Facilitators and barriers to parent-child communication in pediatric palliative care:An integrative review

Objectives:This study aimed to identify facilitators and barriers to parent-child communication in pediatric palliative care,providing insights for medical professionals developing targeted interventions to enhance parent-child communication and improve its effectiveness.Methods:Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in six databases(Medline,Embase,CINAHL Complete,PsycINFO,Web of Science,and Cochrane Library).Peer-reviewer articles published in the English language from inception to December 2023.All of the identified studies were screened,extracted,and analyzed independently by two researchers.Results:Twenty-four articles were included.Thefindings of the relevant studies were analyzed using thematic analysis.Four themes were identified as facilitators:legacy-making,resilience training programs,guidance from the healthcare team,and positive communication.Seven themes were identified as barriers:denial,being unprepared and evasive,mutual protection,being overwhelmed by painful emotions and overloaded with information,incorrect views of medical professionals and parents,negative communication,and cultural context.Conclusions:Parents and professionals should avoid myths about protecting the child and encourage open communication that respects the child’s wishes.The specialized pediatric palliative care team should carefully monitor parent-child communication,determine if any obstacles exist,and design more interventions to enhance it.

Relationship between Parent-Child Attachment and Problem Behaviors among Chinese Firstborn Children in Family Transitions: A Meta-Analysis

The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only child.This transition is associated with problematic behaviors,affecting their social adjustment,sibling relationships,and family harmony.Although several studies have examined the relationship between parent-child attachment and problem behaviors exhibited byfirstborn children during family transitions,thefindings have been inconsistent.Hence,a meta-analytic study was undertaken to elucidate the inconsistencies in this relationship and explore the moderating factors that may contribute to these discrepancies.Using a systematic literature retrieval and screening method,12 effect sizes were derived from the 10 eligible articles,encompassing a sample size of 5319.The meta-analysis demonstrated a low negative association between parent-child secure attachment and problem behaviors exhibited byfirstborn children during family transitions.Furthermore,the present study investigates potential moderator factors,such as children’s age and geographic region,to gain a more nuanced understanding of the relationship.Consequently,the establishment of parent-child attachment relationships has the potential to mitigate problem behaviors observed infirst-born children during family transitions.The implications of thesefindings indicate that parents can nurture secure attachment bonds with their children by demonstrating sensitive responsiveness,employing positive parenting practices,and fostering emotional availability.These efforts contribute to the cultivation of secure internal working models and positive behavioral manifestations withinfirst-born children,which in turn affect their relationships with siblings.

Children’s Health, Parent-Child Activities, Using Digital Devices, and Social Competence: Serial Mediation

Background: Studies have pointed out the influence of different children’s activities and prolonged use of digital products on their social development. However, whether the parent-child activities and using digital devices were serial mediators of the relationship between children’s health and social development needs further verification. Purpose: This study explored how parent-child activities and children’s use of digital devices influence the relationship between children’s health and their social competence. Method: This study used data from Kids in Taiwan: National Longitudinal Study of Child Development and Care. A total sample of 2164 participants was used in this study. Serial mediation analyses were performed using model six of Hayes’ PROCESS (2012). Results: This study found that parent-child activities and the use of digital devices can serially mediate the relationship between children’s health and social competence. Children’s health could directly improve their social competence, but it could also serially mediate social competence by increasing parent-child activities and reducing the use of digital devices. Conclusion: Childcare policy planners and parenting educators should not only call on parents to reduce the use of electronic products for their children, but also encourage parents to spend more time interacting with their children, so that children can learn social skills by interacting with others in their daily lives.

Design of Urban Parent-Child Interaction Landscape Spaces:A Case Study of Wuhan Overseas Chinese Town(OCT) Park

From the perspective of the design of parent-child interaction landscapes,this paper took Wuhan Overseas Chinese Town (OCT) Park for example,explored children’s physiology,psychology and emotions as well as external factors,translated them into building landscape spaces,children’s emotion spaces,children’s exploration spaces,children’s social spaces,so as to facilitate parent-child interactions in these spaces,thereby to enhance the family-care education and parent-child emotional exchanges,and provide references for the construction of parent-child interaction spaces.

