Associations between parental depression, communication, and self-worth of siblings bereaved by cancer.
Associations between parental depression, communication, and self-worth of siblings bereaved by cancer.
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父母抑郁、沟通和因癌症失去亲人的兄弟姐妹的自我价值之间的关联。
DOI：
10.1037/fam0001137
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Gerhardt,CynthiaA
中科院分区：
文献类型：
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作者：
Garcia,Dana;Olsavsky,AnnaL;Hill,KylieN;Patterson,Valdeoso;Baughcum,AmyE;Long,KristinA;Barrera,Maru;Gilmer,MaryJo;Fairclough,DianeL;Akard,TerrahFoster;Compas,BruceE;Vannatta,Kathryn;Gerhardt,CynthiaA
一个孩子死于癌症可能会增加失去亲人的兄弟姐妹自我价值感差的风险。此外，失去亲人的父母可能会出现抑郁症状，并与幸存的子女进行不同的沟通。然而，有限的研究已经检查了与丧亲兄弟姐妹自我价值相关的家庭因素。因此，我们研究：（a）丧亲和非丧亲家庭之间的父母抑郁症状，亲子沟通和兄弟姐妹自我价值感的差异和（B）父母抑郁症状和沟通质量对丧亲和兄弟姐妹自我价值感之间的关联的间接影响。在孩子死于癌症后3-12个月，招募了失去亲人的父母和兄弟姐妹。在入组时（T1），丧亲（n= 72）和非丧亲的同学家庭（n= 58）完成了基于家庭的问卷调查，48个丧亲和45个非丧亲家庭完成了1年的随访（T2）。相对于T1和T2的对照组，丧亲的母亲，而不是父亲，报告了更多的抑郁症状。失去亲人的兄弟姐妹报告较差的母亲和类似的父亲的沟通，和类似的自我价值水平相比，控制。母亲的横截面和纵向系列调解模式是显着的。失去亲人的母亲患抑郁症状的风险更大，随着时间的推移，这会通过中断母子沟通对兄弟姐妹的自我价值产生不利影响。父亲样本是有限的，但横截面模型是不显着的。母亲和父亲可能会有不同的悲伤，可能需要不同的治疗方法。以家庭为中心的干预应针对丧亲母亲的情绪调整和沟通，以提高兄弟姐妹的自我价值。此外，临床医生应该加强对失去亲人的兄弟姐妹的其他支持来源，以促进适应性结果。
A child’s death from cancer may increase the risk for poor self-worth in bereaved siblings. Furthermore, bereaved parents may experience depressive symptoms and communicate differently with their surviving children. However, limited research has examined family factors associated with self-worth in bereaved siblings. Thus, we examined:(a) differences in parental depressive symptoms, parent–child communication, and sibling self-worth between bereaved and nonbereaved families and (b) indirect effects of parental depressive symptoms and communication quality on the association between bereavement and sibling self-worth. Bereaved parents and siblings were recruited 3–12 months after a child’s death from cancer. Bereaved (n= 72) and nonbereaved families of classmates (n= 58) completed home-based questionnaires upon enrollment (T1), and 48 bereaved and 45 nonbereaved families completed 1-year follow-up (T2). Relative to controls at T1 and T2, bereaved mothers, but not fathers, reported more depressive symptoms. Bereaved siblings reported poorer maternal and similar paternal communication, and similar levels of self-worth compared to controls. Both cross-sectional and longitudinal serial mediation models for mothers were significant. Bereaved mothers were at greater risk for depressive symptoms, which adversely affected sibling self-worth over time through disrupted mother–child communication. The father sample was limited, but the cross-sectional model was nonsignificant. Mothers and fathers may grieve differently and may require different therapeutic approaches. Family-centered interventions should target bereaved mothers’ emotional adjustment and communication to enhance sibling self-worth. Additionally, clinicians should bolster other sources of support for bereaved siblings to promote adaptive outcomes.