患有复杂慢性健康状况儿童的兄弟姐妹：母亲创伤后成长是儿童行为问题变化的预测因素。
Siblings of Children With a Complex Chronic Health Condition: Maternal Posttraumatic Growth as a Predictor of Changes in Child Behavior Problems.
机构信息
Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, British Columbia, Canada.
School of Nursing, York University, Toronto, Ontario, Canada.
出版信息
J Pediatr Psychol. 2017 Jan 1;42(1):104-113. doi: 10.1093/jpepsy/jsw053.
OBJECTIVE
The present study examined the role of maternal posttraumatic growth in changes in behavioral problems among the siblings of children with complex chronic health conditions.
METHODS
Data were collected from a sample of 70 siblings from 58 families with at least one child diagnosed with a life-threatening genetic, metabolic, or neurological condition. Every 6 months for up to 4 years, sibling behavior problems were assessed through both parent-reports and youth self-reports. At each visit, mothers also completed self-reports of posttraumatic growth.
RESULTS
Time-lagged multilevel regression analyses revealed that higher levels of maternal posttraumatic growth predicted subsequent declines in parent-reported internalizing, externalizing, and total behavior problems among healthy siblings. These findings were partially replicated using youth self-reports of their own behavior problems.
CONCLUSION
The findings suggest that the benefits of posttraumatic growth may extend beyond the self to other family members, particularly to children in the family.
目的
本研究考察了母亲创伤后成长在患有复杂慢性健康状况儿童的兄弟姐妹的行为问题变化中的作用。
方法
本研究的数据来自 58 个家庭的 70 名兄弟姐妹，每个家庭至少有一个孩子被诊断患有危及生命的遗传、代谢或神经疾病。在长达 4 年的时间里，每 6 个月通过父母报告和青少年自我报告评估一次兄弟姐妹的行为问题。每次就诊时，母亲还完成了创伤后成长的自我报告。
结果
时滞多层回归分析显示，母亲创伤后成长水平越高，健康兄弟姐妹的父母报告的内化、外化和总行为问题随后的下降幅度越大。使用青少年自我报告自己的行为问题部分复制了这些发现。
结论
研究结果表明，创伤后成长的益处可能不仅局限于自身，还可能扩展到其他家庭成员，尤其是家庭中的儿童。
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