Yang Yiling, Zhang Yuwei, Liang Lichan, Liao Xiaomei, Meng Jiangnan, Cai Ruiqing, Ye Hongyu, Hu Jiamin, He Xiaofeng, Shi Lei
School of Nursing, Southern Medical University, Guangzhou, China.
Department of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Psychooncology. 2022 Oct;31(10):1737-1744. doi: 10.1002/pon.6027. Epub 2022 Sep 11.
Fear of progression (FoP) is a common psychosocial problem among adult cancer patients, but data on parents of children undergoing cancer treatment are scarce. This study aimed to determine the prevalence of FoP in parents of children undergoing cancer treatment and explore the associated factors.
Overall, 285 parents of children undergoing cancer treatment were recruited from three general hospitals in China. FoP in the parents was assessed using the Chinese version of the Fear of Progression Questionnaire-parent version (FoP-Q-SF/PR). Other questionnaires included the Self-Compassion Scale, Pittsburgh Sleep Quality Index, Posttraumatic Stress Disorder Checklist-Civilian Version, and items on socio-demographic and medical characteristics. Pearson correlation and multiple linear regression analysis were used to identify factors associated with FoP.
A total of 75.1% of the participants showed dysfunctional levels of FoP. The mean FoP-Q-SF/PR score was 39.98 (standard deviation = 9.18). Parental FoP was significantly associated with a shorter time since diagnosis, lower levels of self-compassion, poor sleep quality, and severe posttraumatic stress symptoms (Adjusted R Squared = 0.369, F = 12.838, p < 0.01).
FoP is a frequently reported problem among parents of children undergoing cancer treatment. In this cohort, parents of children with a shorter time since cancer diagnosis were at higher risk of suffering from FoP. Interventions to enhance self-compassion, improve sleep quality, and mitigate posttraumatic stress symptoms may help with the psychological adjustment and well-being of parents whose children are undergoing cancer treatment.
疾病进展恐惧（FoP）是成年癌症患者中常见的心理社会问题，但关于正在接受癌症治疗儿童的父母的数据却很匮乏。本研究旨在确定正在接受癌症治疗儿童的父母中FoP的患病率，并探索相关因素。
总体而言，从中国的三家综合医院招募了285名正在接受癌症治疗儿童的父母。使用中文版的疾病进展恐惧问卷-父母版（FoP-Q-SF/PR）评估父母的FoP。其他问卷包括自我同情量表、匹兹堡睡眠质量指数、创伤后应激障碍检查表-平民版，以及关于社会人口统计学和医学特征的项目。采用Pearson相关性分析和多元线性回归分析来确定与FoP相关的因素。
共有75.1%的参与者表现出功能失调水平的FoP。FoP-Q-SF/PR的平均得分为39.98（标准差=9.18）。父母的FoP与确诊后时间较短、自我同情水平较低、睡眠质量差以及严重的创伤后应激症状显著相关（调整后R平方=0.369，F=12.838，p<0.01）。
FoP是正在接受癌症治疗儿童的父母中经常报告的问题。在这个队列中，癌症确诊后时间较短的儿童的父母患FoP的风险更高。增强自我同情、改善睡眠质量和减轻创伤后应激症状的干预措施可能有助于正在接受癌症治疗儿童的父母的心理调适和幸福感。
