Factors determining parenting stress in mothers of children with atopic dermatitis
Factors determining parenting stress in mothers of children with atopic dermatitis
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特应性皮炎患儿母亲育儿压力的影响因素
DOI：
10.1016/j.alit.2018.08.006
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发表时间：
2019
影响因子：
6.8
通讯作者：
Asano Midori
中科院分区：
文献类型：
--
作者：
Yamaguchi Chikae;Ebara Takeshi;Hosokawa Rikuya;Futamura Masaki;Ohya Yukihiro;Asano Midori
背景：特应性皮炎 (AD) 影响儿童的情绪和社交健康以及他或她的身体健康。 AD 对父母和照顾者日常生活的影响也有记录。本研究探讨了人口背景、AD儿童特征及其家庭系统对育儿压力的影响。方法：参与者是2-6岁被诊断患有AD的儿童的母亲。使用多元回归分析（逐步）检验育儿压力模型的预测能力，以育儿压力 (PSI-SF) 作为因变量，并考虑儿童人口统计数据，包括 AD 的特征；父母的人口统计数据； AD 儿童家庭的生活质量 (JCMV-CADIS)；和家庭功能（FAI）作为自变量。我们采用多重插补方法处理缺失值。结果：多重插补后多元回归分析得到的汇总系数表明，“家庭凝聚力”、“家庭制度灵活性”、“与社会因素相关的情绪”和“母亲职业”决定了养育压力。较低的家庭凝聚力和家庭系统灵活性预示着较高的养育压力。 “与社会因素相关的情绪”对家庭生活质量的巨大影响预示着更高的养育压力。母亲全职工作预示着较低的育儿压力。结论：目前的结果显示，“家庭凝聚力”、“家庭系统灵活性”、“与社会因素相关的情绪”和“母亲全职工作”可以预测患有AD孩子的母亲的育儿压力。
Background: Atopic dermatitis (AD) influences a child's emotional and social well-being, as well as his or her physical health. The influence of AD on the daily lives of parents and caregivers has also been documented. This study examined how parenting stress is affected by demographic background, characteristics of children's AD, and their family systems.Methods: The participants were mothers of children, aged 2–6 years old, who had been diagnosed with AD. The predictive power of a model of parenting stress was examined using multiple regression analysis (stepwise), with parenting stress (PSI-SF) as the dependent variable, and children's demographics, including characteristics of AD; parents' demographics; QoL of families of children with AD (JCMV-CADIS); and family functioning (FAI) as independent variables. We handled missing values using a multiple imputation method.Results: The pooled coefficients obtained from the multiple regression analysis after multiple imputation indicated that “family cohesion,”“family system flexibility,”“emotions related to social factors” and “occupation of mother” determined parenting stress. Lower family cohesion and family system flexibility predicted higher parenting stress. The high impact of “emotions related to social factors” on families' QoL predicted higher parenting stress. Full-time work by mothers predicted lower parenting stress.Conclusions: The current results reveal that “family cohesion,”“family system flexibility,”“emotions related to social factors” and “full-time work by mothers” predicted parenting stress of mothers who had children with AD.