{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:13:45Z","timestamp":1788416025609,"version":"build-2803163510"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>\n                    In many Chinese societies, cultural taboos surrounding death have hindered family communication, leading to psychological distress. This study evaluated a culturally sensitive, dialogue-based workshop aimed at helping adolescents and young adults in Macau enhance their ability to discuss life-and-death topics within the family. By using a quasi-experimental design, 123 participants were assigned to the intervention group (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u202f59) or the control group (\n                    <jats:italic>n<\/jats:italic>\n                    \u202f=\u202f64). Baseline and post-intervention data on family functioning (APGAR), psychological distress (PHQ-4), and life attitudes (SF-LAI) were collected. Linear mixed models showed that the intervention group significantly improved in family functioning (\n                    <jats:italic>p<\/jats:italic>\n                    \u202f=\u202f0.002), significantly reduced psychological distress (\n                    <jats:italic>p<\/jats:italic>\n                    \u202f=\u202f0.018), while no significant difference was observed in life attitudes. The study results indicate that in a cultural context where such topics are traditionally avoided, family dialogue-based education on life and death can may promote family relationships and mental health.\n                  <\/jats:p>","DOI":"10.3389\/fpsyg.2026.1937724","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:23:36Z","timestamp":1788413016000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Breaking the silence: the effectiveness of a dialogue-based intervention on family functioning and psychological distress among young adults in a Chinese context"],"prefix":"10.3389","volume":"17","author":[{"given":"Xiang","family":"Li","sequence":"first","affiliation":[{"name":"Kiang Wu Nursing College of Macau","place":["Macau, Macao SAR, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JingHan","family":"Qi","sequence":"additional","affiliation":[{"name":"Kiang Wu Nursing College of Macau","place":["Macau, Macao SAR, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai I.","family":"Ng","sequence":"additional","affiliation":[{"name":"Kiang Wu Nursing College of Macau","place":["Macau, Macao SAR, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxia","family":"Zhu","sequence":"additional","affiliation":[{"name":"Kiang Wu Nursing College of Macau","place":["Macau, Macao SAR, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1177\/003335492211388","article-title":"Family involvement in Asian American health interventions: a scoping review and conceptual model","volume":"138","author":"Ali","year":"2023","journal-title":"Public Health Rep."},{"key":"ref2","volume-title":"Family Therapy in Clinical Practice","author":"Bowen","year":"1978"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1285208","DOI":"10.3389\/fpubh.2024.1285208","article-title":"Research on factors influencing Chinese parents\u2019 support for death education: a cross-sectional survey","volume":"12","author":"Chen","year":"2024","journal-title":"Front. 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