Stress and psychological adjustment in caregivers of children with cancer.
Stress and psychological adjustment in caregivers of children with cancer.
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DOI：
10.1037/hea0001070
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发表时间：
2021-05
影响因子：
4.2
通讯作者：
Katz, Lynn Fainsilber
中科院分区：
文献类型：
--
作者：
Gurtovenko, Kyrill;Fladeboe, Kaitlyn M.;Galtieri, Liana R.;King, Kevin;Friedman, Debra;Compas, Bruce;Breiger, David;Lengua, Liliana;Keim, Madelaine;Kawamura, Joy;Katz, Lynn Fainsilber
探讨儿童癌症病患第一年期间压力对照顾者心理调适之影响。癌症儿童的照顾者（N=159）每月完成问卷调查，评估照顾者的心理调整（抑郁，焦虑和创伤后应激症状）和压力（一般生活压力，治疗相关的压力，照顾者对治疗强度和生命威胁的看法）的领域。从两个水平评估压力的影响，以检查人内压力的变化是否可以预测护理人员调整的同步变化，以及平均压力是否与护理人员调整轨迹的人与人之间差异相关。总体而言，较高水平的压力因素与较差的照顾者调整在人与人之间的水平，与高平均水平的治疗相关的压力和一般的生活压力出现的主要预测更差的调整。这两种类型的压力源，那些直接相关以及无关的孩子的癌症，有助于独特的照顾者的痛苦。照顾者的痛苦是受两个整体水平的压力随着时间的推移，以及每月的压力变化。通知护理的风险照顾者的影响进行了讨论。
To examine effects of stress on caregiver psychological adjustment during the first year of pediatric cancer. Caregivers (N=159) of children with cancer completed monthly questionnaires assessing domains of caregiver psychological adjustment (depression, anxiety, and posttraumatic stress symptoms) and stress (general life stress, treatment related stress, caregiver perceptions of treatment intensity and life threat). Effects of stress were assessed at two levels to examine whether within-person changes in stress predicted concurrent changes in caregiver adjustment, and whether average stress was associated with between-person differences in caregiver adjustment trajectories. Overall, higher levels of stress factors were associated with poorer caregiver adjustment at both the between-and within-person levels, with high average levels of treatment related stress and general life stress emerging as leading predictors of worse adjustment. Both types of stressors, those directly related as well as unrelated to a child’s cancer, contribute uniquely to caregiver distress. Caregiver distress is impacted by both overall levels of stress over time as well as month to month changes in stress. Implications for informing care for at-risk caregivers are discussed.
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影响因子：
4.2
作者：
Sharp, Katianne M. Howard;Fisher, Rachel S.;Gerhardt, Cynthia A.
通讯作者：
Gerhardt, Cynthia A.
影响因子：
1.7
作者：
Hildenbrand, Aimee K.;Clawson, Kathleen J.;Marsac, Meghan L.
通讯作者：
Marsac, Meghan L.
DOI：
10.1146/annurev.clinpsy.4.022007.141207
发表时间：
2008-01-01
影响因子：
18.4
作者：
Monroe, Scott M.
通讯作者：
Monroe, Scott M.
影响因子：
3.8
作者：
Golden-Kreutz, DM;Browne, MW;Andersen, BL
通讯作者：
Andersen, BL
影响因子：
3.6
作者：
Barakat, LP;Alderfer, MA;Kazak, AE
通讯作者：
Kazak, AE