Family Resilience and Its Association with Psychosocial Adjustment of Children with Chronic Illness: A Latent Profile Analysis

Abstract

Purpose: The purpose of this study was to investigate the characteristics of family resilience in a sample of Chinese families with children diagnosed with chronic illness using Latent Profile Analysis (LPA). In particular, we examined the association of family resilience profiles with the psychosocial adjustment of children, and identified the socio-demographic correlates of these latent profiles. Design and methods: A cross-sectional study was conducted at comprehensive hospitals and children hospitals in three cities (Hangzhou, Ningbo and Wenzhou) of Zhejiang province, China. Parents (n = 277) of children diagnosed with a chronic illness completed a socio-demographic questionnaire, the Chinese version of the family resilience assessment scale, and the Strengths and Difficulties Questionnaire. Results: A three-class solution was found to demonstrate the best fit [low family resilience (74.7%), moderate family resilience (14.1%), and high family resilience (11.2%)]. One-way ANOVA revealed significant differences between the three groups with respect to peer relationship problems and pro-social behaviors of children. On multinomial logistic regression analysis, the type of childhood chronic disease, time since diagnosis, family monthly income, medical insurance, and parents employment status significantly predicted the profile membership. Conclusion: Inadequate family resilience was found to be a common phenomenon in families with children affected by chronic illness. Family resilience profiles were associated with psychological adjustment of children. Practice implication: Our findings may help inform tailored family-strength based interventions to promote better psychosocial adjustment of children with chronic illness.

Validation of the Chinese version of the Walsh Family Resilience Questionnaire

“…Among various socio‐demographic variables, we found that the higher the per capita monthly income and education level were, the higher the WFRQ‐C score was. Similar to a recent study conducted in Chinese children with chronic illness, in addition to factors related to the type of chronic disease and time since diagnosis, the results showed that family resilience was related to family monthly income, medical insurance, and family employment status (Dong et al, 2021). Robust family research in western culture finds that socioeconomic factors, particularly income and education, strongly influence marital and family functioning and stability (Cherlin, 2010), because those with low education and income have fewer opportunities, less access to resources, and higher financial strains on the family (Roche et al, 2007).…”

A latent profile analysis of psychological resilience associated with work fatigue among Chinese nurses

“…Notably, there is currently a lack of study investigating the relationship between different profiles of psychological resilience and work fatigue among nurses. Previous studies have examined this relationship in other populations, such as children and adolescents (Dong et al, 2021; Janousch et al, 2022), but they do not adequately represent the characteristics of nurses. Therefore, this study may potentially fill this gap.…”

Können Resilienz und Selbstwirksamkeit Therapieelemente in der Behandlung chronisch kranker Kinder und Jugendlicher sein?

“…Auch das familiäre Umfeld hat einen signifikanten Einfluss auf die Einschätzung der HRQOL. Niedrige familiäre Resilienz 22 sowie Ängste und Depressionen vor allem der Mütter 23 sind mit einer schlechteren HRQOL der Patient*innen vergesellschaftet.…”