Family Coping Styles Research Articles

Effects of Positive Psychological Intervention on Negative Psychology, Cognitive Function, Self-Acceptance and Disease Uncertainty in Patients with Parkinson’s Disease

Objective: to analyze the influence of positive psychological intervention on negative psychology, cognitive function, self-acceptance and disease uncertainty in patients with Parkinson’s disease. Methods: 79 patients with Parkinson’s disease admitted to our hospital from July 2017 to December 2019 were collected for comparative treatment. According to the random number method, they were divided into observation group (40 cases) and control group (39 cases). The patients in the control group were given routine nursing methods. The patients in the observation group were given positive psychological intervention on the basis of the control group. After the interference, the patients in the two groups were given negative psychology (HAMD) and cognition Function (visuospatial and executive function, naming ability, attention and memory, language ability, abstract thinking, delayed memory, orientation ability, total score), self-acceptance (self-acceptance, self-score), disease uncertainty (uncertainty, complexity), ADL, family coping style average score (positive coping style, negative coping style) The differences were analyzed. Results: after intervention, the HAMD scores of the two groups were lower than that before intervention, and the above indexes of the observation group were significantly lower than that of the control group (P < 0.05). After intervention, the visual space and executive function, naming ability, attention and memory, language ability, abstract thinking, delayed memory, orientation ability and total scores of the two groups were significantly higher than those of the control group (P < 0.05). After intervention, the self-acceptance and self-score of the two groups were higher than before intervention, and the above indexes of the observation group were significantly higher than those of the control group, the difference was statistically significant (P < 0.05). After intervention, the scores of uncertainties and complexity in the two groups were lower than those before intervention, and the above indexes in the observation group were significantly lower than those in the control group (P < 0.05). After intervention, the ADL scores of the two groups were higher than that before intervention, and the above indexes of the observation group were significantly higher than those of the control group, the difference was statistically significant (P < 0.05). After intervention, the scores of positive coping style in the two groups were higher than those before intervention, and the above indexes in the observation group were significantly higher than those in the control group (P < 0.05), while the scores of negative coping style in the observation group were lower than those before intervention, and the above indexes in the observation group were significantly lower than those in the control group, with a statistically significant difference (P < 0.05). Conclusion: positive psychological intervention can reduce the level of depression, improve patients’ cognitive function, increase patients’ self-confidence, reduce their fear of disease and improve their living standrads.

Fear of progression in parents of childhood cancer survivors: prevalence and associated factors

PurposeRecent research demonstrated that fear of progression (FoP) is a major burden for adult cancer survivors. However, knowledge on FoP in parents of childhood cancer survivors is scarce. This study aimed to determine the proportion of parents who show dysfunctional levels of FoP, to investigate gender differences, and to examine factors associated with FoP in mothers and fathers.MethodsFive hundred sixteen parents of pediatric cancer survivors (aged 0–17 years at diagnosis of leukemia or central nervous system (CNS) tumor) were consecutively recruited after the end of intensive cancer treatment. We conducted hierarchical multiple regression analyses for mothers and fathers and integrated parent-, patient-, and family-related factors in the models.ResultsSignificantly more mothers (54%) than fathers (41%) suffered from dysfunctional levels of FoP. Maternal FoP was significantly associated with depression, a medical coping style, a child diagnosed with a CNS tumor in comparison to leukemia, and lower family functioning (adjusted R2 = .30, p < .001). Paternal FoP was significantly associated with a lower level of education, depression, a family coping style, a child diagnosed with a CNS tumor in comparison to leukemia, and fewer siblings (adjusted R2 = .48, p < .001).ConclusionsFoP represents a great burden for parents of pediatric cancer survivors. We identified associated factors of parental FoP. Some of these factors can be targeted by health care professionals within psychosocial interventions and others can provide an indication for an increased risk for higher levels of FoP.Implications for Cancer SurvivorsPsychosocial support targeting FoP in parents of childhood cancer survivors is highly indicated.

