Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends

被引:167
作者
Best, M [1 ]
Streisand, R [1 ]
Catania, L [1 ]
Kazak, AE [1 ]
机构
[1] Childrens Hosp Philadelphia, Dept Psychol, Philadelphia, PA 19104 USA
关键词
childhood cancer; posttraumatic stress; parental adjustment; self-efficacy;
D O I
10.1093/jpepsy/26.5.299
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To evaluate prospectively the association between parental anxiety during treatment for childhood leukemia and posttraumatic stress symptoms (PTSS) after treatment ends. A secondary goal is to explore concurrent variables associated with parental avoidance after treatment ends. Methods: This is a longitudinal follow-up study of 113 parents of children treated for leukemia who previously participated in a study of procedural distress during treatment. Data included parental self-report questionnaires completed during treatment and after treatment. Results: Using hierarchical multiple regression, we found anxiety during treatment to be a significant predictor of later PTSS for mothers, but not fathers. Anxiety, self-efficacy, posttraumatic growth and length of time since treatment ended were associated with parental avoidance. Conclusions: Highly anxious parents are at risk for PTSS and may benefit from approaches that decrease anxiety during treatment and afterward. Enhancing self-efficacy related to follow-up care and identifying positive aspects of the traumatic experiences are suggested as treatment approaches for families after cancer treatment.
引用
收藏
页码:299 / 307
页数:9
相关论文
共 30 条
[11]   A randomized controlled prospective outcome study of a psychological and pharmacological intervention protocol for procedural distress in pediatric leukemia [J].
Kazak, AE ;
Penati, B ;
Boyer, BA ;
Himelstein, B ;
Brophy, P ;
Waibel, MK ;
Blackall, GF ;
Daller, R ;
Johnson, K .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1996, 21 (05) :615-631
[12]   Predicting posttraumatic stress symptoms in mothers and fathers of survivors of childhood cancers [J].
Kazak, AE ;
Stuber, ML ;
Barakat, LP ;
Meeske, K ;
Guthrie, D ;
Meadows, AT .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1998, 37 (08) :823-831
[13]   The perception of procedures questionnaire: Psychometric properties of a brief parent report measure of procedural distress [J].
Kazak, AE ;
Penati, B ;
Waibel, MK ;
Blackwell, GF .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1996, 21 (02) :195-207
[14]   Brief report: Parenting stress and quality of life during treatment for childhood leukemia predicts child and parent adjustment after treatment ends [J].
Kazak, AE ;
Barakat, LP .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1997, 22 (05) :749-758
[15]   LONG-TERM COPING WITH PEDIATRIC LEUKEMIA - A 6-YEAR FOLLOW-UP-STUDY [J].
KUPST, MJ ;
SCHULMAN, JL .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1988, 13 (01) :7-22
[16]   FAMILY COPING WITH PEDIATRIC LEUKEMIA - 10 YEARS AFTER TREATMENT [J].
KUPST, MJ ;
NATTA, MB ;
RICHARDSON, CC ;
SCHULMAN, JL ;
LAVIGNE, JV ;
DAS, L .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1995, 20 (05) :601-617
[17]  
LANGNER TS, 1962, J HEALTH HUM BEHAV, V3, P269
[18]   Posttraumatic stress disorder among mothers of pediatric cancer survivors: Diagnosis, comorbidity, and utility of the PTSD checklist as a screening instrument [J].
Manne, SL ;
Du Hamel, K ;
Gallelli, K ;
Sorgen, K ;
Redd, WH .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1998, 23 (06) :357-366
[19]  
McFarlane AC, 2000, J CLIN PSYCHIAT, V61, P15
[20]   Perceived benefit and mental health after three types of disaster [J].
McMillen, JC ;
Smith, EM ;
Fisher, RH .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1997, 65 (05) :733-739