Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Centre for Women's Mental Health during the Reproductive Lifespan (WOMHER), Uppsala University, Uppsala, Sweden.
Acta Oncol. 2024 Jul 22;63:592-599. doi: 10.2340/1651-226X.2024.40728.
Parenting concerns can be a major source of distress for patients with cancer who are parents of dependent children; however, these are often not addressed in health care. The Parenting Concerns Questionnaire (PCQ) is an instrument designed to assess parents' worries about the impact of cancer on their children and their ability to parent during this time. The Swedish version of the PCQ has, however, not been evaluated. This study therefore aimed to examine the psychometric properties of the PCQ in a sample of Swedish parents with cancer.
A sample of 336 patients with cancer having dependent children (≤18 years) were included in a cross-sectional web-based survey. Participants completed questionnaires assessing parenting concerns, depression, anxiety, and stress symptoms (DASS); self-efficacy, family functioning (FAD-GF); and sociodemographic and clinical characteristics. Descriptive analyses, as well as reliability and validity analyses, were conducted followed by a confirmatory factor analysis of the factor structure proposed by the authors of the original version of the PCQ.
The majority were mothers (94.9%) with breast cancer (66.4%) aged 40-50 years (59.5%). The results showed evidence for convergent, criterion, and known group's validity, but the original three-factor structure of the PCQ was not fully supported by confirmatory factor analysis.
Evaluating parenting concerns may be an important step towards identifying patients who could benefit from targeted psychosocial interventions. However, the PCQ may require some further refinement to fully capture the breadth of parenting concerns in parents with cancer in different settings.
育儿问题可能是癌症患者的主要困扰之一，这些患者是依赖子女的父母；然而，在医疗保健中，这些问题往往没有得到解决。育儿担忧问卷（PCQ）是一种用于评估父母对癌症对子女的影响以及在此期间育儿能力的担忧的工具。然而，瑞典语版的 PCQ 尚未经过评估。因此，本研究旨在对患有癌症的瑞典父母样本中 PCQ 的心理测量特性进行检验。
一项包含 336 名有依赖子女（≤18 岁）的癌症患者的样本参加了一项基于网络的横断面调查。参与者完成了评估育儿担忧、抑郁、焦虑和压力症状（DASS）、自我效能、家庭功能（FAD-GF）以及社会人口学和临床特征的问卷。进行了描述性分析、可靠性和有效性分析，随后对 PCQ 原始版本作者提出的因子结构进行了验证性因子分析。
大多数是年龄在 40-50 岁（59.5%）的患有乳腺癌（66.4%）的母亲（94.9%）。结果表明存在收敛、标准和已知组的有效性，但 PCQ 的原始三因子结构未得到验证性因子分析的完全支持。
评估育儿担忧可能是识别可能受益于针对性心理社会干预的患者的重要步骤。然而，PCQ 可能需要进一步改进，以充分捕捉不同环境下癌症患者父母的广泛育儿担忧。
