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有和无小儿癌症病史家庭中亲子困扰之间的关联以及生活事件的调节作用

Association between parent and child distress and the moderating effects of life events in families with and without a history of pediatric cancer.

作者信息

Okado Yuko, Long Alanna M, Phipps Sean

机构信息

Department of Psychology, St. Jude Children's Research Hospital.

Department of Psychology, St. Jude Children's Research Hospital

出版信息

J Pediatr Psychol. 2014 Oct;39(9):1049-60. doi: 10.1093/jpepsy/jsu058. Epub 2014 Jul 25.

Abstract

OBJECTIVE

Examined the associations between parental and child distress, and moderating effects of child exposure to life events, in families with and without a history of pediatric cancer.

METHODS

Children with cancer and their parents (N = 255) and healthy comparison dyads (N = 142) completed self-report measures of depression, anxiety, and posttraumatic stress symptoms. Children reported on the total number of stressful life events they had experienced. Correlations between parental and child symptoms were examined. Moderating effects of child exposure to life events were tested using multiple regression.

RESULTS

Parent and child symptoms were significantly related only in the cancer group. Child exposure to life events attenuated this relationship. Moderation effects were significant at or below average levels of life stress.

CONCLUSIONS

The experience of childhood cancer may strengthen the link between parent and child psychological functioning. However, child exposure to other life events may weaken this link.

摘要

目的

研究有和没有小儿癌症病史的家庭中,父母与孩子的苦恼之间的关联,以及孩子接触生活事件的调节作用。

方法

患癌儿童及其父母(N = 255)和健康对照二元组(N = 142)完成了关于抑郁、焦虑和创伤后应激症状的自我报告测量。孩子们报告了他们经历的应激生活事件的总数。检验了父母与孩子症状之间的相关性。使用多元回归测试了孩子接触生活事件的调节作用。

结果

仅在癌症组中,父母和孩子的症状显著相关。孩子接触生活事件减弱了这种关系。在生活压力平均水平及以下,调节作用显著。

结论

儿童癌症经历可能会加强父母与孩子心理功能之间的联系。然而,孩子接触其他生活事件可能会削弱这种联系。

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