关键词: cross-sectional study depression paediatric oncology parent posttraumatic stress cross-sectional study depression paediatric oncology parent posttraumatic stress

Mesh : Child Humans Longitudinal Studies Neoplasms / complications Parents / psychology Prevalence Stress Disorders, Post-Traumatic / epidemiology psychology

来  源:   DOI:10.1111/ecc.13554

Abstract:
OBJECTIVE: The objective of this work is to compare posttraumatic stress symptoms (PTSS) between families of children on cancer treatment and families of healthy children in China and to analyse the association among child PTSS, parent PTSS, and depression in the cancer group.
METHODS: Participants were children on cancer treatment (n = 91) and their parents (n = 91), and healthy children (n = 114) and their parents (n = 96). The children were asked to self-report PTSS, and the parents completed self-reported measures of PTSS and depression.
RESULTS: Although the prevalence of probable PTSD in children on cancer treatment was higher than that in comparisons (8.79% vs. 0.88%, P < 0.01), no statistic differences in PTSS levels were found between the two groups (P > 0.05). However, significant differences in PTSS levels and the prevalence of severe PTSS (21.98% vs. 1.04%) between parents of children with cancer and comparisons were observed (P < 0.001). Parent PTSS and depression were positively associated with child PTSS in the cancer group (P < 0.01).
CONCLUSIONS: The prevalence of probable PTSD in Chinese children with cancer was low, but PTSS was remarkably prevalent in their parents. Greater parent PTSS and depression were related to greater child PTSS. Results underline the importance to provide supportive psychological care for Chinese parents of children undergoing cancer treatment.
摘要:
目的:这项工作的目的是比较中国癌症治疗儿童家庭和健康儿童家庭之间的创伤后应激症状(PTSS),并分析儿童PTSS之间的关联。父PTSS,和癌症组的抑郁症。
方法:参与者是接受癌症治疗的儿童(n=91)及其父母(n=91),健康儿童(n=114)及其父母(n=96)。孩子们被要求自我报告PTSS,父母完成了PTSS和抑郁症的自我报告指标。
结果:尽管接受癌症治疗的儿童中可能的PTSD的患病率高于比较(8.79%vs.0.88%,P<0.01),两组PTSS水平差异无统计学意义(P>0.05)。然而,PTSS水平和严重PTSS患病率的显著差异(21.98%与1.04%)在癌症患儿的父母之间进行比较观察(P<0.001)。在癌症组中,父母PTSS和抑郁与儿童PTSS呈正相关(P<0.01)。
结论:中国癌症儿童中可能的PTSD患病率较低,但是PTSS在他们的父母中非常普遍。较大的父母PTSS和抑郁与较大的孩子PTSS有关。结果强调了为接受癌症治疗的儿童的中国父母提供支持性心理护理的重要性。
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