Cessna Julie M, Pidala Joseph, Jacobsen Paul B
Moffitt Cancer Center, Tampa, FL, USA.
University of South Florida, Tampa, FL, USA.
Psychooncology. 2016 Mar;25(3):339-46. doi: 10.1002/pon.3848. Epub 2015 May 12.
Studies demonstrate that parents with cancer experience distress and that parenting self-efficacy (PSE) is related to distress among parents without cancer. However, no study to date has examined the relationships between PSE and psychological distress among parents with cancer. This study sought to address this issue by comparing parents with cancer who had undergone hematopoietic stem cell transplantation (HSCT) to parents without cancer on measures of PSE and psychological distress.
A sample of 57 patients diagnosed with cancer who had undergone HSCT and a control group of 57 parents with no history of cancer were recruited for participation in the study. Medical record reviews assessed clinical variables, and participants filled out self-report measures of demographics, PSE, general self-efficacy, and psychological distress.
As hypothesized, parents with cancer reported less PSE and more psychological distress than controls (all p-values ≤ 0.05). Furthermore, findings indicated that both PSE and general self-efficacy mediated the relationship between cancer status and psychological distress.
Findings expand understanding of the potential sources of distress among parents with cancer who have been treated with HSCT and who have school-aged children. They also suggest that interventions aimed at reducing distress in these individuals should seek to target both parenting and general self-efficacy.
研究表明，患癌症的父母会经历痛苦，且育儿自我效能感（PSE）与未患癌症的父母的痛苦有关。然而，迄今为止尚无研究探讨患癌症父母的PSE与心理痛苦之间的关系。本研究旨在通过比较接受过造血干细胞移植（HSCT）的患癌症父母与未患癌症的父母在PSE和心理痛苦方面的指标来解决这一问题。
招募了57名诊断为癌症且接受过HSCT的患者样本以及57名无癌症病史的父母作为对照组参与研究。病历审查评估临床变量，参与者填写关于人口统计学、PSE、一般自我效能感和心理痛苦的自我报告指标。
如假设所示，患癌症的父母比对照组报告的PSE更低，心理痛苦更多（所有p值≤0.05）。此外，研究结果表明，PSE和一般自我效能感均介导了癌症状态与心理痛苦之间的关系。
研究结果扩展了对接受过HSCT且有学龄儿童的患癌症父母痛苦潜在来源的理解。它们还表明，旨在减轻这些个体痛苦的干预措施应同时针对育儿自我效能感和一般自我效能感。
