Family functioning mediation in tic severity and quality of life for children with Tourette syndrome

BACKGROUND Tourette syndrome(TS)is recognized as a neurodevelopmental disorder profoundly influenced by familial factors,particularly family functioning.However,the relationship among family functioning,tic severity,and quality of life in individuals with TS during childhood and adolescence remains unclear.We hypothesized that family functioning plays a role in the association between the severity of TS and quality of life in children.AIM To determine the role of family functioning in the relationship between TS severity and quality of life.METHODS This study enrolled 139 children(male/female=113/26)with TS.We assessed tic severity using the Yale Global Tic Severity Scale,quality of life via the Tourette Syndrome Quality of Life Scale,and family functioning through the Family Assessment Device.Our analysis focused on correlating these measures and exploring the mediating role of family functioning in the relationship between tic severity and quality of life.Additionally,we examined if this mediating effect varied by gender or the presence of comorbidity.RESULTS We found that family communication dysfunction had a significant mediating effect between tic severity and both psychological symptoms(indirect effect:Β=0.0038,95%confidence interval:0.0006-0.0082)as well as physical and activities of daily living impairment(indirect effect:Β=0.0029,95%confidence interval:0.0004-0.0065).For vocal tic severity,this mediation was found to be even more pronounced.Additionally,in male participants and those without attention deficit hyperactivity disorder,the mediating effect of family communication dysfunction was still evident.CONCLUSION Our study highlights the impact of family functioning on the tic severity and the quality of life in children.This relationship is influenced by gender and comorbid conditions like attention deficit hyperactivity disorder.

Research on the Influence of Family Education on Children’s Behavioral Habits

Under the background of the all-round deepening of quality education,the cultivation of comprehensive quality has become the main theme of contemporary education reform.Good behavior and habits are of great significance to children’s future learning,growth,and development.Through literature review and other methods,this paper analyzes the current situation of children’s family education and the influence of family education on the cultivation of children’s behavioral habits and provides some strategies for cultivating children’s good behavioral habits in family education.

A Study of the Effects of Family Precepts,Rules and Ethics on Children’s Education During the Tang Dynasty

From the perspectives of the prosperity of the Sui and Tang dynasties,the rise and fall of the aristocrats and the prevalence of the imperial examination,this paper studies the impact of family precepts,rules,and ethics on children’s education.I believe that an important feature of family precepts in the Tang Dynasty was the development of the cultural tradition of poetry and literature study within the family,which promoted virtues like loyalty,filial piety,diligence,frugality and modesty and had a profound influence on future generations.The rise and fall of Tang Dynasty families was closely related to family precepts,rules,ethics,and learning.Famous and respectable families often regarded these traits as important means to maintain the family’s status,which objectively promoted the development of family scholarship and the importance of children’s education in the Tang Dynasty.The concept of learning as a“carry-on treasure”has become a common belief among scholars and has played a positive role in educating Chinese society,enriching our culture,and keeping society in order.

Mutual Experiences of Japanese Parents and Their Children When Late School-Age Children Engage in Meal-Related Family Routines: A Qualitative Analysis of Parent and Child Dyads

Purpose: The objective of the present study was to identify the type of experiences that parents and their children have with each other when late-school age children take on roles in family routines related to daily meals. Methods: A grounded theory approach was used. The participants were children in the 4th, 5th, and 6th grades of elementary school and their main caregivers. First, 10 parent and child dyads were interviewed using a semi-structured schedule. Next, online group interviews were conducted for 17 parent and child dyads to deductively confirm the categories. Results: The average age of the subjects was 41.9 years for parents and 10.4 years for children in parent-child interviews, and 41.1 years for parents and 9.6 years for children in group interviews. Six categories emerged with nineteen subcategories. Conclusions: Experiences mutually nurtured by parents and their children included experiences in which children used negotiation and conversation skills to consensually engage in family routines related to meals. It also included experiences that socialized the children in family life and fostered good communication. The six categories will be useful for healthcare professionals and school authorities in providing health guidance that addresses health functions of late school-age children and their families.

Hospital Discharge Plan in Family Caregivers of Children with Coronary Artery Aneurysm in Kawasaki Disease: A Review

Objective:The study reviews status,main time nodes and hospital discharge services for family caregivers of children with Kawasaki disease complicated by coronary artery aneurysm to provide references for the development of hospital discharge preparation services for medical personnel and patients.Background:CAL of Kawasaki disease is the main cause of acquired heart disease in children,but there is not enough research on the readiness for hospital discharge.Design:Systematic review of observational and interventional studies.

