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

父母的心理和情绪困扰可以在任何时候破坏他们的养育，但儿科癌症的诊断和治疗是主要压力源的例子，可以对作为父母的能力提出特别重大的挑战。父母面临的挑战是在诊断和治疗期间为孩子提供信息和情感支持，但他们自己的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更有可能经历创伤后应激症状，而不是其他类型的痛苦。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，父母的情绪调节策略可能会决定PTSD症状最终对父母行为的影响。这项拟议中的研究将研究父母的创伤后应激症状和情绪调节策略如何与他们与孩子谈论癌症时提供的温暖和结构有关。这项拟议的研究是为了一个长期的目标，扩大目前的研究，父母自己的心理和情绪困扰如何影响他们的养育行为。此外，拟议的研究旨在确定情绪调节策略，可能是重要的心理困扰和养育之间的关系，以阐明为什么父母的困扰干扰养育和什么干预措施，旨在改善养育可以在父母。这项建议的重点是癌症儿童的父母作为一个群体，暴露于主要的，突出的压力源，并在痛苦水平的变化。使用直接观察，半结构化访谈和问卷调查，拟议的项目将评估创伤后应激症状，情绪调节，元情绪哲学和父母在100名父母诊断为癌症的儿童。PTSD症状，情绪调节，元情绪哲学和父母之间的关系模型将进行测试。

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.