Serious illness in childhood: The different threats of cancer and diabetes from a parent perspective
Serious illness in childhood: The different threats of cancer and diabetes from a parent perspective
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DOI：
10.1016/j.jpeds.2004.05.043
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发表时间：
2004-09-01
影响因子：
5.1
通讯作者：
Samuelsson, U
中科院分区：
文献类型：
--
作者：
Boman, KK;Viksten, J;Samuelsson, U
目的比较癌症和糖尿病儿童父母的疾病相关痛苦症状的发生率。研究设计对675名癌症患者、糖尿病患者和对照组的父母11个痛苦症状簇进行评估。用双尾t检验检验患者和对照父母的均数差异；用方差分析比较疾病组。结果患者父母的总体痛苦程度(P<；.0001)和大部分症状亚类均高于对照父母(P<；.0001)。癌症患者父母在焦虑(P<；.0001)、身心痛苦(P<；.0001)、抑郁(P<；.005)和孤独(P<；.05)方面的苦恼程度显著高于糖尿病患者(DP)。在不确定、失去控制/患者、自尊、疾病相关恐惧和睡眠障碍方面，DP的水平与CP相当。结论儿童疾病的父母苦恼模式与疾病类型和发病时间有关。症状特征证实了在癌症诊断后的最初休克时需要心理社会关注，并表明了许多父母的长期后果。在儿童糖尿病中，随着时间的推移，持续或加剧的痛苦具有特殊的临床相关性。
Objectives To compare the incidence of disease-related distress symptoms in parents of children with cancer and diabetes.Study design A total of 675 parents of patients with cancer, patients with diabetes, and control subjects were assessed for 11 distress symptom clusters. Patient and control parent mean differences were tested by 2-tailed t tests; illness groups were compared by means of analysis of variance. Distress variations as a function of time since diagnosis were examined by regression analysis.Results The distress levels of patient parents exceeded those of control parents for global distress (P < .0001) and for most symptom subcategories. Distress levels of parents of patients with cancer (CP) significantly exceeded those of parents of patients with diabetes (DP) in anxiety (P < .0001), physical and psychologic distress (P < .0001), depression (P < .005), and loneliness (P < .05). Levels in DP matched those of CP in uncertainty, loss of control/the patient, self-esteem, disease-related fear, and sleep disturbances. Distress levels were lower in CP most distant hi time from diagnosis, whereas DP showed a reversed trend.Conclusions Parental distress patterns in childhood illness depend on illness type and time passed since diagnosis. Symptom profiles verify the need for psyehosocial attention at the initial shock after the cancer diagnosis and indicate long-term consequences for many parents. In pediatric diabetes, the persistence or intensification of distress over time is of specific clinical relevance.