Objectives: Evidence regarding the possible influence of social factors on psychological resilience among maintenance hemodialysis patients is scarce. The aim of this study was to explore the relationship among socioeconomic status, family resilience, and social support, and psychological resilience among Chinese maintenance hemodialysis patients.Methods: This cross-sectional study was conducted in the hemodialysis centers of three comprehensive hospitals in China from September to December 2020 using convenience sampling. Two hundred fifty-eight patients receiving maintenance hemodialysis were investigated using a sociodemographic questionnaire, the Chinese version of the Medical Outcomes Study-Social Support Survey (MOS-SSS), Chinese Family Resilience Assessment Scale (C-FRAS), and Chinese version of the Conner and Davidson resilience scale (CD-RISC).Results: Maintenance hemodialysis patients reported a low level of physical resilience, with a score of (58.92 ± 15.27). Hierarchical linear regression analysis showed that education level (β = 0.127, p = 0.018), maintenance of a positive outlook by the family (β = 0.269, p = 0.001), positive social interaction support from the family (β = 0.233, p = 0.002), and tangible support (β = −0.135, p = 0.037) were significantly associated with psychological resilience.Conclusion: SES, family resilience and social support may be potential predictive factors of psychological resilience. Interventions to improve the family resilience and social support may be beneficial to promote the psychological resilience of Chinese maintenance hemodialysis patients.
Objective
To evaluate the effect of family psychosocial intervention on the mental health and family function of caregivers of children with cancer.
Methods
A comprehensive literature search of CNKI, Wanfang, VIP, CMB, PubMed, Web of Science, MEDLINE, Embase, Cochrane Library, and PsycARTICLES was conducted to retrieve randomized controlled trials of family psychosocial intervention from database inception until 19 September 2021. RevMan (version 5.4.1) was used to analyze the data.
Results
A total of 894 caregivers participated in 11 studies. The analysis showed that anxiety (standardized mean difference [SMD] = −0.22, 95% confidence interval [CI] = −0.37 to -0.07, P = 0.004) and depression (SMD = −0.33, 95% CI = −0.57 to -0.08, P = 0.01) were significantly reduced, while family function (SMD = −0.86, 95% CI = −1.28 to -0.45, P < 0.001) was significantly improved by the family psychosocial intervention compared with the controls. According to subgroup analysis, family psychosocial interventions were found to reduce posttraumatic stress disorder (PTSD) symptoms when the follow-up time was >1 month (SMD = −0.48, 95% CI = 0.68 to -0.27, P < 0.00001).
Conclusions
Current evidence supports the use of family psychological intervention to reduce depression and anxiety and improve family function. However, its effect on PTSD symptoms requires further study. Future studies should further identify the role of specific family psychosocial interventions on families and caregivers of children with cancer.
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