Karen J. Foli, PhD, RN, is Assistant Professor, School of Nursing and College of Health and Human Sciences; Eunjung Lim, PhD, is Postdoctoral Research Associate, School of Nursing; Susan C. South, PhD, is Assistant Professor, Psychological Sciences; and Laura P. Sands, PhD, is Katherine Birck Professor of Nursing, School of Nursing, Purdue University, West Lafayette, Indiana.
Nurs Res. 2014 Jan-Feb;63(1):14-25. doi: 10.1097/NNR.0000000000000006.
Most of the 2 million adoptive parents in the United States make the transition to parenting successfully. Adoptive parents who do not make the transition easily may put their children at risk for negative outcomes.
The aim of this study was to further refine Foli's midrange theory of postadoption depression, which postulates that fulfillment of expectations is a principal contributor to parental emotional health status, aggravation, and bonding.
The linked dataset (National Survey of Children's Health and National Survey of Adoptive Parents) was used for structural equation modeling. The sample consisted of 1,426 parents with adopted children who had been placed in the home more than 2 years before survey completion.
Special services and child's behaviors were direct determinants of parental expectations, and parental expectations were direct determinants of parental aggravation and parentalbonding. As anticipated, parental expectations served as a mediator between child-related variables and parental outcomes. A path was also found between child's behaviors and special services and parental emotional health status. Child's past trauma was also associated with parental bonding.
Parental expectations showed direct relationships with the latent variables of parental aggravation and bonding. Future research should examine factors associated with early transition when children have been in the adoptive home less than 2 years and include specific expectations held by parents.
在美国,200 万养父母中的大多数都成功地完成了向父母角色的转变。那些难以顺利过渡的养父母可能会使他们的孩子面临负面后果的风险。
本研究旨在进一步完善福利的收养后抑郁中期理论,该理论假设期望的满足是父母情绪健康状况、恶化和结合的主要贡献者。
使用连锁数据集(全国儿童健康调查和全国收养父母调查)进行结构方程建模。样本由 1426 名有收养子女的父母组成,这些子女在调查完成前 2 年以上被安置在家庭中。
特殊服务和孩子的行为是父母期望的直接决定因素,而父母期望是父母恶化和父母结合的直接决定因素。正如预期的那样,父母期望在儿童相关变量和父母结果之间起到中介作用。还发现了孩子的行为和特殊服务与父母情绪健康状况之间的路径。孩子过去的创伤也与父母的结合有关。
父母期望与父母恶化和结合的潜在变量有直接关系。未来的研究应该研究当孩子在收养家庭中不到 2 年时与早期过渡相关的因素,并包括父母持有的具体期望。