Zhou Tianji, Luo Yuanhui, Xiong Wenjin, Meng Zhenyu, Yu Nancy Xiaonan, Zhang Jingping
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China.
Asia Pac J Oncol Nurs. 2024 Nov 30;12:100633. doi: 10.1016/j.apjon.2024.100633. eCollection 2025 Dec.
Depressive symptoms are prevalent among parents of children with cancer, significantly impacting their well-being. Problem-solving skills, strongly linked to depressive symptoms, offer a promising avenue for intervention. This study aimed to identify latent profiles of parental problem-solving skills and evaluate differences in depressive symptoms across these profiles.
A cross-sectional survey was conducted with 318 parents of children with cancer in mainland China. Self-reported data on demographics, problem-solving skills, and depressive symptoms were collected. Latent profile analysis was used to classify parental problem-solving skills into distinct profiles, and multiple logistic regression identified predictors of profile membership.
Three profiles of problem-solving skills were identified: (1) problem-oriented and constructive ( = 94, 29.6%), (2) impulsivity-oriented and irrational ( = 76, 23.9%), and (3) emotion-oriented and avoidant ( = 148, 46.5%). Parents with higher education, greater income, and urban residency were more likely to belong to the problem-oriented group. Fathers predominated in the impulsivity-oriented group, while mothers were more represented in the emotion-oriented group. Significant differences in depressive symptoms were observed across profiles, with the problem-oriented group reporting the lowest levels.
This study highlights the heterogeneity of problem-solving skills among parents of children with cancer and underscores the need for tailored interventions. Addressing specific characteristics of each profile can improve parental well-being and provide targeted support for this vulnerable population.
ChiCTR2300071828.
抑郁症状在癌症患儿家长中普遍存在，严重影响他们的幸福感。与抑郁症状密切相关的解决问题能力为干预提供了一条有前景的途径。本研究旨在识别家长解决问题能力的潜在类型，并评估这些类型在抑郁症状方面的差异。
对中国大陆318名癌症患儿家长进行了横断面调查。收集了关于人口统计学、解决问题能力和抑郁症状的自我报告数据。采用潜在类别分析将家长的解决问题能力分为不同类型，多元逻辑回归确定类型归属的预测因素。
识别出三种解决问题能力类型：（1）以问题为导向且具建设性（n = 94，29.6%），（2）以冲动为导向且不理性（n = 76，23.9%），以及（3）以情绪为导向且回避（n = 148，46.5%）。受过高等教育、收入较高且居住在城市的家长更有可能属于以问题为导向的群体。以冲动为导向的群体中父亲占主导，而以情绪为导向的群体中母亲占比更多。不同类型在抑郁症状方面存在显著差异，以问题为导向的群体报告的抑郁症状水平最低。
本研究突出了癌症患儿家长解决问题能力的异质性，并强调了量身定制干预措施的必要性。针对每种类型的具体特征可以改善家长的幸福感，并为这一弱势群体提供有针对性的支持。
ChiCTR2300071828。
