家庭因素在青少年脊柱裂患者的特定认知领域与社会心理、学术和适应性功能结果之间的关联中起调节作用。

IF 2.1 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-10-01 DOI:10.1093/jpepsy/jsaf061

Adrien M Winning, Allison D Payne, Diana Ohanian, Alexa Fagan, Caitlin Murray, Jaclyn L Papadakis, Robin M Bowman, Grayson N Holmbeck

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引用次数: 0

摘要

目的：本研究的目的是研究认知和家庭因素对青年脊柱裂（SB）患者的心理社会、学业和适应功能结果的直接和相互作用。方法：纳入41个SB青少年家庭（年龄3-16岁）。照顾者报告了儿童功能（即执行、社会心理和适应功能），以及家庭因素，如家庭环境、婚姻调整、照顾者困扰和养育压力。青少年完成了基于表现的词汇和学业能力评估。认知和家庭因素对青少年心理社会、学业和适应性结果的直接影响采用分层多元回归分析，而互动影响采用PROCESS中的调节模型进行检验。结果：回归分析显示，认知（即执行功能障碍，词汇）和家庭（即父母压力）因素都是青年结果变化的原因。在预测青少年情绪和行为问题以及适应技能时，认知因素和家庭因素之间也存在交互作用。具体来说，在低质量和中等质量的家庭环境中，而不是高质量的家庭环境中，更大的执行功能障碍与更大的情绪和行为问题相关。此外，分析显示，无论照顾者是否苦恼，执行功能障碍水平较高的青少年通常表现出较差的适应技能。然而，那些执行功能障碍程度较低的人只有在更多的照顾者困扰下才表现出较差的适应能力。结论：认知和家庭因素都可能影响SB儿童的适应结果。研究结果强调了在SB背景下制定全面的家庭干预措施的重要性。

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Family factors as moderators of the association between specific cognitive domains and psychosocial, academic, and adaptive functioning outcomes in youth with spina bifida.

Objective: The aim of this study was to examine the direct and interactive effects of cognitive and family factors on psychosocial, academic, and adaptive functioning outcomes in youth with spina bifida (SB).

Methods: Participants included 41 families of youth with SB (ages 3-16 years old). Caregivers reported on child functioning (i.e., executive, psychosocial, and adaptive functioning), as well as family factors, such as family environment, marital adjustment, caregiver distress, and parenting stress. Youth completed performance-based assessments of vocabulary and academic functioning. Direct effects of cognitive and family factors on youth psychosocial, academic, and adaptive outcomes were examined using hierarchical multiple regression analyses, whereas interactive effects were examined using moderation models in PROCESS.

Results: Regression analyses revealed that both cognitive (i.e., executive dysfunction, vocabulary) and family (i.e., parenting stress) factors accounted for variability in youth outcomes. Interactive effects between cognitive and family factors were also revealed when predicting youth emotional and behavioral problems, as well as adaptive skills. Specifically, greater executive dysfunction was associated with greater emotional and behavioral problems in low and moderate, but not high, quality family environments. Additionally, analyses revealed that youth with higher levels of executive dysfunction generally demonstrated poorer adaptive skills, regardless of caregiver distress. However, those with low levels of executive dysfunction demonstrated poorer adaptive skills only in the presence of more caregiver distress.

Conclusions: Both cognitive and family factors may contribute to adjustment outcomes in children with SB. Findings highlight the importance of developing comprehensive family-based interventions in the context of SB.

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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.