver dyads. The following effects were evaluated: actor and partner, and the respondent (i.e., child or caregiver) × HRQOL interaction.
This study demonstrated a practical application of the APIM. Significant actor effects were found (i.e., lower child HRQOL was associated with increased child anxiety, caregiver anxiety increased as caregiver perceptions of their child's HRQOL decreased), but not partner effects. The significant interaction indicated that the effects were different for children and caregivers.
The APIM has the potential to increase pediatric researchers' understanding of how social relationships and environments impact health outcomes. Future research should consider using dyadic data analysis when youth and caregiver data are available.
在囊性纤维化（CF）患儿及其照顾者样本中展示使用对偶关系的演员-伙伴相互依存模型（APIM）。
多层次模型评估了 29 对儿童-照顾者的健康相关生活质量（HRQOL）和焦虑之间的关系。评估了以下效果：演员和伙伴，以及受访者（即儿童或照顾者）×HRQOL 相互作用。
本研究展示了 APIM 的实际应用。发现了显著的演员效应（即，儿童的 HRQOL 较低与儿童焦虑增加有关，照顾者对其儿童 HRQOL 的看法降低时，照顾者的焦虑会增加），但没有伙伴效应。显著的相互作用表明，对儿童和照顾者的影响不同。
APIM 有可能增加儿科研究人员对社会关系和环境如何影响健康结果的理解。当有青年和照顾者的数据时，未来的研究应考虑使用对偶数据分析。
