Relationship between perceived social support and family function in parents of pediatric liver transplant recipients:a chain mediation effect analysis
Relationship between perceived social support and family function in parents of pediatric liver transplant recipients:a chain mediation effect analysis
Objective To investigate the chain mediation effect of psychological flexibility and dyadic coping between perceived social support and family function in parents of pediatric liver transplant recipients.Methods Totally 320 parents of pediatric liver transplant recipients who were treated at the Department of Pediatric Organ Transplantation,Tianjin First Central Hospital from April to October 2023 were selected by convenience sampling.The participants were surveyed using a general information questionnaire,the Perceived Social Support Scale(PSSS),the Acceptance and Action Questionnaire-Ⅱ(AAQ-Ⅱ),the Dyadic Coping Inventory(DCI),and the Family APGAR Index(APGAR).Pearson correlation analysis was used to examine the relationships between perceived social support,psychological flexibility,dyadic coping,and family function in these parents.Structural equation modeling(SEM)was performed using Amos 26.0 to analyze the chain mediation effect of psychological flexibility and dyadic coping between perceived social support and family function,with the Bootstrap method used for model testing.Results A total of 320 questionnaires were distributed,with 312 valid responses,yielding a response rate of 97.50％(312/320).The scores for the 312 parents were as follows:PSSS(59.29±15.64),AAQ-11(20.35±9.07),DCI(124.64±32.65),and APGAR(6.98±2.74).Family function was positively correlated with perceived social support and dyadic coping(P＜0.01),and perceived social support was positively correlated with dyadic coping(P＜0.01).Psychological flexibility was negatively correlated with family function,perceived social support,and dyadic coping(P＜0.01).SEM results showed that psychological flexibility and dyadic coping had a significant chain mediation effect between perceived social support and family function,with a mediation effect value of 0.059.The chain mediation effect of psychological flexibility and dyadic coping accounted for 13.81％of the total effect(0.059/0.427).Conclusions Perceived social support directly affects family function in parents of pediatric liver transplant recipients and also indirectly influences family function through the chain mediation effect of psychological flexibility and dyadic coping.
关键词
儿童/肝移植/父母/领悟社会支持/心理灵活性/二元应对/家庭功能/中介效应
Key words
Children/Liver transplantation/Parents/Perceived social support/Psychological flexibility/Dyadic coping/Family function/Mediation effect
维普
万方数据