Coping With Information Style, Self-Concealment, Internalized Stigma, and Family Burden Among Parents of Children With Psychiatric Disorders.

Parents of children with psychiatric disorders who are hospitalized in a psychiatric unit often experience family burden. Family burden has been found to be affected by many variables related to parents' personal traits and ways of reacting to the disorder. The current study examined the association between information coping styles (monitoring and blunting) and family burden, among parents of children who were hospitalized in a day care unit. The possible role of self-stigma as a mediator between coping style and family burden and the role of self-concealment as a moderator between coping style and self-stigma were examined. A total of 41 parents completed questionnaires assessing their levels of self-stigma, information coping style, self-concealment, and family burden. Self-stigma was found to mediate the positive association between the monitoring coping style and family burden. Moreover, a moderation effect of self-concealment was found, indicating that monitoring parents suffered from higher levels of self-stigma particularly if they had a high tendency toward self-concealment. Taking into account parents' information, coping style, self-stigma, and self-concealment can help professionals tailor family interventions according to parents' diverse needs. A monitoring coping style may not be beneficial especially when combined with concealment, suggesting the need to promote other coping styles.

Los padres de niños con trastornos psiquiátricos que están internados en una clínica psiquiátrica con frecuencia sufren agobio familiar. Se ha descubierto que el agobio familiar está afectado por muchas variables relacionadas con las características personales de los padres y las maneras de reaccionar al trastorno. En el presente estudio se analizó la asociación entre los estilos de afrontamiento de la información (supervisión y evitación) y el agobio familiar entre padres de niños que estaban internados en un hospital de día. Se examinó el posible rol del autoestigma como mediador entre el estilo de afrontamiento y el agobio familiar, y el rol del autoocultamiento como moderador entre el estilo de afrontamiento y el autoestigma. Un total de 41 padres contestaron cuestionarios donde se evaluaron sus niveles de autoestigma, el estilo de afrontamiento de la información, el autoocultamiento y el agobio familiar. Se descubrió que el autoestigma medió la asociación positiva entre el estilo de afrontamiento de supervisión y el agobio familiar. Además, se descubrió un efecto moderador del autoocultamiento, lo cual indica que los padres supervisores sufrían de niveles más altos de autoestigma, particularmente si tenían una alta tendencia hacia el autoocultamiento. Tener en cuenta el estilo de afrontamiento de la información, el autoestigma y el autoocultamiento de los padres puede ayudar a los profesionales a adaptar las intervenciones familiares de acuerdo con las distintas necesidades de los padres. Es posible que un estilo de afrontamiento de supervisión no sea beneficioso, especialmente si está combinado con el ocultamiento, lo cual sugiere la necesidad de promover otros estilos de afrontamiento.

The association of non-suicidal self-injurious and suicidal behaviors with religiosity in hospitalized Jewish adolescents.

Religiosity may be a potent protective factor against self-injurious and suicidal behaviors. However, no previous study has addressed this relationship in adolescent psychiatric population. This study aimed to examine the association between religiosity and non-suicidal self-injurious (NSSI) and suicidal behaviors, among hospitalized Jewish adolescents. This is a cross-sectional study of 60 hospitalized Jewish adolescents in two mental health centers. They were evaluated for religiosity, NSSI, and suicidal behaviors. The following religiosity measures were found to be protective against NSSI: a higher degree of adherence to religious practices (extrinsic measure) (beta = -0.083, p = .006), a higher level of belief in religious principles (intrinsic measure) (beta = -0.063, p = .008) and a self-reported higher religious affinity (χ2 = 7.64, p = .022). The severity of suicidal ideation inversely correlated with the extrinsic measure (standardized beta = -0.2, t = -2.5, p = .015) and with self-reported degree of religious affinity (analysis of variance, F = 3.5, p = .035). History of transition in religious affinity was associated with worse suicidal ideation (3.77 ± 1.8 vs. 2.26 ± 1.99, t = -3.25, p = .004) and with suicide attempts (OR = 3.89 (95% CI: 1.08 - 14.03), p = .004); however, these relationships were mediated by history of abuse. This study provides first evidence of a protective effect of some religiosity measures on NSSI and suicidal behaviors in hospitalized Jewish adolescents.