儿童食物过敏与心理社会功能：探究母亲苦恼和过度保护的潜在调节作用。
Pediatric Food Allergies and Psychosocial Functioning: Examining the Potential Moderating Roles of Maternal Distress and Overprotection.
作者信息
Chow Candice, Pincus Donna B, Comer Jonathan S
机构信息
Division of Pediatric Psychosocial Oncology, Dana-Farber Cancer Institute, Harvard Medical School,
Department of Psychology, Center for Anxiety and Related Disorders (CARD), Boston University, and.
出版信息
J Pediatr Psychol. 2015 Nov-Dec;40(10):1065-74. doi: 10.1093/jpepsy/jsv058. Epub 2015 Jun 18.
Abstract
OBJECTIVES
Identify factors associated with maternal perceptions of health-related quality of life (QoL) among youth with food allergies (FA), and identify maternal factors that may moderate relationships between FA-related challenges and child QoL.
METHODS
In all, 533 mothers of children with FA completed measures assessing characteristics of their child's FA, maternal perceptions of child QoL, maternal psychological distress, and maternal overprotection.
RESULTS
FA severity, maternal psychological distress, and overprotection were significantly associated with maternal reports of poorer child functioning and/or poorer QoL among youth with FA. Hierarchical linear regression analyses showed an FA severity by maternal distress interaction in the prediction of child FA-related anxiety; children of higher stress mothers showed a stronger link between auto-injector use and anxiety than children of lower stress mothers.
CONCLUSIONS
When identifying youth with FA who are at risk for low QoL, it is important to assess history of FA-related challenges, parental psychological distress, and overprotection.
摘要
目的
确定与食物过敏（FA）青少年母亲对健康相关生活质量（QoL）认知相关的因素，并确定可能调节FA相关挑战与儿童生活质量之间关系的母亲因素。
方法
共有533名FA儿童的母亲完成了评估其孩子FA特征、母亲对儿童生活质量的认知、母亲心理困扰和母亲过度保护的测量。
结果
FA严重程度、母亲心理困扰和过度保护与母亲报告的FA青少年儿童功能较差和/或生活质量较差显著相关。分层线性回归分析显示，在预测儿童FA相关焦虑方面，FA严重程度与母亲困扰存在交互作用；压力较大母亲的孩子在使用自动注射器与焦虑之间的联系比压力较小母亲的孩子更强。
结论
在识别有低生活质量风险的FA青少年时，评估FA相关挑战史、父母心理困扰和过度保护很重要。
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