Posttraumatic stress, family functioning, and social support in survivors of childhood leukemia and their mothers and fathers

被引:312
作者
Kazak, AE
Barakat, LP
Meeske, K
Christakis, D
Meadows, AT
Casey, R
Penati, B
Stuber, ML
机构
[1] UNIV PENN, DEPT PEDIAT, PHILADELPHIA, PA 19104 USA
[2] UNIV CALIF LOS ANGELES, DEPT PSYCHIAT, LOS ANGELES, CA 90024 USA
[3] CHILDRENS HOSP PHILADELPHIA, DIV GEN PEDIAT, PHILADELPHIA, PA 19104 USA
[4] UNIV PENN, DEPT PEDIAT, PHILADELPHIA, PA 19104 USA
关键词
D O I
10.1037/0022-006X.65.1.120
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Psychological sequelae are examined in 130 former childhood leukemia patients and 155 comparison participants and their parents. The major dependent variables are symptoms of anxiety and posttraumatic stress, family functioning, and social support, Multivariate analyses of covariance indicated significantly more posttraumatic stress symptoms in mothers and fathers of childhood leukemia survivors (p < .001) and no differences between survivors and peers. There were no significant group differences for family functioning or social support, although they were associated with anxiety and posttraumatic stress outcomes. Current child age, age at diagnosis, and months off treatment were not significantly correlated with outcome. These findings document the long-term impact of childhood cancer treatment on parents. The lack of significant differences for survivors argues for further attention to the relevance of posttraumatic stress disorder for childhood cancer survivors. The clinical implications are that psychological interventions are needed during and after cancer treatment.
引用
收藏
页码:120 / 129
页数:10
相关论文
共 37 条
[1]  
[Anonymous], J FAMILY PSYCHOL, DOI DOI 10.1037/0893-3200.8.1.74
[2]   CHILDREN WITH PHYSICAL HANDICAPS AND THEIR MOTHERS - THE INTERRELATION OF SOCIAL SUPPORT, MATERNAL ADJUSTMENT, AND CHILD ADJUSTMENT [J].
BARAKAT, LP ;
LINNEY, JA .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1992, 17 (06) :725-739
[3]  
BLEYER WA, 1990, CANCER, V65, P689
[4]  
BRIERE J, 1989, UNPUB TRAUMA SYMPTOM
[5]   PREVALENCE OF LEAD-POISONING IN AN URBAN COHORT OF INFANTS WITH HIGH SOCIOECONOMIC-STATUS [J].
CASEY, R ;
WILEY, C ;
RUTSTEIN, R ;
PINTOMARTIN, J .
CLINICAL PEDIATRICS, 1994, 33 (08) :480-484
[7]  
Cohen J., 1988, Statistical Power Analysis for the Behavioral Sciences, V2
[8]  
ELLIOTT D, 1994, UNPUB TRAUMA SYMPTOM
[9]   PREDICTORS OF CANCER PROGRESSION IN YOUNG-ADULT MEN AND WOMEN - AVOIDANCE, INTRUSIVE THOUGHTS, AND PSYCHOLOGICAL SYMPTOMS [J].
EPPINGJORDAN, JE ;
COMPAS, BE ;
HOWELL, DC .
HEALTH PSYCHOLOGY, 1994, 13 (06) :539-547
[10]  
Hauch S., 1988, CANADIAN J COMMUNITY, V7, P5