Transitions in patterns of family resilience and their associations with parent-child interaction: A longitudinal study using latent transition analysis among families of children with chronic illness

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-02-10 DOI:10.1016/j.jpsychores.2025.112054

Xuewei Chen , Fangyu Yang , Yinzhu Pan , Qiongying Xu , Yao Zhang , Jingrui Tao , Chaoqun Dong

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Abstract

Objective

This study aimed to investigate transitions in patterns of family resilience among Chinese families of children with chronic illness over a one-year period, as well as their relationship to parent-child interaction.

Methods

A representative sample of parents of children with chronic illness was drawn from two hospitals in Zhejiang Province, China, using convenience sampling. A total of 214 parents were assessed for family resilience, parent-adolescent communication, and child-parent relationships at three time points with a one-year interval: baseline (T1), 6 months (T2), and 12 months (T3) after the baseline survey.

Results

Latent profile analysis identified three distinct patterns, including (1) low family resilience, (2) moderate family resilience, and (3) high family resilience. The latent transition analysis revealed four transition patterns: stable low (72.4 %), stable moderate-high (22.5 %), improved from low to either high or moderate (4.2 %), and worsened from high to moderate (0.9 %). A one-way ANOVA revealed significant effects of the transition patterns of family resilience on open family communication, intimacy, and conflict within parent-child relationships.

Conclusions

The high proportion within the “stable low” transition pattern and the enduring stability of family resilience over time underscore the significance of early intervention efforts aimed at enhancing family resilience or mitigating its decline among families of children with chronic illness.

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家庭弹性模式的转变及其与亲子互动的关系：慢性病儿童家庭潜在转变分析的纵向研究

目的探讨中国慢性疾病儿童家庭弹性模式在一年内的转变及其与亲子互动的关系。方法采用方便抽样的方法，抽取浙江省两家医院慢性疾病患儿家长的代表性样本。共有214名家长在基线（T1）、6个月（T2）和12个月（T3）三个时间点（间隔一年）评估家庭弹性、亲子沟通和亲子关系。结果通过倾斜剖面分析，发现了家庭弹性低、家庭弹性中等、家庭弹性高3种不同的模式。潜在转变分析显示了四种转变模式：稳定的低（72.4%），稳定的中高（22.5%），从低到高或中改善（4.2%），从高到中恶化（0.9%）。单因素方差分析显示，家庭弹性的转变模式对开放式家庭沟通、亲密关系和亲子关系冲突有显著影响。结论在“稳定低”过渡模式中的高比例和家庭弹性随时间的持续稳定强调了早期干预工作的重要性，旨在提高家庭弹性或减轻慢性疾病儿童家庭弹性的下降。

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 Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.