Huang Yi
Department of Psychology, Faculty of Social Studies, Masaryk University, Brno, Czechia.
Psychology Research Institute, Faculty of Social Studies, Masaryk University, Brno, Czechia.
Front Public Health. 2023 Mar 16;11:1087547. doi: 10.3389/fpubh.2023.1087547. eCollection 2023.
The increasing trend of adolescents' emotional symptoms has become a global public health problem. Especially, adolescents with chronic diseases or disabilities face more risks of emotional problems. Ample evidence showed family environment associates with adolescents' emotional health. However, the categories of family-related factors that most strongly influence adolescents' emotional health remained unclear. Additionally, it was not known that whether family environment influences emotional health differently between normally developed adolescents and those with chronic condition(s). Health Behaviours in School-aged Children (HBSC) database provides mass data about adolescents' self-reported health and social environmental backgrounds, which offers opportunities to apply data-driven approaches to determine critical family environmental factors that influence adolescents' health. Thus, based on the national HBSC data in the Czech Republic collected from 2017 to 2018, the current study adopted a data-driven method, classification-regression-decision-tree analysis, to investigate the impacts of family environmental factors, including demographic factors and psycho-social factors on adolescents' emotional health. The results suggested that family psycho-social functions played a significant role in maintaining adolescents' emotional health. Both normally developed adolescents and chronic-condition(s) adolescents benefited from communication with parents, family support, and parental monitoring. Besides, for adolescents with chronic condition(s), school-related parental support was also meaningful for decreasing emotional problems. In conclusion, the findings suggest the necessity of interventions to strengthen family-school communication and cooperation to improve chronic-disease adolescents' mental health. The interventions aiming to improve parent-adolescent communication, parental monitoring, and family support are essential for all adolescents.
青少年情绪症状呈上升趋势已成为一个全球性的公共卫生问题。尤其是患有慢性病或残疾的青少年面临更多情绪问题风险。大量证据表明家庭环境与青少年的情绪健康相关。然而，对青少年情绪健康影响最为强烈的家庭相关因素类别仍不明确。此外，尚不清楚正常发育的青少年与患有慢性病的青少年在家庭环境对情绪健康的影响方面是否存在差异。学龄儿童健康行为（HBSC）数据库提供了大量关于青少年自我报告的健康和社会环境背景的数据，这为应用数据驱动方法来确定影响青少年健康的关键家庭环境因素提供了机会。因此，基于2017年至2018年在捷克共和国收集的全国HBSC数据，本研究采用数据驱动方法——分类回归决策树分析，来调查包括人口统计学因素和心理社会因素在内的家庭环境因素对青少年情绪健康的影响。结果表明，家庭心理社会功能在维持青少年情绪健康方面发挥着重要作用。正常发育的青少年和患有慢性病的青少年都从与父母的沟通、家庭支持和父母监督中受益。此外，对于患有慢性病的青少年，与学校相关的父母支持对于减少情绪问题也很有意义。总之，研究结果表明有必要进行干预，以加强家庭与学校间的沟通与合作，从而改善患有慢性病青少年的心理健康。旨在改善亲子沟通、父母监督和家庭支持的干预措施对所有青少年都至关重要。
