Suchergebnisse

Summary Cross-boundary children and their parents suffer from various stressors and mental health problems. This pilot study aimed to investigate whether an emotion regulation parallel intervention for children and parents enhanced resilience and mental health among both groups. A total of 38 pairs of cross-boundary children and parents participated in concurrent but separate intervention sessions. Three waves of tests (i.e. pre-, post-, and one-month follow-up tests) were conducted, using t-tests to evaluate the time effects during the intervention. Findings The children and parents reported significant improvements in positive affect, resilience, and family harmony, as well as a reduction in depressive symptoms following the emotion regulation intervention. For both children and parents, over half of the participants who were in the high-depression category have crossed the threshold, from high to low level of depression at post-test, and participants with higher depression levels generally benefited more from the intervention. Applications Future researchers seeking to implement demand-driven and practice-based interventions in community settings should consider contextual and cultural sensitivity, and involve community stakeholders (e.g. cross-boundary family members and social workers) in all aspects of the research process with a given community-based participatory research approach. Screening based on depression may maximize the benefits to the participants. The essential components, as well as the fidelity measures of the intervention, should be refined. Randomized controlled trials are advocated in future studies to test the efficacy and effectiveness of the intervention in different contexts (e.g. clinical and community populations).

Abstract

Objectives
Based on the "linked lives" tenant of the life course perspective, this longitudinal study aims to examine the actor and partner effects of social participation on cognitive function in older Chinese couples.


Methods
A total of 1,706 couples aged 60 and older were included in the final analyses. Social participation was measured using 2 questions regarding types of activities and frequency. Cognitive function was measured using a combination of memory, orientation, visuoconstruction, attention, and calculation. The lagged-dependent APIM was used to model the dyadic associations between social participation and cognitive function.


Results
The time-averaged actor effects of both husbands' and wives' social participation on their own cognitive function were significant (p < .001 for both). The time-averaged partner effect of husbands' social participation on wives' cognitive function was significant (p < .001) but the reverse—the effect of wives' social participation on husbands' cognitive function—was not (p = .381). The time-specific actor and partner effects were not significant (p > .05 for all).


Discussion
Our findings indicate an asymmetrical pattern of actor–partner interdependence, where husbands' social participation may affect their wives' cognitive function on average, but wives' social participation does not affect their husbands' cognitive function. Clinical practitioners should invite both partners, especially husbands, to participate in social participation interventions to facilitate crossover benefits for wives. Moreover, policymakers should build more facilities to encourage older couples to engage in social activities to prevent cognitive decline.

AbstractTargeting families with cross‐boundary students (CBSs, 跨境学童) who travel daily between Mainland China and Hong Kong for schooling, this study aimed to identify (a) the challenges that CBS families experience in their daily lives, especially during and following the 2019–2020 Hong Kong protest, and (b) the key resources and the interactions of these recourses within and across family systems that strengthened family resilience. Data from semi‐structured interviews with 15 parents of CBS were analysed using thematic analysis, following Walsh's family resilience framework and multisystemic resilience views. The results showed that CBS families encountered three sources of challenges: contextual challenges, chronic family challenges and structural challenges. Despite challenges, we found that six types of resources interacted across multiple levels within and outside of the family: collectivist‐minded view of resilience, hope and perseverance, acceptance and strive, emotional regulation of self and others, family harmony and economic and instrumental supports. These resources helped CBS families maintain family functioning, alleviate situational stress and facilitate family transformation. This study produced new knowledge about CBS families. Findings suggest that fostering the resilience of CBS families relies as much on the families themselves as it does on other structural supports.

Purpose: Although multicomponent positive psychological interventions (MPPIs) effectively improve well-being, it is crucial to examine which intervention component plays a critical role. Method: This cluster randomized controlled trial assigned 221 immigrants from mainland China to Hong Kong to either an MPPI arm ( n  =  116, 11 clusters) or an MPPI  +  Information arm ( n  =  105, 11 clusters). Both arms aimed to enhance three intervention outcomes: resilience, happiness, and mental health. The MPPI part in the two arms included four components: self-efficacy, positive thinking, altruism, and goal setting. The information part provided information about Hong Kong. Results: Both arms effectively improved the four intervention components and three intervention outcomes. MPPI  +  Information increased the immigrants' knowledge of Hong Kong. The network analysis showed that altruism had the greatest strength in the network. Conclusions: Future studies should focus on the specific intervention component of altruism to understand how the MPPI works.

AbstractPerinatally HIV‐positive (PHIV+) children face challenges arising from their complicated and highly stigmatized chronic illness throughout childhood and adolescence. Caring and support from caregivers are vital, especially from their mothers who also live with HIV. However, little is known regarding how HIV+ mothers coach their PHIV+ children to adjust to HIV. This study used dyadic‐level qualitative analyses of semi‐structured, one‐on‐one interviews among 20 mother–child dyads (n = 40; children aged 12–18 years) living with HIV in southern China. Interviews examined the perspectives of both mothers and children on the maternal caregiving in child HIV management and child adaptation outcomes. Our findings showed that based on a dual‐dimension model of the extent of maternal involvement in child HIV management and the intimacy of the mother–child relationship, four categories of maternal caring emerged among the mother–child dyads: supportiveness (n = 4, 20%), independence (n = 9, 45%), contradiction (n = 4, 20%) and alienation (n = 3, 15%). The PHIV+ children's selected HIV management indicators (including disclosure of HIV status, HIV‐related communication, antiretroviral therapy adherence, stigma coping and emotion management) also showed some variations among these four categories. The integrated model may inform the development of dyadic intervention programmes tailored for mothers and children both living with HIV.

Purpose: This study aimed to investigate the effectiveness of solution-focused group counseling (SFGC) to reduce depressive symptoms and improve cognitive functions among Chinese rural older adults. Method: In a cluster randomized controlled trial, 290 participants were randomly assigned to a 12-session SFGC intervention or a control group. the Center for Epidemiological Studies Depression Scale and Mini-Mental State Examination was adopted to measure depressive symptoms and cognitive functions, respectively, at pretest and posttest. Results: Repeated measure ANOVAs showed a significant group by time effect for both measures. Paired sample t-tests showed that depressive symptoms significantly decreased in the intervention group, but not in the control group. Cognitive functions did not change in the intervention group, but significantly declined in the control group. Conclusions: Our findings support the feasibility and effectiveness of a culturally adapted SFGC for reducing depressive symptoms and protecting cognitive functions among the disadvantaged older adults in a developing country.