Coping With Pediatric Cancer: Strategies Employed by Children and Their Parents to Manage Cancer-Related Stressors During Treatment
Coping With Pediatric Cancer: Strategies Employed by Children and Their Parents to Manage Cancer-Related Stressors During Treatment
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DOI：
10.1177/1043454211430823
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发表时间：
2011-11-01
影响因子：
1.7
通讯作者：
Marsac, Meghan L.
中科院分区：
文献类型：
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作者：
Hildenbrand, Aimee K.;Clawson, Kathleen J.;Marsac, Meghan L.
儿童癌症患者及其家人面临着重大的身体，情感和心理社会挑战。很少有研究调查儿童如何应对这些挑战，以及父母如何在这个过程中提供帮助。本质性研究旨在探讨常见的癌症相关的压力为儿童，并检查儿童应对和父母的援助，在治疗过程中应对这些压力。15名接受癌症治疗的儿童及其父母参加了半结构化访谈。出现了四个主题，捕捉癌症相关的压力源：癌症治疗/副作用，痛苦的情绪，日常生活的中断和社会挑战。出现了六个主题的方法/避免应对框架内分类的儿童应对策略。方法应对策略包括认知重建、放松、实用策略、寻求社会支持和情绪表达。分散注意力是唯一的逃避应对策略。父母倾向于鼓励方法应对策略（如认知重建，社会支持）。在家庭中，很少有应对策略的报告（儿童：M = 1.47，SD = 0.99;父母：M = 3.33，SD = 1.18），这表明早期以家庭为基础的干预教育应对癌症相关压力的技巧可能是有益的。
Pediatric cancer patients and their families face significant physical, emotional, and psychosocial challenges. Few studies have investigated how children manage these challenges and how parents may help in the process. This qualitative study aimed to explore common cancer-related stressors for children and to examine child coping and parental assistance in coping with these stressors during treatment. Fifteen children undergoing cancer treatment and their parents participated in semistructured interviews. Four themes emerged capturing cancer-related stressors: cancer treatment/side effects, distressing emotions, disruption in daily routines, and social challenges. Six themes emerged regarding child coping strategies that were classified within an approach/avoidance coping framework. Approach coping strategies included the following: cognitive restructuring, relaxation, practical strategies, seeking social support, and emotional expression. Distraction was the only avoidant coping strategy. Parents tended to encourage approach coping strategies (eg, cognitive restructuring, social support). Within families, few coping strategies were reported (child: M = 1.47, SD = 0.99; parent: M = 3.33, SD = 1.18), suggesting that early family-based interventions teaching coping techniques for cancer-related stressors may be beneficial.