Harris Katherine M, Feeken MacKenzie C, Huntt Jessica S, Fry Abigail B, Seibel Lauren F, Wolff Jennifer C, Esposito-Smythers Christianne
Department of Psychology, George Mason University.
Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University.
J Fam Psychol. 2024 Dec;38(8):1170-1178. doi: 10.1037/fam0001265. Epub 2024 Sep 5.
The posthospitalization period following a youth's psychiatric emergency is characterized by marked risk for suicide attempts and rehospitalization. Parental anxiety and uncertainty about parenting strategies may become particularly salient during this period due to fear of youth relapse. These parental factors, then, may negatively impact family functioning, a factor known to mitigate suicide risk. The present study tested a theoretical model to elucidate the relationship between parenting factors and family functioning during this transition period, specifically, whether parental anxiety symptoms and parenting confidence are related and contribute to family functioning longitudinally following youth psychiatric hospitalization. The sample included 147 adolescents and a primary caregiver enrolled in a clinical trial. At baseline (BL) and 6 months (M6), caregivers completed measures of global anxiety symptoms (Brief Symptom Inventory) and parenting confidence (Parenting Relationship Questionnaire). Observer-rated family problem solving and limit setting were assessed (Family Assessment Task) at BL and 12 months (M12). These two measures of family functioning were included in separate path analyses that examined the temporal relations between constructs. After accounting for demographics, BL levels of parenting variables, BL youth functioning, and the presence or absence of youth suicide attempts during follow-up, BL parenting confidence negatively predicted M6 parent anxiety in both models. Additionally, M6 parenting confidence positively predicted M12 problem solving and limit setting. Bidirectional relations between parenting confidence and global anxiety were not supported, nor did global anxiety predict family functioning. Findings suggest that specifically addressing parenting confidence in youth treatment may be beneficial to support family adjustment, particularly following crises. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
青少年精神科急诊后的出院后阶段，其特点是存在明显的自杀未遂风险和再次住院风险。由于担心青少年复发，在此期间，父母对养育策略的焦虑和不确定性可能会变得尤为突出。这些父母因素可能会对家庭功能产生负面影响，而家庭功能是已知可降低自杀风险的一个因素。本研究测试了一个理论模型，以阐明这一过渡时期养育因素与家庭功能之间的关系，具体而言，父母焦虑症状和养育信心是否相关，以及在青少年精神科住院后，它们是否会纵向影响家庭功能。样本包括147名青少年及其一名参与临床试验的主要照料者。在基线期（BL）和6个月（M6）时，照料者完成了总体焦虑症状测量（简明症状量表）和养育信心测量（养育关系问卷）。在基线期（BL）和12个月（M12）时，评估了观察者评定的家庭问题解决能力和规则设定情况（家庭评估任务）。这两项家庭功能测量指标被纳入单独的路径分析中，以检验各构念之间的时间关系。在考虑了人口统计学因素、养育变量的基线水平、青少年的基线功能以及随访期间青少年是否有自杀未遂情况后，在两个模型中，基线期的养育信心均对6个月时父母的焦虑有负向预测作用。此外，6个月时的养育信心对12个月时的问题解决能力和规则设定有正向预测作用。养育信心与总体焦虑之间的双向关系未得到支持，总体焦虑也未预测家庭功能。研究结果表明，在青少年治疗中专门解决养育信心问题，可能有助于支持家庭适应，尤其是在危机之后。（《心理学文摘数据库记录》（c）2024美国心理学会，保留所有权利）
