With the widespread adoption of smartphones,parental phubbing behaviors have become increasingly prevalent,potentially affecting preschool children’s development.Current research primarily focuses on adolescent popul...With the widespread adoption of smartphones,parental phubbing behaviors have become increasingly prevalent,potentially affecting preschool children’s development.Current research primarily focuses on adolescent populations,while the mechanisms through which parental phubbing and authoritarian parenting style influence preschool children’s behavioral problems within the Chinese cultural context remain to be explored.Our investigation seeks to examine the factors contributing to behavioral difficulties among children of preschool age and provide theoretical guidance for prevention.Methods In our research,we utilized a convenience sampling approach to collect data from parents whose children(n=612)were between 3 and 7 years of age.The questionnaire distribution was facilitated via the Wenjuanxing online survey platform.Research instruments included the Parental Phubbing Scale,Parent-Child Relationship Scale,Authoritarian Parenting Style Scale,and Conners Child Behavior Rating Scale.For analytical procedures,we employed SPSS 24.0 to generate descriptive statistics and correlation analysis.Chain mediation effects were examined via Process macro,while significance assessment of the mediating effects relied on the Bootstrap method for constructing 95%confidence intervals.Results A statistically significant positive association was observed between parental phubbing and behavioral problems exhibited by children(r=0.251,p<0.001).Parental phubbing exhibited a significant direct effect on children’s behavioral problems(β=0.088,p<0.001).Analysis of sequential mediation demonstrated that authoritarian parenting style together with parent-child conflict functioned as significant intermediary variables in the relationship between parental phubbing and children’s problem behaviors(β=0.163,p<0.001),with these indirect pathways constituting 64.94%of the total effect.Conclusion Parental phubbing significantly contributes to behavioral problems in preschool children.Parents should monitor their media use,improve their parenting approach,and enhance parent-child relationships to reduce behavioral problems in preschool children.展开更多
Objective:To explore the impact of parenting care guidance combined with preventive healthcare on child family parenting.Methods:Ninety-two child families were included as research subjects and randomly divided into a...Objective:To explore the impact of parenting care guidance combined with preventive healthcare on child family parenting.Methods:Ninety-two child families were included as research subjects and randomly divided into a control group and an observation group,with 46 cases in each group.The former implemented basic preventive healthcare,while the latter simultaneously carried out parenting care guidance combined with preventive healthcare.The intervention results of the two groups were compared.Results:The observation group had a higher awareness rate of family parenting knowledge and a higher formation rate of healthy behaviors,P<0.05.At the same time,parents’parenting anxiety scores were lower,and family health management ability scores were higher,P<0.05.Moreover,the observation group showed higher scores in children’s social skills,P<0.05.Conclusion:Parenting care guidance combined with preventive healthcare can effectively improve the status of child family parenting,and it is worthy of promotion and application.展开更多
BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current statu...BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.展开更多
Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and t...Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.展开更多
BACKGROUND Childhood trauma and parental socialization have been postulated as environmental factors of at-risk mental state(ARMS).Parental socialization is the process through which parents shape children’s self-reg...BACKGROUND Childhood trauma and parental socialization have been postulated as environmental factors of at-risk mental state(ARMS).Parental socialization is the process through which parents shape children’s self-regulation by providing guidance and protection.Although the impact of trauma on ARMS has been theorized,its clinical implications have not yet been fully clarified in adolescence,nor have explanatory models of parenting styles been established.AIM To investigate the role of traumatic experiences in the appearance of ARMS in the general adolescent population,considering the influence of parental socialization.METHODS A cross-sectional study of 697 adolescents aged 11-15 years was conducted,during which several questionnaires assessing childhood trauma,psychotic symptoms,and parenting styles were administered.The sample was divided into control,low-risk,medium-risk,and high-risk groups.RESULTS Some 2.8%(n=19)of the adolescents presented ARMS and the presence of childhood trauma was associated with an increased risk of ARMS.Furthermore,the presence of abuse was greater in the high-risk and low-risk groups compared to controls.Regarding parental socialization,it was determined that a family socialization style based on greater affection–communication decreased the probability of ARMS.Finally,using PROCESS model 1(regressionbased path analysis that uses ordinary least squares regression),results suggested that low levels of affection and communication may mediate the relationship between childhood trauma and ARMS in adolescents.CONCLUSION These results highlight the importance of the early detection of trauma in preventing ARMS,without forgetting the importance of socialization styles.展开更多
People that herd livestock for a living are known as herders,and they are found throughout Mongolia’s wild vast steppe.The purpose of the study is to investigate herder parents’belief systems for preparing the un-pr...People that herd livestock for a living are known as herders,and they are found throughout Mongolia’s wild vast steppe.The purpose of the study is to investigate herder parents’belief systems for preparing the un-preschooled children for schooling in the context of herder community in rural Mongolia.The belief systems of herder parents are shaped by three main characteristics:They lack a clear plan for their children’s education,are deeply concerned about it,and feel incapable of preparing their children for formal schooling.Herders’lives revolve around their livestock,and they must remain flexible,moving when necessary due to factors like water scarcity and poor grazing conditions caused by insufficient rain.While they desire better education for their children,the nomadic lifestyle makes it difficult to achieve.Herder parents’attitudes are contradictory;they want their children to be educated and live in urban areas,yet they also prefer them to become herders rather than educated but unemployed individuals.The hard work of herding makes them reluctant to pass it on to the next generation.展开更多
