Möller Birgit, Barkmann Claus, Krattenmacher Thomas, Kühne Franziska, Bergelt Corinna, Beierlein Volker, Ernst Johanna, Brähler Elmar, Flechtner Hans-Henning, Herzog Wolfgang, von Klitzing Kai, Führer Daniel, Resch Franz, Romer Georg
University Medical Center Hamburg-Eppendorf, Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Hamburg, Germany; University Medical Center Münster, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Münster, Germany.
Cancer. 2014 Aug 1;120(15):2361-70. doi: 10.1002/cncr.28644. Epub 2014 Jun 23.
Children of patients with cancer are at increased risk for developing emotional and behavioral problems. This study explored the prevalence and predictors of emotional and behavioral problems in Children of cancer patients in a multisite research project.
A cross-sectional sample of N = 235 families was recruited simultaneously in 5 university medical centers. The participants, including parents (N = 402) and children (N = 324; ages 11-21 years) completed standardized questionnaires. Emotional and behavioral problems in children were measured by the Strengths and Difficulties Questionnaire (SDQ). On the basis of previous research and using a mixed-model approach, child-, parent-, family- and cancer-related variables were examined in addition to socioeconomic status as potential predictors. Descriptive statistics and a multiple random coefficient model were used in the analyses.
Compared to norms, Children of cancer patients show increased mean levels of emotional and behavioral symptoms. The best predictor of emotional and behavioral problems from the perspectives of the child, the healthy parent, and the ill parent was general family dysfunction. Although family dysfunction was identified as the main predictor, the analysis revealed that the main part of variance was related to the individual child's level.
The results indicate that screening for child mental health problems and family dysfunction in oncological and psychosocial treatment units can identify the families most in need of psychosocial support. Psychological services need to be both family-oriented and child-centered and focus on family dysfunction to prevent mental health problems in children.
癌症患者的子女出现情绪和行为问题的风险增加。本研究在一个多地点研究项目中探讨了癌症患者子女情绪和行为问题的患病率及预测因素。
在5所大学医学中心同时招募了N = 235个家庭的横断面样本。参与者包括父母（N = 402）和子女（N = 324；年龄11 - 21岁），他们完成了标准化问卷。儿童的情绪和行为问题通过优势与困难问卷（SDQ）进行测量。基于先前的研究并采用混合模型方法，除社会经济地位外，还考察了与儿童、父母、家庭和癌症相关的变量作为潜在预测因素。分析中使用了描述性统计和多重随机系数模型。
与常模相比，癌症患者的子女情绪和行为症状的平均水平有所升高。从儿童、健康父母和患病父母的角度来看，情绪和行为问题的最佳预测因素是一般家庭功能障碍。尽管家庭功能障碍被确定为主要预测因素，但分析表明，变异的主要部分与个体儿童的水平有关。
结果表明，在肿瘤学和心理社会治疗单位筛查儿童心理健康问题和家庭功能障碍可以识别出最需要心理社会支持的家庭。心理服务需要以家庭为导向且以儿童为中心，并关注家庭功能障碍以预防儿童的心理健康问题。
