When Helping Hurts: Miscarried Helping in Families of Youth With Chronic Pain
When Helping Hurts: Miscarried Helping in Families of Youth With Chronic Pain
复制标题
DOI：
10.1093/jpepsy/jsu003
复制
发表时间：
2014-05-01
影响因子：
3.6
通讯作者：
Palermo, Tonya M.
中科院分区：
文献类型：
--
作者：
Fales, Jessica L.;Essner, Bonnie S.;Palermo, Tonya M.
目的 使用行动者-伴侣相互依存模型，研究“流产帮助”作为慢性疼痛青少年家庭适应不良的二元过程。方法 参与多中心研究的 210 名慢性疼痛青少年（平均 14.23 岁；73.9% 女性）及其父母完成了评估疼痛特征、流产帮助、家庭功能、父母保护性和儿童抑郁症状的测量。结果 多层次模型揭示了流产帮助对家庭的显着行动者影响结论 较高的流产帮助认知会导致家庭功能恶化，对慢性疼痛儿童和患有更多抑郁症状的青少年表现出更多保护性反应的父母可能会面临更高的风险。
Objective To examine "miscarried helping'' as a maladaptive dyadic process in families of youth with chronic pain using the Actor-Partner Interdependence Model. Methods 210 adolescents with chronic pain (mean 14.23 years; 73.9% female) and their parents participating in a multicenter study completed measures assessing pain characteristics, miscarried helping, family functioning, parental protectiveness, and child depressive symptoms. Results Multilevel modeling revealed significant actor effects of miscarried helping on family functioning for both parents and teens, but not partner effects. Individual-level factors, including child pain characteristics, depressive symptoms, and parental protectiveness, uniquely contributed to miscarried helping. Conclusions Higher perceptions of miscarried helping contribute to worse family functioning and may be a useful target for psychological intervention in parents of children with chronic pain. Parents who exhibit more protective responses to pain and youth with more depressive symptoms may be at increased risk for a miscarried helping process to develop.