Krattenmacher Thomas, Kühne Franziska, Führer Daniel, Ernst Johanna, Brähler Elmar, Herzog Wolfgang, von Klitzing Kai, Flechtner Hans-Henning, Bergelt Corinna, Romer Georg, Möller Birgit
Universitätsklinikum Hamburg-Eppendorf, Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Hamburg.
Prax Kinderpsychol Kinderpsychiatr. 2012;61(6):447-62. doi: 10.13109/prkk.2012.61.6.447.
Children exposed to parental cancer have an increased risk of mental health problems. However, the parental illness itself and its features do not predict children's psychological adjustment. Parent- and family-related factors are more predictive for children's well-being and the incidence of psychopathological symptoms, respectively. This study focuses on parental ways of coping with illness from both, the ill and healthy parent's perspective, and the relationship with family functioning and children's adjustment. Results show a significant impact of parental coping styles on children's health-related quality of life and psychopathological symptoms and, furthermore, that this relationship is mediated by aspects of family functioning. This study support the importance of family systems approaches. Implications for further studies and practical issues are discussed.
接触过父母患癌的儿童出现心理健康问题的风险更高。然而，父母的疾病本身及其特征并不能预测孩子的心理调适情况。与父母及家庭相关的因素分别对孩子的幸福感和精神病理症状的发生率更具预测性。本研究从患病父母和健康父母的角度关注父母应对疾病的方式，以及与家庭功能和孩子调适之间的关系。结果表明，父母的应对方式对孩子与健康相关的生活质量和精神病理症状有显著影响，此外，这种关系由家庭功能的各个方面介导。本研究支持家庭系统方法的重要性。文中还讨论了对进一步研究和实际问题的启示。
