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影响中国哮喘儿童照料者心理健康的因素:家庭社会经济地位、症状控制、羞耻倾向及家庭功能的作用

Factors impacting the mental health of the caregivers of children with asthma in china: effects of family socioeconomic status, symptoms control, proneness to shame, and family functioning.

作者信息

Zhou Ting, Yi Chunli, Zhang Xuxia, Wang Yuyin

机构信息

School of Management, Beijing University of Chinese Medicine, Beijing, China; Department of Psychology, Peking University, Beijing, China.

出版信息

Fam Process. 2014 Dec;53(4):717-30. doi: 10.1111/famp.12099. Epub 2014 Sep 9.

DOI:10.1111/famp.12099
PMID:25201057
Abstract

Caregiver mental health is widely considered to be an important factor influencing children's asthma symptoms. The present study aimed to examine key factors that contribute to caregiver mental health in pediatric asthma with a Chinese sample. Two hundred participants reported their family socioeconomic status (SES), proneness to shame, asthma symptoms control of their child, family functioning, and their depression and anxiety symptoms. Results suggested that low family SES, low family functioning, and a high level of shame proneness were associated with high levels of anxiety and depression for caregivers. Family functioning mediated the effects of SES and shame on caregiver mental health and also moderated the effects of SES and shame on caregiver depression. This study highlights the importance of reducing experience of shame and enhancing family functioning in families affected by pediatric asthma.

摘要

照顾者的心理健康被广泛认为是影响儿童哮喘症状的一个重要因素。本研究旨在通过一个中国样本,探讨导致儿科哮喘照顾者心理健康的关键因素。200名参与者报告了他们的家庭社会经济地位(SES)、羞耻倾向、孩子的哮喘症状控制情况、家庭功能以及他们的抑郁和焦虑症状。结果表明,家庭SES低、家庭功能差以及羞耻倾向程度高与照顾者的高焦虑和高抑郁水平相关。家庭功能介导了SES和羞耻对照顾者心理健康的影响,同时也调节了SES和羞耻对照顾者抑郁的影响。本研究强调了在受儿科哮喘影响的家庭中减少羞耻体验和增强家庭功能的重要性。

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