An exploration of family problem-solving and affective involvement as moderators between disease severity and depressive symptoms in adolescents with inflammatory bowel disease.

An exploration of family problem-solving and affective involvement as moderators between disease severity and depressive symptoms in adolescents with inflammatory bowel disease.
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探索家庭问题解决和情感参与作为炎症性肠病青少年疾病严重程度和抑郁症状之间的调节因素。

DOI:
10.1007/s10880-013-9368-x
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发表时间:
2013
影响因子:
2.2
通讯作者:
Hommel,KevinA
Hommel,KevinA
中科院分区:
心理学4区
文献类型:
--
作者:
Schuman,ShanaL;Graef,DanielleM;Janicke,DavidM;Gray,WendyN;Hommel,KevinA

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关于家庭功能与炎症性肠病(IBD)青年的心理社会功能之间的关系知之甚少。本研究旨在探讨青少年疾病严重程度与忧郁症状之间的调节因子--家庭问题解决与情感投入。参与者是122名IBD青少年及其父母。措施包括自我报告和父母报告的青少年抑郁症状,父母报告的家庭功能,和医生完成的疾病严重程度的措施。疾病的严重程度是一个显着的预测抑郁症状,但不是父母报告的青少年抑郁症状。家庭情感参与显着预测父母报告的青少年抑郁症状,而家庭问题解决显着预测青少年抑郁症状的自我报告。无论是情感的参与,也不解决问题担任主持人。家庭情感参与可能在青少年情绪功能中起重要作用,但可能不会缓和疾病严重程度对抑郁症状的影响。研究应继续审查家庭功能对青年情感功能的影响,并包括一个样本,更广泛的疾病严重程度,以确定是否有必要采取干预措施,以提高家庭功能。
Little is known about how family functioning relates to psychosocial functioning of youth with inflammatory bowel disease (IBD). The study aim was to examine family problem solving and affective involvement as moderators between adolescent disease severity and depressive symptoms. Participants were 122 adolescents with IBD and their parents. Measures included self-reported and parent-reported adolescent depressive symptoms, parent-reported family functioning, and physician-completed measures of disease severity. Disease severity was a significant predictor of adolescent-reported depressive symptoms, but not parent-reported adolescent depressive symptoms. Family affective involvement significantly predicted parent-reported adolescent depressive symptoms, while family problem-solving significantly predicted adolescent self-report of depressive symptoms. Neither affective involvement nor problem-solving served as moderators. Family affective involvement may play an important role in adolescent emotional functioning but may not moderate the effect of disease severity on depressive symptoms. Research should continue to examine effects of family functioning on youth emotional functioning and include a sample with a wider range of disease severity to determine if interventions aimed to enhance family functioning are warranted.
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