Roles and Hopes of Family Members Living with SMID Children in Japan

The number of children with Severe Motor and Intellectual Disabilities (SMID) receiving medical treatment/recovering at home is rising yearly. Although benefits of this care are emphasized, the stress and duties of family members in the household are extremely great, especially because Japan is becoming a society of nuclear families. In this study, we described the lifestyles of nuclear families providing in-home medical care for children with SMID, focusing on family members’ roles. Roles of mothers, fathers, and siblings of children with SMID were summarized from semi-structured inter-views. As a result, for “the roles of each family member living with a child with SMID”, mothers had five roles, fathers seven, and siblings five. For “the hopes of each family member living with a child with SMID”, parents desired the whole family collaboration in care for children with SMID, and as caregivers, parents’ common thoughts included wanting siblings in order to help care for the child with SMID and wanting siblings to treasure their own lives. Siblings wanted their mother to have some time for rest and expected their fathers to have two main roles. They also expected their grandparents and other siblings to fulfill roles.

Family care intervention for children with epilepsy:A literature review

Family care plays an important role in the health maintenance of children with epilepsy.In this paper,the relevant literatures of family nursing intervention were collected and summarized.There are two main methods of family care intervention for children with epilepsy:Family-managed care interventions and family-centered care interventions.It is not only spread the knowledge of epilepsy,but more importantly,improve the ability of family caregivers to manage the disease,and improve family function and reduce the behavior of children with epilepsy effectively.

How Do Family Structure and Family Process Matter?A Comparative Study on the Impacts of Military Deployment and Single Parenthood on Children’s Psychological Well-Being

Children from two-parent families have better outcomes,on average,than children from single-parent families.Yet the mechanisms associated with family structure and family process that produce divergent outcomes are less well understood.Based on data from the 2011-2015 National Health Interview Survey(N=26,783),I leverage the case of military families with deployment and examine the impacts of parenting quality,economic capital,and social capital on children’s psychological well-being.The regression results show that single parenthood produced by divorce,separation,and birth out of wedlock leads to worse child outcomes than single parenthood produced by military deployment,and family process partially explains the variation in children’s well-being beyond family structure.Married families,military or civilian,deployed or not,enjoy advantages that translate into positive child outcomes.Marriage,therefore,emerges as the primary axis of inequality,and maintaining a healthy marriage better promotes children’s well-being.

Educating Children in the Family Created in the Second Marriage in Today＇s Lithuania

Since the end of the twenty-first century, relationships in the family have been rapidly changing in Lithuania. The changes correspond to changes in the birth-rate. The former model of birth-rate which was characterized by the prevalence of legitimate children, child-bearing at a younger age and which ensured a change of generations, it was replaced by a new model characterized by having illegitimate children, the postponement of child-bearing, and low birth-rate, which does not ensure a change of generations. Although love relationships, marriage, and children are still considered to be the recognized values, these changes have affected the conception of child＇s education in the family and the perception of child as a value. It is therefore relevant to evaluate future spouses＇ preparation for a modern marriage and to constantly improve it. Such preparation is usually understood as young people＇s readiness far their first marriage. Readiness for the second marriage and child＇s education in the second family are no less important though still insufficiently explored empirically and theoretically generalized. This paper explores attitudes to child＇s education in the second marriage. The research was conducted inquiring people who wanted to create a family or establish long-term relationships. They were members of the online dating site ＂Harmonious Couple＂.

Relationship between Family Characteristics and Aggressive Behaviors of Children and Adolescents

In order to identify family factors obviously relevant to aggression, and offer a theoretical foundation for the prevention of aggression, 4010 students from primary and secondary schools in 5 different areas in Hubei province were surveyed. The Child Behavior Checklist ＂ parents＂ form＂ （Chinese version） and the four scales of Family Environment Scale were used. A multiple logistic regression was used to identify risk factors of children＇s and adolescents＂ aggressive behavior. The results showed that maternal education, paternal occupation, family type, parental child-rearing attitude and patterns, students＂ interpersonal relationship were significantly associated with the childreffs and adolescents＂ aggression. The risk factors of aggression were parental child-rearing patterns, peer relationship, teacher-student relationship, and family conflicts.

Family-relatedFactorsThatInfluenceChildren’sAcademicAchievementsinSchool

This essay studies various family-related factors that influence a child’s academic achievement in school in P.R. China. The factors are illustrated under three categories: the family’s social class and education, early home environment and family material condition. The author discusses the relevant factors by way of relating the knowledge of social environment to his own experiences as a student and then teacher in China. The essay closes with a discussion directing the public’s attention to the concern about home-related factors influencing a child’s academic achievements in school.

