Psychosocial Risk Profiles Among American and Dutch Families Affected by Pediatric Cancer.
Psychosocial Risk Profiles Among American and Dutch Families Affected by Pediatric Cancer.
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DOI：
10.1093/jpepsy/jsaa012
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发表时间：
2020-03
影响因子：
3.6
通讯作者：
Christina M. Sharkey;S. Schepers;Sarah Drake;Ahna L H Pai;L. Mullins;M. Grootenhuis
中科院分区：
文献类型：
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作者：
Christina M. Sharkey;S. Schepers;Sarah Drake;Ahna L H Pai;L. Mullins;M. Grootenhuis
目的：目前对儿童癌症人群中心理社会风险领域之间的关系知之甚少。社会心理评估工具2.0（PAT2.0）是一个国际验证的筛选措施，可以检查这些关系。本研究旨在研究美国和荷兰家庭表现出的这些模式的风险概况和预测因素。新诊断为癌症的儿童（N = 262; nUSA=145，nNL=117）的护理人员完成了PAT2.0，作为在美国和荷兰进行的大型研究的一部分。潜在特征分析和多项逻辑回归分析了不同风险特征的人口统计学和医学变量的差异。评估的领域包括家庭结构/资源，儿童问题，兄弟姐妹问题，家庭问题，照顾者压力反应和家庭信念。结果确定了四组：“低风险”（n = 162）定义为一般低风险跨域;“中度照顾者”（n = 55）定义为升高照顾者压力反应域;“中度儿童”（n = 25）定义为升高的儿童问题和/或兄弟姐妹问题，和“高风险”（n = 20）标记为一般高的总体风险。与低风险组相比，荷兰家庭处于高风险组的几率更高。照顾者的年龄，性别和教育程度预测组成员。被归类为目标或临床的家庭有较高的几率在中度或高风险组。结论PAT2.0似乎识别出了大致相似的风险模式，表明在美国和荷兰社会中，家庭经历了共同的心理社会困难。两个中度组证明了特定的风险来源，表明评价领域模式而不是依赖于PAT2.0风险水平可能具有临床获益。
OBJECTIVE Little is known about relations between domains of psychosocial risk among pediatric cancer populations. The Psychosocial Assessment Tool 2.0 (PAT2.0) is one internationally validated screening measure that can examine these relations. This study aimed to examine risk profiles and predictors of these patterns exhibited by American and Dutch families. METHODS Caregivers of children newly diagnosed with cancer (N = 262; nUSA=145, nNL=117) completed the PAT2.0 as part of larger studies conducted in the United States and the Netherlands. Latent profile analysis and multinomial logistic regression examined differences in demographic and medical variables across risk profiles. Domains assessed included Family Structure/Resources, Child Problems, Sibling Problems, Family Problems, Caregiver Stress Reactions, and Family Beliefs. RESULTS Four groups were identified: "Low-Risk" (n = 162) defined by generally low risk across domains; "Moderate-Caregiver" (n = 55) defined by elevated Caregiver Stress Reactions domain; "Moderate-Children" (n = 25) defined by elevated Child Problems and/or Sibling Problems, and "Elevated-Risk" (n = 20) marked by generally high overall risk. Dutch families had higher odds of being in the Elevated-Risk group, compared to the Low-Risk group. Caregiver age, gender, and educational attainment predicted group membership. Families classified as Targeted or Clinical had higher odds of being in the Moderate or Elevated risk groups. CONCLUSION The PAT2.0 appears to identify largely similar patterns of risk, suggesting that families experience common psychosocial difficulties in both American and Dutch societies. The two Moderate groups demonstrated specific risk sources, suggesting that evaluation of domain patterns, rather than reliance on PAT2.0 risk level, could be of clinical benefit.