背景下的儿童癌症：母亲和儿童中的社会人口学因素、压力与心理困扰
Childhood Cancer in Context: Sociodemographic Factors, Stress, and Psychological Distress Among Mothers and Children.
作者信息
Bemis Heather, Yarboi Janet, Gerhardt Cynthia A, Vannatta Kathryn, Desjardins Leandra, Murphy Lexa K, Rodriguez Erin M, Compas Bruce E
机构信息
Vanderbilt University,
Vanderbilt University.
出版信息
J Pediatr Psychol. 2015 Sep;40(8):733-43. doi: 10.1093/jpepsy/jsv024. Epub 2015 Apr 3.
OBJECTIVE
To examine associations between sociodemographic factors (single parenthood, family income, education level, race), stress, and psychological distress among pediatric cancer patients and their mothers.
METHODS
Participants completed measures assessing sociodemographic variables, depressive symptoms, posttraumatic stress symptoms, general stress, and cancer-related stress within the first year of the child's (ages 5-17 years) cancer diagnosis or relapse. Mothers (N = 318) provided self-reports and parent report of their children; children aged 10-17 years (N = 151) completed self-reports.
RESULTS
Each sociodemographic variable demonstrated unique associations with mothers' and children's stress and distress in bivariate analyses. A cumulative sociodemographic risk measure was positively correlated with all stress and distress variables. In regression analyses predicting mothers' and children's distress, independent and cumulative sociodemographic measures were no longer significant when accounting for levels of stress.
CONCLUSIONS
Findings highlight the need to consider the ecological context of pediatric cancer, particularly the impact of sociodemographic disadvantage on stress and distress in this population.
目的
研究社会人口学因素（单亲家庭、家庭收入、教育水平、种族）、压力与儿科癌症患者及其母亲心理困扰之间的关联。
方法
参与者在孩子（5 - 17岁）癌症诊断或复发的第一年内完成评估社会人口学变量、抑郁症状、创伤后应激症状、一般压力和癌症相关压力的测量。母亲（N = 318）提供她们自己以及孩子的报告；10 - 17岁的孩子（N = 151）完成自我报告。
结果
在双变量分析中，每个社会人口学变量都显示出与母亲和孩子的压力及困扰存在独特的关联。累积社会人口学风险指标与所有压力和困扰变量呈正相关。在预测母亲和孩子困扰的回归分析中，当考虑压力水平时，独立和累积社会人口学指标不再显著。
结论
研究结果强调需要考虑儿科癌症的生态背景，特别是社会人口学劣势对该人群压力和困扰的影响。
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