The Role of Family in Children with PTSD after Natural Disasters

Parents are the most important and reliable resource for their children to seeking for helps and support. Particularly in the aftermath of natural disasters, the role of family is considered to play an important and significant role in children with PTSD, either are risk factors or protective ones. In this paper, the literature in relation to the effects of family factors in children with PTSD are reviewed, with the aim of exploring both the risk and protective family factors associated with the PTSD symptoms in children. It is concluded that separation from families, parental psychopathology, and parent maladaptive coping strategies have been suggested o constitute risk factors, whereas positive parental emotionality, warm and open family environment have been found to be protective. Some critiques of PTSD concept, its cross-cultural validity, and assessment of children with PTSD are also revealed in this review.

The Influences of Family, Peers, School and Media in Children's Prosocial Behaviors

Children's skills of social interaction is a significant index of their following psychological development. Prosocial behaviors which influenced by many factors are fundamental representatives of social interaction. Present essay illustrates an indepth review of literature concerning the impacts of family,peers, school and media in Children's prosocial behaviors and also indicates the limitations of each research.

Relevance of Family in Academic Success on Children

The purpose of this study was to analyze the relationship between academic success and functional and dysfunctional families. A non-experimental, cross-sectional, descriptive correlational design was used. A convenience sample of 200 children between 6 and 13 years old, primary and junior high school students was conducted (32.3% were female and 67.7% were male). To assess the relationship, a study case of 21 reagents was designed to empty the obtained information from medical review records from a psychopedagogic clinic. Academic success was measured as from the revision of informal tests and standardized tests. Results showed that the population levels of academic success were average. However, a significant relationship between the age of the parents and the level of academic success was found, indicating that these variables are associated with this problem. Besides that, it was found that there is a tendency in children with cognitive, emotional and sensory problems reflected in low academic success. The findings provide information that could be considered for the development of programs of psychopedagogic intervention to treat children with learning disabilities and low academic success.

Family characteristics on self-reported toothache among Indonesian children aged 12-14 years

Objective： Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health, quality of life, and socioeconomic problems. The aims of this study were to describe the prevalence of toothache among 12-14-year-old children in Indonesia and their family characteristics and to analyze the associations of family characteristics on the toothache. Methods： We analyzed the data from the Indonesian Family Life Survey 5 in 2014-2015. A total of 2,377 children aged 12-14 years were included in this survey. This age is the early stage of eruption of all permanent teeth. Children were asked about their experience on toothache in the last 4 weeks as a dependent variable. The independent variables were the family socioeconomic characteristics including father＇s and mother＇s highest educational level, family income, and the number of children in the family. A logistic regression was applied to analyze the relationship of family characteristics with toothache experience of children. Results： Toothache experience was reported from 13.9% of the respondents. Descriptive statistics showed that higher percentages of toothache were experienced by male children and children from family with lower parental education and economic position as well as from bigger family. However, logistic regression showed that only the number of children in the family had a statistically positive association with self-reported toothache of the children. Children living in the family with more than four children were more likely reported toothache than living in the family with one or two children （P=0.012; odds ratio [OR] = 1.53）. Children living with more siblings may experience less attention from their parents on oral health hygiene. Poor oral health habits could result in dental pain. Conclusions： Descriptive statistics showed that a higher percentage of toothache was experienced by children from lower socioeconomic families, although the only significant association was the number of children in the family.

Patterns of HIV Diagnosis Disclosure to Infected Children and Family Members: Data from a Paediatric Antiretroviral Program in South Africa

The study examined the patterns of disclosing the HIV diagnosis to infected children and family members, and determined the demographic characteristics associated with disclosure. Semi structured interviews were conducted with caregivers of HIV infected children aged 4 - 17 years receiving antiretroviral treatment (ART). A total of 149 caregivers were recruited from a paediatric HIV clinic of a district hospital in South Africa. Caregivers reported that 59 (39.6%) children were told their HIV diagnosis, and majority 36 (61%) were informed of the diagnosis by people other than their biological mothers. Older child age was a determining factor for HIV disclosure to children, 22 (37.2%) learned of their HIV diagnosis between 11 and 16 years. The mean age of disclosed children was 10.6 years. Caregivers took about 3 years after the initial HIV diagnosis to disclose to children, while 143 (99.3%) caregivers reported that disclosure to family members happened immediately after the child's HIV diagnosis. About 28 (31.5%) non-disclosed caregivers planned to disclose to the child between 12 and 18 years, while 13 (14.6%) were not sure about the ideal age to disclose to the child. The lack of consensus regarding the appropriate age for disclosure and the delayed age for future disclosure, suggest that despite increased access to ART for children, there are still significant barriers to disclosing HIV to infected children in this setting. There is a need for health care providers to support caregivers to disclose shortly after diagnosis especially in view of the older age of diagnosis among children enrolled in ART program in this setting.

