Family Ritual Continuity: Comorbidity Child MH & Illness

家庭仪式的连续性：合并症儿童 MH

• 批准号: 6891926
• 负责人: BARBARA H FIESE
• 金额: $ 54.54万
• 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/6891926
• 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家庭过程的相关性的心理健康问题的儿童谁是在风险，由于慢性精神疾病。 将测试一个模型，其中家庭惯例和家庭信念，提出了服务于哮喘儿童的保护功能。另一种模式将进行测试，父母的心理困扰，提出了对家庭的日常生活，信仰和儿童的心理健康有直接的影响。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化（焦虑和抑郁）和外化疾病的影响。一个模型将被测试，家庭惯例和信念，提出通过其对医疗依从性和家庭健康的影响与儿童心理健康。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。一个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有关的常规和医疗依从性的变化，这项研究的结果将为预防工作提供信息，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。