Group-Based Trajectory Modeling of Distress and Well-Being Among Caregivers of Children Undergoing Hematopoetic Stem Cell Transplant.
Group-Based Trajectory Modeling of Distress and Well-Being Among Caregivers of Children Undergoing Hematopoetic Stem Cell Transplant.
复制标题
接受造血干细胞移植的儿童护理人员的痛苦和幸福感的基于群体的轨迹模型。
DOI：
10.1093/jpepsy/jsw064
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发表时间：
2017
影响因子：
3.6
通讯作者：
Kashy,DeborahA
中科院分区：
文献类型：
--
作者：
Sands,StephenA;Mee,Laura;Bartell,Abraham;Manne,Sharon;Devine,KatieA;Savone,Mirko;Kashy,DeborahA
ObjectiveTo examine the trajectories of caregiver psychological responses in the year following their child’s hematopoetic stem cell transplant (HSCT), and whether cognitive and social processing strategies differentiated between trajectories.MethodOne hundred and eight caregivers randomized to the control condition of a cognitive-behavioral intervention study completed measures of distress, coping, and social support at baseline, 1 month, 6 months, and 1 year post HSCT of their child.ResultsThe majority reported moderate or low anxiety, depression, or distress that decreased over time, but a small group demonstrated high anxiety, depression, or distress that persisted or increased over time. Maladaptive coping was highest among caregivers in the high-persistent distress subgroup compared with the moderate-decreasing and low-stable groups. Adaptive coping was minimally associated with trajectory subgroups.ConclusionsScreening HSCT caregivers for distress and maladaptive coping may be useful in identifying caregivers likely to experience persistently high distress who may benefit from psychological intervention.