Background:Parenting exerts a profound influence on children’s mental health and behavioral development.Despite the high prevalence of children’s emotional and behavioral problems(CEBP)in China,evidence-based parent...Background:Parenting exerts a profound influence on children’s mental health and behavioral development.Despite the high prevalence of children’s emotional and behavioral problems(CEBP)in China,evidence-based parenting interventions remain scarcely investigated as preventive public health strategies.This pilot study evaluated a school-based intervention for preventing CEBP.Methods:We employed a quasi-experimental design with propensity score matching(PSM)to select 28 families(intervention:n=13;control:n=15)from two matched urban primary schools.Quantitative data from seven validated scales were analyzed using t-tests and ANCOVA.Qualitative insights were derived from 10 semi-structured interviews via thematic analysis.Results:Compared to the control group,the intervention group demonstrated significantly greater improvements in CEBP(p=0.020,Cohen’s d=0.92),parental adjustment(p=0.031,Cohen’s d=0.80),parenting confidence(p=0.003,Cohen’s d=1.04),and parentchild relationships(p=0.001,Cohen’s d=1.46).Non-significant effects were observed for parenting style,parental relationship,and parenting conflict(p>0.05).Qualitative analysis corroborated these findings and further identified contributing factors for non-significant outcomes,including challengeswithmeasurement adaptability and inconsistent co-parenting practices.Conclusions:This pilot study suggests that an authoritative parenting style may be effective and culturally adaptable in China.Positive parenting interventions appear to mitigate CEBP by reducing risk factors and enhancing protective factors.However,improving parental relationships and parenting conflict may require targeted strategies.Given the pilot nature of this PSM-matched study(n=28),the findings should be interpreted as exploratory and used primarily for intervention refinement.展开更多
This longitudinal study examined the association between parental autonomy support and school-aged children’s adjustment across four major domains of school functioning,as well as the mediating role of children’s ex...This longitudinal study examined the association between parental autonomy support and school-aged children’s adjustment across four major domains of school functioning,as well as the mediating role of children’s executive function.Participants were 476 school-aged children(girl:49.2%,M_(age)=10.49 years,SD=1.32 years),who completed the Psychological Autonomy Support Scale,the Behavior Rating Inventory of Executive Function–2,and the Primary School Students’Psychological Suzhi Scale at baseline and at two subsequent follow-up assessments.Results from unconditional latent growth curve models and structural equation modeling indicated that paternal autonomy support was a significant predictor of children’s adjustment across all four school domains.In contrast,maternal autonomy support was significantly associated only with interpersonal adjustment.Both the intercept(initial level)and slope(rate of change)of children’s executive function significantly predicted their adjustment in all four domains.Notably,the initial level of executive function fully mediated the association between paternal autonomy support and school adjustment,whereas the rate of change in executive function did not serve as a significant mediator.Thesefindings underscore the importance of promoting parental autonomy-supportive behaviors-particularly among fathers-as a means to enhance children’s executive functioning and,consequently,their school adjustment.展开更多
Objectives:To investigate the parenting stress,care burden,and coping styles in mothers of autistic children during the pandemic of COVID-19.The outbreak of COVID-19 and the closure of education and care centers for t...Objectives:To investigate the parenting stress,care burden,and coping styles in mothers of autistic children during the pandemic of COVID-19.The outbreak of COVID-19 and the closure of education and care centers for these children may affect stress,care burden,and adaptation of these mothers.Methods:This study was a cross-sectional research.A total of 110 mothers completed questionnaires.Data were analyzed by descriptive statistics(frequency,percentage,mean,and standard deviation),independent t-test,ANOVA,and multiple linear regressions.Results:Findings showed that parenting stress has a strong and direct correlation with caring burden(P<0.001,r=0.95),and a strong and indirect correlation with coping styles(P<0.001,r=−0.91).Variables of caring burden,coping strategies,mother’s age,mother’s job,mother’s education,number of autistic children,economic status,children’s age,and functional level of autism in children can predict 72.21%of the variance in parenting stress in these mothers.Conclusions:In the present study,parenting stress of mothers of autistic children was reported to be high during the COVID-19 pandemic.Based on the findings of this study,it can be concluded that pediatric nurses and health policymakers should provide a suitable educational and supportive environment for mothers of autistic children to enhance the coping level of these mothers and consequently reduce their parenting stress and care burden.展开更多
BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negati...BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negative emotions.AIM To analyze the elderly care needs of first-generation only child parents in China and identify factors that influence negative emotions.METHODS This study used a cross-sectional design.Convenience sampling was used to select 1580 elderly individuals who met the inclusion criteria in a Chinese city between June and September 2022.A questionnaire was administered to collect general information about participants.Depression and anxiety were assessed using the patient health questionnaire-9 and generalized anxiety disorder-7 scale,respectively.A logistic regression analysis was performed to evaluate the relevant correlations.RESULTS Among 1580 first-generation only child parents,1120(70.89%)preferred family based care,324(20.51%)opted for community care,and 136(8.61%)chose institutional care,with 460(29.11%)reporting negative emotions.Significant differences in the distribution of negative emotions among only child parents were observed based on age,marital status,living conditions,disability,type of chronic disease,frailty status,and family support(P<0.05).The regression analysis indicated that disability,type of chronic disease,living environment,frailty status,and level of family support were independent risk factors for negative emotions among parents with only children(P<0.05).CONCLUSION Elderly care for parents of only children is primarily family-based.Independent risk factors for negative emotions in this group include disability,chronic disease type,and living environment.展开更多
BACKGROUND Intellectual disability(ID),affecting 1%-3%of children globally,presents significant challenges for parents that often translate into occupational stress.While studies document elevated parenting stress lev...BACKGROUND Intellectual disability(ID),affecting 1%-3%of children globally,presents significant challenges for parents that often translate into occupational stress.While studies document elevated parenting stress levels(33.57 vs 26.46 in controls),job-related impacts remain poorly understood.This study employs propensity score matching(PSM)to rigorously analyze work stress determinants among parents of preschool-aged children with ID,controlling for socioeconomic and behavioral confounders.The research bridges a critical gap by examining how workplace demands intersect with special caregiving responsibilities,aiming to identify modifiable risk factors for targeted interventions.Findings will inform evidence-based workplace accommodations and support policies,offering novel insights into the occupational consequences of parenting a child with ID through advanced causal inference methods.This work holds important implications for hazard ratio(HR)policies and social support systems serving this vulnerable population.AIM To explore the factors affecting the job stress of parents of preschool children with mental retardation(MR),based on the PSM.METHODS One hundred and twenty-five children aged 3-6 years who were treated in our hospital from December 2022 to December 2024 were included in the questionnaire survey.Five cases were excluded due to incomplete data,and 120 cases completed the study.The questionnaire was filled out by the parents of the children,and 100 parents of normal children were selected to be included in the control group.After the baseline difference was balanced by PSM 1:1 matching,the general information,scores of parental stress in each dimension and parental stress level of the two groups were compared and analyzed.Single factor analysis was carried out on the factors affecting the parental stress of group;Pearson was used to analyze the correlation between