Symptoms of Posttraumatic Stress in Parents of Children with Cancer: Are they Elevated Relative to Parents of Healthy Children
Symptoms of Posttraumatic Stress in Parents of Children with Cancer: Are they Elevated Relative to Parents of Healthy Children
复制标题
DOI：
10.1093/jpepsy/jsm119
复制
发表时间：
2009-01-01
影响因子：
3.6
通讯作者：
Phipps, Sean
中科院分区：
文献类型：
--
作者：
Jurbergs, Nichole;Long, Alanna;Phipps, Sean
目的探讨癌症患儿父母创伤后应激症状（PTSS）与诊断时间、治疗状况和复发史的关系，并与健康儿童的父母进行比较。参与者包括199名癌症儿童的父母，包括诊断和治疗阶段的横断面样本，从目前的治疗到长期生存者，以及108名通过熟人控制方法获得的健康儿童的父母。父母完成了PTSS的标准化自我报告措施。结果在癌症组中，父母报告的PTSS作为治疗状态和自诊断以来的时间的函数而不同。接受积极治疗的儿童的父母赞同与对照父母相似的PTSS水平，而停止治疗的儿童的父母报告的PTSS水平显著低于对照组。同样，长期生存者的父母报告PTSS水平显着低于对照组，而最近诊断的儿童的父母没有显着差异，从PTSS的控制。相比之下，复发儿童的父母报告的PTSS水平显着较高，并且更有可能被确定为创伤后应激障碍（PTSD）病例。结论：作为一个群体，癌症儿童的父母没有表现出任何证据增加PTSS相对于健康儿童的父母。诊断后的时间、儿童的治疗状况和复发史是父母PTSS的重要决定因素。只有经历过复发的孩子的父母似乎患创伤后应激障碍的风险增加。目前的结果似乎与现有的文献不符，并对这些差异的可能解释进行了检查。
Objective To examine posttraumatic stress symptoms (PTSS) in parents of children with cancer as a function of time since diagnosis, treatment status, and relapse history, and as compared to parents of healthy children. Method Participants included parents of 199 children with cancer, comprising a cross-sectional sample of diagnoses and treatment phases, ranging from currently on therapy to long-term survivors, and 108 parents of healthy children obtained via acquaintance control methods. Parents completed a standardized self-report measure of PTSS. Results Within the cancer group, parental report of PTSS differed as a function of treatment status and time since diagnosis. Parents of children on active treatment endorsed similar levels of PTSS as control parents, whereas parents of children off treatment reported significantly lower levels of PTSS than did controls. Similarly, parents of long-term survivors reported significantly lower levels of PTSS than did controls, while parents of recently diagnosed children did not differ from controls on PTSS. In contrast, parents of children who had suffered a relapse reported significantly higher levels of PTSS, and were much more likely to be identified as a posttraumatic stress disorder (PTSD) case. Conclusions As a group, parents of children with cancer did not demonstrate any evidence of increased PTSS relative to parents of healthy children. Time since diagnosis, child treatment status, and relapse history are significant determinants of parent PTSS. Only parents of children who experienced a relapse appear to be at increased risk of PTSD. The current results appear discrepant from the existing literature, and possible explanations for these discrepancies are examined.