Long-Term Trajectories of Depression Symptoms in Mothers of Children With Cancer
Long-Term Trajectories of Depression Symptoms in Mothers of Children With Cancer
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DOI：
10.1037/hea0000826
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发表时间：
2020-02-01
影响因子：
4.2
通讯作者：
Gerhardt, Cynthia A.
中科院分区：
文献类型：
--
作者：
Sharp, Katianne M. Howard;Fisher, Rachel S.;Gerhardt, Cynthia A.
目的：确定癌症儿童的母亲从诊断/复发到5年的抑郁症状轨迹，并检查诊断/复发时的母亲因素，预测这些轨迹中的成员资格。方法：母亲（n = 327; M-年龄= 37.6岁，SD = 7.7岁; 85.9%白色）在孩子诊断/复发时报告了抑郁症状，然后在诊断/复发后1年、3年和5年再次报告。母亲还报告了感知的压力，应对（初级控制，二级控制，和脱离接触的应对），和精神接近诊断的时间。潜类增长分析被用来确定抑郁症状的潜在轨迹，和一个3步多项逻辑回归测试协变量预测成员的轨迹。结果如下：三个轨迹被确定为：“低抑郁症状”（63.3%），“中度抑郁症状”（31.5%）和“高抑郁症状”（5.2%）。与中度（OR = 1.64，p = 0.024和OR = 1.38，p = 0.013）或高轨迹（OR = 1.99，p = 0.008和OR = 1.81，p = 0.001）相比，使用更多主要和次要控制应对的母亲更有可能处于低抑郁症状轨迹。结论：虽然癌症儿童的母亲在诊断后一般表现出更好的心理健康，但在诊断/复发后抑郁症状更多的母亲在5年内抑郁症状基本稳定。癌症儿童的母亲可能会受益于心理健康和应对策略的早期筛查，以及干预措施，以加强对抑郁症状升高的儿童的有效应对。
Objective: To identify trajectories of depression symptoms in mothers of children with cancer from diagnosis/relapse through 5 years and examine maternal factors at diagnosis/relapse predicting membership in these trajectories. Method: Mothers (n = 327; M-age = 37.6 years, SD = 7.7 years; 85.9% White) reported depression symptoms near the time of their child's diagnosis/relapse and then again at 1-, 3-, and 5-years postdiagnosis/relapse. Mothers also reported perceived stress, coping (primary control, secondary control, and disengagement coping), and spirituality near the time of diagnosis. Latent class growth analysis was used to identify latent trajectories of depression symptoms, and a 3-step multinomial logistic regression tested covariate predictors of membership in the trajectories. Results: Three trajectories were identified: "low depression symptoms" (63.3%), "moderate depression symptoms" (31.5%), and "high depression symptoms" (5.2%). Mothers who used more primary and secondary control coping were more likely to be in the low depression symptom trajectory as compared with the moderate (OR = 1.64, p = .024 and OR = 1.38, p = .013, respectively) or high trajectories (OR = 1.99, p = .008 and OR = 1.81, p = .001, respectively). Conclusions: Although mothers of children with cancer generally displayed improved mental health further from diagnosis, mothers with more depression symptoms after diagnosis/relapse displayed substantial stability in depression symptoms over the 5 years. Mothers of children with cancer may benefit from early screening of mental health and coping strategies, as well as interventions to bolster effective coping for those with elevated depression symptoms.