Parent and family factors associated with child adjustment to pediatric cancer
Parent and family factors associated with child adjustment to pediatric cancer
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DOI：
10.1093/jpepsy/jsl038
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发表时间：
2007-05-01
影响因子：
3.6
通讯作者：
Noll, Robert B.
中科院分区：
文献类型：
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作者：
Robinson, Kristen E.;Gerhardt, Cynthia A.;Noll, Robert B.
目的探讨影响癌症患儿家庭与对照组之间亲子关系的因素。方法对95例癌症患儿（母亲94例，父亲67例）和98例对照组（母亲97例，父亲77例）的家庭进行亲子困扰、社会支持和家庭环境评估。结果发现父母和孩子的痛苦之间存在显着的关联。对于检查父亲的痛苦对儿童的影响的模型，确定了几个调节因子（即，家庭环境、儿童年龄和性别、癌症诊断和治疗严重程度）。家庭环境也部分介导了父亲和孩子的痛苦。结论父母情绪低落的儿童更容易情绪低落。儿童群体特别脆弱，这表明需要进一步确定风险和复原力机制，并制定以家庭为基础的干预措施。支持包括父亲作为独立的信息来源，在儿科心理学研究和临床实践。
Objective To identify factors that influence the association between parent and child distress among families of children with cancer and comparison peers. Methods Parent and child distress, social support, and family environment were assessed among families of 95 children with cancer (94 mothers, 67 fathers) and 98 comparison peers (97 mothers, 77 fathers). Results Significant associations were found between parent and child distress. For models examining the impact of fathers' distress on children, several moderators were identified (i.e., family environment, child age and gender, a cancer diagnosis, and treatment severity). Family environment also partially mediated father and child distress. Conclusions Children whose parents were distressed were more likely to be distressed themselves. Subgroups of children were particularly vulnerable, indicating a need to identify further mechanisms of risk and resilience and to develop family-based interventions. Support was found for including fathers as independent sources of information in pediatric psychology research and clinical practice.