It is important for healthcare providers to pay attention to parents’ rearing style and children’s physical symptoms to promote a healthy quality of life among children with atopic dermatitis. We aimed to identify effects of parenting stress and co-parenting on marital conflict among parents of children with atopic dermatitis. Participants were 161 fathers and 161 mothers raising seven-year-old children treated for atopic dermatitis. To confirm the effects of parenting stress and co-parenting on marital conflict, the “actor-partner interdependence mediation model” was used. To verify goodness-of-fit, maximum likelihood method was used, and a confirmatory factor analysis was conducted to confirm the validity of latent variables for model analysis. Fathers’ parenting stress had actor (β = −.46, p < .001) and partner (β = −.22, p < .001) effects on co-parenting, and mothers’ parenting stress had actor (β = −.20, p < .001) and partner (β = −.36, p < .001) effects on co-parenting. Fathers’ parenting stress only had an actor effect on marital conflict (β = .32, p < .001). Father’s co-parenting had actor (β = −.29, p < .001) and partner (β = −.22, p < .001) effects on marital conflict, and mothers’ co-parenting had actor (β = −.39, p < .001) and partner (β = −.19, p < .001) effects on marital conflict. There were significant differences between the two groups concerning three path coefficients: fathers’ parenting stress affected fathers’ marital conflict, fathers’ co-parenting affected fathers’ marital conflict, and mothers’ co-parenting affected fathers’ marital conflict. It is vital for healthcare providers to seek ways to reduce the marital conflicts of parents of children with atopic dermatitis, including further examination of the role of co-parenting, to address children’s physical symptoms and promote their health. Our findings inform management and intervention programs for the families of children with atopic dermatitis.

中文翻译：

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父母压力和同父母父母对特应性皮炎患儿父母之间婚姻冲突的影响

对于医疗保健提供者来说，重要的是要注意父母的养育方式和儿童的身体症状，以提高特应性皮炎儿童的健康生活质量。我们的目的是确定父母压力和同父母育种对特应性皮炎患儿父母之间婚姻冲突的影响。参加者有161位父亲和161位母亲抚养接受特应性皮炎治疗的7岁儿童。为了确认父母压力和父母共同抚养对婚姻冲突的影响，使用了“演员-伴侣相互依赖调解模型”。为了验证拟合优度，使用了最大似然法，并进行了验证性因素分析以确认模型分析中潜在变量的有效性。父亲的育儿压力有演员（β= −.46，p <.001）和伴侣（β= −.22，p <。001）对同父母抚养的影响，母亲的父母教养压力对同父母抚养有演员（β= -.20，p <.001）和伴侣（β= -.36，p <.001）的影响。父亲的育儿压力仅对婚姻冲突产生影响（β= .32，p <.001）。父亲的同居父母对婚姻冲突有演员（β= −.29，p <.001）和伴侣（β= −.22，p <.001）的影响，母亲的父母同居具有演员（β= −）。 39，p <.001）和伴侣（β= −.19，p <.001）对婚姻冲突的影响。两组之间在三个路径系数上存在显着差异：父亲的父母教养压力影响父亲的婚姻冲突，父亲的父母抚养关系影响父亲的婚姻冲突以及母亲的父母抚养关系影响父亲的婚姻冲突。对于医疗保健提供者而言，至关重要的是，寻求减少异位性皮炎儿童父母之间婚姻冲突的方法，包括进一步检查共同育儿的作用，以解决儿童的身体症状并促进其健康。我们的发现为特应性皮炎儿童的家庭提供了管理和干预计划。