Strategy Research on Parent-Child Communication between Family Educations in Network Era

Internet technology is the greatest scientific and technological achievement of mankind in the 20th century.It has brought mankind into the information age and greatly changed people's way of learning,education,work,leisure and entertainment,family education and so on.In the Internet age,underage children spend a considerable amount of time online,and they spend less time talking and communicating with their parents?Therefore,the development of network technology has posed a new challenge not only to school education and social education,but also to the traditional family education[6].So,under the impact and challenge of the network era,what countermeasures do family education apply to communicate well with children?This is the center of this research.

The Influence of Parent-Child Relationship on Pupils’ Learning Motivation: The Mediating Role of Teacher-Student Relationship

Objective:The study is to analyze the influence of parent-child relationship on pupils’learning motivation,and to explore the mediating mechanism of teacher-student relationship in parent-child relationship and learning motivation.Method:This study conducted a questionnaire survey on 213 pupils in Grades 5 and 6 in two schools in Beijing using Pianta’s teacher-student relationship scale revised by Qu,Dornbush’s parent-child intimacy scale revised by Zhang and the learning motivation scale adapted by Hu.Results:Gender,grade,whether they are the only child and to be a class cadre or not show significant differences in some dimensions of parent-child relationship,teacher-student relationship and learning motivation.The total scores of parent-child relationship,teacher-student relationship and learning motivation are positively correlated,and some sub dimensions are also significantly correlated.Parent-child relationship and teacher-student relationship have a significant positive predictive effect on learning motivation,and parent-child relationship has a significant positive predictive effect on teacher-student relationship.Teacher-student relationship plays a mediating role in the influence of parent-child relationship on learning motivation.Conclusions:Parent-child relationship can promote the relationship between teachers and students,and then enhance pupils’learning motivation.

Rasch validation of the Chinese parent-child interaction scale (CPCIS)

Background Proper parent-child interaction is crucial for child development, but an assessment tool in Chinese is currently lacking. This study aimed to develop and validate a parent-reported parent-child interaction scale for Chinese preschool children. Methods The Chinese parent-child interaction scale (CPCIS) was designed by an expert panel based on the literature and clinical observations in the Chinese context. The initial CPCIS had 14 parent-child interactive activity items. Psychometric properties of the CPCIS were examined using the Rasch model and confirmatory factor analysis (CFA). Convergent validity was investigated by the associations between CPCIS and family income, maternal education level, and children's school readiness. Results The study recruited 567 Chinese parent-child pairs from diverse socioeconomic backgrounds, who completed the CPCIS. Six out of the 14 items in the initial CPCIS were dropped due to suboptimal fi t values. The refined 8-item CPCIS was shown to be valid and reliable by Rasch models and CFA. The person separation reliability and Cronbach's α of the CPCIS were 0.81 and 0.82, respectively. The CPCIS scores were positively associated with family's socioeconomic status (η2 = 0.05,P < 0.001), maternal education level (η2 = 0.08,P < 0.001), and children's school readiness (η2 = 0.01,P < 0.01). Conclusion CPCIS is an easily administered, valid, and reliable tool for the assessment of parent-child interactions in Chinese families.

Motivation of Parent-Child Co-residence Behavior:Evidenee from the China Health and Retirement Longitudinal Study

This paper examines the motivations of parent-child co-residence behavior in China using data from the China Health and Retirement Longitudinal Study.We test three possible motives:social norms,self-interest and altruism.We find that social norms play an important role in household co-residence behavior,showing that the belief that"sons take care of parents"is strong,and children in different birth orders take different responsibilities.Taking the one-child policy as a natural experiment,we compared co-residence behavior between only-child and multi-child families.This allowed us to test whether children in multi-child families with wealthier parents more often coreside in order to compete for a bequest.We find that parents'wealth is more appealing to children in multi-child families.The results support the life cycle theory that coresidence decisions are motivated by self-interest.We also find some evidence of altruism when parents and children make co-residence decisions.These findings provide some insights for designing future elder-support policies in China.

