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拉丁裔样本中儿童免疫接种期间的亲子行为互动

Parent-Child Behavioral Interactions during Pediatric Immunizations in a Latino Sample.

作者信息

Mougianis Ifigenia D, Cohen Lindsey L, Shih Sharon W

出版信息

Clin Pract Pediatr Psychol. 2017;5(3):209-220. doi: 10.1037/cpp0000190. Epub 2017 Aug 10.

Abstract

A number of studies have found that specific parent behaviors are strong predictors of child medical procedural distress or coping. These findings have informed treatment protocols to lower children's distress during invasive medical events. However, the vast majority of this research has been conducted on predominately North American, English-speaking, Caucasian samples. One growing population that faces healthcare disparities is Latinos living in the U.S. The purpose of this study was to explore the types and frequencies of parent and child behavior, as well as the association between parent behavior and child distress and coping in a sample of Spanish-speaking Latino-American parent-child dyads. Nineteen 4- to 6-year-old Latino children receiving routine immunizations and their parents were video recorded, and behaviors were coded with commonly used schemes. The findings suggest that there may be differences in Latino parent and child behavior when compared to the extant - predominately English-speaking, Caucasian North American - literature. This study provides an initial examination of how cultural constructs may relate to parent-child behavior in Spanish-speaking Latino families in the U.S. Future research is warranted as findings can inform culturally sensitive clinical practice.

摘要

多项研究发现,特定的父母行为是儿童医疗程序痛苦或应对方式的有力预测指标。这些发现为降低儿童在侵入性医疗事件中的痛苦的治疗方案提供了依据。然而,绝大多数此类研究是在主要为北美、讲英语的白种人样本上进行的。面临医疗保健差异的一个不断增长的群体是生活在美国的拉丁裔。本研究的目的是探讨讲西班牙语的拉丁裔美国家长 - 儿童二元组样本中父母和儿童行为的类型和频率,以及父母行为与儿童痛苦和应对方式之间的关联。对19名接受常规免疫接种的4至6岁拉丁裔儿童及其父母进行了视频记录,并使用常用方案对行为进行编码。研究结果表明,与现有的主要是讲英语的北美白种人的文献相比,拉丁裔父母和儿童的行为可能存在差异。本研究初步考察了文化结构如何与美国讲西班牙语的拉丁裔家庭中的亲子行为相关。鉴于研究结果可为具有文化敏感性的临床实践提供参考,未来的研究很有必要。

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