Western studies have revealed that symptoms catastrophizing (SC), a self-focused illness coping pattern, mediates poorer health outcomes in irritable bowel syndrome (IBS) patients. In light of the collective orientation of Chinese culture, an others-focused illness coping pattern named "symptoms-related social hypervigilance" (SSH) was constructed and explored together with SC in the current study. A cross-sectional questionnaire survey with 309 IBS patients recruited by 100% consecutive sampling was conducted. Exploratory factor analysis on the SSH scale provided a 9-item 3-factor solution. The three factors were 1) Anticipating negative perceptions from others; 2) Hiding symptoms in social situations; and 3) Assuming responsibility for total symptoms control. SC showed partial mediator properties between IBS symptoms severity and lowered health-related quality of life. Whereas SSH did not show similar mediating effects, it was associated with 'proactive' illness behaviors which, if excessive, can lead to relentless pursuit of total symptoms elimination.
Recent literature has emphasized the importance of parental involvement of immigrant families in supporting their children's education and learning advancement. Support from parents spiritually and in terms of familial resources is important in helping their children to overcome cultural differences and learning demands. However, few studies systematically explore how the parents can be empowered in the first place to provide such support. This paper attempts to fill this research gap with findings from Hong Kong, a place where such empowerment to migrants and ethnic minority parents has been badly needed. The learning of Chinese is a great challenge for these parents and their children for life, career and education. Yet, these parents often feel little hope that they can support their children in going over the language hurdle. Chinese scripts are non-phonetic, and Chinese speech is tonal. Few of the parents are themselves literate in Chinese. In view of this, parental empowerment has been taken as one focus in a five-year collaborative project "C-for-Chinese@JC" based on a home-school-community model. In-depth interviews were conducted with twenty ethnic minority parents upon open invitation in 2020. Six types of emergent parent changes were identified through their participation in program activities. Based on an analysis of the critical incidents associated with the changes, two critical aspects were identified in the parental empowerment process, which include: 1) Parents' seeing their children making improvements in their Chinese learning; 2) Parents' seeing themselves being able to play a part in the activities related to the learning and expanding their own community social networks. The paper concludes with suggestions for future research on parental empowerment and change, including the need of synergetic inputs from NGOs, schools and universities under the home-school-community (h-s-c) model.
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