Mother-child communication and maternal depressive symptoms in families of children with cancer: integrating macro and micro levels of analysis.
Mother-child communication and maternal depressive symptoms in families of children with cancer: integrating macro and micro levels of analysis.
复制标题
癌症儿童家庭中的母子沟通和母亲抑郁症状：宏观和微观层面的分析相结合。
DOI：
10.1093/jpepsy/jst018
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发表时间：
2013
影响因子：
3.6
通讯作者：
Compas,BruceE
中科院分区：
文献类型：
--
作者：
Rodriguez,ErinM;Dunn,MadeleineJ;Zuckerman,Teddi;Hughart,Leighann;Vannatta,Kathryn;Gerhardt,CynthiaA;Saylor,Megan;Schuele,CMelanie;Compas,BruceE
ObjectivesThis study examined associations between maternal depression symptoms and macro- and micro-level aspects of mothers' communication about their children's cancer.MethodsMothers reported depression symptoms after diagnosis or recurrence（child mean age = 10.4 years; 53% male）.母子二人组（N= 94），随后观察到讨论的孩子的癌症和母亲的通信coded.ResultsMacro-level指标（积极和消极的通信）与某些微观层面的通信指标（主题维护，反思，reframes，和当务之急）。较高的抑郁症状预测较低的积极沟通和较高的消极沟通。母亲的反思和当务之急预测积极的沟通，主题维护和reframes预测消极的沟通，超越儿童年龄，家庭收入，和抑郁症状。ConclusionsFindings建议具体的目标，以改善诊断或复发后的家庭沟通。
ObjectivesThis study examines associations between maternal depressive symptoms and macro- and micro-level aspects of mothers’ communication about their children’s cancer.MethodsMothers reported depressive symptoms after diagnosis or relapse (child mean age = 10.4 years; 53% male). Mother–child dyads (N= 94) were subsequently observed discussing the child’s cancer and maternal communication was coded.ResultsMacro-level indicators (positive and negative communication) were associated with certain micro-level indicators of communication (topic maintenance, reflections, reframes, and imperatives). Higher depressive symptoms predicted lower positive communication and higher negative communication. Maternal reflections and imperatives predicted positive communication, and topic maintenance and reframes predicted negative communication, beyond child age, family income, and depressive symptoms.ConclusionsFindings suggest concrete targets for improving communication in families after diagnosis or relapse.