Huang Yingying, Chen Meijia, Zhang Liping, Ji Yan, Dong Chaoqun
School of Nursing, Wenzhou Medical University, Wenzhou, China.
Lishui Nursing School, Lishui, China.
J Clin Nurs. 2025 Jun 18. doi: 10.1111/jocn.17850.
To identify subgroups of dyadic coping discrepancies between adolescents with chronic diseases and their parents using latent profile analysis, and to examine variations among these subgroups in socio-demographic characteristics, family resilience and psychological adjustment outcomes.
Cross-sectional study.
Between June 2022 and August 2023, 318 adolescent-parent dyads were recruited from three paediatric hospitals in China. Adolescents and their parents completed the General Information Questionnaire, the Dyadic Coping Inventory, the Chinese version of the Family Resilience Scale and the Chinese version of the Psychological Adjustment Scale.
A three-class solution provided an optimal fit, identifying the following subgroups: adolescent-parent dyadic coping similarity group (61%), low adolescent-high parent dyadic coping group (20%) and high adolescent-low parent dyadic coping group (19%). Multiple logistic regression analyses indicated that family resilience among adolescents and their parents significantly influenced the classification of dyadic coping discrepancies. A one-way ANOVA demonstrated significant differences in psychological adjustment among the three subgroups.
This study identified distinct patterns of dyadic coping discrepancies between adolescents with chronic diseases and their parents, highlighting the variability in coping strategies within these dyads. Family resilience significantly influenced dyadic coping patterns, with higher levels of family resilience associated with more effective dyadic coping. Furthermore, the dyadic coping profiles were significantly associated with the psychological adjustment of adolescents and parents, highlighting the critical role of dyadic coping in individual well-being.
This study adhered to the STROBE checklist.
No patient or public contribution.
Our findings provide valuable insights for health professionals to design tailored interventions and implement stratified care addressing the unique needs of adolescents and their parents. Prioritising support for individuals with lower family resilience is critical, as are targeted dyadic coping interventions is essential to enhance the psychological adjustment of adolescents with chronic diseases and their parents.
采用潜在剖面分析确定慢性病青少年及其父母之间二元应对差异的亚组，并检验这些亚组在社会人口学特征、家庭复原力和心理适应结果方面的差异。
横断面研究。
2022年6月至2023年8月期间，从中国的三家儿科医院招募了318对青少年-父母二元组。青少年及其父母完成了一般信息问卷、二元应对量表、中文版家庭复原力量表和中文版心理适应量表。
三类解决方案提供了最佳拟合，确定了以下亚组：青少年-父母二元应对相似组（61%）、青少年低-父母高二元应对组（20%）和青少年高-父母低二元应对组（19%）。多项逻辑回归分析表明，青少年及其父母的家庭复原力显著影响二元应对差异的分类。单因素方差分析表明，三个亚组在心理适应方面存在显著差异。
本研究确定了慢性病青少年及其父母之间二元应对差异的不同模式，突出了这些二元组中应对策略的变异性。家庭复原力显著影响二元应对模式，家庭复原力水平越高，二元应对越有效。此外，二元应对模式与青少年和父母的心理适应显著相关，突出了二元应对在个体幸福感中的关键作用。
本研究遵循STROBE清单。
无患者或公众贡献。
我们的研究结果为卫生专业人员设计量身定制的干预措施和实施分层护理以满足青少年及其父母的独特需求提供了有价值的见解。优先支持家庭复原力较低的个体至关重要，针对性的二元应对干预对于改善慢性病青少年及其父母的心理适应也至关重要。