the factors affecting parental stress in MR group.Logistic regression was used to analyze the factors affecting the job stress of parents in MR group.RESULTS After matching,there were 97 cases in both groups.The differences of parents'working status and family location in MR group were statistically significant,P<0.05.Parents in MR group were significantly higher than those in control group in every dimension and total score,of which 75.22%were at a high level,P<0.05.Univariate analysis shows that the older the parents are,the more unstable their work status is,the lower their education level is,the less their family income is,their location is in the countryside and the children have a genetic history,the higher their parental stress score is.Pearson correlation analysis showed that the total score of parental stress was related to supporting friends(r=-0.354),seeking social support,maintaining self-esteem and psychological stability(r=-0.146),coping style frequency(r=-0.476)and role size(r=-0.063).P<0.05.Using the binary Logistic regression model,it was found that whether the child had a genetic history(HR=1.667)was a risk factor affecting the parents'job stress of MR children,and friends'support(HR=0.539),seeking social support(HR=0.478),maintaining self-esteem and psychological stability(HR=0.625),and the frequency and role of coping styles(HR=0.794)were all its protective factors,P<0.05.CONCLUSION Parents'parental stress of most preschool children with MR is at a high level,in which children's genetic history is its risk factor,and friends'support,seeking social support,maintaining self-esteem and psychological stability,as well as the frequency and role of coping styles are its protective factors,which provides new intervention programs and measures to alleviate parents'parental stress of MR children.展开更多
This study investigated the relationship between parental cognitive ability and child logical reasoning ability,and the role of academic expectation and family environment in that relationship.Based on the 2020 China ...This study investigated the relationship between parental cognitive ability and child logical reasoning ability,and the role of academic expectation and family environment in that relationship.Based on the 2020 China Family Panel Studies(CFPS)data,1491 children(girls ratio=53.78%;average grade=6.023 years,school grade standard deviation=1.825 years).Results following multiple regression model(OLS)show that the higher the parental cognitive ability,the higher the children’s logical reasoning ability.Secondly,parental academic expectation serves as a mediator between their cognitive ability and children’s logical reasoning ability for higher logical reasoning by children.Third,a possible family environment acts as a mediator in the relationship between parents’cognitive ability and children’s logical reasoning ability to be higher.We conclude from thesefindings that parents with high cognitive abilities can enhance their children’s logical reasoning skills not only by setting higher academic expectations,but also by cultivating a supportive family environment.Thesefindings imply a need for intervention to improve family quality of life to enhance children’s thinking abilities to optimize their academic learning.展开更多
Jovani et al’s study contributes important evidence linking childhood trauma(CT)and parental socialization with at-risk mental state(ARMS)in non-clinical adolescents,demonstrating the mediating role of low levels of ...Jovani et al’s study contributes important evidence linking childhood trauma(CT)and parental socialization with at-risk mental state(ARMS)in non-clinical adolescents,demonstrating the mediating role of low levels of parental affection and communication in this relationship.This letter commends the study’s strengths while also identifying key issues that warrant further attention,including the limitations of cross-sectional design,potential perceptual biases,conceptual overlap between CT and parenting,and limited cultural generalizability.We advocate for longitudinal,culturally sensitive,and multi-informant approaches to further refine ARMS risk models,strengthen theoretical distinctions between CT and parenting,and inform targeted prevention strategies across diverse populations.We also extend the discussion by highlighting promising directions for future research.展开更多
The study by Lu et al explores the integration of remote family psychological support courses(R-FPSC)with traditional caregiver-mediated interventions(CMI)in the context of autism spectrum disorder(ASD).Conducted as a...The study by Lu et al explores the integration of remote family psychological support courses(R-FPSC)with traditional caregiver-mediated interventions(CMI)in the context of autism spectrum disorder(ASD).Conducted as a singleblinded randomized controlled trial involving 140 parents of children with ASD,the research highlights the crucial role of parental mental health in optimizing therapeutic outcomes.Results indicate that the addition of R-FPSC significantly enhances parental competence and reduces stress more effectively than CMI alone.Despite improvements in parenting stress and competence,no significant differences were noted in anxiety and depression symptoms between the groups,suggesting that while R-FPSC strengthens parenting skills,its impact on mood disorders requires further investigation.The findings advocate for the inclusion of remote psychological support in family interventions as a feasible and costeffective strategy,broadening access to essential resources and improving both parental and child outcomes.The study emphasizes the need for future research to evaluate the long-term impacts of such interventions and to explore the specific mechanisms through which parental mental health improvements affect child development.展开更多
BACKGROUND Parental behaviors are key in shaping children’s psychological and behavioral development,crucial for early identification and prevention of mental health issues,reducing psychological trauma in childhood....BACKGROUND Parental behaviors are key in shaping children’s psychological and behavioral development,crucial for early identification and prevention of mental health issues,reducing psychological trauma in childhood.AIM To investigate the relationship between parenting behaviors and behavioral and emotional issues in preschool children.METHODS From October 2017 to May 2018,7 kindergartens in Ma’anshan City were selected to conduct a parent self-filled questionnaire-Health Development Survey of Preschool Children.Children’s Strength and Difficulties Questionnaire(Parent Version)was applied to measures the children’s behavioral and emotional performance.Parenting behavior was evaluated using the Parental Behavior Inventory.Binomial logistic regression model was used to analyze the association between the detection rate of preschool children’s behavior and emotional problems and their parenting behaviors.RESULTS High level of parental support/participation was negatively correlated with conduct problems,abnormal hyperactivity,abnormal total difficulty scores and abnormal prosocial behavior problems.High level of maternal support/participation was negatively correlated with abnormal emotional symptoms and abnormal peer interaction in children.High level of parental hostility/coercion was positively correlated with abnormal emotional symptoms,abnormal conduct problems,abnormal hyperactivity,abnormal peer interaction,and abnormal total difficulty scores in children(all P<0.05).Moreover,paternal parenting behaviors had similarly effects on behavior and emotional problems of preschool children compared with maternal parenting behaviors(all P>0.05),after calculating ratio of odds ratio values.CONCLUSION Our study found that parenting behaviors are associated with behavioral and emotional issues in preschool children.Overall,the more supportive or involved the parents are,the fewer behavioral and emotional problems the children experience;conversely,the more hostile or controlling the parents are,the more behavioral and emotional problems the children face.Moreover,the impact of fathers’parenting behaviors on preschool children’s behavior and emotions is no less significant than that of mothers’parenting behaviors.展开更多
