a Department of Oncology, Division of Psychosocial Oncology , Cumming School of Medicine and Hematology, Oncology and Transplant Program, Alberta Children's Hospital, Calgary , Alberta , Canada.
b School of Human Kinetics, University of Ottawa , Ottawa , Ontario , Canada.
J Psychosoc Oncol. 2018 May-Jun;36(3):274-286. doi: 10.1080/07347332.2018.1431754. Epub 2018 Feb 16.
The aim of the study was to explore the relationship between repressive adaptive style and self-reports of social adjustment in survivors of pediatric cancer compared to their siblings. We hypothesized that there would be a greater proportion of repressors among survivors of pediatric cancer compared to siblings, and that repressive adaptive style would be significantly associated with more positive self-reports of social adjustment.
We utilized a cross-sectional approach. Seventy-seven families participated. Survivors of pediatric cancer (n = 77, 48% male; 8-18 years of age) and one sibling (n = 50, 48% male; 8-18 years of age) completed measures assessing repressive adaptive style and social adjustment. As well, one parent from each family completed a socio-demographic questionnaire. Questionnaire packages were mailed to eligible families who agreed to participate, and were mailed back to investigators in a pre-addressed, pre-stamped envelope.
Chi-square analyses revealed there was no significant difference in the proportion of repressors among survivors and siblings. Social adjustment scores were subjected to a two (group: survivor, sibling) by two (repressor, nonrepressor) ANCOVA with gender and age as covariates. There was a significant main effect of repressive adaptive style (F = 5.69, p < .05, η = 0.05) with a modest effect. Survivors and siblings with a repressive style reported significantly higher social adjustment scores (M = 106.91, SD = 11.69) compared to nonrepressors (M = 99.57, SD = 13.45).
Repressive adaptive style explains some of the variance in survivors and siblings' self-reports of social adjustment. Future research should aim to better understand the role of the repressive adaptive style in survivors and siblings of children with cancer.
本研究旨在探讨与儿科癌症幸存者相比，儿科癌症幸存者的压抑适应风格与自我报告的社会适应性之间的关系。我们假设儿科癌症幸存者中压抑者的比例会高于兄弟姐妹，并且压抑的适应风格与更积极的自我报告的社会适应性显著相关。
我们采用了横断面研究方法。77 个家庭参与了研究。儿科癌症幸存者（n=77，48%为男性；8-18 岁）和一名兄弟姐妹（n=50，48%为男性；8-18 岁）完成了评估压抑适应风格和社会适应的量表。每个家庭的一位家长还完成了一份社会人口学问卷。合格家庭同意参与后，研究人员会将问卷包邮寄给他们，家庭将填好的问卷包用随附的预付邮资的信封寄回给研究人员。
卡方分析显示，幸存者和兄弟姐妹中压抑者的比例没有显著差异。社会适应评分进行了两组（幸存者、兄弟姐妹）和两水平（压抑者、非压抑者）的方差分析，性别和年龄作为协变量。压抑适应风格有显著的主效应（F=5.69，p<.05，η=0.05），效应较小。具有压抑风格的幸存者和兄弟姐妹报告的社会适应评分显著较高（M=106.91，SD=11.69），而非压抑者的评分则较低（M=99.57，SD=13.45）。
压抑适应风格解释了幸存者和兄弟姐妹自我报告的社会适应性的部分差异。未来的研究应该旨在更好地理解压抑适应风格在儿童癌症幸存者和兄弟姐妹中的作用。
