Faculty of Behavioral and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, Groningen, The Netherlands.
J Pediatr Psychol. 2011 Apr;36(3):346-59. doi: 10.1093/jpepsy/jsq090. Epub 2010 Oct 7.
We examined adolescents' emotional reactions to parental cancer and explored relationships between emotional reactions and adolescents' emotional/behavioral problems.
Two studies were performed: retrospective and prospective. A total of 221 adolescents (105 sons) of 138 patients (retrospective) and 70 adolescents (31 sons) of 70 patients (prospective) participated. Adolescents reported on cancer-specific uncertainty, loneliness, helplessness and positive emotions (Situation-Specific Emotional Reactions Questionnaire), and filled in the Youth Self-Report once retrospectively during the period of 1-5 year(s) after diagnosis and three times prospectively during the first year (4 months post-diagnosis, 6 and 12 months after T1).
Emotional reactions were similar between pro- and retrospective studies. Prospectively, uncertainty and helplessness decreased over time. Uncertainty and loneliness related significantly to adolescents' dysfunction (prospective and retrospective). Relationships between emotions and functioning were stronger and more often significant for daughters. Prospectively, adolescents' post-diagnosis emotional reactions were largely unrelated to later functioning.
Uncertainty and loneliness related to adolescents' emotional and behavioral problems. Daughters' emotions seem more strongly related to functioning than sons'.
我们研究了青少年对父母癌症的情绪反应，并探讨了情绪反应与青少年情绪/行为问题之间的关系。
进行了两项研究：回顾性和前瞻性。共有 138 名患者的 221 名青少年（105 名男性）（回顾性）和 70 名患者的 70 名青少年（31 名男性）（前瞻性）参与。青少年报告了癌症特异性的不确定性、孤独感、无助感和积极情绪（情境特异性情绪反应问卷），并在诊断后 1-5 年（回顾性）和第一年的 4 个月（诊断后）、6 个月和 12 个月（前瞻性）期间三次填写青少年自我报告。
前瞻性和回顾性研究中青少年的情绪反应相似。前瞻性地，不确定性和无助感随着时间的推移而降低。不确定性和孤独感与青少年的功能障碍显著相关（前瞻性和回顾性）。情绪与功能之间的关系在女儿中更强，也更经常具有统计学意义。前瞻性地，青少年的诊断后情绪反应与以后的功能无关。
不确定性和孤独感与青少年的情绪和行为问题有关。女儿的情绪似乎与功能的关系比儿子更密切。