BACKGROUND Sustaining the mental health of autistic children’s parents can be demanding.AIM To determine the effect of remote support courses on the mental health of parents and the development of autistic children.M...BACKGROUND Sustaining the mental health of autistic children’s parents can be demanding.AIM To determine the effect of remote support courses on the mental health of parents and the development of autistic children.METHODS Parents of 140 autistic children were randomly assigned to two groups receiving a 2-week intervention:The control group received caregiver-mediated intervention(CMI);the experimental group received CMI with remote family psychological support courses(R-FPSC).The Parenting Stress Index-Short Form,Parenting Sense of Competence Scale,Generalized Anxiety Disorder-7,and Patient Health Questionnaire-9 were used to measure parents’mental health.The Childhood Autism Rating Scale and Gesell Developmental Schedules were used to evaluate children’s development.RESULTS Improved parenting stress,sense of competence,depression,and anxiety were found in both groups,but improvements in parenting stress(81.10±19.76 vs 92.10±19.26,P<0.01)and sense of competence(68.83±11.23 vs 63.91±10.86,P<0.01)were greater in the experimental group,although the experimental group showed no significant reduction in depression or anxiety.Children’s development did not differ significantly between the groups at follow-up;however,experimental group parents exhibited a short-term increase in training enthusiasm(12.78±3.16 vs 11.57±3.15,P<0.05).CONCLUSION Integrating R-FPSC with CMI may be effective in reducing parenting stress,enhancing parents’sense of competence,and increasing parents'training enthusiasm.展开更多
Intelligence quotient(IQ)and adaptive behavior are the influencing factors of autism spectrum disorder(ASD)in children entering mainstream schools.This study explored the association between parental education level,I...Intelligence quotient(IQ)and adaptive behavior are the influencing factors of autism spectrum disorder(ASD)in children entering mainstream schools.This study explored the association between parental education level,IQ,and adaptive behavior in ASD groups.A total of 257 school-age ASD children were enrolled in our study from January 2017 to June 2021.Their parents completed a standard demographic form,including age at autism diagnosis,gender,school placement,and parents’educational background.The Chinese version of the Wechsler Intelligence Scale for Children,Fourth Edition(WISC-IV)was completed by a certified assessor for each enrolled child.Parents were interviewed on adaptive behavior using the Chinese version of the Adaptive Behavior Assessment System,Second Edition(ABAS-II).The average IQ of school-age ASD children was 76.88(standard deviation(SD)=22.62)and boys had higher IQ levels than girls.The IQ was positively correlated with age.The General Adaptive Composite(GAC)score was 82.47(SD=15.86)and adaptive behavior did not increase with age.ASD children who attended mainstream schools had better adaptive behavior profiles than other children.The mother’s education level showed a significant correlation with the IQ and adaptive behavior of autistic children,while the father’s education level did not.Consequently,better training and support for parents may help autistic children enter mainstream schools,with adaptive training being the most urgently required skill for parents.展开更多
This article explores the intricate relationship between attachment styles formed during early childhood and the subsequent responses to traumatic events, particularly the death of a parent. Drawing on the theoretical...This article explores the intricate relationship between attachment styles formed during early childhood and the subsequent responses to traumatic events, particularly the death of a parent. Drawing on the theoretical framework of attachment theory and incorporating contemporary research, the paper discusses how parental interactions shape the neural circuitry of infants and children, influencing their ability to form secure or insecure attachments. These attachment styles, in turn, play a critical role in determining the child’s coping mechanisms when faced with trauma. This paper focuses on trying to understand how attachment theory is connected to the reaction to trauma with a highlight on the four major styles of attachments which are secure, anxious, avoidant, and disorganized to mention but a few, and how they influence stress and adversity in children. Attachment theory holds that human beings’ ability to form affectional bonds in infancy determines their patterns of relatedness across the life cycle. The type of attachment that is secure usually supports healthy adaptation and good coping mechanisms regardless of the trauma in the childhood of the child. While secure attachment mostly facilitates favorable trauma-related outcomes, anxious or avoidant attachment can exacerbate or alter the responses. The caregiving system that is avoidant attachment has implications of autonomous self-functioning which has features of suppression of the emotional response and poor search for emotional support during stress. From the principles of developmental psychology and trauma theory, the paper also focuses on the major significance of the child’s early caregivers’ interactions that define the resilience and vulnerability factor. This knowledge is therefore critical in designing specific interventions based on the improvement of coping behaviors and emotional regulatory systems of children who have been exposed to trauma. Finally, we have the synthesis of new knowledge about the role of secure attachment relationships as its fundamental element in shaping adaptive traumatization and psychological development. The article also delves into the physiological processes involved in emotional regulation and the role of cortisol in disrupting attachment. Finally, the implications of these findings for therapeutic interventions and the challenges of addressing prolonged grief and traumatic responses in clinical settings are considered.展开更多
Purpose: This study aimed to understand the actual nursing support in a wide perspective by reviewing overseas literature on support for children who have experienced parental bereavement and their families. The goal ...Purpose: This study aimed to understand the actual nursing support in a wide perspective by reviewing overseas literature on support for children who have experienced parental bereavement and their families. The goal was to identify future challenges in nursing support in clinical practice in Japan. Method: Literature searchable as of May 2023 was retrieved using PubMed, resulting in 11 relevant articles. Result: The results revealed the following: 1) For support provided to children, 13 codes were condensed into 5 subcategories and 4 categories. 2) For support provided to families, 36 codes were condensed into 11 subcategories and 4 categories. Conclusion: Open communication was found to be essential for supporting children and their families who have experienced parental bereavement. Moreover, involvement of multiple professions facilitated the provision of specialized support to address diverse needs of children and families, playing a crucial role in overcoming grief. Additionally, the effectiveness of support systems for bereaved families highlighted the need for nursing professionals in Japan to gain knowledge through learning opportunities and to establish a multi-disciplinary approach to support, thus indicating future challenges in nursing support.展开更多
