Family Ritual Continuity: Comorbidity Child MH & Illness

本调查的总体目的是确定家庭过程与慢性精神疾病风险儿童心理健康问题的相关性。将测试一种模式，据此提出家庭惯例和家庭信念，以保护患有哮喘的儿童。将测试另一种模型，即提出父母心理困扰对家庭常规、信仰和儿童心理健康有直接影响。接受调查的样本将包括225名被诊断患有哮喘的儿童，包括日常疾病管理。有人提出，制定家庭惯例和建立关于疾病的连贯信念可以保护儿童免受内化（焦虑和抑郁）和外化症状的发展。将测试一种模式，据此提出家庭惯例和信念通过对医疗依从性和家庭健康的影响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调节作用。目标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。该研究的结果将为预防措施提供信息，旨在减少患有慢性医学疾病（如哮喘、糖尿病和囊性纤维化）的儿童的心理困扰。

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.