脊柱裂青少年的自我管理、家庭功能满意度与心理症状进程。
Self-management, satisfaction with family functioning, and the course of psychological symptoms in emerging adults with spina bifida.
机构信息
School of Social Work, University of Maryland, Baltimore, MD 21201, USA.
出版信息
J Pediatr Psychol. 2013 Jan-Feb;38(1):50-62. doi: 10.1093/jpepsy/jss095. Epub 2012 Sep 12.
OBJECTIVE
To explore psychological symptoms in emerging adults with spina bifida (SB) and their association with self-management and satisfaction with family functioning.
METHODS
Longitudinal data were collected at 2 time points, 15 months apart, in 48 individuals with SB. Reliable change indices and paired samples t-tests assessed change in anxiety and depressive symptoms. Hierarchical regression models explored the contributions of SB severity, family satisfaction, and self-management in explaining change in psychological symptoms.
RESULTS
No significant group level differences in psychological symptoms were found across time in participants (Mean age 22 years), but significant individual-level change in anxiety symptoms (n = 13) and depressive symptoms (n = 9) was observed. Improved satisfaction with family functioning was associated with decreased anxiety symptoms (b = -0.30, p = .02), and increased SB self-management was related to reduced depressive symptoms (b = -0.63, p = .01).
CONCLUSIONS
Changes in self-management and satisfaction with family functioning may influence the course of psychological symptoms.
目的
探讨新成年脊柱裂（SB）患者的心理症状及其与自我管理和家庭功能满意度的关系。
方法
在 15 个月的 2 个时间点，对 48 名 SB 患者进行了纵向数据收集。可靠变化指数和配对样本 t 检验评估了焦虑和抑郁症状的变化。分层回归模型探讨了 SB 严重程度、家庭满意度和自我管理对解释心理症状变化的贡献。
结果
在参与者（平均年龄 22 岁）中，在时间上没有发现心理症状的显著组间差异，但观察到焦虑症状（n = 13）和抑郁症状（n = 9）的显著个体水平变化。家庭功能满意度的提高与焦虑症状的减少有关（b = -0.30，p =.02），SB 自我管理的增加与抑郁症状的减少有关（b = -0.63，p =.01）。
结论
自我管理和家庭功能满意度的变化可能会影响心理症状的发展。
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