Holochwost Steven J, Harman Elizabeth, Stegenga Kristin, Jacob Seethal A, Robb Sheri L
Department of Psychology, Lehman College, City University of New York, New York, NY, United States.
School of Nursing, Indiana University, Indianapolis, IN, United States.
Front Psychol. 2025 Jul 29;16:1550051. doi: 10.3389/fpsyg.2025.1550051. eCollection 2025.
Young children and their parents experience frequent and repeated exposure to potentially traumatic events during treatment for cancer. Active Music Engagement (AME) is a dyadic music therapy intervention that has been found to mitigate traumatic stress symptoms among parents who screened high for traumatic stress symptoms (TSS) and reported higher levels of child distress with cancer-related hospitalizations/treatment (child distress). The current study examined sociodemographic characteristics and risk factors that were associated with higher levels of parent TSS and child distress as a means to identify families that may benefit most from AME in the future. Data were collected from the parents (or guardians) of =136 young children ( = 4.88 years, = 1.56 years, 44.1% female) who were undergoing treatment for cancer. Parents (or guardians) completed measures that captured child and respondent demographics as well as levels of parent TSS and child distress. A series of multivariable linear regression models revealed that poorer child health was associated with significantly higher levels of child distress and parent TSS, while more frequent participation in religious or spiritual practice were associated with lower levels of TSS. Higher levels of cumulative risk were associated with higher levels of child distress and parent TSS, but different, specific risk factors were more strongly associated with each of these outcomes: income-to-needs ratios below the federal poverty level (FPL) were associated with higher child distress, whereas single partner status and parental unemployment were associated with higher levels of parent TSS.
幼儿及其父母在癌症治疗期间经常反复接触潜在的创伤性事件。积极音乐参与（AME）是一种二元音乐治疗干预措施，已被发现可以减轻那些创伤应激症状（TSS）筛查结果为高且报告与癌症相关住院/治疗时儿童痛苦程度较高（儿童痛苦）的父母的创伤应激症状。本研究调查了与父母较高水平的TSS和儿童痛苦相关的社会人口学特征和风险因素，以此作为识别未来可能从AME中获益最大的家庭的一种方法。数据收集自136名正在接受癌症治疗的幼儿（平均年龄4.88岁，标准差1.56岁，44.1%为女性）的父母（或监护人）。父母（或监护人）完成了一些测量，这些测量涵盖了儿童和受访者的人口统计学信息以及父母TSS和儿童痛苦的程度。一系列多变量线性回归模型显示，儿童健康状况较差与儿童痛苦和父母TSS水平显著较高相关，而更频繁地参与宗教或精神活动与较低的TSS水平相关。较高水平的累积风险与较高水平的儿童痛苦和父母TSS相关，但不同的特定风险因素与这些结果中的每一个的关联更强：收入需求比低于联邦贫困线（FPL）与较高的儿童痛苦相关，而单亲状态和父母失业与较高水平的父母TSS相关。