The Interplay of Parent and Adolescent Catastrophizing and Its Impact on Adolescents’ Pain, Functioning, and Pain Behavior

Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as a shared coping style. The purpose of this study was to: (1) examine the effects of adolescent and parent pain catastrophizing on adolescent functioning and (2) explore concordance in catastrophizing in parent-adolescent dyads, with equal interest in outcomes of dyads with discordant coping styles. Pain intensity, catastrophizing, depressive symptoms, quality of life, and pain behaviors were assessed in adolescents (ages 11 to 17) presenting to a pediatric chronic pain clinic (N=240). Significant correlations between (1) parent and adolescent catastrophizing; (2) catastrophizing and pain behaviors; and (3) catastrophizing and adolescent outcomes were found. Parents and adolescents were classified into concordant or discordant dyads based on catastrophizing with a majority of dyads (>70%) showing concordant coping styles. Among discordant dyads, functional disability and depressive symptoms were significantly higher in a dyad with a high catastrophizing adolescent and low catastrophizing parent. Results provide further support for catastrophizing being a maladaptive coping strategy for adolescents with pain and their parents. Greater adolescent catastrophizing was related to increased pain behaviors and poorer adolescent functioning. Parent catastrophizing also seems related to poorer adolescent outcomes, and most parent-adolescent dyads showed concordance in use of catastrophizing, which may suggest a shared tendency for adaptive or maladaptive styles of coping with pain. Future research should investigate pain coping at a dyadic or family level to explore how family coping styles magnify distress and disability or buffer adolescents from such problems.

An Exploratory Analysis of Family Coping Styles and Psychobiological Distress Among Adolescents Affected by a Large-Scale Disaster

The authors examined the relations between mobilizing coping, the tendency for families to respond to problems by seeking community-based assistance, and psychological distress and cortisol activity in homeless adolescents (12–17 years) who were displaced by Hurricane Katrina (n = 50) as compared to demographically matched controls (n = 31). Perceptions of family mobilizing covaried with lower cortisol activity, a physiological indicator of recurrent stress exposure and long-term changes in hypothalamic pituitary adrenal regulation and, in this study, greater internalizing symptoms. Follow-up analyses suggested that mobilizing coping partially mediated the relation between hurricane exposure and lower cortisol. Further research is needed to accurately model biological and psychological consequences of the strategies that families use for dealing with ordinary and extraordinary stressors.

A preliminary investigation of family coping styles and psychological well-being among adolescent survivors of Hurricane Katrina.

The relation between family coping styles and psychological well-being was compared for adolescents (12-17 years) displaced by Hurricane Katrina and currently living in a relocation camp (n = 50) and nonaffected adolescents (n = 31) matched on age, race, and socioeconomic status. Adolescents in the Katrina sample reported a family mobilizing strategy that reflected an increased reliance and seeking of extra-familial, community-based support but lower self-esteem and more symptoms of distress and depression. Follow-up analyses suggested that the relations between group differences in participants' hurricane-related trauma experiences and greater psychological distress may be mediated in part by the family coping strategy; exposure to increased levels of community-provided support may have unintended consequences on adolescents' psychological health. These results highlight the importance of future research on both potential benefits and costs of family coping styles in adolescents affected by a large-scale disaster.

Children's adjustment to parental physical illness.

We review recent empirical literature examining the impact of parent physical illness on child functioning. We review studies of illness characteristics (n = 16), individual characteristics (n = 6), and family characteristics (n = 6). Although children's self-reports indicate heightened distress, parental reports do not suggest more problematic functioning. Child adjustment appears to be more closely related to perceptions of stressfulness rather than to objective illness severity indices. Adolescent girls seem to represent a group at heightened risk. Preliminary results suggest that family variables such as cohesion, conflict, and individual and family coping styles are important predictors of child adjustment.

Intergenerational Support during the Transition to Parenthood: Issues for New Parents and Grandparents

Intergenerational support during the transition to parenthood is explored on the basis of a research and preventive-service project that included 86 fist-time parents and their parents. Many factors influence the nature and perception of support: developmental and life-stage issues for both generations, maternal and paternal family relationships, family coping styles, and continuities or discontinuities of cultures and traditions. A holistic view of intergenerational resources is recommended, emphasizing increased recognition of the paternal family.