Tremolada Marta, Taverna Livia, Bonichini Sabrina, Putti Maria Caterina, Pillon Marta, Biffi Alessandra
Department of Development and Social Psychology, University of Padua, 35131 Padua, Italy.
Pediatric Hematology, Oncology and Stem Cell Transplant Center, Department of Woman's and Child's Health, University of Padua, 35128 Padua, Italy.
Children (Basel). 2020 May 1;7(5):40. doi: 10.3390/children7050040.
In childhood cancer, parents have an important role in the promotion of their children's wellbeing and in their adoption of a locus of control style towards their children's health. The current study aimed at identifying types of locus of control in parents of children with leukemia and the possible association with depressive symptomatology and current life perception. One hundred and four parents were recruited at the Hematology-Oncology Clinic of the Department of Woman's and Child's Health, University of Padua, one month after a leukemia diagnosis. Participants were Caucasian with a mean age of 37.28 years (SD = 5.89), mostly mothers (87.5%) and with a mean of 12.16 years of education (SD = 3.82). After signing the informed consent, they filled in the Ladder of Life, the Brief Symptom Inventory-18 and the Parental Health Locus of Control (PHLOC) questionnaires. Paired-samples -test ( = -14.42; df = 103; = 0.0001) showed that parents of children with leukemia were more inclined to have an external locus of control than an internal one. The hierarchical regression analysis model (R = 0.34; F = 4.32; = 0.0001) identified health professional influence (ß = -0.28; = 0.004), current life perception (ß = -0.3; = 0.013) and future life perception (ß = -0.26; = 0.012) as significant predictors of parental depression. Current life perception was best predicted (R = 0.25; F = 3.96; = 0.01) by the parental influence locus of control style (ß = 0.25; = 0.03). Improving trust in the medical staff care and strengthening the internal locus of control in parents could be a preventive program to cope with parental depression symptomatology.
在儿童癌症中，父母在促进孩子的幸福以及对孩子的健康采取控制源风格方面发挥着重要作用。当前的研究旨在确定白血病患儿父母的控制源类型以及与抑郁症状和当前生活认知之间的可能关联。在帕多瓦大学妇女和儿童健康系血液肿瘤诊所，白血病诊断一个月后招募了104名父母。参与者为白种人，平均年龄37.28岁（标准差 = 5.89），大多数是母亲（87.5%），平均受教育年限为12.16年（标准差 = 3.82）。签署知情同意书后，他们填写了生活阶梯、简明症状量表 - 18和父母健康控制源（PHLOC）问卷。配对样本t检验（t = -14.42；自由度 = 103；p = 0.0001）表明，白血病患儿的父母更倾向于具有外部控制源而非内部控制源。分层回归分析模型（R = 0.34；F = 4.32；p = 0.0001）确定医疗专业人员的影响（β = -0.28；p = 0.004）、当前生活认知（β = -0.3；p = 0.013）和未来生活认知（β = -0.26；p = 0.012）是父母抑郁的重要预测因素。父母影响控制源风格（β = 0.25；p = 0.03）对当前生活认知的预测效果最佳（R = 0.25；F = 3.96；p = 0.01）。提高对医护人员护理的信任并加强父母内心的控制源意识可能是应对父母抑郁症状的预防方案。
