PTSD Symptoms, Emotion Regulation, and Parenting in Parents of Children with Canc

癌症儿童父母的创伤后应激障碍症状、情绪调节和养育方式

• 批准号: 7912385
• 负责人: Madeleine Jackson Dunn
• 金额: $ 3.52万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7912385
• 关键词: Accounting; Affect; Cancer Patient; Child; Development; Diagnosis; Distress; Emotional; Emotions; Goals; Intervention; Interview; Malignant Childhood Neoplasm; Malignant Neoplasms; Modeling; Parenting behavior; Parents; Philosophy; Post-Traumatic Stress Disorders; Questionnaires; Research; Services; Stress; Structure; Symptoms; Testing; Time; emotion regulation; emotional distress; experience; improved; psychologic; psychological distress; public health relevance; stressor

DESCRIPTION (provided by applicant): Parents' psychological and emotional distress can disrupt their parenting at any time, but the diagnosis and treatment of pediatric cancer are examples of major stressors that can present particularly significant challenges to the ability to function as a parent. Parents are challenged to provide information and emotional support to their child during their diagnosis and treatment, but high levels of their own psychological and emotional distress may interfere with their ability to do so. Research has shown that parents of pediatric cancer patients are more likely to experience posttraumatic stress symptoms than other kinds of distress. PTSD symptoms in these parents may interfere with the information and emotional support they provide for their child, and parents' emotion regulation strategies may determine the effect that PTSD symptoms ultimately have on parents' behavior. The proposed research will examine how parents' posttraumatic stress symptoms and emotion regulation strategies are related to the amount of warmth and structure provided during a conversation with their child about cancer. This proposed research is in service to a long-term goal of expanding current research on how parents' own psychological and emotional distress affects their parenting behavior. Further, the proposed research aims to identify emotion regulation strategies that may be important in accounting for the relation between psychological distress and parenting in order to illuminate why parents' distress interferes with parenting and what interventions aimed at improving parenting can target in parents. This proposal focuses on parents of children with cancer as a group that is exposed to major, salient stressors and has variability in distress levels. Using direct observations, semi-structured interviews, and questionnaires, the proposed project will assess posttraumatic stress symptoms, emotion regulation, meta-emotion philosophy and parenting in 100 parents of children diagnosed with cancer. A model of the relations among PTSD symptoms, emotion regulation, meta-emotion philosophy and parenting will be tested. PUBLIC HEALTH RELEVANCE: This project examines how parents' psychological and emotional distress and the ways they deal with that distress may interfere with their parenting behavior when a child is diagnosed with cancer. Specifically, parents' posttraumatic stress symptoms and emotion regulation will be examined in relation to the warmth and structure they provide during a conversation with their child about cancer. Findings from this study will contribute to the development of better ways to help parents engage in effective parenting in the midst of severely stressful circumstances.

描述（由申请人提供）：父母的心理和情绪困扰可能随时扰乱他们的养育方式，但小儿癌症的诊断和治疗是主要压力源的例子，可能对作为父母的能力提出特别重大的挑战。父母在诊断和治疗期间面临着向孩子提供信息和情感支持的挑战，但他们自己的高度心理和情感困扰可能会干扰他们这样做的能力。研究表明，儿童癌症患者的父母比其他类型的痛苦更有可能​​经历创伤后应激症状。这些父母的 PTSD 症状可能会干扰他们为孩子提供的信息和情感支持，而父母的情绪调节策略可能决定 PTSD 症状最终对父母行为的影响。拟议的研究将探讨父母的创伤后应激症状和情绪调节策略与与孩子谈论癌症时所提供的温暖程度和结构之间的关系。这项拟议的研究旨在扩展当前关于父母自身心理和情绪困扰如何影响其养育行为的研究的长期目标。此外，拟议的研究旨在确定情绪调节策略，这些策略对于解释心理困扰和养育方式之间的关系可能很重要，以阐明为什么父母的困扰会干扰养育方式，以及哪些旨在改善养育方式的干预措施可以针对父母。该提案的重点是患有癌症的儿童的父母，他们是一个暴露于主要、显着压力源且痛苦程度存在差异的群体。该项目将通过直接观察、半结构化访谈和问卷调查，评估 100 名癌症儿童父母的创伤后应激症状、情绪调节、元情绪哲学和养育方式。将测试创伤后应激障碍症状、情绪调节、元情绪哲学和养育方式之间关系的模型。 公共卫生相关性：该项目研究了当孩子被诊断患有癌症时，父母的心理和情绪困扰以及他们处理这种困扰的方式可能会如何影响他们的养育行为。具体来说，将检查父母的创伤后应激症状和情绪调节，以及他们在与孩子谈论癌症时所提供的温暖和结构。这项研究的结果将有助于开发更好的方法，帮助父母在严重压力的情况下进行有效的养育。