Aim: Recently, the role of feeding coparenting has gained attention in the child eating research field. The Feeding Coparenting Scale (FCS), a measure of how caregivers interact with their partners when feeding their ...Aim: Recently, the role of feeding coparenting has gained attention in the child eating research field. The Feeding Coparenting Scale (FCS), a measure of how caregivers interact with their partners when feeding their children was developed in the United States in 2019. However, there is no valid and reliable measure to assess feeding coparenting among caregivers of school-aged children in Japan. Therefore, this study aimed to develop a Japanese version of the FCS (FCS-J) questionnaire for caregivers with school-aged children. Methods: This was a web-based cross-sectional survey completed by caregivers of children aged 10-12 years. A preliminary survey using interviews and a web-based survey was conducted and found that the translated items of the FCS into Japanese were understandable to Japanese people. The developed survey was administered to parents of children at an elementary school. The reliability of the survey was assessed using both test-retest reliability and internal consistency analysis. Exploratory factor analysis was used to test construct validity, and known population validity was examined in relation to attributes, marital satisfaction, and feeding tasks. Results: Findings with 135 parents of school-aged children showed good internal reliability and validity of the FCS-J. The mean score for the overall FCS-J score was 46.2 (SD = 6.2), with Cronbach’s α of 0.72. For the subscales, Cronbach’s α ranged from 0.75 to 0.79. In sum, the present study’s results support the three-factor structure of the FCS in Japanese caregivers in Japan. Conclusions: The developed FCS-J was found to have a certain degree of reliability and validity. In this study, a Japanese version of the FCS-J was developed. .展开更多
文摘With the widespread adoption of smartphones,parental phubbing behaviors have become increasingly prevalent,potentially affecting preschool children’s development.Current research primarily focuses on adolescent populations,while the mechanisms through which parental phubbing and authoritarian parenting style influence preschool children’s behavioral problems within the Chinese cultural context remain to be explored.Our investigation seeks to examine the factors contributing to behavioral difficulties among children of preschool age and provide theoretical guidance for prevention.Methods In our research,we utilized a convenience sampling approach to collect data from parents whose children(n=612)were between 3 and 7 years of age.The questionnaire distribution was facilitated via the Wenjuanxing online survey platform.Research instruments included the Parental Phubbing Scale,Parent-Child Relationship Scale,Authoritarian Parenting Style Scale,and Conners Child Behavior Rating Scale.For analytical procedures,we employed SPSS 24.0 to generate descriptive statistics and correlation analysis.Chain mediation effects were examined via Process macro,while significance assessment of the mediating effects relied on the Bootstrap method for constructing 95%confidence intervals.Results A statistically significant positive association was observed between parental phubbing and behavioral problems exhibited by children(r=0.251,p<0.001).Parental phubbing exhibited a significant direct effect on children’s behavioral problems(β=0.088,p<0.001).Analysis of sequential mediation demonstrated that authoritarian parenting style together with parent-child conflict functioned as significant intermediary variables in the relationship between parental phubbing and children’s problem behaviors(β=0.163,p<0.001),with these indirect pathways constituting 64.94%of the total effect.Conclusion Parental phubbing significantly contributes to behavioral problems in preschool children.Parents should monitor their media use,improve their parenting approach,and enhance parent-child relationships to reduce behavioral problems in preschool children.
文摘Objective:To explore the impact of parenting care guidance combined with preventive healthcare on child family parenting.Methods:Ninety-two child families were included as research subjects and randomly divided into a control group and an observation group,with 46 cases in each group.The former implemented basic preventive healthcare,while the latter simultaneously carried out parenting care guidance combined with preventive healthcare.The intervention results of the two groups were compared.Results:The observation group had a higher awareness rate of family parenting knowledge and a higher formation rate of healthy behaviors,P<0.05.At the same time,parents’parenting anxiety scores were lower,and family health management ability scores were higher,P<0.05.Moreover,the observation group showed higher scores in children’s social skills,P<0.05.Conclusion:Parenting care guidance combined with preventive healthcare can effectively improve the status of child family parenting,and it is worthy of promotion and application.
基金Supported by the Shijiazhuang Science and Technology Research and Development Program,No.221460383.
文摘BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.
基金supported by the Humanities and Social Sciences Research Planning Fund of Chinese Ministry of Education(22YJAZH150).
文摘Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.
基金Supported by Universidad Cardenal Herrera-CEU,CEU Universities,No.GIR24/27。
文摘BACKGROUND Childhood trauma and parental socialization have been postulated as environmental factors of at-risk mental state(ARMS).Parental socialization is the process through which parents shape children’s self-regulation by providing guidance and protection.Although the impact of trauma on ARMS has been theorized,its clinical implications have not yet been fully clarified in adolescence,nor have explanatory models of parenting styles been established.AIM To investigate the role of traumatic experiences in the appearance of ARMS in the general adolescent population,considering the influence of parental socialization.METHODS A cross-sectional study of 697 adolescents aged 11-15 years was conducted,during which several questionnaires assessing childhood trauma,psychotic symptoms,and parenting styles were administered.The sample was divided into control,low-risk,medium-risk,and high-risk groups.RESULTS Some 2.8%(n=19)of the adolescents presented ARMS and the presence of childhood trauma was associated with an increased risk of ARMS.Furthermore,the presence of abuse was greater in the high-risk and low-risk groups compared to controls.Regarding parental socialization,it was determined that a family socialization style based on greater affection–communication decreased the probability of ARMS.Finally,using PROCESS model 1(regressionbased path analysis that uses ordinary least squares regression),results suggested that low levels of affection and communication may mediate the relationship between childhood trauma and ARMS in adolescents.CONCLUSION These results highlight the importance of the early detection of trauma in preventing ARMS,without forgetting the importance of socialization styles.
文摘People that herd livestock for a living are known as herders,and they are found throughout Mongolia’s wild vast steppe.The purpose of the study is to investigate herder parents’belief systems for preparing the un-preschooled children for schooling in the context of herder community in rural Mongolia.The belief systems of herder parents are shaped by three main characteristics:They lack a clear plan for their children’s education,are deeply concerned about it,and feel incapable of preparing their children for formal schooling.Herders’lives revolve around their livestock,and they must remain flexible,moving when necessary due to factors like water scarcity and poor grazing conditions caused by insufficient rain.While they desire better education for their children,the nomadic lifestyle makes it difficult to achieve.Herder parents’attitudes are contradictory;they want their children to be educated and live in urban areas,yet they also prefer them to become herders rather than educated but unemployed individuals.The hard work of herding makes them reluctant to pass it on to the next generation.
基金supported by the National Social Science Fund of China[18BSH146].
