Department of Educational Psychology, The University of Texas at Austin, Austin, Texas, USA.
Dell Children's Medical Center, Austin, Texas, USA.
J Psychosoc Oncol. 2021;39(5):613-628. doi: 10.1080/07347332.2020.1819932. Epub 2020 Sep 17.
Pediatric cancer may impact parents' partner relationship and increase patient, parent, and sibling distress. This study examined parents' reports of their relationship adjustment and depressive symptoms and their association with their ratings of patients' and siblings' emotional/behavioral problems in families of recently diagnosed pediatric cancer patients.
Cross-sectional questionnaire study.
A total of 31 parents (87% female; 71% Latino) of pediatric cancer patients.
Parents reported on their relationship adjustment, depressive symptoms, and the patients' and siblings' emotional/behavioral problems.
Poorer relationship adjustment was correlated with more parent depressive symptoms and patient emotional/behavioral problems. Parent depressive symptoms were positively correlated with emotional/behavioral problems in patients and siblings. After accounting for child age and parent depressive symptoms, relationship adjustment remained significantly associated with patient, but not sibling, problems.
When parents have poorer relationship adjustment following diagnosis, children with cancer may be at increased risk for emotional/behavioral problems.
Interventions targeting the partner relationship may be relevant to supporting family adjustment following diagnosis.
儿童癌症可能会影响父母的伴侣关系，并增加患者、父母和兄弟姐妹的痛苦。本研究调查了父母对其关系调整和抑郁症状的报告，以及他们对最近诊断出患有儿童癌症患者的患者和兄弟姐妹的情绪/行为问题的评价之间的关联。
横断面问卷调查研究。
共 31 名儿童癌症患者的家长（87%为女性；71%为拉丁裔）。
家长报告了他们的关系调整、抑郁症状以及患者和兄弟姐妹的情绪/行为问题。
较差的关系调整与父母的抑郁症状和患者的情绪/行为问题相关。父母的抑郁症状与患者和兄弟姐妹的情绪/行为问题呈正相关。在考虑了儿童年龄和父母的抑郁症状后，关系调整仍然与患者的问题显著相关，但与兄弟姐妹的问题无关。
当父母在诊断后关系调整较差时，患有癌症的儿童可能面临更大的情绪/行为问题风险。
针对伴侣关系的干预措施可能与诊断后支持家庭调整相关。