Study of family environmental factor on only-children’s personality

Objective: To analyze the impact of family environment on only-children’s personality. Methods: Using cross-sectional design to recruit only-children aged 6 - 16 years old;using EPQ to evaluate the children’s personality. The general questionnaire, PSDQ (Parenting Styles and Dimensions Questionnaire), FAD-GFS (The General Functioning Scale of MacMaster family activity device), SLE(Stressful Life Events), FSQ (Family Stresses Questionnaire), FLQ (Family Life Questionnaire), EFQ (Everyday Feelings Questionnaire) were used to collect information about family environment from parents. Results: In only-child family, standardized regression equations of family environment influence on children personality include: 1) EPQ-p = 0.087 × SLE + 0.207 × father autocratic parenting + 0.131 × education of father + 0.110 × family type - 0.110 × role of discipline - 0.080 × parental attitude + 0.087 × family adaptability;2) EPQ-e = 0.105 × EFQ- 0.088 × SLE - 0.101 × family income;3) EPQ-n = 0.143 × SLE - 0.090 × family cohesion + 0.089 × family income + 0.117 × the orderly’s attitude - 0.138 × the child’s role experience of FLQ - 0.101 × parents shaping the behavior of children of FLQ and 4) EPQ - l = -0.136× SLE - 0.093 × relationship between parents - 0.155 × attitude of the old. Conclusion: It is important for children to develop personality normally if the father doesn’t choose autocratic parent style. Children tend to be optimistic if the parent can feel happy. The stressful life events are a double-blade sword depending on the parent’s handling. The difference of the parenting style can influence the lie-personality of children.

Sense of Family Coherence in Parents of(Sub)Optimally Developing Children

The theoretical basis of the paper is Aron Antonovsky’s salutogenetic model of health,which is based on the salutogenic orientation and the sense of coherence understood as the central concept and the most important resource.The primary aim of the study is to determine the strength of the sense of family coherence in parents of optimally developing children and in parents of suboptimally developing children and their correlation with:family satisfaction and family orientation to crisis situations.The study was done using parents(N=394)sampled from the population of the Republic of Serbia.Questionnaire for Obtaining Basic Data,The Family Sense of Coherence Scale,The Family Adaptation Scale and Family Crisis-oriented Scales were used for the purposes of this study.The findings of the study showed that parents of optimally developing children have a more heightened sense of family coherence than parents of suboptimally developing children.Also,the findings showed positive correlation with:family satisfaction and family orientation to crisis,and family sense of coherence.More precisely,the sense of family coherence in the parents who participated in the research correlates positively with satisfaction with one’s own family and family orientation to crisis.

Effectiveness of family psychosocial intervention on mental health and family function of caregivers of children with cancer:a meta-analysis

Objective:To evaluate the effect of family psychosocial intervention on the mental health and family function of caregivers of children with cancer.Methods:A comprehensive literature search of CNKI,Wanfang,VIP,CMB,PubMed,Web of Science,MEDLINE,Embase,Cochrane Library,and PsycARTICLES was conducted to retrieve randomized controlled trials of family psychosocial intervention from database inception until 19 September 2021.RevMan(version 5.4.1)was used to analyze the data.Results:A total of 894 caregivers participated in 11 studies.The analysis showed that anxiety(standardized mean difference[SMD]=−0.22,95%confidence interval[CI]=−0.37 to−0.07,P=0.004)and depression(SMD=−0.33,95%CI=−0.57 to−0.08,P=0.01)were significantly reduced,while family function(SMD=−0.86,95%CI=−1.28 to−0.45,P<0.001)was significantly improved by the family psychosocial intervention compared with the controls.According to subgroup analysis,family psychosocial interventions were found to reduce posttraumatic stress disorder(PTSD)symptoms when the follow-up time was>1 month(SMD=−0.48,95%CI=0.68 to−0.27,P<0.00001).Conclusions:Current evidence supports the use of family psychological intervention to reduce depression and anxiety and improve family function.However,its effect on PTSD symptoms requires further study.Future studies should further identify the role of specific family psychosocial interventions on families and caregivers of children with cancer.

Does Family Planning Increase Children's Income?

Whether the generation affected by the family planning will benefi t directly is the key to test whether the policy implications are the same to collective and individual.There are researches on the family planning's consequences are usually in the macro-level.In order to discovery how family planning directly affects the individual,this paper use micro data from China Family Panel Studies(CFPS) 2010 to test the impact of family planning on children's personal income.The results shows that"quantity-quality tradeoff"hypothesis holds on human capital levels in China,and the implementation of family planning policy effectively increases children's education level,but the social capital effect of siblings is also reduced by the family planning policy.Considering the two kinds of effects,the family planning policy has not signifi cantly affect children's personal income.