Trajectories of adjustment in mothers of children with newly diagnosed cancer: A natural history investigation
Trajectories of adjustment in mothers of children with newly diagnosed cancer: A natural history investigation
复制标题
DOI：
10.1093/jpepsy/jsm013
复制
发表时间：
2007-08-01
影响因子：
3.6
通讯作者：
Katz, Ernest R.
中科院分区：
文献类型：
--
作者：
Dolgin, Michael J.;Phipps, Sean;Katz, Ernest R.
目的本研究的目的是：（a）评估母亲在其子女被诊断为癌症后的消极情感和创伤后抑郁症;（B）检查社会人口学和心理社会学变量与痛苦随时间的变化; Q确定不同的母亲亚组，其调整模式和轨迹可以根据现有的预测数据进行区分。方法对7个地点的212名母亲在孩子确诊后进行评估，并在3个月和6个月后再次进行评估。主要结果包括情绪障碍，抑郁症状和创伤后应激症状的措施。结果总体而言，母亲表现出一种模式，轻度升高的负面情绪和创伤后症状，在3个月和6个月的随访稳定改善明显。不同的调整轨迹是明显的样本作为一个整体，表明母亲的高下降，中度稳定，低稳定的痛苦水平的亚组。结论：这些发现突出了母亲面对儿童癌症压力的相当大的弹性。旨在减少产妇痛苦的干预措施最好针对那些预计会表现出最高程度痛苦的母亲。
Objectives The objectives of this study were (a) to assess negative affectivity and posttraurnatic symptomatology in mothers following the diagnosis of cancer in their children; (b) to examine sociodemographic and psychosocial variables associated with change in distress over time; and Q to identify distinct subgroups of mothers whose patterns and trajectories of adjustment can be distinguished according to available predictor data. Methods Two hundred and twelve mothers at seven sites were assessed just following their child's diagnosis, and again 3 months and 6 months later. Primary outcomes included measures of mood disturbance, depressive symptoms, and symptoms of posttraurnatic stress. Results Overall, mothers demonstrated a pattern of mildly elevated negative affectivity and posttraumatic symptornatology initially, with steady improvements evident at 3- and 6-month follow-up. Distinct adjustment trajectories were evident within the sample as a whole, indicating subgroups of mothers with high-declining, moderate-stable, and low-stable distress levels. Conclusions These findings highlight considerable resilience among mothers facing the stress of childhood cancer. Intervention efforts aimed at reducing maternal distress might best be targeted towards the subgroup of mothers who may be predicted to exhibit the highest level of distress.