Discrepancies in Mother and Child Perceptions of Spina Bifida Medical Responsibilities During the Transition to Adolescence: Associations With Family Conflict and Medical Adherence
Discrepancies in Mother and Child Perceptions of Spina Bifida Medical Responsibilities During the Transition to Adolescence: Associations With Family Conflict and Medical Adherence
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DOI：
10.1093/jpepsy/jst047
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发表时间：
2013-09-01
影响因子：
3.6
通讯作者：
Holmbeck, Grayson N.
中科院分区：
文献类型：
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作者：
Psihogios, Alexandra M.;Holmbeck, Grayson N.
目的探讨家庭冲突和医疗依从性对脊柱裂（SB）医疗任务责任认知的母婴差异。方法140名SB青少年及其母亲完成了关于SB医疗任务、家庭冲突和医疗依从性的问卷调查。还采用了一种观察性方法来评估家庭冲突。结果：虽然儿童认为自己比母亲更有责任管理医疗，但母子差异与家庭冲突或医疗依从性无关。互动效应显示，当家庭冲突较低和父母承担医疗任务时，依从性更好。结论父母参与SB医疗护理对青少年的最佳医疗依从性至关重要。家庭冲突的存在对SB医疗依从性也有影响。未来的研究应评估差异、家庭冲突和医疗依从性之间的关系。
Objective This study investigated mother child discrepancies over perceptions of who is responsible for spina bifida (SB) medical tasks in relation to family conflict and medical adherence. Method 140 youth with SB and their mothers completed questionnaires regarding who is responsible for specific SB medical tasks, family conflict, and medical adherence. An observational measure was also used to assess family conflict. Results Although children viewed themselves as more responsible for medical management than mothers did, mother-child discrepancies were not associated with family conflict or medical adherence. Interaction effects revealed that adherence was better when family conflict was low and when parents were responsible for medical tasks. Conclusions Parental involvement in SB medical care is essential for optimal medical adherence during adolescence. The presence of family conflict also plays an influential role on SB medical adherence. Future research should evaluate the relations between discrepancies, family conflict, and medical adherence across time.