Stress and marital adjustment in families of children with cancer.
Stress and marital adjustment in families of children with cancer.
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DOI：
10.1002/pon.4661
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发表时间：
2018-04
期刊：
影响因子：
3.6
通讯作者：
Katz LF
中科院分区：
文献类型：
--
作者：
Lavi I;Fladeboe K;King K;Kawamura J;Friedman D;Compas B;Breiger D;Gurtovenko K;Lengua L;Katz LF
儿童癌症对父母来说压力很大。当前的前瞻性研究考察了几种压力源（经济压力、生命威胁、治疗强度、治疗相关事件和负面生活事件）对诊断后第一年婚姻调整轨迹的影响。我们检查了全年的平均压力源水平是否与（1）治疗第一年结束时的婚姻适应水平和（2）婚姻适应的变化率有关。130个新诊断癌症儿童家庭（M年龄= 6.33岁，SD = 3.61）参加了调查。主要照顾者提供了12份关于婚姻调整和压力源的月度报告。多水平模型表明，虽然婚姻的调整是稳定的第一年平均，随机效应估计表明，这是不同的家庭之间的轨迹（例如，一些增加和其他减少）的结果。然后使用五个单独的应力结构和累积应力复合材料来预测这种变异性。随着时间的推移，较高的平均经济压力与持续较差的婚姻适应有关。治疗相关事件和负性生活事件的平均频率较高，与随时间推移调整降低和治疗第一年结束时调整降低相关。生命威胁的感知和治疗强度与最终水平或调整轨迹无关。最后，随着时间的推移，较高的累积压力与持续较差的婚姻适应有关。识别风险家庭的影响进行了讨论，并提供量身定制的干预措施，为这一人群的重要性。
Pediatric cancer is highly stressful for parents. The current prospective study examines the impact of several stressors (financial strain, life threat, treatment intensity, treatment-related events, and negative life events) on the trajectory of marital adjustment across the first year following diagnosis. We examined whether average level of stressors across the year was related to (1) levels of marital adjustment at the end of the first year of treatment and (2) the rate of change in marital adjustment. One hundred and thirty families of children newly diagnosed with cancer (M age = 6.33 years, SD = 3.61) participated. Primary caregivers provided 12 monthly reports on marital adjustment and stressors. Multilevel models indicated that although marital adjustment was stable across the first year on average, random effect estimates suggested that this was the result of differing trajectories between families (eg, some increasing and others decreasing). Five individual stress constructs and a cumulative stress composite were then used to predict this variability. Higher average economic strain was related to consistently poorer marital adjustment across time. Higher average frequency of treatment-related events and negative life events were associated with decreasing adjustment over time and lower adjustment at the end of the first year of treatment. Perception of life threat and treatment intensity were not associated with final levels or trajectory of adjustment. Finally, higher cumulative stress was associated with consistently poorer marital adjustment across time. Implications for identification of at-risk families are discussed, and importance of delivering tailored interventions for this population.
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影响因子：
45.3
作者：
Klassen, Anne F.;Klaassen, Robert;Sung, Lillian
通讯作者：
Sung, Lillian
DOI：
10.1177/104345429301000103
发表时间：
1993-01-01
期刊：
Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
影响因子：
--
作者：
Aitken, T J;Hathaway, G
通讯作者：
Hathaway, G
影响因子：
4
作者：
Moss, E;Cyr, C;Dubois-Comtois, K
通讯作者：
Dubois-Comtois, K
影响因子：
4
作者：
KATZ, LF;GOTTMAN, JM
通讯作者：
GOTTMAN, JM
DOI：
10.1097/00004583-199205000-00017
发表时间：
1992-05-01
影响因子：
13.3
作者：
BROWN, RT;KASLOW, NJ;BALDWIN, K
通讯作者：
BALDWIN, K