婚姻调整与儿科癌症治疗期间亲子冲突溢出模式。
Patterns of Spillover Between Marital Adjustment and Parent-Child Conflict During Pediatric Cancer Treatment.
机构信息
Department of Psychology, University of Washington.
Seattle Children's Hospital.
出版信息
J Pediatr Psychol. 2018 Aug 1;43(7):769-778. doi: 10.1093/jpepsy/jsy011.
OBJECTIVE
When a child is diagnosed with cancer, problems may arise in family relationships and negatively affect child adjustment. The current study examined patterns of spillover between marital and parent-child relationships to identify targets for intervention aimed at ameliorating family conflict.
METHOD
Families (N = 117) were recruited from two US children's hospitals within 2-week postdiagnosis to participate in a short-term prospective longitudinal study. Children with cancer were 2-10 years old (M = 5.42 years, SD = 2.59). Primary caregivers provided reports of marital and parent-child conflict at 1-, 6-, and 12-month postdiagnosis.
RESULTS
Results indicated that a unidirectional model of spillover from the marital to the parent-child relationship best explained the data. In terms of specific temporal patterns, lower marital adjustment soon after diagnosis was associated with an increase in parent-child conflict 6 months later, though this pattern was not repeated in the latter 6 months of treatment.
CONCLUSION
Targeting problems in marital relationships soon after diagnosis may prevent conflict from developing in the parent-child relationship.
目的
当孩子被诊断出患有癌症时，家庭关系可能会出现问题，并对孩子的适应产生负面影响。本研究通过考察婚姻关系和亲子关系之间的溢出模式，来确定干预目标，以改善家庭冲突。
方法
从两家美国儿童医院招募了癌症患儿家庭（N=117），在诊断后两周内参与一项短期前瞻性纵向研究。癌症患儿年龄为 2-10 岁（M=5.42 岁，SD=2.59）。主要照顾者在诊断后 1、6 和 12 个月报告婚姻和亲子冲突。
结果
结果表明，从婚姻到亲子关系的单向溢出模型最能解释数据。就具体的时间模式而言，诊断后不久婚姻适应不良与 6 个月后亲子冲突的增加有关，但在治疗的后 6 个月中并没有重复这一模式。
结论
在诊断后不久针对婚姻关系中的问题进行干预，可能有助于防止亲子关系中出现冲突。
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