Division of Pediatric Psychology, Department of Pediatrics, Michigan Medicine, C.S. Mott Children's Hospital, 1540 E. Hospital Dr., SPC 5718, Ann Arbor, MI, 48109, USA.
Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA.
J Clin Psychol Med Settings. 2020 Mar;27(1):89-106. doi: 10.1007/s10880-019-09623-5.
The overall objective of this paper was to systematically review and synthesize the emerging literature investigating the role of father involvement in pediatric outcomes among chronic illness populations. This review sought to answer the following questions: (1) what measures are used to assess father involvement in pediatric chronic illness populations, and who is the respondent, and (2) how is father involvement associated with child psychosocial and health related outcomes in pediatric chronic illness populations? Databases were searched using a key word search strategy. Articles were screened according to exclusion criteria, resulting in 15 identified articles that included a pediatric illness population, and assessed both father involvement and a child outcome variable. Qualitative analysis revealed that several measures have been used to assess father involvement in pediatric chronic illness populations. As a whole, the majority of findings indicate that better outcomes are associated with more father involvement in illness and non-illness related activities, and higher father-child relationship quality. Contradictory findings may be due to the quality of the involvement being assessed, or the possibility that father's become more involved with illness tasks in response to their child's poorer health outcomes. Future research should include the development and use of psychometrically sound measures of father involvement and employ more diverse samples with rigorous methodology.
本文的总体目标是系统地回顾和综合新兴文献，研究父亲在慢性病患儿群体中的参与作用。本研究旨在回答以下两个问题：（1）有哪些措施用于评估儿科慢性病患儿群体中父亲的参与度，以及受访者是谁；（2）在儿科慢性病患儿群体中，父亲的参与度如何与儿童的心理社会和健康相关结果相关？通过关键词搜索策略对数据库进行了搜索。根据排除标准筛选文章，最终确定了 15 篇符合条件的文章，这些文章均评估了父亲的参与度和儿童的某个结果变量。定性分析显示，已有多种方法用于评估儿科慢性病患儿群体中父亲的参与度。总体而言，大多数研究结果表明，父亲在疾病和非疾病相关活动中的参与度更高，以及与孩子的关系质量更高，与更好的结果相关。相互矛盾的发现可能是由于所评估的参与度的质量，或者是父亲可能会因为孩子健康状况不佳而更多地参与疾病相关的任务。未来的研究应包括开发和使用具有良好心理测量学特性的父亲参与度评估方法，并采用更具多样性的样本和更严格的方法。