大学生自杀意念与亲子依恋和同伴依恋及生命意义感的关系

目的:探讨大学生自杀意念与亲子依恋的关系,以及同伴依恋和生命意义感在其中的作用。方法:选取1137名大学生,采用自杀意念量表(PANSI)考察自杀意念、修订版父母同伴依恋量表(IPPA-R)考察亲子依恋和同伴依恋、生命意义量表(MLQ)考察生命意义感。结果:父子依恋、母子依恋、同伴依恋、拥有意义、寻求意义得分与PANSI得分均呈负相关(r=-0.51~-0.19,均P<0.001)。同伴依恋与拥有意义的中介作用及链式中介作用效应值分别是-0.08、-0.16、-0.04,分别占总效应的13.83%、25.83%、6.17%。结论:大学生亲子依恋与自杀意念相关,可以通过提升同伴依恋水平、提高拥有意义感来降低自杀意念。

中国家庭母亲语言输入特征及其与儿童语言发展的关系

一直以来,亲子言语互动被认为是推动儿童早期语言学习和发展的重要动力。母亲的社会经济地位不同,其语言输入质量也不同。从语言输入的交互性、语言性和概念性三个维度看,母亲语言输入的语言性和概念性预测了儿童的语言能力发展。因此,在家庭语言环境中,应建立交互性、语言性和概念性为一体的语言环境支持系统,且家庭语言教育要关注概念性语言的输入,家庭语言互动中应注重提升亲子言语互动质量。

流动儿童社会排斥、自尊、亲子依恋与抑郁的关系:一项追踪研究

目的:为探讨流动儿童社会排斥、自尊、亲子依恋与抑郁的动态关系。方法:以班级为单位对385名流动儿童进行为期一年的纵向追踪调查。采用协方差结构方程模型对前、后两次4个研究变量间的动态关系进行检验。结果:控制年龄和性别作用后显示:①流动儿童前测社会排斥可以预测其后测抑郁水平(β=0.12,P<0.01);②流动儿童前测自尊在社会排斥对抑郁的即时和延时预测中均起部分中介作用,中介效应值分别是0.11和0.03;③流动儿童前测亲子依恋在其前测社会排斥影响后测抑郁的中介路径前半段中起延时调节作用,调节效应值为-0.12。结论:①社会排斥可以预测流动儿童的抑郁水平;②自尊在社会排斥和流动儿童抑郁中起即时和延时中介作用;③亲子依恋能够延时调节流动儿童社会排斥与自尊的关系。

基于KJ-KANO模型的亲子家居文创产品设计研究

以亲子用户群体需求为设计导向,综合使用KJ-KANO模型对亲子家居文创产品进行研究与设计,打破亲子沟通障碍的桎梏,营造和谐有爱的亲子氛围。首先运用KJ法获取亲子对于家居文创产品的相关需求,梳理出需求清单;其次运用KANO模型甄别亲子需求的属性以及对需求进行优先级排序。在此基础上,进行亲子家居文创产品设计实践。通过综合运用KJ-KANO模型精准获取用户需求,从而避免设计人员的主观臆断,为设计实践提供合理的设计要素,从而提升亲子群体对于家居文创产品的满意度和幸福体验指数。

亲子关系和环境敏感性对青少年心理健康的共同作用

目的从青少年人格-家庭环境交互作用的视角,考察亲子关系及环境敏感性对青少年心理问题的共同作用。方法2023年3月-5月在陕西省西安市6个地区随机选取12所中学开展横断面研究,以7010名青少年为研究对象,采用高敏感儿童量表(Highly Sensitive Child Scale,HSC),病人健康问卷(Patient Health Questionnaire-9,PHQ-9),长处和困难问卷(Strengths and Difficulties Questionnaire,SDQ)和幸福指数量表分别评估青少年的环境敏感性及心理健康水平。结果①女生与男生相比,对环境更加敏感(t=-7.504,P<0.01);②在预测青少年抑郁情绪和外化问题时,亲子冲突、支持和环境敏感性主效应显著(b=-0.263、0.237、0.332,P<0.001;b=0.201、0.220,P<0.001),同时亲子冲突与环境敏感性的交互作用显著(b=-0.072,P<0.05;b=0.092,P<0.05);③Widaman’s的验证和竞争分析发现,亲子冲突与环境敏感性对抑郁情绪和外化行为的交互作用分别支持差异敏感和素质-压力模型(BIC=2170.98、2162.6)。结论高环境敏感性的青少年更易受与父母更多冲突关系的负面影响,也更易从低水平冲突关系中获益,环境敏感性可能是一种易感因素而非脆弱因素。

