Family Functioning and Posttraumatic Stress Disorder in Adolescent Survivors of Childhood Cancer
Family Functioning and Posttraumatic Stress Disorder in Adolescent Survivors of Childhood Cancer
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DOI：
10.1037/a0015996
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发表时间：
2009-10-01
影响因子：
2.7
通讯作者：
Kazak, Anne E.
中科院分区：
文献类型：
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作者：
Alderfer, Melissa A.;Navsaria, Neha;Kazak, Anne E.
本研究调查了儿童癌症幸存者的家庭功能以及家庭功能与创伤后应激障碍（PTSD）之间的关系。为了评估家庭功能，144名青少年癌症幸存者在癌症治疗后1至12年（M = 5.3年）及其父母完成了家庭评估装置（FAD）。为了评估创伤后应激障碍，青少年进行了结构化诊断访谈。近一半（47%）的青少年，四分之一（25%）的母亲和三分之一（30%）的父亲报告家庭功能不佳，超过4个或更多FAD分量表的临床截止值。癌症幸存者患有PTSD的家庭（占样本的8%）在解决问题、情感反应和情感参与方面的功能比其他家庭差。四分之三的PTSD青少年来自家庭功能明显较差的家庭。在这些青少年癌症幸存者的家庭中，家庭功能不良的比例高得惊人。患有PTSD的青少年从一个功能不良的家庭中出现的可能性是一个功能良好的家庭的5倍多。这项研究提供的证据表明，家庭功能与青少年幸存者的癌症相关创伤后反应有关。
This study investigated family functioning and relationships between family functioning and posttraumatic stress disorder (PTSD) in adolescent survivors of childhood cancer. To assess family functioning, 144 adolescent cancer survivors I to 12 years post-cancer treatment (M = 5.3 years) and their parents completed the Family Assessment Device (FAD). To assess PTSD, adolescents were administered a structured diagnostic interview. Nearly half (47%) of the adolescents, one fourth (25%) of mothers, and one third (30%) of fathers reported poor family functioning, exceeding the clinical cutoff on 4 or more FAD subscales. Families in which the cancer survivor had PTSD (8% of the sample) had poorer functioning than other families in the areas of problem solving, affective responsiveness, and affective involvement. Three fourths of the adolescents with PTSD came from families with categorically poor family functioning. A surprisingly high rate of poor family functioning was reported in these families of adolescent cancer survivors. Adolescents with PTSD were more than 5 times as likely to emerge from a poorly functioning family compared with a well-functioning one. This study provides evidence that family functioning is related to cancer-related posttraumatic reactions in adolescent survivors.