Department of Psychology, Oklahoma State University.
J Pediatr Psychol. 2019 Nov 1;44(10):1121-1136. doi: 10.1093/jpepsy/jsz051.
Parents and children affected by pediatric cancer are at risk for psychological distress, including depression, anxiety, and post-traumatic stress. A link is believed to exist between parent and child distress; however, no systematic analysis of this relationship has occurred. A meta-analysis was conducted to assess the relationship between parent and child distress among families affected by pediatric cancer.
A systematic review and meta-analysis was conducted using EBSCO (searching PsycINFO, MEDLINE, Academic search Premiere, and Health Source: Nursing/Academic Edition) and PubMed. The initial search yielded a total of 29,118 articles. Inclusion criteria were that studies assessed the relation between parent and child distress in the context of pediatric cancer, were written in English, and were published in peer-reviewed journals. 28 articles met inclusion criteria.
A statistically significant association was found between overall parent and child distress (r = .32, p < .001), such that increased parent-reported distress was associated with increased distress in their children. Significant relationships were also present among each type of parental distress (i.e., depression, anxiety, post-traumatic stress, and global distress; rs = .31-.51, ps < .001) and overall child distress. Moderation analyses via meta-regression indicated that parent proxy-report of child symptoms was associated with a stronger relationship between parent and child distress than child self-report of their own distress.
Aligned with the social-ecological framework, familial factors appear to be highly relevant in understanding distress following pediatric cancer diagnosis. Indeed, greater parent distress was associated with greater child distress.
受儿童癌症影响的父母和儿童都面临心理困扰的风险，包括抑郁、焦虑和创伤后应激。人们认为父母和孩子的困扰之间存在联系；然而，这种关系尚未进行系统分析。本研究进行了荟萃分析，以评估受儿童癌症影响的家庭中父母和儿童困扰之间的关系。
使用 EBSCO（搜索 PsycINFO、MEDLINE、Academic search Premiere 和 Health Source：Nursing/Academic Edition）和 PubMed 进行系统评价和荟萃分析。最初的搜索共产生了 29118 篇文章。纳入标准是：研究在儿童癌症背景下评估父母和儿童之间的困扰关系，用英文撰写，并发表在同行评议的期刊上。有 28 篇文章符合纳入标准。
发现父母和儿童总体困扰之间存在统计学显著关联（r = .32，p <.001），即父母报告的困扰增加与子女的困扰增加相关。在每种类型的父母困扰（即抑郁、焦虑、创伤后应激和总体困扰）和儿童总体困扰中也存在显著关系（rs =.31-.51，ps <.001）。通过元回归的荟萃回归分析表明，父母代理报告的儿童症状与父母和儿童困扰之间的关系更强相关，而不是儿童自我报告其自身困扰。
与社会生态框架一致，家庭因素似乎在理解儿童癌症诊断后的困扰方面非常重要。事实上，父母的困扰越严重，孩子的困扰就越严重。
