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过度养育是否与青少年/青年成年人脑震荡后情绪功能和临床结果相关?

Is Overparenting Associated with Adolescent/Young Adult Emotional Functioning and Clinical Outcomes Following Concussion?

机构信息

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center (UPMC) Sports Medicine Concussion Program, University of Pittsburgh, 3200 S. Water St. Pittsburgh, Pittsburgh, PA, 15203, USA.

WakeMed Concussion Program, WakeMed Health and Hospitals, 3000 New Bern Ave, Raleigh, NC, 27610, USA.

出版信息

Child Psychiatry Hum Dev. 2022 Dec;53(6):1231-1239. doi: 10.1007/s10578-021-01204-8. Epub 2021 Jun 16.

DOI:10.1007/s10578-021-01204-8
PMID:34136979
Abstract

Overparenting (O-P), or "helicopter" parenting, has warranted increased attention across the past decade. It is characterized as being overly involved, protective, and low on granting autonomy, and is associated with deleterious psychosocial outcomes outside of the concussion literature. This study examined the association of overparenting and patient emotional distress and clinical outcomes (i.e., symptoms, neurocognitive test scores, recovery time) post-concussion. Adolescents/young adult concussion patients (injury < 30 days) and parents (N = 101 child-parent dyads) participated. Patient participants completed measures of depression, anxiety, stress, and concussion clinical outcomes while parents concurrently completed an overparenting measure. Results of a general linear model found that overparenting was associated with higher anxiety and stress report of the child. Overparenting had a significant positive correlation with concussion recovery, although of a small magnitude. Emotional distress level, but not overparenting, was moderately associated with worse performance on clinical outcomes, including neurocognitive testing, vestibular/ocular motor dysfunction, and concussion symptom severity.

摘要

过度养育(O-P),又称“直升机”养育,在过去十年中引起了越来越多的关注。它的特点是过度参与、过度保护和缺乏自主权,与脑震荡文献以外的不良心理社会后果有关。本研究调查了过度养育与患者情绪困扰和临床结果(即症状、神经认知测试分数、恢复时间)之间的关联。青少年/成年脑震荡患者(受伤<30 天)及其父母(N=101 对儿童-父母对子)参与了研究。患者参与者完成了抑郁、焦虑、压力和脑震荡临床结果的测量,而父母则同时完成了过度养育的测量。一般线性模型的结果发现,过度养育与孩子更高的焦虑和压力报告有关。尽管幅度较小,但过度养育与脑震荡恢复呈显著正相关。情绪困扰程度,但不是过度养育,与临床结果(包括神经认知测试、前庭/眼动功能障碍和脑震荡症状严重程度)的表现较差中度相关。

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本文引用的文献

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Assessing the predictive value of primary evaluation with the Immediate Post-Concussion Assessment and Cognitive Test following head injury.评估头部受伤后使用脑震荡后即刻评估和认知测试进行初步评估的预测价值。
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Consensus statement on concussion in sport-the 5 international conference on concussion in sport held in Berlin, October 2016.《运动性脑震荡共识声明——2016年10月于柏林召开的第五届国际运动性脑震荡会议》
Br J Sports Med. 2017 Jun;51(11):838-847. doi: 10.1136/bjsports-2017-097699. Epub 2017 Apr 26.
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Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample.在一个临床样本中,焦虑敏感性介导了脑震荡后症状的性别差异。
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