Testing the Utility of a Bio-Neuropsychosocial Model for Predicting Medical Adherence and Responsibility During Early Adolescence in Youth With Spina Bifida.
Testing the Utility of a Bio-Neuropsychosocial Model for Predicting Medical Adherence and Responsibility During Early Adolescence in Youth With Spina Bifida.
复制标题
测试生物神经心理社会模型在预测患有脊柱裂的青少年青春期早期的医疗依从性和责任方面的效用。
DOI：
10.1093/jpepsy/jsw092
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发表时间：
2017
影响因子：
3.6
通讯作者：
Holmbeck,GraysonN
中科院分区：
文献类型：
--
作者：
Psihogios,AlexandraM;Murray,Caitlin;Zebracki,Kathy;Acevedo,Laura;Holmbeck,GraysonN
目的本纵向、多方法、多信息者研究探讨了脊柱裂（SB）早期青少年患者医疗依从性和责任感的生物学、神经心理学和社会预测因素。（时间1时法师= 11.40）和他们的父母和老师完成了调查，家庭和同龄人完成了观察评估，在两个两年期数据收集时间点（两个时间点n= 112）。多项逻辑回归测试预测组成员资格（遵守与非遵守和儿童负责与不负责SB医疗tasks）。ResultsConsistently与生物神经心理社会模型，出现了几个风险因素SB管理。受损的粗大运动分类和低智商的障碍，以获得医疗责任，高家庭压力和执行功能障碍的障碍，坚持和responsibility.ConclusionsThis研究提供了干预目标，以促进自我管理和坚持与SB青年及其家庭，包括父母的压力管理和解决家庭问题。
ObjectivesThe present longitudinal, multi-method, and multi-informant study examined biological, neuropsychological, and social predictors of medical adherence and responsibility among early adolescents with spina bifida (SB).MethodsYouth with SB (Mage = 11.40 at Time 1) and their parents and teachers completed surveys, and families and peers completed observational assessments, at two biennial data collection time points (n= 112 for both time points). Multinomial logistic regressions tested predictors of group membership (adherent vs. nonadherent and child responsible vs. not responsible with SB medical tasks).ResultsConsistent with the bio-neuropsychosocial model, several risk factors emerged for SB management. Impaired gross motor classification and low IQ were barriers to obtaining medical responsibility, and high family stress and executive dysfunction were barriers to adherence and responsibility.ConclusionsThis study offered intervention targets to promote self-management and adherence for youth with SB and their families, including parent stress-management and family problem-solving.