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慢性病患儿的亲子二元应对与生活质量

Parent-Child Dyadic Coping and Quality of Life in Chronically Diseased Children.

作者信息

Nap-van der Vlist Merel M, van der Wal Reine C, Grosfeld Eva, van de Putte Elise M, Dalmeijer Geertje W, Grootenhuis Martha A, van der Ent Cornelis K, van den Heuvel-Eibrink Marry M, Swart Joost F, Bodenmann Guy, Finkenauer Catrin, Nijhof Sanne L

机构信息

Department of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.

Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, Netherlands.

出版信息

Front Psychol. 2021 Jul 28;12:701540. doi: 10.3389/fpsyg.2021.701540. eCollection 2021.

Abstract

Different forms of dyadic coping are associated with positive outcomes in partner relationships, yet little is known about dyadic coping in parent-child relationships. The current research explored the association between parent-child dyadic coping and children's quality of life in 12-18-year old children with a chronic disease (i.e., cystic fibrosis, autoimmune diseases, and children post-cancer treatment). In a sample of 105 parent-child dyads, self-reported forms of dyadic coping (i.e., stress communication, problem-oriented, emotion-oriented, and negative dyadic coping) and children's quality of life were assessed. Children reported more stress communication and negative dyadic coping than their parents, while parents reported more problem-oriented dyadic coping and emotion-oriented dyadic coping than their children. More stress communication of the child was associated with more emotion-oriented dyadic coping and less negative dyadic coping of the parent. More negative dyadic coping of the child was associated with less stress communication, problem-oriented dyadic coping and emotion-oriented dyadic coping of the parent. Additionally, both children's and parents' negative dyadic coping were associated with lower self-reported pediatric quality of life and parents' emotion-oriented dyadic coping was associated with higher pediatric quality of life. These findings emphasize that children and their parents mutually influence each other and that dyadic coping is associated with children's quality of life. Theoretical and practical implications are discussed.

摘要

不同形式的二元应对方式与伴侣关系中的积极结果相关,但对于亲子关系中的二元应对方式却知之甚少。当前的研究探讨了患有慢性病(即囊性纤维化、自身免疫性疾病以及癌症治疗后的儿童)的12至18岁儿童的亲子二元应对方式与儿童生活质量之间的关联。在105对亲子二元组的样本中,评估了自我报告的二元应对方式(即压力沟通、问题导向型、情绪导向型和消极二元应对方式)以及儿童的生活质量。儿童报告的压力沟通和消极二元应对方式比其父母更多,而父母报告的问题导向型二元应对方式和情绪导向型二元应对方式比其子女更多。儿童更多的压力沟通与父母更多的情绪导向型二元应对方式以及更少的消极二元应对方式相关。儿童更多的消极二元应对方式与父母更少的压力沟通、问题导向型二元应对方式和情绪导向型二元应对方式相关。此外,儿童和父母的消极二元应对方式都与自我报告的较低儿童生活质量相关,而父母的情绪导向型二元应对方式与较高的儿童生活质量相关。这些发现强调了儿童及其父母相互影响,并且二元应对方式与儿童的生活质量相关。讨论了理论和实践意义。

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