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患癌儿童的父母:是高危人群还是具有复原力?

Parents of Children With Cancer: At-Risk or Resilient?

作者信息

Phipps Sean, Long Alanna, Willard Victoria W, Okado Yuko, Hudson Melissa, Huang Qinlei, Zhang Hui, Noll Robert

机构信息

Department of Psychology,

Department of Psychology.

出版信息

J Pediatr Psychol. 2015 Oct;40(9):914-25. doi: 10.1093/jpepsy/jsv047. Epub 2015 May 20.

DOI:10.1093/jpepsy/jsv047
PMID:25997639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4580762/
Abstract

OBJECTIVE

To examine adjustment in parents of children with cancer using a design that minimizes focusing effects and allows for direct comparison with parents of healthy children.

METHOD

Parents of 305 children with cancer and a demographically similar sample of 231 parents of healthy children were evaluated using diagnostic interviews for posttraumatic stress disorder (PTSD), and questionnaire measures of posttraumatic stress symptoms (PTSS) and psychological growth (PG), as well as measures of global psychological functioning.

RESULTS

Rates of current and lifetime PTSD in parents of children with cancer were low, and did not differ from comparison parents. Likewise, levels of PTSS were not significantly different from comparison parents, but differed as a function of time since diagnosis, with parents of children who were ≥ 5 years from diagnosis reporting significantly lower PTSS than comparison parents. PG was higher in parents of children with cancer than in comparison parents regardless of time since diagnosis.

CONCLUSION

Parents of children with cancer demonstrate resilience to this challenge.

摘要

目的

采用一种将聚焦效应降至最低并能与健康儿童的父母进行直接比较的设计,来研究癌症患儿父母的适应情况。

方法

对305名癌症患儿的父母以及231名人口统计学特征相似的健康儿童的父母进行评估,采用创伤后应激障碍(PTSD)诊断访谈、创伤后应激症状(PTSS)和心理成长(PG)问卷测量,以及整体心理功能测量。

结果

癌症患儿父母当前和终生PTSD的发生率较低,与对照组父母无差异。同样,PTSS水平与对照组父母无显著差异,但因诊断后的时间不同而有所差异,诊断后≥5年的患儿父母报告的PTSS显著低于对照组父母。无论诊断后的时间如何,癌症患儿父母的PG均高于对照组父母。

结论

癌症患儿的父母表现出了应对这一挑战的复原力。

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