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应对慢性病家庭中父母幸福感的微观发展视角。

A micro-developmental view of parental well-being in families coping with chronic illness.

作者信息

Queen Tara L, Butner Jonathan, Wiebe Deborah J, Berg Cynthia A

机构信息

Department of Psychology, University of Utah.

Psychological Sciences, University of California, Merced.

出版信息

J Fam Psychol. 2016 Oct;30(7):843-853. doi: 10.1037/fam0000201. Epub 2016 May 5.

Abstract

Families are coregulating systems in which the daily experiences of 1 member affect the well-being of another member of the family. We examined daily, microdevelopmental processes by modeling the associations between adolescents' daily problems and emotional experiences in managing Type 1 diabetes and changes in parental negative and positive affect surrounding the illness. Using a daily diary method, 161 mothers (M age = 40 years), fathers (M age = 42 years), and early adolescents (M age = 12.4 years) rated their negative and positive emotions surrounding diabetes for 14 days. Adolescents reported, via a checklist, the number of problems they experienced in managing diabetes each day. Using dynamical systems modeling, we found that adolescents' problems and emotions were related to changes in their parents' reports of negative affect, though differently for mothers and fathers. On days when adolescents reported more problems, father's affect changed more slowly back to homeostasis. Adolescents' problems were not associated with change in mother's negative affect, but when adolescents reported greater negative daily affect, mothers were drawn to greater negative affect, displaying a higher set point. Models accounting for parental coupling effects suggested that when adolescents reported more negative affect, mother's affect changed more slowly back to homeostasis. Neither adolescents' problems nor their emotions were associated with changes in mother's or father's reports of daily positive affect. These results indicate different temporal patterns in mother's and father's negative affect that illustrate how mothers, fathers, and adolescents react differently to chronic illness within the family system. (PsycINFO Database Record

摘要

家庭是共同调节的系统,其中一名成员的日常经历会影响家庭中另一名成员的幸福。我们通过对青少年日常问题与1型糖尿病管理中的情绪体验之间的关联以及围绕该疾病的父母负面和正面情绪变化进行建模,来研究日常的微观发展过程。采用每日日记法,161名母亲(平均年龄 = 40岁)、父亲(平均年龄 = 42岁)和青少年早期(平均年龄 = 12.4岁)对他们围绕糖尿病的负面和正面情绪进行了14天的评分。青少年通过清单报告他们每天在糖尿病管理中遇到的问题数量。使用动态系统建模,我们发现青少年的问题和情绪与父母负面情绪报告的变化有关,不过母亲和父亲的情况有所不同。在青少年报告问题较多的日子里,父亲的情绪恢复到平衡状态的速度更慢。青少年的问题与母亲负面情绪的变化无关,但当青少年报告每天有更大的负面情绪时,母亲会被吸引到更大的负面情绪中,表现出更高的设定点。考虑到父母耦合效应的模型表明,当青少年报告更多负面情绪时,母亲的情绪恢复到平衡状态的速度更慢。青少年的问题和情绪都与母亲或父亲每日正面情绪报告的变化无关。这些结果表明母亲和父亲负面情绪的不同时间模式,说明了母亲、父亲和青少年在家庭系统中对慢性病的反应有何不同。(PsycINFO数据库记录

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