Marissa N. Baudino MS, Caroline M. Roberts MS, Clayton S. Edwards BS, Kaitlyn L. Gamwell PhD, Jeanne Tung MD, Noel J. Jacobs PhD, John E. Grunow MD, John M. Chaney PhD
{"title":"疾病侵入性和过度养育对青少年炎症性肠病父母抑郁症状的影响","authors":"Marissa N. Baudino MS, Caroline M. Roberts MS, Clayton S. Edwards BS, Kaitlyn L. Gamwell PhD, Jeanne Tung MD, Noel J. Jacobs PhD, John E. Grunow MD, John M. Chaney PhD","doi":"10.1111/jspn.12362","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>Inflammatory bowel disease (IBD) management creates significant caregiver demands that can interfere with parents' ability to engage in a number of role functions (i.e., <i>illness intrusiveness</i>) well into their child's adolescence, potentially resulting in excessive or misdirected parenting (i.e., <i>overparenting</i>). Disruptions and limited access to routine and valued activities (e.g., family, work, and leisure) due to IBD and excessive parenting may result in parents neglecting their own personal and emotional self-care needs, increasing their risk for depressive symptoms. To explore these associations, the present study examined parents' experience of illness intrusiveness and subsequent overparenting as serial mediators in the association between disease severity and parent depressive symptoms.</p>\n </section>\n \n <section>\n \n <h3> Design and methods</h3>\n \n <p>Participants were 146 caregivers of adolescents with IBD from an outpatient pediatric gastroenterology clinic. During a scheduled outpatient visit, parents completed measures of <i>illness intrusiveness</i>, <i>overparenting</i>, and <i>depressive symptoms</i>. Pediatric gastroenterologists provided ratings of <i>disease severity</i>.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Several direct and indirect associations were observed among the modeled variables. Notably, mediation analysis revealed a significant <i>disease severity</i> → <i>illness intrusiveness</i> → <i>overparenting</i> → <i>depressive symptoms</i> serial indirect effect.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Parents' experience of greater IBD-induced lifestyle disruptions is associated with increased overparenting and a heightened risk for depressive symptoms.</p>\n </section>\n \n <section>\n \n <h3> Practice implications</h3>\n \n <p>Parents should be encouraged to establish and maintain a healthy balance between parenting and self-care/role function activities, especially during adolescence when greater youth autonomy and independence are crucial. These types of clinical efforts may reduce the likelihood of parents experiencing depressive symptoms, and have the added benefit of improving adolescent IBD self-management.</p>\n </section>\n </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jspn.12362","citationCount":"1","resultStr":"{\"title\":\"The impact of illness intrusiveness and overparenting on depressive symptoms in parents of youth with inflammatory bowel disease\",\"authors\":\"Marissa N. Baudino MS, Caroline M. Roberts MS, Clayton S. Edwards BS, Kaitlyn L. Gamwell PhD, Jeanne Tung MD, Noel J. Jacobs PhD, John E. Grunow MD, John M. Chaney PhD\",\"doi\":\"10.1111/jspn.12362\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>Inflammatory bowel disease (IBD) management creates significant caregiver demands that can interfere with parents' ability to engage in a number of role functions (i.e., <i>illness intrusiveness</i>) well into their child's adolescence, potentially resulting in excessive or misdirected parenting (i.e., <i>overparenting</i>). Disruptions and limited access to routine and valued activities (e.g., family, work, and leisure) due to IBD and excessive parenting may result in parents neglecting their own personal and emotional self-care needs, increasing their risk for depressive symptoms. To explore these associations, the present study examined parents' experience of illness intrusiveness and subsequent overparenting as serial mediators in the association between disease severity and parent depressive symptoms.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design and methods</h3>\\n \\n <p>Participants were 146 caregivers of adolescents with IBD from an outpatient pediatric gastroenterology clinic. During a scheduled outpatient visit, parents completed measures of <i>illness intrusiveness</i>, <i>overparenting</i>, and <i>depressive symptoms</i>. Pediatric gastroenterologists provided ratings of <i>disease severity</i>.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Several direct and indirect associations were observed among the modeled variables. Notably, mediation analysis revealed a significant <i>disease severity</i> → <i>illness intrusiveness</i> → <i>overparenting</i> → <i>depressive symptoms</i> serial indirect effect.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Parents' experience of greater IBD-induced lifestyle disruptions is associated with increased overparenting and a heightened risk for depressive symptoms.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Practice implications</h3>\\n \\n <p>Parents should be encouraged to establish and maintain a healthy balance between parenting and self-care/role function activities, especially during adolescence when greater youth autonomy and independence are crucial. 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The impact of illness intrusiveness and overparenting on depressive symptoms in parents of youth with inflammatory bowel disease
Purpose
Inflammatory bowel disease (IBD) management creates significant caregiver demands that can interfere with parents' ability to engage in a number of role functions (i.e., illness intrusiveness) well into their child's adolescence, potentially resulting in excessive or misdirected parenting (i.e., overparenting). Disruptions and limited access to routine and valued activities (e.g., family, work, and leisure) due to IBD and excessive parenting may result in parents neglecting their own personal and emotional self-care needs, increasing their risk for depressive symptoms. To explore these associations, the present study examined parents' experience of illness intrusiveness and subsequent overparenting as serial mediators in the association between disease severity and parent depressive symptoms.
Design and methods
Participants were 146 caregivers of adolescents with IBD from an outpatient pediatric gastroenterology clinic. During a scheduled outpatient visit, parents completed measures of illness intrusiveness, overparenting, and depressive symptoms. Pediatric gastroenterologists provided ratings of disease severity.
Results
Several direct and indirect associations were observed among the modeled variables. Notably, mediation analysis revealed a significant disease severity → illness intrusiveness → overparenting → depressive symptoms serial indirect effect.
Conclusions
Parents' experience of greater IBD-induced lifestyle disruptions is associated with increased overparenting and a heightened risk for depressive symptoms.
Practice implications
Parents should be encouraged to establish and maintain a healthy balance between parenting and self-care/role function activities, especially during adolescence when greater youth autonomy and independence are crucial. These types of clinical efforts may reduce the likelihood of parents experiencing depressive symptoms, and have the added benefit of improving adolescent IBD self-management.
期刊介绍：
Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?''
The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.
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