儿童癌症中的疾病不确定性、全球心理困扰和创伤后应激：使用路径分析方法的初步检验
Illness Uncertainty, Global Psychological Distress, and Posttraumatic Stress in Pediatric Cancer: A Preliminary Examination Using a Path Analysis Approach.
作者信息
Tackett Alayna P, Cushing Christopher C, Suorsa Kristina I, Mullins Alexandria J, Gamwell Kaitlyn L, Mayes Sunnye, McNall-Knapp Rene, Chaney John M, Mullins Larry L
机构信息
Department of Psychology, Oklahoma State University,
Department of Psychology, Oklahoma State University, Department of Psychology, University of Kansas, and.
出版信息
J Pediatr Psychol. 2016 Apr;41(3):309-18. doi: 10.1093/jpepsy/jsv093. Epub 2015 Sep 30.
OBJECTIVE
To investigate the relationship of illness uncertainty (IU) to global psychological distress (GPD) and posttraumatic stress symptomatology (PTSS) using a path analysis approach.
METHODS
Participants were 105 caregivers (MAge = 36.9 years, standard deviation [SD] = 8.7) of children (MAge = 8.6 years, SD = 5.0) with newly diagnosed cancer. A path analysis model examined the indirect and direct effects of each IU subscale on PTSS through GPD.
RESULTS
The final model accounted for 47.30% of the variance in PTSS, and the ambiguity facet of IU had a significant indirect effect on PTSS through GPD. Lack of clarity and unpredictability were not significant predictors.
CONCLUSIONS
Ambiguity experienced by parents may be salient in the development of PTSS. Future research should examine these relationships longitudinally in larger samples to better understand adjustment in parents of children with cancer.
目的
采用路径分析方法探讨疾病不确定性（IU）与总体心理困扰（GPD）及创伤后应激症状（PTSS）之间的关系。
方法
研究对象为105名新诊断为癌症儿童（平均年龄=8.6岁，标准差[SD]=5.0）的照顾者（平均年龄=36.9岁，SD=8.7）。一个路径分析模型检验了每个IU子量表通过GPD对PTSS的间接和直接影响。
结果
最终模型解释了PTSS中47.30%的方差变异，IU的模糊性方面通过GPD对PTSS有显著的间接影响。缺乏清晰度和不可预测性不是显著的预测因素。
结论
父母经历的模糊性在PTSS的发展中可能很突出。未来的研究应该在更大的样本中纵向研究这些关系，以更好地理解癌症患儿父母的适应情况。
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