Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends
Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends
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DOI：
10.1093/jpepsy/26.5.299
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发表时间：
2001-07-01
影响因子：
3.6
通讯作者：
Kazak, AE
中科院分区：
文献类型：
--
作者：
Best, M;Streisand, R;Kazak, AE
目的：前瞻性评估儿童白血病治疗期间父母焦虑与治疗结束后创伤后应激症状（PTSS）之间的关系。一个次要的目标是探讨并发变量与父母回避后treatment ends.Methods：这是一个纵向随访研究的113名父母的白血病治疗的儿童谁以前参加了一项研究，在治疗过程中的程序困扰。数据包括父母的自我报告问卷完成治疗期间和治疗后。结果：使用分层多元回归，我们发现在治疗过程中的焦虑是一个显着的预测因子，后来PTSS的母亲，但不是父亲。焦虑，自我效能，创伤后成长和治疗结束后的时间长度与父母avoidance.Conclusions：高度焦虑的父母有PTSS的风险，并可能受益于治疗过程中和治疗后减少焦虑的方法。提高自我效能有关的后续护理和确定积极的方面的创伤的经验，建议作为治疗方法的癌症治疗后的家庭。
Objective: To evaluate prospectively the association between parental anxiety during treatment for childhood leukemia and posttraumatic stress symptoms (PTSS) after treatment ends. A secondary goal is to explore concurrent variables associated with parental avoidance after treatment ends.Methods: This is a longitudinal follow-up study of 113 parents of children treated for leukemia who previously participated in a study of procedural distress during treatment. Data included parental self-report questionnaires completed during treatment and after treatment.Results: Using hierarchical multiple regression, we found anxiety during treatment to be a significant predictor of later PTSS for mothers, but not fathers. Anxiety, self-efficacy, posttraumatic growth and length of time since treatment ended were associated with parental avoidance.Conclusions: Highly anxious parents are at risk for PTSS and may benefit from approaches that decrease anxiety during treatment and afterward. Enhancing self-efficacy related to follow-up care and identifying positive aspects of the traumatic experiences are suggested as treatment approaches for families after cancer treatment.