University Medical Center Hamburg-Eppendorf, Department of Child Adolescent Psychiatry, Psychotherapy and Psychosomatics, Germany.
University Medical Center Hamburg-Eppendorf, Department of Child Adolescent Psychiatry, Psychotherapy and Psychosomatics, Germany.
J Psychosom Res. 2014 Mar;76(3):213-20. doi: 10.1016/j.jpsychores.2013.11.020. Epub 2013 Dec 7.
To compare the emotional and behavioral problems of children of patients suffering from cancer or a mental disorder and their association with parental quality of life.
A total of 223 children from 136 families and their 160 parents were investigated from multiple perspectives in a cross-sectional study. The consistency of different adjustment reports between family members was examined. Through mixed models, the differences between parental HRQoL and the children's symptomatology were studied with regard to the type of parental illness. The prediction of children's adjustment through parental HRQoL was further examined. Additionally, gender and age of the children were considered.
Half of the children exhibited psychosocial problems. Gender and age differences were independent of the type of parental disease. In families with parental cancer, the reports of children's adjustment were more consistent between family members than in families where a parental mental disorder was present. We found differences in HRQoL between families with mentally ill parents and those with parental cancer patients. Specifically, the healthy partners of mentally ill parents showed worse HRQoL compared with healthy partners of cancer patients. Healthy parents' reduced HRQoL was associated with worse adjustment in their children, regardless of the type of parental illness, but this result was not found for ill parents.
Family members confronted with parental cancer or mental disorders are more burdened compared with those from the "normal" population, independently of the type of disease. Our results indicate that the type of a parental disease has no direct effect on children's adjustment. However, there are disease-specific effects on parental HRQoL, which are associated with children's adjustment.
比较癌症或精神障碍患者的子女的情绪和行为问题及其与父母生活质量的关系。
通过横断面研究，从多个角度调查了 136 个家庭的 223 名儿童及其 160 名父母。检验了家庭成员间不同调整报告的一致性。通过混合模型，研究了父母疾病类型对父母 HRQoL 和儿童症状学差异的影响。进一步通过父母 HRQoL 检验了儿童适应的预测。此外，还考虑了儿童的性别和年龄。
一半的儿童表现出心理社会问题。性别和年龄差异与父母疾病类型无关。在有癌症父母的家庭中，儿童适应情况的报告比有精神障碍父母的家庭更一致。我们发现，有精神障碍父母的家庭与有癌症患者父母的家庭之间存在 HRQoL 差异。具体而言，与癌症患者的健康伴侣相比，精神障碍患者的健康伴侣的 HRQoL 更差。无论父母患病与否，健康父母 HRQoL 的降低都与他们孩子的适应不良有关。
与“正常”人群相比，面临父母癌症或精神障碍的家庭成员的负担更重，而与疾病类型无关。我们的结果表明，父母疾病的类型对儿童的适应没有直接影响。然而，疾病对父母 HRQoL 有特定的影响，这与儿童的适应有关。
