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. 2025 Apr;81(4):1864-1874.
doi: 10.1111/jan.16377. Epub 2024 Aug 9.

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

Meijia Chen  1   2 , Xiuping Chen  3 , Hao Jiang  2 , Yuxin Wang  2 , Liya Ren  2 , Liping Zhang  1 , Chaoqun Dong  2
Affiliations

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

Meijia Chen et al. J Adv Nurs. 2025 Apr.

Abstract

Aims: This 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.

Design: This is a cross-sectional study.

Methods: A 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.

Results: The 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.

Conclusion: This 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.

Impact: The 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 contribution: No patient or public contribution.

Keywords: actor–partner interdependence mediation model; adolescents; dyadic coping; family resilience; paediatric nursing; parents; psychological adjustment.

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References

REFERENCES

    1. An, H., Chen, C., Du, R., Cheng, C., Wang, P., & Dong, S. (2021). Self‐efficacy, psychological distress, and marital quality in young and middle‐aged couples facing lymphoma: The mediating effect of dyadic coping. Psychooncology, 30(9), 1492–1501. https://doi.org/10.1002/pon.5711
    1. Bodenmann, G. (1995). A systemic‐transactional conceptualization of stress and coping in couples. Swiss Journal of Psychology, 54(1), 34–49.
    1. Bodenmann, G., Falconier, M. K., & Randall, A. K. (2019). Editorial: Dyadic coping. Frontiers in Psychology, 10, 1498. https://doi.org/10.3389/fpsyg.2019.01498
    1. Chen, G., & Xia, D. (2023). Gender responsibility imputation and fatherhood practice in family upbringing. Journal of University of Science and Technology Beijing (Social Sciences Edition), 39(5), 598–606.
    1. Chen, M., Gong, J., Cao, Q., Luo, X., Li, J., & Li, Q. (2021). A literature review of the relationship between dyadic coping and dyadic outcomes in cancer couples. European Journal of Oncology Nursing, 54, 102035. https://doi.org/10.1016/j.ejon.2021.102035

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