Su Ying-hwa, Ryan-Wenger Nancy A
National Cheng Kung University, Tainan, Taiwan.
Cancer Nurs. 2007 Sep-Oct;30(5):362-81; quiz 382-3. doi: 10.1097/01.NCC.0000290817.37442.e6.
There is growing empirical evidence that various child and family factors are associated with children's reactions to parental cancer. Children having parents with cancer may respond to parental cancer in different ways in terms of bonadjustment and maladjustment. Children's maladjustment to this pervasive stressor is manifested by a wide variety of physiologic, psychologic, and behavioral stress responses. To date, research on children's adjustment to parental cancer has focused almost exclusively on documenting children's adjustment problems and on describing simple, direct association between the characteristics of children and/or their families, and children's adjustment. The gap in research and clinical practice lies in the lack of a comprehensive model to illuminate children's coping with parental cancer and to guide intervention programs. Based on a synthesis of the literature, this article proposes a model that specifies the relationships among the stressor of having a parent with cancer, moderators and mediator variables, and adjustment. This model can serve as a basis for future research and intervention programs.
越来越多的实证证据表明，各种儿童和家庭因素与儿童对父母患癌的反应有关。父母患有癌症的孩子在适应良好和适应不良方面可能会以不同方式应对父母患癌的情况。儿童对这种普遍存在的压力源的适应不良表现为各种各样的生理、心理和行为应激反应。迄今为止，关于儿童对父母患癌的适应情况的研究几乎完全集中在记录儿童的适应问题以及描述儿童和/或其家庭特征与儿童适应之间简单、直接的关联上。研究与临床实践之间的差距在于缺乏一个全面的模型来阐明儿童应对父母患癌的情况并指导干预项目。基于对文献的综合分析，本文提出了一个模型，该模型明确了父母患癌这一压力源、调节变量和中介变量以及适应之间的关系。这个模型可以作为未来研究和干预项目的基础。
