青少年因自杀风险住院后,父母的焦虑症状、养育子女的信心和家庭功能。

IF 2.3 2区 心理学 Q2 FAMILY STUDIES
Journal of Family Psychology Pub Date : 2024-12-01 Epub Date: 2024-09-05 DOI:10.1037/fam0001265
Katherine M Harris, MacKenzie C Feeken, Jessica S Huntt, Abigail B Fry, Lauren F Seibel, Jennifer C Wolff, Christianne Esposito-Smythers
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引用次数: 0

摘要

青少年精神科急诊入院后的一段时间内,自杀未遂和再次入院的风险非常明显。在这一时期,由于担心青少年复发,父母的焦虑和对养育策略的不确定性可能会变得尤为突出。因此,父母的这些因素可能会对家庭功能产生负面影响,而家庭功能是众所周知的降低自杀风险的因素。本研究对一个理论模型进行了测试,以阐明在这一过渡时期父母养育因素与家庭功能之间的关系,特别是父母的焦虑症状和养育信心是否与青少年精神病住院后的家庭功能纵向相关并对其有影响。样本包括参加临床试验的 147 名青少年和一名主要照顾者。在基线(BL)和6个月(M6)时,照顾者完成了对整体焦虑症状(症状简明量表)和养育信心(养育关系问卷)的测量。在 6 个月和 12 个月(M12)时,对观察者评定的家庭问题解决情况和限制设置情况进行评估(家庭评估任务)。这两项关于家庭功能的测量结果被纳入了单独的路径分析中,以检查各构建因素之间的时间关系。在考虑了人口统计学因素、BL 阶段的养育变量水平、BL 阶段的青少年功能以及随访期间青少年是否有自杀企图后,在两个模型中,BL 阶段的养育信心对 M6 阶段的父母焦虑有负向预测作用。此外,M6 父母养育信心对 M12 问题解决和限制设置有积极的预测作用。父母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,在青少年治疗中特别强调养育子女的信心可能有利于支持家庭调整,尤其是在危机发生后。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parental anxiety symptoms, parenting confidence, and family functioning following a youth's hospitalization for suicide risk.

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).

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来源期刊
CiteScore
3.40
自引率
3.70%
发文量
200
期刊介绍: Journal of Family Psychology offers cutting-edge, groundbreaking, state-of-the-art, and innovative empirical research with real-world applicability in the field of family psychology. This premiere family research journal is devoted to the study of the family system, broadly defined, from multiple perspectives and to the application of psychological methods to advance knowledge related to family research, patterns and processes, and assessment and intervention, as well as to policies relevant to advancing the quality of life for families.
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