父母回应幼儿消极情绪的方式与幼儿问题行为的关系研究

采用《儿童消极情绪回应问卷》《长处与困难问卷》对220位幼儿的父母分别进行调查,探究父母回应幼儿消极情绪的方式与幼儿问题行为的关系,并进一步比较父母回应方式的单独效应与联合效应,为幼儿问题行为的家庭干预提供依据。研究结果显示:母亲/父亲的低支持性回应/高非支持性回应在不同程度上增加幼儿的问题行为,父亲的影响范围更广;父母的支持性回应一致低/非支持性回应一致高在不同程度上增加幼儿的问题行为,父母回应方式的联合效应与单独效应存在差异,部分支持加法模型。父母回应幼儿消极情绪的方式直接影响幼儿的问题行为,且存在累积效应,父母应给予一致的支持性回应来减少幼儿的问题行为。

重新审视“好”父母:密集型育儿及其对儿童青少年发展的影响

经过近一个世纪的发展,“密集型育儿”已成为当代社会主流的育儿范式和理想标准,但它并非“完美无缺”。本文以密集型育儿的态度与行为作为框架,对密集型育儿给儿童青少年发展带来的复杂影响进行了研究综述。已有实证证据表明,当密集型育儿达到一定水平时,父母更多的投入和参与不仅不会带来更多增益,还可能在多个方面产生消极影响,且这些影响也会受到阶层、性别和文化的调节。密集型育儿给儿童和父母自身都带来了一定风险,未来研究可以从中国本土化的视角对密集型育儿的影响机制进行更为系统深入的研究。

母亲抑郁与幼儿社会适应:母亲的悲伤反应与亲子冲突的中介作用

本研究以上海市两所幼儿园的205名3~6岁幼儿为被试,探讨了母亲抑郁与幼儿社会适应的关系,并考察了母亲对幼儿消极情绪的悲伤反应和亲子冲突在其中的中介作用。结果发现:(1)母亲抑郁可以显著正向预测幼儿情绪问题,显著负向预测幼儿亲社会行为;(2)母亲的悲伤反应在母亲抑郁与品行问题之间起完全中介作用;亲子冲突在母亲抑郁与幼儿多动分心和品行问题之间起完全中介作用,在母亲抑郁与情绪问题之间起部分中介作用;(3)母亲的悲伤反应和亲子冲突在母亲抑郁与幼儿多动分心、情绪问题以及品行问题之间起链式中介作用,但效应量较低。本研究结果进一步揭示了母亲抑郁对幼儿社会适应影响的内在机制。

复杂肠道疾病手术患儿出院准备干预的效果评价

目的探讨出院准备干预方案在复杂肠道疾病手术患儿中的实施效果。方法将小儿外科108对复杂性肠道疾病手术患儿及主要照护者按照病区分为对照组和干预组各54对。对照组实施围手术期常规护理,干预组在常规护理基础上实施出院准备干预方案。结果干预组首次和第2次住院出院准备度评分显著高于对照组,首次出院后的非计划入院率显著低于对照组(均P<0.05)。结论对复杂性肠道疾病手术患儿及照护者实施出院准备干预方案,有助于提高家庭出院准备度,降低患儿非计划再入院的发生。

感知父母婚姻冲突、亲子关系与青少年心理危机的关系:认知灵活性的中介作用

本研究采用多项式回归和响应面分析技术综合考察感知父母婚姻冲突、亲子关系与青少年心理危机的关系,及认知灵活性在其间的中介作用。结果显示:(1)感知父母婚姻冲突和亲子关系的综合作用可以显著预测青少年的抑郁和非自杀性自伤行为。(2)当感知父母婚姻冲突和亲子关系一致时,相较低亲子关系−高感知父母婚姻冲突,高亲子关系−低感知父母婚姻冲突的个体具有更高的认知灵活性,进而降低了抑郁和非自杀性自伤行为的发生风险。(3)当感知父母婚姻冲突和亲子关系不一致时,相较低亲子关系−低感知父母婚姻冲突,高亲子关系−高感知父母婚姻冲突的个体具有更低的认知灵活性,从而增加了抑郁和非自杀性自伤行为的发生风险。