The Influence of Parent Distress and Parenting on Bereaved Siblings' Externalizing Problems.

The Influence of Parent Distress and Parenting on Bereaved Siblings' Externalizing Problems.
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父母痛苦和育儿对丧亲兄弟姐妹的外在问题的影响。

DOI:
10.1007/s10826-019-01640-0
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发表时间:
2020-04
影响因子:
2.1
通讯作者:
Gerhardt CA
Gerhardt CA
中科院分区:
心理学3区
文献类型:
--
作者:
Howard Sharp KM;Meadows EA;Keim MC;Winning AM;Barrera M;Gilmer MJ;Akard TF;Compas BE;Fairclough DL;Davies B;Hogan N;Vannatta K;Gerhardt CA

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失去亲人的兄弟姐妹经历更多的外化问题相比,非失去亲人的同龄人和规范,但是,解释这种现象的机制还没有进行实证研究。本研究通过父母的痛苦(即,内化症状)和养育(即,父母教养行为、父母与青少年沟通)。在家访中,72名失去兄弟/姐妹死于癌症的青少年(10-18岁)和60名对照同龄人报告了他们的外化问题,以及他们的母亲和父亲的养育行为(温暖,行为控制,心理控制)和父母与青少年的沟通(开放沟通,有问题的沟通)。母亲和父亲报告了他们自己的内化症状。与对照组相比,丧亲兄弟姐妹报告了更多的外化问题(p = 0.048),丧亲母亲报告了更多的内化症状(p = 0.015)。多重中介模型显示,丧亲母亲的内化症状、教养方式和沟通方式可以部分解释外化问题的升高(较少的温暖[CI:0.04,0.86],更多的心理控制[CI:0.03,0.66],以及更多的母亲-青少年沟通问题[CI:0.03,0.79]),与显着的间接影响也出现了开放的母亲与青少年的沟通[CI:0.05,1.59]。丧亲父亲没有显着差异,从比较父亲的内化症状(p =.453),并没有显着的间接影响出现的父亲。在失去亲人的兄弟姐妹中,外部化问题的增加可能是由于母亲的痛苦以及对他们的养育和沟通的影响。有针对性的调整和养育子女的丧亲母亲后,一个孩子的死亡可能会减少外部化的问题,在丧亲兄弟姐妹。需要开展研究,评估以家庭为中心的干预措施。
Bereaved siblings experience more externalizing problems compared to non-bereaved peers and norms; however, the mechanisms explaining this phenomenon have not been empirically examined. This study tested the serial indirect effects of sibling bereavement on adolescents’ externalizing problems through parent distress (i.e., internalizing symptoms) and parenting (i.e., parenting behaviors, parent-adolescent communication). During home visits, 72 bereaved adolescents (ages 10–18) whose brother/sister died from cancer and 60 comparison peers reported about their externalizing problems and their mothers’ and fathers’ parenting behaviors (warmth, behavioral control, psychological control) and parent-adolescent communication (open communication, problematic communication). Mothers and fathers reported their own internalizing symptoms. Bereaved siblings reported more externalizing problems (p =.048) and bereaved mothers reported more internalizing symptoms relative to the comparison group (p =.015). Serial multiple mediation models indicated that elevated externalizing problems were partially explained by both bereaved mothers’ internalizing symptoms and parenting and communication (less warmth [CI: 0.04, 0.86], more psychological control [CI: 0.03, 0.66], and more problematic mother-adolescent communication [CI: 0.03, 0.79]), with a significant indirect effect also emerging for open mother-adolescent communication [CI: 0.05, 1.59]. Bereaved fathers did not significantly differ in internalizing symptoms from comparison fathers (p =.453), and no significant indirect effects emerged for fathers. Elevated externalizing problems in bereaved siblings may result from mothers’ distress and the impact on their parenting and communication. Targeting adjustment and parenting in bereaved mothers following a child’s death may reduce externalizing problems in bereaved siblings. Research to evaluate family-centered interventions is needed.
DOI: 10.1111/j.1469-7610.1994.tb01217.x
发表时间: 1994-05-01
期刊: JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
影响因子: --
作者:
HUTTON, CJ;BRADLEY, BS
通讯作者: BRADLEY, BS
DOI: 10.1207/s15374424jccp3402_5
发表时间: 2005-06-01
影响因子: 4.2
作者:
Kwok, OM;Haine, RA;Tein, JY
通讯作者: Tein, JY
DOI: 10.1080/07481180902961153
发表时间: 2009-01-01
期刊: DEATH STUDIES
影响因子: 3.8
作者:
Barrera, Maru;O'Connor, Kathleen;Schneiderman, Gerald
通讯作者: Schneiderman, Gerald
DOI: 10.2190/dhgk-nmg8-ffr4-ufw9
发表时间: 1989-01-01
影响因子: 2
作者:
BIRENBAUM, LK;ROBINSON, MA;MCCOWN, DE
通讯作者: MCCOWN, DE
DOI: 10.1097/ncc.0b013e3182365646
发表时间: 2012-09-01
期刊: CANCER NURSING
影响因子: 2.6
作者:
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通讯作者: Gerhardt, Cynthia A.