儿科癌症患者的父母应对方式和创伤后应激症状：竞争模型的检验。
Parental coping and posttraumatic stress symptoms among pediatric cancer populations: tests of competing models.
机构信息
Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
出版信息
Psychooncology. 2013 Dec;22(12):2815-22. doi: 10.1002/pon.3358. Epub 2013 Jul 24.
OBJECTIVE
The objective of this study is to examine the relation between parental coping style and the risk of parental and child posttraumatic stress symptoms (PTSS) among pediatric cancer survivors.
METHODS
Child survivors of cancer ranging from 6 to 16 years of age (N = 111) completed standardized measures of depression and PTSS, while their parents completed standardized measures of PTSS and coping styles.
RESULTS
Correlational analyses revealed that active and passive coping strategies were positively related to parental PTSS. Although child and parental PTSS were significantly related to each other, only one parental coping strategy-using substances-was significantly related to child PTSS. Regression analyses revealed support for a mediation and not for a moderation model for this relation, thereby suggesting that the relation between parental and child PTSS is mediated by parental substance use.
CONCLUSIONS
Clinical implications including identifying risk factors for PTSS among pediatric cancer survivors are discussed.
目的
本研究旨在探讨父母应对方式与儿科癌症幸存者的父母和儿童创伤后应激症状（PTSS）风险之间的关系。
方法
6 至 16 岁的癌症儿童幸存者（N=111）完成了抑郁和 PTSS 的标准化测量，而他们的父母则完成了 PTSS 和应对方式的标准化测量。
结果
相关分析显示，积极和消极的应对策略与父母的 PTSS 呈正相关。虽然儿童和父母的 PTSS 彼此显著相关，但只有一种父母应对策略——使用物质——与儿童的 PTSS 显著相关。回归分析支持了这种关系的中介而不是调节模型，这表明父母和儿童 PTSS 之间的关系是由父母使用物质来介导的。
结论
讨论了包括识别儿科癌症幸存者 PTSS 风险因素在内的临床意义。
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