文摘Background:Parenting exerts a profound influence on children’s mental health and behavioral development.Despite the high prevalence of children’s emotional and behavioral problems(CEBP)in China,evidence-based parenting interventions remain scarcely investigated as preventive public health strategies.This pilot study evaluated a school-based intervention for preventing CEBP.Methods:We employed a quasi-experimental design with propensity score matching(PSM)to select 28 families(intervention:n=13;control:n=15)from two matched urban primary schools.Quantitative data from seven validated scales were analyzed using t-tests and ANCOVA.Qualitative insights were derived from 10 semi-structured interviews via thematic analysis.Results:Compared to the control group,the intervention group demonstrated significantly greater improvements in CEBP(p=0.020,Cohen’s d=0.92),parental adjustment(p=0.031,Cohen’s d=0.80),parenting confidence(p=0.003,Cohen’s d=1.04),and parentchild relationships(p=0.001,Cohen’s d=1.46).Non-significant effects were observed for parenting style,parental relationship,and parenting conflict(p>0.05).Qualitative analysis corroborated these findings and further identified contributing factors for non-significant outcomes,including challengeswithmeasurement adaptability and inconsistent co-parenting practices.Conclusions:This pilot study suggests that an authoritative parenting style may be effective and culturally adaptable in China.Positive parenting interventions appear to mitigate CEBP by reducing risk factors and enhancing protective factors.However,improving parental relationships and parenting conflict may require targeted strategies.Given the pilot nature of this PSM-matched study(n=28),the findings should be interpreted as exploratory and used primarily for intervention refinement.
基金supported by the National Natural Science Foundation of China(CN)(Grant No.32071074).
文摘This longitudinal study examined the association between parental autonomy support and school-aged children’s adjustment across four major domains of school functioning,as well as the mediating role of children’s executive function.Participants were 476 school-aged children(girl:49.2%,M_(age)=10.49 years,SD=1.32 years),who completed the Psychological Autonomy Support Scale,the Behavior Rating Inventory of Executive Function–2,and the Primary School Students’Psychological Suzhi Scale at baseline and at two subsequent follow-up assessments.Results from unconditional latent growth curve models and structural equation modeling indicated that paternal autonomy support was a significant predictor of children’s adjustment across all four school domains.In contrast,maternal autonomy support was significantly associated only with interpersonal adjustment.Both the intercept(initial level)and slope(rate of change)of children’s executive function significantly predicted their adjustment in all four domains.Notably,the initial level of executive function fully mediated the association between paternal autonomy support and school adjustment,whereas the rate of change in executive function did not serve as a significant mediator.Thesefindings underscore the importance of promoting parental autonomy-supportive behaviors-particularly among fathers-as a means to enhance children’s executive functioning and,consequently,their school adjustment.
基金supported by Hamadan University of Medical Sciences supported financially this research(No.140005123994).
文摘Objectives:To investigate the parenting stress,care burden,and coping styles in mothers of autistic children during the pandemic of COVID-19.The outbreak of COVID-19 and the closure of education and care centers for these children may affect stress,care burden,and adaptation of these mothers.Methods:This study was a cross-sectional research.A total of 110 mothers completed questionnaires.Data were analyzed by descriptive statistics(frequency,percentage,mean,and standard deviation),independent t-test,ANOVA,and multiple linear regressions.Results:Findings showed that parenting stress has a strong and direct correlation with caring burden(P<0.001,r=0.95),and a strong and indirect correlation with coping styles(P<0.001,r=−0.91).Variables of caring burden,coping strategies,mother’s age,mother’s job,mother’s education,number of autistic children,economic status,children’s age,and functional level of autism in children can predict 72.21%of the variance in parenting stress in these mothers.Conclusions:In the present study,parenting stress of mothers of autistic children was reported to be high during the COVID-19 pandemic.Based on the findings of this study,it can be concluded that pediatric nurses and health policymakers should provide a suitable educational and supportive environment for mothers of autistic children to enhance the coping level of these mothers and consequently reduce their parenting stress and care burden.
基金Supported by General Projects of Henan Province Universities Humanities and Social Sciences Research in 2023,No.2023-ZDJH-533.
文摘BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negative emotions.AIM To analyze the elderly care needs of first-generation only child parents in China and identify factors that influence negative emotions.METHODS This study used a cross-sectional design.Convenience sampling was used to select 1580 elderly individuals who met the inclusion criteria in a Chinese city between June and September 2022.A questionnaire was administered to collect general information about participants.Depression and anxiety were assessed using the patient health questionnaire-9 and generalized anxiety disorder-7 scale,respectively.A logistic regression analysis was performed to evaluate the relevant correlations.RESULTS Among 1580 first-generation only child parents,1120(70.89%)preferred family based care,324(20.51%)opted for community care,and 136(8.61%)chose institutional care,with 460(29.11%)reporting negative emotions.Significant differences in the distribution of negative emotions among only child parents were observed based on age,marital status,living conditions,disability,type of chronic disease,frailty status,and family support(P<0.05).The regression analysis indicated that disability,type of chronic disease,living environment,frailty status,and level of family support were independent risk factors for negative emotions among parents with only children(P<0.05).CONCLUSION Elderly care for parents of only children is primarily family-based.Independent risk factors for negative emotions in this group include disability,chronic disease type,and living environment.
基金Supported by the Self-Funded Plan for Scientific and Technological Research and Development of Shijiazhuang City in 2022,No.221460383.
文摘BACKGROUND Intellectual disability(ID),affecting 1%-3%of children globally,presents significant challenges for parents that often translate into occupational stress.While studies document elevated parenting stress levels(33.57 vs 26.46 in controls),job-related impacts remain poorly understood.This study employs propensity score matching(PSM)to rigorously analyze work stress determinants among parents of preschool-aged children with ID,controlling for socioeconomic and behavioral confounders.The research bridges a critical gap by examining how workplace demands intersect with special caregiving responsibilities,aiming to identify modifiable risk factors for targeted interventions.Findings will inform evidence-based workplace accommodations and support policies,offering novel insights into the occupational consequences of parenting a child with ID through advanced causal inference methods.This work holds important implications for hazard ratio(HR)policies and social support systems serving this vulnerable population.AIM To explore the factors affecting the job stress of parents of preschool children with mental retardation(MR),based on the PSM.METHODS One hundred and twenty-five children aged 3-6 years who were treated in our hospital from December 2022 to December 2024 were included in the questionnaire survey.Five cases were excluded due to incomplete data,and 120 cases completed the study.The questionnaire was filled out by the parents of the children,and 100 parents of normal children were selected to be included in the control group.After the baseline difference was balanced by PSM 1:1 matching,the general information,scores of parental stress in each dimension and parental stress level of the two groups were compared and analyzed.Single factor analysis was carried out on the factors affecting the parental stress of group;Pearson was used to analyze the correlation between the factors affecting parental stress in MR group.Logistic regression was used to analyze the factors affecting the job stress of parents in MR group.RESULTS After matching,there were 97 cases in both groups.The differences of parents'working status and family location in MR group were statistically significant,P<0.05.Parents in MR group were significantly higher than those in control group in every dimension and total score,of which 75.22%were at a high level,P<0.05.Univariate analysis shows that the older the parents are,the more unstable their work status is,the lower their education level is,the less their family income is,their location is in the countryside and the children have a genetic history,the higher their parental stress score is.Pearson correlation analysis showed that the total score of parental stress was related to supporting friends(r=-0.354),seeking social support,maintaining self-esteem and psychological stability(r=-0.146),coping style frequency(r=-0.476)and role size(r=-0.063).P<0.05.Using the binary Logistic regression model,it was found that whether the child had a genetic history(HR=1.667)was a risk factor affecting the parents'job stress of MR children,and friends'support(HR=0.539),seeking social support(HR=0.478),maintaining self-esteem and psychological stability(HR=0.625),and the frequency and role of coping styles(HR=0.794)were all its protective factors,P<0.05.CONCLUSION Parents'parental stress of most preschool children with MR is at a high level,in which children's genetic history is its risk factor,and friends'support,seeking social support,maintaining self-esteem and psychological stability,as well as the frequency and role of coping styles are its protective factors,which provides new intervention programs and measures to alleviate parents'parental stress of MR children.
