Wurz Amanda, Patton Michaela, Merz Erin L, Hou Sharon H J, Cho Sara, Schulte Fiona
School of Kinesiology, University of the Fraser Valley, Chilliwack, BC V2R 0N3, Canada.
Department of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada.
Cancers (Basel). 2022 Jan 29;14(3):704. doi: 10.3390/cancers14030704.
There is a growing focus on describing both negative and positive outcomes in the wake of childhood cancer. The purpose of this study was to describe and explore the relationships between posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG) among children living beyond cancer and one of their parents. As part of a larger online survey, 113 children (M at time of study = 15.82 ( = 4.81); M at diagnosis = 5.86 ( = 4.66)) and one of their parents completed questionnaires assessing PTSS and PTG. Descriptive statistics were used to describe the sample and levels of PTSS and PTG. Data were -transformed and analyzed using bivariate correlations and -tests. An actor-partner interdependence model (APIM) was used to test whether children's and their parents' PTSS was associated with their own PTG (actor effect) and the others' PTG (partner effect). PTSS was low and PTG was moderate in this sample relative to scale ranges. There were no significant differences between the children's and their parents' PTSS ( = 0.535) or PTG ( = 0.534). Results from the APIM showed no significant actor effects ( = 0.185). A significant overall partner effect ( = 0.020) emerged. Lower PTSS for children was associated with greater PTG for their parents (b = -0.29, = 0.018), but parent's PTSS was not associated with children's PTG ( = 0.434). This sample reported similar levels of PTSS and PTG to that which has been reported in the literature. Children and their parents' scores on PTSS and PTG measures were not significantly different from one another. Children's PTSS was negatively associated with their parents PTG, illuminating the ways in which PTSS and PTG may be related in the context of childhood cancer. Exploring family-based strategies to reduce PTSS and enhance PTG may be warranted, though further studies are required.
在儿童癌症之后，对描述消极和积极结果的关注日益增加。本研究的目的是描述和探讨癌症康复儿童及其父母之一的创伤后应激症状（PTSS）与创伤后成长（PTG）之间的关系。作为一项更大规模在线调查的一部分，113名儿童（研究时的平均年龄M = 15.82岁（标准差SD = 4.81）；诊断时的平均年龄M = 5.86岁（标准差SD = 4.66））及其父母之一完成了评估PTSS和PTG的问卷。描述性统计用于描述样本以及PTSS和PTG的水平。数据进行了转换，并使用双变量相关性和检验进行分析。采用actor-partner相互依赖模型（APIM）来检验儿童及其父母的PTSS是否与他们自己的PTG（actor效应）和他人的PTG（partner效应）相关。相对于量表范围，该样本中的PTSS较低，PTG中等。儿童及其父母的PTSS（p = 0.535）或PTG（p = 0.534）之间没有显著差异。APIM的结果显示没有显著的actor效应（p = 0.185）。出现了显著的总体partner效应（p = 0.020）。儿童较低的PTSS与父母较高的PTG相关（b = -0.29，p = 0.018），但父母的PTSS与儿童的PTG无关（p = 0.434）。该样本报告的PTSS和PTG水平与文献中报道的相似。儿童及其父母在PTSS和PTG测量上的得分没有显著差异。儿童的PTSS与父母的PTG呈负相关，揭示了在儿童癌症背景下PTSS和PTG可能的关联方式。尽管需要进一步研究，但探索基于家庭的策略来减少PTSS并增强PTG可能是有必要的。
