Manne S L, Lesanics D, Meyers P, Wollner N, Steinherz P, Redd W
Department of Psychiatry, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
J Pediatr Psychol. 1995 Aug;20(4):491-510. doi: 10.1093/jpepsy/20.4.491.
Examined predictors of depressive symptoms among 59 parents providing primary care to children newly diagnosed with cancer. Parents were studied for a 3-month period. The parent providing primary care to the child during medical treatment completed measures of depressive symptoms, endorsement of family routines, family functioning, amount of assistance from the spouse in providing care to the child, child behavior problems, as well as measures of the severity of the child's treatment regimen. A strong relationship was found between child behavior problems and parent depressive symptomatology. Although disease-related factors such as the child's functional impairment played a role in the parent's depressive symptoms, results revealed that the child's behavior problems were most strongly associated with parent depressive symptoms and that family cohesiveness also had a contributory role in the maintenance of parent depressive symptoms.
对59名首次为新诊断出癌症的儿童提供初级护理的家长的抑郁症状预测因素进行了研究。对家长进行了为期3个月的研究。在孩子接受治疗期间提供初级护理的家长完成了抑郁症状测量、对家庭日常活动的认可程度、家庭功能、配偶在照顾孩子方面提供的协助量、孩子的行为问题，以及孩子治疗方案严重程度的测量。研究发现孩子的行为问题与家长的抑郁症状之间存在密切关系。虽然与疾病相关的因素，如孩子的功能损害，在家长的抑郁症状中起了一定作用，但结果显示，孩子的行为问题与家长的抑郁症状关联最为紧密，而且家庭凝聚力在维持家长的抑郁症状方面也起到了一定作用。