基金supported by scientific research fund of Jiangxi Provincial Social Sciences“14th Five-Year Plan”(No.23SH05).
文摘This study investigated the relationship between parental cognitive ability and child logical reasoning ability,and the role of academic expectation and family environment in that relationship.Based on the 2020 China Family Panel Studies(CFPS)data,1491 children(girls ratio=53.78%;average grade=6.023 years,school grade standard deviation=1.825 years).Results following multiple regression model(OLS)show that the higher the parental cognitive ability,the higher the children’s logical reasoning ability.Secondly,parental academic expectation serves as a mediator between their cognitive ability and children’s logical reasoning ability for higher logical reasoning by children.Third,a possible family environment acts as a mediator in the relationship between parents’cognitive ability and children’s logical reasoning ability to be higher.We conclude from thesefindings that parents with high cognitive abilities can enhance their children’s logical reasoning skills not only by setting higher academic expectations,but also by cultivating a supportive family environment.Thesefindings imply a need for intervention to improve family quality of life to enhance children’s thinking abilities to optimize their academic learning.
文摘Jovani et al’s study contributes important evidence linking childhood trauma(CT)and parental socialization with at-risk mental state(ARMS)in non-clinical adolescents,demonstrating the mediating role of low levels of parental affection and communication in this relationship.This letter commends the study’s strengths while also identifying key issues that warrant further attention,including the limitations of cross-sectional design,potential perceptual biases,conceptual overlap between CT and parenting,and limited cultural generalizability.We advocate for longitudinal,culturally sensitive,and multi-informant approaches to further refine ARMS risk models,strengthen theoretical distinctions between CT and parenting,and inform targeted prevention strategies across diverse populations.We also extend the discussion by highlighting promising directions for future research.
基金Supported by Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Education,No.NRF-RS-2023-00237287.
文摘The study by Lu et al explores the integration of remote family psychological support courses(R-FPSC)with traditional caregiver-mediated interventions(CMI)in the context of autism spectrum disorder(ASD).Conducted as a singleblinded randomized controlled trial involving 140 parents of children with ASD,the research highlights the crucial role of parental mental health in optimizing therapeutic outcomes.Results indicate that the addition of R-FPSC significantly enhances parental competence and reduces stress more effectively than CMI alone.Despite improvements in parenting stress and competence,no significant differences were noted in anxiety and depression symptoms between the groups,suggesting that while R-FPSC strengthens parenting skills,its impact on mood disorders requires further investigation.The findings advocate for the inclusion of remote psychological support in family interventions as a feasible and costeffective strategy,broadening access to essential resources and improving both parental and child outcomes.The study emphasizes the need for future research to evaluate the long-term impacts of such interventions and to explore the specific mechanisms through which parental mental health improvements affect child development.
基金Supported by the National Natural Science Foundation of China,No.81330068.
文摘BACKGROUND Parental behaviors are key in shaping children’s psychological and behavioral development,crucial for early identification and prevention of mental health issues,reducing psychological trauma in childhood.AIM To investigate the relationship between parenting behaviors and behavioral and emotional issues in preschool children.METHODS From October 2017 to May 2018,7 kindergartens in Ma’anshan City were selected to conduct a parent self-filled questionnaire-Health Development Survey of Preschool Children.Children’s Strength and Difficulties Questionnaire(Parent Version)was applied to measures the children’s behavioral and emotional performance.Parenting behavior was evaluated using the Parental Behavior Inventory.Binomial logistic regression model was used to analyze the association between the detection rate of preschool children’s behavior and emotional problems and their parenting behaviors.RESULTS High level of parental support/participation was negatively correlated with conduct problems,abnormal hyperactivity,abnormal total difficulty scores and abnormal prosocial behavior problems.High level of maternal support/participation was negatively correlated with abnormal emotional symptoms and abnormal peer interaction in children.High level of parental hostility/coercion was positively correlated with abnormal emotional symptoms,abnormal conduct problems,abnormal hyperactivity,abnormal peer interaction,and abnormal total difficulty scores in children(all P<0.05).Moreover,paternal parenting behaviors had similarly effects on behavior and emotional problems of preschool children compared with maternal parenting behaviors(all P>0.05),after calculating ratio of odds ratio values.CONCLUSION Our study found that parenting behaviors are associated with behavioral and emotional issues in preschool children.Overall,the more supportive or involved the parents are,the fewer behavioral and emotional problems the children experience;conversely,the more hostile or controlling the parents are,the more behavioral and emotional problems the children face.Moreover,the impact of fathers’parenting behaviors on preschool children’s behavior and emotions is no less significant than that of mothers’parenting behaviors.
基金Supported by The National Key R and D Program of China,No.2023YFC3604805The Key Scientific and Technological Projects of Guangdong Province,No.2018B030335001Guangzhou Science and Technology Program,No.202007030002.
