Family Ritual Continuity: Comorbidity Child MH & Illness

家庭仪式的连续性：合并症儿童 MH

• 批准号: 6624072
• 负责人: BARBARA H FIESE
• 金额: $ 51.39万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-05-01 至 2007-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6624072
• 关键词: anxiety; asthma; behavior test; behavioral /social science research tag; belief; child behavior disorders; child psychology; chronic disease /disorder; clinical research; comorbidity; depression; family structure /dynamics; gender difference; health behavior; human subject; interview; longitudinal human study; mental disorder prevention; mental health epidemiology; middle childhood (6-11); parent offspring interaction; psychological adaptation; questionnaires; stress; therapy compliance

The overall aim of this investigation is to determine family process correlates of mental health problems in children who are at risk due to chronic mental illness. A model will be tested whereby family routines and family beliefs are proposed to serve a protective function for children with asthma. An alternative model will be tested whereby parent psychological distress is proposed to have a direct influence on family routines, beliefs, and child mental health. The sample under investigation will include 225 children who have been diagnosed with asthma that includes daily disease management. It is being proposed that the enactment of family routines and the creation of coherent beliefs about illness can protect children from developing internalizing (anxiety and depression) and externalizing symptomatology. A model will be tested whereby family routines and beliefs are proposed to be related to child mental health through their effects on medical adherence and family health.. Multi-group comparisons will be made to evaluate the moderating effects of illness severity, family life stress, and child gender. A targeted sub-sample will participate in a longitudinal study aimed at detecting variability in routines and medical adherence in relation to child mental health Results from this study will inform, prevention efforts aimed at reducing psychological distress in children with chronic medical illnesses such as asthma, diabetes, and cystic fibrosis.

这项调查的总体目的是确定慢性精神疾病高危儿童心理健康问题的家庭过程相关性。将测试一种模型，在该模型中，家庭惯例和家庭信仰被提出为哮喘儿童提供保护功能。将测试另一种模型，即父母的心理困扰被提出对家庭常规、信念和孩子的心理健康产生直接影响。接受调查的样本将包括225名被诊断患有哮喘的儿童，这些儿童包括日常疾病管理。有人建议，制定家庭惯例和建立关于疾病的一致信念可以保护儿童免受内在化(焦虑和抑郁)和外在化症状的影响。将测试一个模型，在该模型中，家庭惯例和信念被提议通过对医疗依从性和家庭健康的影响而与儿童心理健康有关。将进行多组比较，以评估疾病严重程度、家庭生活压力和儿童性别的缓和效果。一项有针对性的子样本将参与一项纵向研究，旨在检测与儿童心理健康相关的日常生活和医疗依从性的变异性。这项研究的结果将为预防措施提供信息，旨在减少患有哮喘、糖尿病和囊性纤维化等慢性疾病的儿童的心理痛苦。