Resilience and psychosocial outcomes in parents of children with cancer.
Resilience and psychosocial outcomes in parents of children with cancer.
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DOI：
10.1002/pbc.24854
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发表时间：
2014-03
影响因子：
3.2
通讯作者：
Baker, K. Scott
中科院分区：
文献类型：
--
作者：
Rosenberg, Abby R.;Wolfe, Joanne;Bradford, Miranda C.;Shaffer, Michele L.;Yi-Frazier, Joyce P.;Curtis, J. Randall;Syrjala, Karen L.;Baker, K. Scott
癌症儿童父母的心理社会功能可能会影响整个家庭的福祉。复原力资源可能与心理社会结果有关，可能适合干预。我们假设资源较少的父母会报告更糟糕的结果。在“理解癌症儿童父母的复原力”研究中，将综合调查邮寄给在西雅图儿童医院接受治疗并在2009年1月1日至2010年12月31日期间完成治疗的癌症儿童的连续英语父母。复原力资源采用Connor-Davidson复原力量表进行测量;结果测量包括心理困扰、健康相关行为、社会和家庭功能以及与医疗团队的沟通。96名家长（86%的可联系人）完成了调查。与人口标准相比，登记的父母有较低的弹性资源，较高的心理困扰，更常见的报告酗酒。社会支持和家庭适应能力显著高于对照组（P<0.001-0.006）。较低的弹性资源与较高的痛苦，较低的社会支持和较低的家庭功能相关（p<0.001-0.007）。弹性资源最低四分位数的父母经常出现睡眠困难的几率较高（OR 5.19，95%CI 1.74，15.45），健康满意度较低（OR 5.71，95%CI 2.05，15.92），向医疗团队表达担忧的能力较低（OR 4.00，95%CI 1.43，11.18）。患有癌症的儿童的父母面临不良心理社会后果的风险，而那些弹性资源较低的人可能面临更大的风险。旨在促进复原力资源的干预措施可能为改善面临儿科癌症的家庭的结局提供一种新颖和互补的方法。
The psychosocial function of parents of children with cancer can impact the well-being of the entire family. Resilience resources are likely related to psychosocial outcomes and may be amenable to intervention. We hypothesized that parents with lower resources would report worse outcomes. In the “Understanding Resilience in Parents of Children with Cancer” study, comprehensive surveys were mailed to consecutive, English-speaking parents of children with cancer who were treated at Seattle Children’s Hospital and completed therapy between 01/01/2009 and 12/31/2010. Resilience resources were measured by the Connor-Davidson Resilience Scale; outcome measures included psychological distress, health-related behaviors, social and family function, and perceived communication with the medical team. 96 parents (86% of contactable) completed the survey. Compared to population norms, enrolled parents had lower resilience resources, higher psychological distress, and more commonly reported binge drinking. Conversely, they reported higher social support and family adaptability (p<0.001–0.006). Lower resilience resources were associated with higher distress, lower social support, and lower family function (p<0.001–0.007). Parents in the lowest quartile of resilience resources had higher odds of frequent sleep difficulties (OR 5.19, 95% CI 1.74,15.45), lower health satisfaction (OR 5.71, 95% CI 2.05,15.92), and decreased ability to express worries to the medical team (OR 4.00, 95% CI 1.43,11.18). Parents of children with cancer are at risk for poor psychosocial outcomes and those with low resilience resources may be at greater risk. Interventions directed at promoting resilience resources may provide a novel and complimentary approach towards improving outcomes for families facing pediatric cancer.
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影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
5.9
作者：
Gillham, Jane E.;Reivich, Karen J.;Seligman, Martin E. P.
通讯作者：
Seligman, Martin E. P.
DOI：
10.1146/annurev-clinpsy-032210-104526
发表时间：
2011-01-01
影响因子：
18.4
作者：
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通讯作者：
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影响因子：
3.1
作者：
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通讯作者：
Zaslavsky, Alan M.
影响因子：
1.7
作者：
Ishibashi, Akiko;Ueda, Reiko;Matsumura, Tsutomu
通讯作者：
Matsumura, Tsutomu