Department of Preventive Medicine, University of Southern California, Los Angeles, California, USA.
J Psychosoc Oncol. 2020 Nov-Dec;38(6):746-760. doi: 10.1080/07347332.2020.1815924. Epub 2020 Sep 8.
To examine associations between parents and adolescent and young adult (AYA) childhood cancer survivors' (CCS) mental health, and differences by Hispanic ethnicity.
Participants were 129 CCS (M = 19.5 yrs.; 49.9% female) and their parents (M = 49.0 yrs.; 87.6% female); 52.7% identified as Hispanic.
CCS completed assessments of Depressive Symptoms (CES-D), Posttraumatic Growth (PTG) and Pediatric Quality of Life (PedsQL), while parents completed CES-D, Perceived Stress (PSS) and Posttraumatic Stress Disorder (PTSD) measures.
After controlling for covariates, all three negative parental mental health measures (Parent CES-D, PSS, and PTSD), were positively associated with CCS CES-D indicating that higher depressive symptoms and stress in parents was associated with higher depressive symptoms in CCS. Parent CES-D was negatively associated with CCS PedsQL and parent PSS was negatively associated with CCS PTG. Moderation analysis revealed parent PSS to be negatively associated with PedsQL and positively related to CES-D among Hispanic families only.
Higher parental negative mental health measures may adversely affect CCS levels of depression, while lower values for parental negative health measures were associated with positive CCS mental health outcomes in AYA. Hispanic parents experience more associations with stress than non-Hispanics.
Long-term survivorship follow-up care guidelines should address the mental health needs of both parents and CCS, paying particular attention to perceived stress in Hispanic families.
探讨父母与青少年和年轻成人（AYA）癌症幸存者（CCS）心理健康之间的关联，以及西班牙裔人群之间的差异。
共有 129 名 CCS（平均年龄为 19.5 岁，49.9%为女性）及其父母（平均年龄为 49.0 岁，87.6%为女性）参与了研究；其中 52.7%的人认为自己是西班牙裔。
CCS 完成了抑郁症状（CES-D）、创伤后成长（PTG）和儿科生活质量（PedsQL）评估，而父母则完成了 CES-D、压力感知（PSS）和创伤后应激障碍（PTSD）评估。
在控制了协变量后，所有三种负面的父母心理健康指标（父母 CES-D、PSS 和 PTSD）都与 CCS 的 CES-D 呈正相关，这表明父母的抑郁症状和压力越高，CCS 的抑郁症状也越高。父母的 CES-D 与 CCS 的 PedsQL 呈负相关，父母的 PSS 与 CCS 的 PTG 呈负相关。调节分析显示，只有在西班牙裔家庭中，父母的 PSS 与 PedsQL 呈负相关，与 CES-D 呈正相关。
父母的负面心理健康指标越高，可能会对 CCS 的抑郁水平产生不利影响，而父母的负面健康指标值越低，则与 AYA 中 CCS 的积极心理健康结果相关。西班牙裔父母比非西班牙裔父母感受到更多与压力相关的问题。
长期生存随访护理指南应解决父母和 CCS 的心理健康需求，特别关注西班牙裔家庭的感知压力。
