Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
Fam Process. 2012 Dec;51(4):557-69. doi: 10.1111/j.1545-5300.2012.01416.x. Epub 2012 Sep 20.
This cross-sectional study explored the relationships among family ritual meaning, cohesion, conflict, and health-related quality of life (both specific to chronic health conditions and in general), and the emotional and behavioral problems reported by youths with asthma. Participants included 149 Portuguese children and adolescents between the ages of 8 and 18 who had been diagnosed with asthma and attended outpatient services at three public hospitals. The results showed that stronger family ritual meaning predicted a more positive family environment (i.e., higher cohesion levels and lower conflict levels), better health-related quality of life, and fewer emotional and behavior problems in youths. Furthermore, family cohesion and conflict mediated the links between family ritual meaning and health-related quality of life, and emotional and behavioral problems. These results did not change after controlling for participant age, gender, and asthma severity. The findings of this study suggest that family ritual meaning contributes to the adaptation of youths with asthma via its positive association with the family environment. The implications for multicontextual interventions with families are briefly discussed with regard to the positive role of family rituals and of their potential as a modifiable factor in families with increased health challenges.
这项横断面研究探讨了家庭仪式意义、凝聚力、冲突与青少年哮喘患者的健康相关生活质量（包括特定慢性健康状况和一般健康状况）以及报告的情绪和行为问题之间的关系。参与者包括 149 名年龄在 8 至 18 岁之间的葡萄牙儿童和青少年，他们被诊断患有哮喘，并在三家公立医院的门诊接受治疗。结果表明，更强的家庭仪式意义预示着更积极的家庭环境（即更高的凝聚力水平和更低的冲突水平）、更好的健康相关生活质量以及青少年中更少的情绪和行为问题。此外，家庭凝聚力和冲突在家庭仪式意义与健康相关生活质量以及情绪和行为问题之间起中介作用。在控制了参与者的年龄、性别和哮喘严重程度后，这些结果并未改变。这项研究的结果表明，家庭仪式意义通过与家庭环境的积极关联，促进了哮喘青少年的适应。简要讨论了多背景家庭干预的意义，因为家庭仪式具有积极作用，并且作为具有更高健康挑战的家庭的一个可改变因素具有潜力。
