When mom or dad has cancer .2. Coping, cognitive appraisals, and psychological distress in children of cancer patients
When mom or dad has cancer .2. Coping, cognitive appraisals, and psychological distress in children of cancer patients
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DOI：
10.1037/0278-6133.15.3.167
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发表时间：
1996-05-01
影响因子：
4.2
通讯作者：
Howell, DC
中科院分区：
文献类型：
--
作者：
Compas, BE;Worsham, NL;Howell, DC
对父母被诊断患有癌症的儿童、青少年和年轻人 (N = 134) 进行认知评估和应对方式检查。所有三个年龄段的人都认为，对父母疾病的个人控制力较低，而外部控制力较高，并且很少采用以问题为中心的应对方式。与青春期前的儿童相比，青少年和年轻人报告了更多以情绪为中心的应对和双重聚焦的应对（既以问题为中心，又以情绪为中心的意图）。父母癌症的分期和预后与对严重性和压力的评估以及更多的回避有关；然而，只有对压力的评估才与焦虑抑郁症状相关。以情绪为中心的应对方式与更多的回避和更高的焦虑抑郁症状有关。应对和控制信念与焦虑抑郁症状之间没有相互作用。
Cognitive appraisals and coping were examined in children, adolescents, and young adults (N = 134) faced with the diagnosis of cancer in a parent. All 3 age groups perceived low personal control and high external control over their parent's illness and used relatively little problem-focused coping. Adolescents and young adults reported more emotion-focused coping and dual-focused coping (both problem- and emotion-focused in intent) than did preadolescent children. Stage and prognosis of parent's cancer were related to appraisals of greater seriousness and stressfulness, and to more avoidance; however, only appraisals of stress were related to symptoms of anxiety-depression. Emotion-focused coping was related to greater avoidance and to higher symptoms of anxiety-depression; coping and control beliefs did not interact in their association with anxiety-depression symptoms.