Development and effects of an internet-based family resilience-promoting program for parents of children with cancer: A randomized controlled trial

Park, Mina; Kim, Sunah; Lee, Hyejung; Lyu, Chuhl Joo; Choi, Eun Kyoung

doi:10.1016/j.ejon.2023.102332

Cited by 4 publications

(1 citation statement)

References 39 publications

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“…Our study found that both parent- and adolescent-reported family resilience were positively associated with the psychological adjustment of adolescents with chronic illness. Families with high levels of resilience are characterized by strong self-efficacy, empathy, and family relationships during the treatment process [ 50 ], which can improve their ability to cope with illness and improve their mental health [ 51 ]. Our results revealed that adolescent-reported family resilience had a stronger correlation with adolescents’ psychological adjustment than parent-reported family resilience.…”

Section: Discussionmentioning

confidence: 99%

Discrepancies in perceived family resilience between adolescents with chronic illness and parents: using response surface analysis to examine the relationship with adolescents’ psychological adjustment

Chen,

Ren,

Jiang

et al. 2024

BMC Psychiatry

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Background This study aimed to explore discrepancies in adolescents with chronic illness and their parents’ perceptions of family resilience, as well as the relationship between these differences and the psychological adjustment of adolescents with chronic illness. Methods A cross-sectional study was conducted. A total of 264 dyads of parents (77.7% mothers, mean age 41.60 years, SD = 6.17) and adolescents (48.5% girls, mean age 12.68 years, SD = 2.11) with chronic illness were recruited through convenience sampling from three children’s hospitals in Wenzhou, Hangzhou, and Shanghai, China between June 2022 and May 2023. The Chinese version of the Family Resilience Scale and the Psychological Adjustment Scale, which are commonly used measures with good reliability and validity, were employed to assess family resilience and psychological adaption, respectively. The data were analyzed using polynomial regression and response surface analysis. Results Adolescents with chronic illness reported higher family resilience than their parents (t=-2.80, p < 0.05). The correlations between family resilience and adolescents’ psychological adjustment reported by the adolescents (r = 0.45–0.48) were higher than parents (r = 0.18–0.23). In the line of congruence, there were positive linear (a1 = 1.09–1.60, p < 0.001) and curvilinear (a2=-1.38∼-0.72, p < 0.05) associations between convergent family resilience and adolescents’ psychological adjustment. In the line of incongruence, when adolescents reported lower family resilience than parents, adolescents had a lower level of psychological adjustment (a3=-1.02∼-0.45, p < 0.05). Adolescents’ sociability decreased when the perceived family resilience of parent-adolescent dyads converged (a4 = 1.36, p < 0.01). Conclusion The findings highlighted the importance of considering the discrepancies and congruence of family resilience in the parent-child dyads when developing interventions to improve the psychological adjustment of adolescents with chronic illness. Interventions aimed at strengthening family communication to foster the convergence of perceptions of family resilience in parent-adolescent dyads were warranted.

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Section: Discussionmentioning

confidence: 99%

Discrepancies in perceived family resilience between adolescents with chronic illness and parents: using response surface analysis to examine the relationship with adolescents’ psychological adjustment

Chen,

Ren,

Jiang

et al. 2024

BMC Psychiatry

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Nursing interventions for pediatric patients with cancer and their families: A scoping review

Rørbech,

Dreyer,

Enskär

et al. 2024

International Journal of Nursing Studies

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Parent–adolescent family resilience and psychological adjustment in chronically ill adolescents: An actor–partner interdependence mediation model

Chen,

Jiang

et al. 2024

Journal of Advanced Nursing

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AimsThis study explored the relationships between family resilience, dyadic coping and psychological adjustment among adolescents with chronic illnesses and their parents. The actor–partner interdependence mediation model was used to validate the mediating role of dyadic coping in the relationship between family resilience and psychological adjustment.DesignThis is a cross‐sectional study.MethodsA total of 318 parent–adolescents dyads were recruited from three paediatric hospitals in Wenzhou, Hangzhou, Shanghai city, China, between June 2022 and August 2023. The parents had a mean age of 41.62 years, and the adolescents had a mean age of 12.66 years. Participants independently completed a self‐report questionnaire assessed family resilience, dyadic coping and psychological adjustment. Data analysis was conducted using the actor–partner interdependence mediation model.ResultsThe findings suggest that in the actor effects, family resilience directly influenced psychological adjustment, and family resilience is related to psychological adjustment through positive dyadic coping. In the partner effect, parents' family resilience influenced adolescents' psychological adjustment through the parents' positive dyadic coping. Similarly, adolescents' family resilience influenced parents' psychological adjustment through both parents' positive dyadic coping and adolescents' negative dyadic coping. Additionally, there was a partner effect between parents' family resilience and adolescents' psychological adjustment.ConclusionThis study demonstrated the importance of developing effective dyadic interventions based on family resilience or positive dyadic coping strategies to improve the mental health of adolescents with chronic illnesses and their parents.ImpactThe mediating role of dyadic coping in the relationship between family resilience and psychological adjustment among adolescents with chronic illnesses and their parents was demonstrated. Future psychosocial interventions should focus on increasing parents' positive dyadic coping strategies and improving adolescents' negative dyadic coping strategies.Patient or Public ContributionNo patient or public contribution.

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Development and effects of an internet-based family resilience-promoting program for parents of children with cancer: A randomized controlled trial

Cited by 4 publications

References 39 publications

Discrepancies in perceived family resilience between adolescents with chronic illness and parents: using response surface analysis to examine the relationship with adolescents’ psychological adjustment

Discrepancies in perceived family resilience between adolescents with chronic illness and parents: using response surface analysis to examine the relationship with adolescents’ psychological adjustment

Nursing interventions for pediatric patients with cancer and their families: A scoping review

Parent–adolescent family resilience and psychological adjustment in chronically ill adolescents: An actor–partner interdependence mediation model

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