Primary and secondary caregiver depressive symptoms and family functioning following a pediatric cancer diagnosis: an exploration of the buffering hypothesis.
Primary and secondary caregiver depressive symptoms and family functioning following a pediatric cancer diagnosis: an exploration of the buffering hypothesis.
复制标题
儿科癌症诊断后主要和次要护理人员的抑郁症状和家庭功能：缓冲假说的探索。
DOI：
10.1002/pon.5676
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发表时间：
2021
期刊：
影响因子：
3.6
通讯作者：
Katz,LynnFainsilber
中科院分区：
文献类型：
--
作者：
Keim,MadelaineC;Fladeboe,Kaitlyn;Galtieri,LianaR;Kawamura,Joy;King,Kevin;Friedman,Debra;Compas,Bruce;Breiger,David;Lengua,Liliana;Katz,LynnFainsilber
确诊后，癌症儿童的照顾者，特别是母亲或主要照顾者（PC），往往表现出抑郁症状，这可能会对家庭功能产生负面影响。我们测试了PC和二级照顾者（SC）抑郁症状作为家庭，共同养育，和婚姻功能的预测因素，以及是否有一个非抑郁的SC缓冲对潜在的负面影响的PC depressive symptoms.MethodsFamilies（N= 137）被招募从两个主要的儿童医院诊断为儿科癌症。护理人员在诊断后1个月完成了抑郁症状（流行病学研究中心抑郁量表;抑郁，焦虑和压力量表）和婚姻功能（二元适应量表）的自我报告测量。一个子集的家庭（n= 75）完成录像互动任务，在约3个月后的诊断，编码为家庭和共同养育interactions.ResultsHigher PC抑郁症状在1个月后诊断与更高的适应性和更低的冲突在家庭功能。PC抑郁症状也与较低的二元共识和较低的二元满意度相关。SC抑郁症状与任何家庭/共同养育/婚姻功能变量无显著相关。显著交互作用分析表明，SC抑郁症状调节了PC抑郁症状对家庭亲密度、退缩的父母教养和婚姻中情感表达的影响，这样，当SC抑郁症状处于低水平或平均水平时，PC抑郁症状和功能较差之间的关系被减弱。共同抚养和婚姻功能SC可能对癌症儿童的家庭起保护作用。
ObjectiveAfter diagnosis, caregivers of children with cancer, particularly mothers or primary caregivers (PCs), often show elevated depressive symptoms which may negatively impact family functioning. We tested PC and secondary caregiver (SC) depressive symptoms as predictors of family, co‐parenting, and marital functioning and whether having a non‐depressed SC buffers against potential negative effects of PC depressive symptoms.MethodsFamilies (N= 137) were recruited from two major children's hospitals following a diagnosis of pediatric cancer. Caregivers completed self‐report measures of depressive symptoms (Center for Epidemiological Studies‐Depression Scale; Depression, Anxiety, and Stress Scale) and marital functioning (Dyadic Adjustment Scale) at 1‐month post‐diagnosis. A subset of families (n= 75) completed videotaped interaction tasks at approximately 3‐months post‐diagnosis that were coded for family and co‐parenting interactions.ResultsHigher PC depressive symptoms at 1‐month post‐diagnosis was associated with higher adaptability and lower conflict in family functioning. PC depressive symptoms were also associated lower dyadic consensus and lower dyadic satisfaction. SC depressive symptoms were not significantly associated with any family/co‐parenting/marital functioning variables. Significant interaction analyses suggested that SC depressive symptoms moderated the effect of PC depressive symptoms on family cohesion, withdrawn parenting, and affective expression in the marriage, such that the relationship between PC depressive symptoms and poorer functioning was attenuated when SC depressive symptoms were at low or average levels.ConclusionsHaving a nondepressed SC buffered against negative effects of PC depressive symptoms on certain domains of family, coparenting, and marital functioning. SCs may play a protective role for families of children with cancer.