Differences in mothers' and fathers' psychological distress after pediatric SCT: a longitudinal study
Differences in mothers' and fathers' psychological distress after pediatric SCT: a longitudinal study
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DOI：
10.1038/bmt.2011.206
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发表时间：
2012-07-01
影响因子：
4.8
通讯作者：
Hancock, K.
中科院分区：
文献类型：
--
作者：
Barrera, M.;Atenafu, E.;Hancock, K.
本研究的目的是纵向研究SCT后2年内接受SCT的儿童的父母的心理困扰及其相关因素。共有111名主要诊断为白血病的患者的父母完成了抑郁和焦虑症状的标准化测量，作为心理困扰的指标，SCT前1年有85名，SCT后2年有81名。父母的年龄和性别，孩子的年龄，诊断，辐射史，行为和身体健康作为潜在的相关因素进行了检查。分析中使用了具有适当协方差结构的重复测量线性混合模型。抑郁和焦虑评分显着下降了2年的母亲和父亲。母亲报告的抑郁症状明显多于父亲，但焦虑症状相似。SCT前抑郁和焦虑评分、母亲年龄（较年轻）、儿童行为问题、放射治疗史和神经母细胞瘤诊断预测SCT后2年母亲的痛苦; SCT前抑郁和焦虑评分、父亲年龄（较大）和儿童诊断预测父亲的痛苦。这项研究突出了母亲和父亲的心理困扰的差异和相似之处，并确定了相关的风险因素。研究结果可以指导母亲和父亲的孩子接受SCT的基础上，他们的SCT前的心理社会风险的干预措施。骨髓移植（2012）47，934-939; doi：10.1038/bmt.2011.206; 2011年10月31日在线发表
The purpose of this study was to examine longitudinally psychological distress and its correlates in mothers and fathers of children who undergo SCT, up to 2 years post SCT. A total of 111 parents of patients diagnosed mainly with leukemia completed standardized measures of depression and anxiety symptoms as indicators of psychological distress, 85 at 1 year pre-SCT and 81 at 2 years post SCT. Parents' age and gender, child's age, diagnosis, radiation history, behavior and physical health were examined as potential related factors. Linear mixed models for repeated measures with appropriate covariance structure were used in the analysis. Depression and anxiety scores significantly decreased by 2 years for mothers and fathers. Mothers reported significantly more depression symptoms than did fathers, but reported comparable symptoms of anxiety. Pre-SCT depression and anxiety scores, mother's age (younger), child's behavior problems, radiation history and diagnosis of neuroblastoma predicted maternal distress 2 years post SCT; pre-SCT depression and anxiety scores, father's age (older) and child's diagnosis predicted father's distress. This study highlights differences and similarities in mothers' and fathers' psychological distress and identifies related risk factors. The results can guide interventions for mothers and fathers whose children undergo SCT based on their pre-SCT psychosocial risk. Bone Marrow Transplantation (2012) 47, 934-939; doi: 10.1038/bmt.2011.206; published online 31 October 2011