文摘BACKGROUND Sustaining the mental health of autistic children’s parents can be demanding.AIM To determine the effect of remote support courses on the mental health of parents and the development of autistic children.METHODS Parents of 140 autistic children were randomly assigned to two groups receiving a 2-week intervention:The control group received caregiver-mediated intervention(CMI);the experimental group received CMI with remote family psychological support courses(R-FPSC).The Parenting Stress Index-Short Form,Parenting Sense of Competence Scale,Generalized Anxiety Disorder-7,and Patient Health Questionnaire-9 were used to measure parents’mental health.The Childhood Autism Rating Scale and Gesell Developmental Schedules were used to evaluate children’s development.RESULTS Improved parenting stress,sense of competence,depression,and anxiety were found in both groups,but improvements in parenting stress(81.10±19.76 vs 92.10±19.26,P<0.01)and sense of competence(68.83±11.23 vs 63.91±10.86,P<0.01)were greater in the experimental group,although the experimental group showed no significant reduction in depression or anxiety.Children’s development did not differ significantly between the groups at follow-up;however,experimental group parents exhibited a short-term increase in training enthusiasm(12.78±3.16 vs 11.57±3.15,P<0.05).CONCLUSION Integrating R-FPSC with CMI may be effective in reducing parenting stress,enhancing parents’sense of competence,and increasing parents'training enthusiasm.
基金supported by the Zhejiang Provincial Natural Science Foundation of China(No.LGF20H090015)。
文摘Intelligence quotient(IQ)and adaptive behavior are the influencing factors of autism spectrum disorder(ASD)in children entering mainstream schools.This study explored the association between parental education level,IQ,and adaptive behavior in ASD groups.A total of 257 school-age ASD children were enrolled in our study from January 2017 to June 2021.Their parents completed a standard demographic form,including age at autism diagnosis,gender,school placement,and parents’educational background.The Chinese version of the Wechsler Intelligence Scale for Children,Fourth Edition(WISC-IV)was completed by a certified assessor for each enrolled child.Parents were interviewed on adaptive behavior using the Chinese version of the Adaptive Behavior Assessment System,Second Edition(ABAS-II).The average IQ of school-age ASD children was 76.88(standard deviation(SD)=22.62)and boys had higher IQ levels than girls.The IQ was positively correlated with age.The General Adaptive Composite(GAC)score was 82.47(SD=15.86)and adaptive behavior did not increase with age.ASD children who attended mainstream schools had better adaptive behavior profiles than other children.The mother’s education level showed a significant correlation with the IQ and adaptive behavior of autistic children,while the father’s education level did not.Consequently,better training and support for parents may help autistic children enter mainstream schools,with adaptive training being the most urgently required skill for parents.
文摘This article explores the intricate relationship between attachment styles formed during early childhood and the subsequent responses to traumatic events, particularly the death of a parent. Drawing on the theoretical framework of attachment theory and incorporating contemporary research, the paper discusses how parental interactions shape the neural circuitry of infants and children, influencing their ability to form secure or insecure attachments. These attachment styles, in turn, play a critical role in determining the child’s coping mechanisms when faced with trauma. This paper focuses on trying to understand how attachment theory is connected to the reaction to trauma with a highlight on the four major styles of attachments which are secure, anxious, avoidant, and disorganized to mention but a few, and how they influence stress and adversity in children. Attachment theory holds that human beings’ ability to form affectional bonds in infancy determines their patterns of relatedness across the life cycle. The type of attachment that is secure usually supports healthy adaptation and good coping mechanisms regardless of the trauma in the childhood of the child. While secure attachment mostly facilitates favorable trauma-related outcomes, anxious or avoidant attachment can exacerbate or alter the responses. The caregiving system that is avoidant attachment has implications of autonomous self-functioning which has features of suppression of the emotional response and poor search for emotional support during stress. From the principles of developmental psychology and trauma theory, the paper also focuses on the major significance of the child’s early caregivers’ interactions that define the resilience and vulnerability factor. This knowledge is therefore critical in designing specific interventions based on the improvement of coping behaviors and emotional regulatory systems of children who have been exposed to trauma. Finally, we have the synthesis of new knowledge about the role of secure attachment relationships as its fundamental element in shaping adaptive traumatization and psychological development. The article also delves into the physiological processes involved in emotional regulation and the role of cortisol in disrupting attachment. Finally, the implications of these findings for therapeutic interventions and the challenges of addressing prolonged grief and traumatic responses in clinical settings are considered.
文摘Purpose: This study aimed to understand the actual nursing support in a wide perspective by reviewing overseas literature on support for children who have experienced parental bereavement and their families. The goal was to identify future challenges in nursing support in clinical practice in Japan. Method: Literature searchable as of May 2023 was retrieved using PubMed, resulting in 11 relevant articles. Result: The results revealed the following: 1) For support provided to children, 13 codes were condensed into 5 subcategories and 4 categories. 2) For support provided to families, 36 codes were condensed into 11 subcategories and 4 categories. Conclusion: Open communication was found to be essential for supporting children and their families who have experienced parental bereavement. Moreover, involvement of multiple professions facilitated the provision of specialized support to address diverse needs of children and families, playing a crucial role in overcoming grief. Additionally, the effectiveness of support systems for bereaved families highlighted the need for nursing professionals in Japan to gain knowledge through learning opportunities and to establish a multi-disciplinary approach to support, thus indicating future challenges in nursing support.
文摘Aim: Recently, the role of feeding coparenting has gained attention in the child eating research field. The Feeding Coparenting Scale (FCS), a measure of how caregivers interact with their partners when feeding their children was developed in the United States in 2019. However, there is no valid and reliable measure to assess feeding coparenting among caregivers of school-aged children in Japan. Therefore, this study aimed to develop a Japanese version of the FCS (FCS-J) questionnaire for caregivers with school-aged children. Methods: This was a web-based cross-sectional survey completed by caregivers of children aged 10-12 years. A preliminary survey using interviews and a web-based survey was conducted and found that the translated items of the FCS into Japanese were understandable to Japanese people. The developed survey was administered to parents of children at an elementary school. The reliability of the survey was assessed using both test-retest reliability and internal consistency analysis. Exploratory factor analysis was used to test construct validity, and known population validity was examined in relation to attributes, marital satisfaction, and feeding tasks. Results: Findings with 135 parents of school-aged children showed good internal reliability and validity of the FCS-J. The mean score for the overall FCS-J score was 46.2 (SD = 6.2), with Cronbach’s α of 0.72. For the subscales, Cronbach’s α ranged from 0.75 to 0.79. In sum, the present study’s results support the three-factor structure of the FCS in Japanese caregivers in Japan. Conclusions: The developed FCS-J was found to have a certain degree of reliability and validity. In this study, a Japanese version of the FCS-J was developed. .
