儿科肿瘤学中的应对与社会适应：从诊断到 12 个月。
Coping and Social Adjustment in Pediatric Oncology: From Diagnosis to 12 Months.
机构信息
Department of Psychology, The Hospital for Sick Children.
Vanderbilt University.
出版信息
J Pediatr Psychol. 2020 Nov 1;45(10):1199-1207. doi: 10.1093/jpepsy/jsaa077.
OBJECTIVE
Children diagnosed with cancer experience stress associated with their diagnosis and treatment and are at heightened risk for problems in social adjustment. This study investigated the association between coping with cancer-related stress and problems in social adjustment across the first year after a pediatric cancer diagnosis.
METHODS
Mothers of children (ages 5-17 years) with cancer (N = 312) were recruited from two children's hospitals. Mother's reported on their child's social adjustment and coping near diagnosis (T1) and 12 months (T2).
RESULTS
Primary, secondary control, and disengagement coping were significantly associated with concurrent social adjustment at 12 months. The bivariate associations between baseline primary and secondary control coping and social problems 12 months later were no longer significant in a multivariate regression model.
CONCLUSIONS
These findings inform our understanding of the association between coping with cancer-related stress and social adjustment of children diagnosed with cancer. Interventions teaching primary and secondary control coping strategies for cancer-related stressors may offer some benefit to concurrent youth social adjustment. Further research is needed on how best to support social adjustment in this population over time.
目的
被诊断患有癌症的儿童会经历与诊断和治疗相关的压力，并且他们在社交适应方面出现问题的风险更高。本研究调查了儿童癌症诊断后第一年期间，应对与癌症相关的压力与社交适应问题之间的关系。
方法
从两家儿童医院招募了患有癌症（年龄 5-17 岁）的儿童的母亲（N=312）。母亲在接近诊断时（T1）和 12 个月时（T2）报告了孩子的社交适应和应对情况。
结果
主要、次要控制和脱离应对与 12 个月时的社交适应显著相关。在多元回归模型中，基线时主要和次要控制应对与 12 个月后社会问题之间的双变量关联不再显著。
结论
这些发现为我们理解与癌症相关的压力应对与被诊断患有癌症的儿童的社交适应之间的关系提供了信息。针对癌症相关压力源教授主要和次要控制应对策略的干预措施可能对儿童的当前社交适应有一定益处。需要进一步研究如何随着时间的推移，如何最好地支持该人群的社交适应。
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