Family communication and courageous coping in Korean adolescents and young adults: a cross-sectional study.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2024-10-30 DOI:10.1093/jpepsy/jsae088

Heeyeon Son, Susan G Silva, Sungsil Hong, Joan E Haase, Jung Woo Han, Sharron L Docherty

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引用次数: 0

Abstract

Objective: Adolescents and young adults (AYAs) with cancer are a vulnerable population during a critical developmental transition that can benefit from the adoption of courageous coping. Parental support is crucial in enhancing adjustment and coping skills. The linkage between parent-adolescent communication (PAC) and the use of courageous coping (UCC), however, remains unclear. This study examined the association between PAC and UCC and possible mediators of this relationship among Korean AYAs with cancer.

Methods: In this cross-sectional, correlational study, self-report data were collected from 144 AYAs aged 11-26 years. A path analytic approach was employed using a hierarchical regression model to test for the direct relationship between PAC and UCC and the indirect effects of a proposed primary mediator (family cohesion) and two intermediary mediators (uncertainty of illness, hope) on PAC-UCC relationship.

Results: The mean age of the sample was 17 years (SD = 3.8), with 42% currently receiving cancer treatment. Greater PAC was significantly associated with increased UCC (mother figure: p = .0024, father figure: p = .0042). Increased family cohesion significantly mediated the PAC-UCC relationship, indicated by a diminished PAC-UCC relationship after controlling for family cohesion (mother: p = .2753; father: p = .8107). Mediated mediation models indicated that increased hope stemming from decreased uncertainty was the mechanism through which family cohesion impacted the PAC-UCC relationship.

Conclusions: Findings underscore that greater PAC can facilitate UCC among Korean AYAs with cancer and provide insights for therapeutic parent-child communication. Results further demonstrate the complex mediating role of fostering family cohesion, reducing uncertainty, and fostering hope can play in the PAC-UCC relationship.

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韩国青少年的家庭沟通与勇敢应对：一项横断面研究。

目的：青少年癌症患者是处于关键发展过渡期的弱势群体，他们可以从勇敢应对中受益。父母的支持对于提高适应能力和应对技能至关重要。然而，父母与青少年之间的沟通（PAC）与使用勇敢应对（UCC）之间的联系仍不清楚。本研究探讨了韩国青少年癌症患者中父母与青少年沟通（PAC）和勇敢应对（UCC）之间的关系，以及这种关系的可能中介因素：在这项横断面相关研究中，收集了 144 名 11-26 岁青少年的自我报告数据。采用分层回归模型进行路径分析，检验 PAC 与 UCC 之间的直接关系，以及一个拟议的主要中介（家庭凝聚力）和两个中介（疾病的不确定性、希望）对 PAC-UCC 关系的间接影响：样本的平均年龄为 17 岁（SD = 3.8），42% 的人目前正在接受癌症治疗。更大的 PAC 与 UCC 的增加有明显关联（母亲形象：p = 0.0024，父亲形象：p = 0.0042）。家庭凝聚力的增加对 PAC-UCC 关系有明显的中介作用，在控制家庭凝聚力后，PAC-UCC 关系减弱（母亲：p = .2753；父亲：p = .8107）。中介调解模型表明，家庭凝聚力对 PAC-UCC 关系的影响机制是不确定性的降低带来的希望的增加：研究结果表明，更多的 PAC 可以促进韩国青少年癌症患者的 UCC，并为治疗性亲子沟通提供启示。研究结果进一步表明，在 PAC-UCC 关系中，促进家庭凝聚力、减少不确定性和促进希望可以发挥复杂的中介作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.