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一项在香港增强移民家庭积极适应的两种父母-子女平行干预的随机对照试验:抑郁症状的调节作用。

A Randomized Controlled Trial of Two Parent-Child Parallel Interventions to Enhance Positive Adaptation of Immigrant Families in Hong Kong: The Moderating Role of Depressive Symptoms.

机构信息

City University of Hong Kong.

International Social Service Hong Kong Branch.

出版信息

Behav Ther. 2024 Sep;55(5):1026-1042. doi: 10.1016/j.beth.2024.03.001. Epub 2024 Mar 20.

DOI:10.1016/j.beth.2024.03.001
PMID:39174263
Abstract

Parents and children who have recently immigrated from the Chinese mainland to Hong Kong face various challenges, including psychological and sociocultural adaptation difficulties. In collaboration with community partners, our research team has developed and implemented culturally sensitive and preventive parent-child parallel interventions to enhance positive adaptation among immigrant parents and children. Two interventions were conducted in this randomized controlled trial: an emotion regulation (ER) arm, which addressed psychological adaptation by reducing parent-child conflicts and improving emotions, and an information provision (IP) arm targeting sociocultural adaptation by increasing participants' knowledge about Hong Kong. The study randomly assigned 113 and 73 parent-child pairs (allocation ratio 3:2) into the ER and IP arms, respectively. Parents and children attended four two-hour weekly sessions of their assigned intervention and completed assessments before, immediately after, and one month following the intervention. The results showed that in the ER arm, parents showed improved positive affect, and children reported decreases in parent-child conflicts more than their counterparts in the IP arm. In the IP arm, parents and children increased their knowledge, and parents decreased sociocultural adaptation difficulties more than their counterparts in the ER arm. In addition, the moderation analyses showed that in both interventions, parents and children with elevated baseline depressive symptoms obtained greater benefits relative to their counterparts with fewer symptoms. Such marked improvements were seen among parents in negative affect and adaptation difficulties and among children in parent-child conflict, positive and negative affect in the ER arm. More improvements were noted among parents in negative affect and sociocultural adaptation difficulties and among children in negative affect in the IP arm. Future studies are suggested to develop and provide parent-child parallel interventions targeting both psychological and sociocultural adaptations to parents and children with heightened baseline depressive symptoms to facilitate their positive adaptation in Hong Kong.

摘要

刚从中国大陆移民到香港的家长和孩子面临着各种挑战,包括心理和社会文化适应困难。我们的研究团队与社区合作伙伴合作,开发并实施了文化敏感和预防为主的亲子平行干预措施,以增强移民家长和孩子的积极适应能力。在这项随机对照试验中进行了两项干预措施:情绪调节(ER)组通过减少亲子冲突和改善情绪来解决心理适应问题,而信息提供(IP)组则通过增加参与者对香港的了解来针对社会文化适应问题。研究将 113 对亲子对(分配比例为 3:2)随机分配到 ER 和 IP 组中。父母和孩子参加了为期四周、每周两小时的指定干预课程,并在干预前、干预后立即以及干预后一个月进行评估。结果表明,在 ER 组中,父母的积极情绪得到改善,与 IP 组相比,孩子报告的亲子冲突减少。在 IP 组中,父母和孩子的知识增加,与 ER 组相比,父母的社会文化适应困难减少。此外,调节分析表明,在两种干预措施中,基线抑郁症状较高的父母和孩子比症状较少的父母和孩子获得了更大的益处。在 ER 组中,父母的负面情绪和适应困难以及孩子的亲子冲突、积极和消极情绪都有明显改善。在 IP 组中,父母的负面情绪和社会文化适应困难以及孩子的负面情绪都有更多改善。建议未来的研究开发和提供针对心理和社会文化适应的亲子平行干预措施,以帮助基线抑郁症状较高的家长和孩子在香港积极适应。

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