Caregiver emotion regulation predicts trajectories of psychopathology during pediatric cancer treatment.
Caregiver emotion regulation predicts trajectories of psychopathology during pediatric cancer treatment.
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护理人员的情绪调节可预测儿科癌症治疗期间的精神病理学轨迹。
DOI：
10.1037/fam0001071
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
FainsilberKatz,Lynn
中科院分区：
文献类型：
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作者：
Boparai,Sameen;Dunning,EmilyD;Keim,Madelaine;Galtieri,LianaR;King,Kevin;Friedman,Debra;Compas,Bruce;Breiger,David;Lengua,LilianaJ;FainsilberKatz,Lynn
在癌症儿童的家庭中观察到儿童和照顾者的精神病理学升高，其中一个子集出现临床显著症状。本研究探讨了在儿童癌症治疗的第一年期间，照顾者的静息呼吸性窦性心律失常（RSA）和观察到的情绪调节（ER）是否对照顾者和儿童精神病理学具有保护作用。最近诊断患有癌症的儿童的主要照顾者（N= 159;儿童M年龄= 5.6岁;儿童48%为男性，52%为女性）完成了12个月的问卷调查。在第3个月，主要照顾者接受采访，了解他们的情绪经历，并测量他们的静息RSA。数据采用多水平模型进行分析。观察到的ER与诊断后1年较低的照顾者焦虑、抑郁和创伤后应激症状（PTSS）相关，但与儿童症状无关。静息RSA与治疗开始时的儿童抑郁/焦虑和第12个月的儿童PTSS显著正相关。研究结果表明，照顾者将受益于干预措施，以管理他们的负面情绪在癌症治疗的开始。此外，那些在生理上更有规律的照顾者可能更能适应孩子的负面情绪。我们的研究结果强调了采取多方法来理解ER如何影响功能的重要性。（PsycInfo数据库记录（c）2023阿帕，保留所有权利）
Elevated child and caregiver psychopathology are observed in families of children with cancer, with a subset developing clinically significant symptoms. This study examines whether caregivers’ resting respiratory sinus arrhythmia (RSA) and observed emotion regulation (ER) are protective against caregiver and child psychopathology during the first year of pediatric cancer treatment. Primary caregivers of children recently diagnosed with cancer (N= 159; child M age= 5.6 years; children 48% male, 52% female) completed 12 monthly questionnaires. At Month 3, primary caregivers were interviewed about their experiences of emotions, and their resting RSA was measured. Data were analyzed using multilevel models. Observed ER was associated with lower caregiver anxiety, depression, and posttraumatic stress symptoms (PTSS) 1 year postdiagnosis but was not associated with children’s symptoms. Resting RSA had a significant positive association with child depression/anxiety at the start of treatment and Month 12 child PTSS. Findings suggest that caregivers would benefit from interventions to manage their negative emotions at the start of cancer treatment. Additionally, caregivers who are more physiologically regulated may be more attuned to their children’s negative emotions. Our findings highlight the importance of taking a multimethod approach to understanding how ER impacts functioning.(PsycInfo Database Record (c) 2023 APA, all rights reserved)