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24-03-2025 | Research
Associations Between Family Factors and Mental Health Service Use Among Children with Physical Illness: the Mediating Role of Child Psychopathology Trajectories
Auteurs: Megan Dol, Dillon Browne, Christopher M. Perlman, Mark A. Ferro
Gepubliceerd in: Child Psychiatry & Human Development
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Abstract
This study investigated whether child psychopathology trajectories mediate the association between parent psychological distress/family functioning and mental health service use (MHSU) among children with a chronic physical illness (CPI). Data come from a longitudinal study of 263 children and youth aged 2–16 years diagnosed with a CPI and their parents assessed at baseline, six, 12, and 24 months. Parent psychological distress was measured by creating a composite score from the Centre for Epidemiological Studies Depression scale and Generalized Anxiety Disorder-7 scale, and family functioning was measured using the McMaster Family Assessment Device. Previous work identified three trajectories of psychopathology among children: low-stable, moderate-stable, and high-decreasing. Path analysis was used to estimate potential mediating effects. A significant indirect effect of parent psychological distress on healthcare professional contact through child psychopathology was found (\(\:\beta\:=\) 0.001(0.001), p = 0.021). The indirect effect of family functioning was not significant (\(\:\beta\:=\) − 0.001(0.001), p = 0.155). Addressing parent mental health may reduce child psychopathology and potentially decrease MHSU in children with CPI. Understanding these pathways is needed to develop family-centred interventions that support mental health in children with CPI and their parents.
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Metagegevens
- Titel
- Associations Between Family Factors and Mental Health Service Use Among Children with Physical Illness: the Mediating Role of Child Psychopathology Trajectories
- Auteurs
-
Megan Dol
Dillon Browne
Christopher M. Perlman
Mark A. Ferro
- Publicatiedatum
- 24-03-2025
- Uitgeverij
- Springer US
- Gepubliceerd in
-
Child Psychiatry & Human Development
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327 - DOI
- https://doi.org/10.1007/s10578-025-01826-2