目的 基于主客体互倚模型探讨青少年情绪障碍患者及其照顾者家庭关怀度与积极应对方式的关系,为构建青少年情绪障碍患者家庭干预方案提供参考。方法 2023年12月—2024年9月,便利选取上海市某三级甲等精神科专科医院青少年情绪障碍患者及其主要照顾者303对作为研究对象,使用一般资料调查表、家庭关怀度指数问卷和简易应对方式问卷进行调查,采用主客体互倚模型和Pearson相关性分析,分析患者及其照顾者家庭关怀度和积极应对方式相互之间的路径关系。结果 患者和照顾者家庭关怀度得分分别为(5.32±3.25)、(5.87±2.61)分;积极应对方式均分分别为(1.56±0.65)、(2.20±0.49)分。在主客体互倚模型中发现,患者与照顾者家庭关怀度可正向预测自身的积极应对方式(β1=0.338,β2=0.338,P<0.001),主体效应显著;患者家庭关怀度可正向预测照顾者的积极应对方式(β=0.142,P<0.01),存在客体效应。结论 青少年情绪障碍患者的家庭关怀度与自身及其照顾者的应对方式密切相关,医护人员应将其视作一个整体进行干预。
Abstract
Objective To examine the relationship between family functioning and positive coping strategies in adolescents with emotional disorders and their caregivers using the actor-partner interdependence model (APIM),in order to provide a reference for the construction of family intervention programs for adolescent patients with emotional disorders. Methods From December 2023 to September 2024, a convenience sample of 303 adolescent-caregiver dyads was recruited from a tertiary psychiatric hospital in Shanghai.Participants completed the Family Adaption,Partnership,Growth,Affection,Resolve Index Questionnaire(APGAR), Simplified Coping Style Questionnaire(SCSQ), and a demographic survey.APIM and Pearson correlation analysis were employed to analyze the dyadic relationships between family functioning and positive coping strategies. Results The mean family APGAR scores were 5.32±3.25 for adolescents and 5.87±2.61 for caregivers; positive coping strategy scores were 1.56±0.65 and 2.20±0.49, respectively.The APIM revealed significant actor effects, with both adolescents′ and caregivers′ family functioning positively predicting their own positive coping strategies (β1=0.338, β2=0.338, P<0.001).A significant partner effect was observed, showing that adolescents′ family APGAR positively predicted caregivers′ positive coping strategies (β=0.142, P<0.01). Conclusions Family APGAR is closely associated with coping strategies in both adolescents with emotional disorders and their caregivers.Healthcare professionals should adopt a family-centered approach when implementing interventions.
关键词
情绪障碍 /
家庭关怀度 /
积极应对方式 /
主客体互倚模型 /
青少年
Key words
emotional disorder /
family APGAR /
positive coping styles /
actor-partner interdependence model /
adolescents
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基金
上海交通大学医学院护理学科建设项目(2024)
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