Pui Tik Yau’s research while affiliated with The University of Hong Kong and other places

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Publications (2)


Figure 1. The final structural equation model. Note. Latent variables are presented as ellipses and observed variables are presented as illustrate statistically significant relationships, and dashed lines illustrate those that are not. Squared multiple correlation coefficients, show each variable explains, are placed in the upper right corner of each variable's representation. The model was adjusted for the following sociod parents' age and relationship with the child, the child's age and sex, and the current use of inhaled corticosteroids and CNS and/or non-CNS and ADHD symptom management. Insignificant confounders and their associated paths were subsequently removed to streamline the mode and Action Questionnaire-II; PSOC, Parenting Sense of Competency; PAMSE, Parents' Asthma Management Self-Efficacy; FIM, Pediatric Qu Family Impact Module; and PECI, Parent Experience of Child Illness. Significance is indicated with * p < 0.05, ** p < 0.01, and *** p < 0.001.
Figure 2. Mediation analysis. Note. Latent variables are presented as ellipses, and observed variables are presented as rectangles. Solid line significant relationships, and dashed lines illustrate those that are not. Squared multiple correlation coefficients, showing the variance that e
Roles of Psychological Flexibility, Parenting Competence, and Asthma Management Self-Efficacy in the Functioning Outcomes of Parents of Children with Asthma Co-Occurring with Attention-Deficit/Hyperactivity Disorder
  • Article
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October 2024

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18 Reads

European Journal of Investigation in Health Psychology and Education

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Pui Tik Yau

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Joycelyn Yee Man Kwan

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Wai Tong Chien

Asthma and ADHD represent prevalent pediatric conditions, with the former being a physical disorder and the latter being a neurodevelopmental disorder. This study examined the influence of parental psychological flexibility (PF)—the ability to adapt to evolving situational demands, shift perspectives, and balance competing priorities—alongside parenting competence and asthma management self-efficacy on family functioning and parental psychological adjustment in families with children exhibiting concurrent asthma and ADHD symptoms. Baseline data were analyzed from 130 parents (mean age = 40.3 years, SD = 5.5; 88.9% mothers) of children diagnosed with both asthma and ADHD (mean age = 8.0 years, SD = 2.2; 74.6% boys), who were participating in a randomized controlled trial evaluating an Acceptance and Commitment Therapy (ACT)-based parenting intervention. An adjusted structural equation model revealed that greater parental psychological inflexibility was significantly associated with poorer family functioning (β = −0.61, 95% CI [−0.74, −0.33], p < 0.001) and increased psychological maladjustment (β = 0.48, 95% CI [0.32, 0.63], p < 0.001), accounting for intercorrelations with parenting competence and parental asthma management self-efficacy. Additionally, parental psychological flexibility was found to mediate the relationship between parenting competence and both family functioning and psychological adjustment. These findings underscore the importance of targeting parental psychological inflexibility and enhancing parenting competence in interventions to improve family dynamics and parental mental health and thereby suggest a shift from the traditional focus on self-efficacy in symptom management for pediatric asthma and ADHD.

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Roles of Parental Psychological Flexibility, Self-Compassion, and Self-Efficacy in Affecting Mental Health and Quality of Life in Parents of Children with Eczema

October 2023

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80 Reads

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2 Citations

Healthcare

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Joycelyn Yee Man Kwan

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Pui Tik Yau

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[...]

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Wai Tong Chien

Parents of young children with eczema often experience adverse mental health consequences, including depression, anxiety, stress, and a reduced health-related quality of life (HRQoL), due to the unpredictable nature of flare-ups and exacerbations. This study investigated the roles of psychological flexibility, self-compassion, and self-efficacy in fostering parental mental health outcomes and HRQoL while caring for children diagnosed with eczema. Baseline data from an ongoing clinical trial examining the effects of a family acceptance-and-commitment-therapy-based eczema management program (FACT-EMP) on parent–child dyads affected by eczema (N = 110 dyads, 75.5% mothers; 66.4% boys) were analyzed using adjusted hierarchical regression analyses. The findings indicate that psychological inflexibility was significantly associated with symptoms of anxiety, depression, stress, and HRQoL. Self-compassion was significantly linked to all assessed mental health outcomes, whereas self-efficacy showed a significant association only with symptoms of depression. These results underscore the significance of promoting parental psychological flexibility and self-compassion through acceptance and commitment therapy and compassion-based approaches to enhance mental health and quality of life while managing children’s eczema.

Citations (1)


... Indeed, psychological flexibility, parenting competence, and parental self-efficacy are possibility related, as each construct may reinforce the others in a reciprocal manner. For example, psychological flexibility may enhance parenting competence by enabling parents to remain open to new strategies and approaches in managing their child's condition and thereby improve their caregiving efficacy [42]. As parents become more competent and adaptable in their caregiving, their confidence in managing their child's asthma effectivelyi.e., their parental self-efficacy-may also increase [43]. ...

Reference:

Roles of Psychological Flexibility, Parenting Competence, and Asthma Management Self-Efficacy in the Functioning Outcomes of Parents of Children with Asthma Co-Occurring with Attention-Deficit/Hyperactivity Disorder
Roles of Parental Psychological Flexibility, Self-Compassion, and Self-Efficacy in Affecting Mental Health and Quality of Life in Parents of Children with Eczema

Healthcare