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Effects of Familial Relationships on School Adjustment of Adolescents and Young Adults With Congenital Heart Disease

Authors
 Youngji Moon  ;  Jo Won Jung  ;  Sunhee Lee 
Citation
 JOURNAL OF CARDIOVASCULAR NURSING, Vol.38(1) : 52-59, 2023-01 
Journal Title
JOURNAL OF CARDIOVASCULAR NURSING
ISSN
 0889-4655 
Issue Date
2023-01
MeSH
Adaptation, Psychological* ; Adolescent ; Adult ; Cross-Sectional Studies ; Family Relations ; Heart Defects, Congenital* / psychology ; Humans ; Schools ; Young Adult
Abstract
Background: As more than 85% of patients with congenital heart disease (CHD) have grown to adulthood through improvement in treatment and surgery, the difficulties they experience are expanding into areas related to daily life. Accordingly, adjustment to school in adolescents and young adults (AYAs) with CHD is of increasing interest and is influenced by familial factors.

Objective: This was a cross-sectional descriptive study to examine the effects of parental positive emotional expressiveness and sibling relationships on school adjustment of AYAs with CHD.

Methods: In this study, a self-reported questionnaire survey was used to collect the data. The participants were 104 AYAs with CHD aged 13 to 21 years who were attending school and had siblings.

Results: Maternal positive emotional expressiveness ( r = 0.584, P < .01), paternal positive emotional expressiveness ( r = 0.584, P < .01), and sibling warmth/closeness ( r = 0.478, P < .01) were significantly correlated with school adjustment. However, the results of multiple regression analysis showed that only maternal positive emotional expressiveness (ß = 0.459, P < .05) and sibling warmth/closeness (ß = 0.236, P < .05) were significantly associated with school adjustment.

Conclusions: Adolescents and young adults with CHD who reported higher maternal positive emotional expressiveness and sibling warmth/closeness exhibited better school adjustment. Findings suggest that intervention programs to increase parental positive expressiveness and enhance warmth/closeness of sibling relationships may contribute to improving school adjustment.

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Full Text
https://journals.lww.com/jcnjournal/fulltext/2023/01000/effects_of_familial_relationships_on_school.8
DOI
10.1097/JCN.0000000000000884
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Jung, Jo Won(정조원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197427
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