Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Department of Psychology, The University of Memphis, Memphis, Tennessee.
Psychooncology. 2020 Feb;29(2):339-346. doi: 10.1002/pon.5258. Epub 2019 Dec 19.
The primary objective of this research was to examine patterns of parent-child relationship functioning among pediatric cancer survivors and their caregivers across a variety of relationship indicators (ie, Involvement, Attachment, Communication, Parenting Confidence, and Relational Frustration), and evaluate how these factors relate to psychosocial outcomes in survivors.
Young survivors aged 10 to 18 and their caregivers (N = 165) completed measures related to posttraumatic stress and general distress. Caregivers also completed assessments of parent-child relationship functioning, and survivors completed assessments of social functioning. Latent profile analysis was performed to identify patterns of relationship functioning. Medical, demographic, and parent functioning variables were examined as predictors, and youth's psychological and social functioning were examined as outcomes.
A three-class solution was the best fit to the data. The struggling parent-child relationship profile (15%) evidenced below average levels of parent-child relationship functioning across several domains. The normative parent-child relationship (60%), was characterized by average levels of parent-child relationship functioning across all domains. Finally, the high-involved parent-child relationship profile (25%) demonstrated above average levels of parent-child relationship functioning in involved activities, communication, and attachment and normative levels of functioning across all other domains. Medical and parent functioning factors predicted profile membership. In turn, profile membership was associated with survivor psychological and social outcomes.
Findings document the importance of extending existing research to examine patterns of parent-child relationship functioning, which may serve as a clinically relevant target to improve psychological and social outcomes in young survivors of childhood cancer.
本研究的主要目的是通过各种关系指标（即参与度、依恋、沟通、育儿信心和关系受挫），考察儿科癌症幸存者及其照顾者的亲子关系功能模式，并评估这些因素与幸存者的心理社会结果的关系。
年龄在 10 至 18 岁的年轻幸存者及其照顾者（N=165）完成了与创伤后应激和一般困扰相关的评估。照顾者还完成了亲子关系功能的评估，幸存者完成了社交功能的评估。采用潜在剖面分析来确定关系功能模式。检查医疗、人口统计学和父母功能变量作为预测因素，青少年的心理和社交功能作为结果。
三分类解决方案最符合数据。挣扎的亲子关系模式（15%）在几个领域表现出低于平均水平的亲子关系功能。正常的亲子关系模式（60%）在所有领域都表现出平均水平的亲子关系功能。最后，高参与的亲子关系模式（25%）在参与活动、沟通和依恋方面表现出高于平均水平的亲子关系功能，而在所有其他领域都表现出正常水平的功能。医疗和父母功能因素预测了模式成员身份。反过来，模式成员身份与幸存者的心理和社会结果相关。
研究结果表明，扩展现有研究以考察亲子关系功能模式的重要性，这可能是改善儿童癌症幸存者心理和社会结果的一个临床相关目标。
