父母创伤后应激、过度保护型养育与患有严重先天性心脏病儿童的情绪和行为问题。
Parental post-traumatic stress, overprotective parenting, and emotional and behavioural problems for children with critical congenital heart disease.
机构信息
Division of Behavioral Health, Department of Pediatrics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Institute for Graduate Clinical Psychology, College of Health and Human Services, Widener University, Chester, PA, USA.
出版信息
Cardiol Young. 2022 May;32(5):738-745. doi: 10.1017/S1047951121002912. Epub 2021 Aug 9.
OBJECTIVE
To examine relationships amongst parental post-traumatic stress symptoms, parental post-traumatic growth, overprotective parenting, and child emotional/behavioural problems in families of children with critical CHD.
METHOD
Sixty parents (15 fathers) of children aged 1-6 completed online questionnaires assessing parental post-traumatic stress symptoms and post-traumatic growth, overprotective parenting, and child emotional/behavioural problems. Bivariate correlations and mediational analyses were conducted to evaluate overprotective parenting as a mediator of the association between parental post-traumatic stress symptoms and child emotional/behavioural problems.
RESULTS
Parents reported significant post-traumatic stress symptoms, with over 18% meeting criteria for post-traumatic stress disorder and 70% meeting criteria in one or more clusters. Parental post-traumatic growth was positively correlated with intrusion (r = .32, p = .01) but it was not associated with other post-traumatic stress symptom clusters. Parental post-traumatic stress symptoms were positively associated with overprotective parenting (r = .37, p = .008) and total child emotional/behavioural problems (r = .29, p = .037). Overprotective parenting was positively associated with total child emotional/behavioural problems (r = .45, p = .001) and fully mediated the relationship between parental post-traumatic stress symptoms and child emotional/behavioural problems.
CONCLUSION
Overprotective parenting mediates the relationship between parental post-traumatic stress symptoms and child emotional and behavioural problems in families of children with CHD. Both parental post-traumatic stress symptoms and overprotective parenting may be modifiable risk factors for poor child outcomes. This study highlights the need for interventions to prevent or reduce parental post-traumatic stress symptoms and to promote effective parenting following a diagnosis of CHD.
目的
探讨儿童危重症先心病（CHD）患儿家庭中父母创伤后应激症状、父母创伤后成长、过度保护型养育与儿童情绪/行为问题之间的关系。
方法
60 名患儿家长（15 名父亲）完成了在线问卷调查，评估了父母的创伤后应激症状和创伤后成长、过度保护型养育以及儿童情绪/行为问题。进行了双变量相关分析和中介分析，以评估过度保护型养育在父母创伤后应激症状与儿童情绪/行为问题之间的关系中的中介作用。
结果
父母报告了明显的创伤后应激症状，超过 18%的父母符合创伤后应激障碍的标准，70%的父母符合一个或多个聚类的标准。父母的创伤后成长与闯入（r =.32，p =.01）呈正相关，但与其他创伤后应激症状聚类无关。父母的创伤后应激症状与过度保护型养育（r =.37，p =.008）和儿童情绪/行为问题总分（r =.29，p =.037）呈正相关。过度保护型养育与儿童情绪/行为问题总分（r =.45，p =.001）呈正相关，完全中介了父母创伤后应激症状与儿童情绪/行为问题之间的关系。
结论
过度保护型养育在 CHD 患儿家庭中父母创伤后应激症状与儿童情绪和行为问题之间起中介作用。父母创伤后应激症状和过度保护型养育都可能是儿童不良结局的可改变风险因素。本研究强调需要干预措施来预防或减少父母的创伤后应激症状，并促进 CHD 诊断后有效的养育方式。
Zotero 插件