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简短报告:儿童癌症、父母应对方式以及抑郁、创伤后应激和焦虑症状的风险

Brief report: pediatric cancer, parental coping style, and risk for depressive, posttraumatic stress, and anxiety symptoms.

作者信息

Greening Leilani, Stoppelbein Laura

机构信息

Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center, 2500 North State Street, Jackson MS 39216, USA.

出版信息

J Pediatr Psychol. 2007 Nov-Dec;32(10):1272-7. doi: 10.1093/jpepsy/jsm057. Epub 2007 Aug 2.

Abstract

OBJECTIVE

According to the stress and coping goodness of fit model, parents' risk for psychological symptoms was hypothesized to decrease as a function of using emotional regulation and problem appraisal strategies more frequently, and to increase as a function of using problem-solving and avoidant behaviors more frequently to cope with an uncontrollable stressor--pediatric cancer diagnosis.

METHODS

Parents (N = 150) completed measures of depression, PTSD, anxiety, and coping style.

RESULTS

Regression analyses revealed that symptoms decreased as a function of using problem appraisal and an emotional regulation strategy (social support) more frequently; and increased as a function of using problem-solving strategies, avoidant coping (substance use), and another emotional regulation strategy (negative self-blame) more frequently.

CONCLUSIONS

The findings provide some support for the model but suggest that the method of coping (e.g., social support) might be considered in addition to the focus of the coping strategy (e.g., emotional regulation).

摘要

目的

根据压力与应对适配度模型,假设父母心理症状风险会随着更频繁地使用情绪调节和问题评估策略而降低,并随着更频繁地使用解决问题和回避行为来应对无法控制的压力源——小儿癌症诊断——而增加。

方法

150名父母完成了抑郁、创伤后应激障碍、焦虑和应对方式的测量。

结果

回归分析显示,症状随着更频繁地使用问题评估和一种情绪调节策略(社会支持)而降低;并随着更频繁地使用解决问题策略、回避应对(物质使用)和另一种情绪调节策略(消极自责)而增加。

结论

研究结果为该模型提供了一些支持,但表明除了应对策略的重点(如情绪调节)外,还可能需要考虑应对方法(如社会支持)。

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