Phipps Sean, Larson Susan, Long Alanna, Rai Shesh N
Division of Behavioral Medicine, St. Jude Children's Research Hospital, 332 North Lauderdale, Memphis, Tennessee 38105-2794, USA.
J Pediatr Psychol. 2006 Apr;31(3):298-309. doi: 10.1093/jpepsy/jsj033. Epub 2005 May 25.
To examine symptom levels of posttraumatic stress (PTS) in children with cancer and their parents as a function of patient and parent adaptive style.
Participants included 162 pediatric cancer patients and their parents. Patients completed self-report measures of PTS and adaptive style. Parents reported on their own adaptive style and PTS, as well as levels of PTS in their child.
Adaptive style was a significant correlate of PTS. Children identified as low anxious (LA) or repressors (REP) obtained lower levels of PTS than did high anxious (HA) children, both by self-report and parent report. Parents identified as LA or REP self-reported lower levels of PTS than HA and also reported lower levels of PTS in their children.
Patient and parent adaptive style are significant determinants of PTS in the pediatric oncology setting. These findings, in combination with the generally low levels of PTS in the pediatric oncology population, raise questions about the utility of the posttraumatic stress model for understanding the experiences of children with cancer, although such a model may be more applicable to parental response.
探讨癌症患儿及其父母创伤后应激（PTS）的症状水平与患者及父母适应方式之间的关系。
研究对象包括162名儿科癌症患者及其父母。患者完成了PTS和适应方式的自我报告测量。父母报告了自己的适应方式和PTS水平，以及孩子的PTS水平。
适应方式与PTS显著相关。通过自我报告和父母报告，被认定为低焦虑（LA）或压抑型（REP）的儿童比高焦虑（HA）儿童的PTS水平更低。被认定为LA或REP的父母自我报告的PTS水平低于HA父母，且报告其孩子的PTS水平也较低。
在儿科肿瘤环境中，患者和父母的适应方式是PTS的重要决定因素。这些发现，结合儿科肿瘤人群中普遍较低的PTS水平，引发了关于创伤后应激模型在理解癌症患儿经历方面的效用的疑问，尽管这样的模型可能更适用于父母的反应。
