关键词: child health child well-being early-onset breast cancer maternal health maternal well-being strengths and difficulties questionnaire (SDQ)

Mesh : Humans Female Child, Preschool Adult Child Middle Aged Adolescent Breast Neoplasms Mothers / psychology

来  源:   DOI:10.3390/curroncol30120731   PDF(Pubmed)

Abstract:
Approximately 27% of female breast cancer patients are diagnosed before the age of 55, a group often comprising mothers with young children. Maternal psychosocial well-being significantly impacts these children\'s psychosocial well-being. This study assesses the well-being of children with mothers who have early-onset breast cancer.
We examined the eldest child (up to 15 years old) of women with nonmetastatic breast cancer (<55 years old, mean age: 40) enrolled in the mother-child rehab program \'get well together\'. Using maternal reports on children\'s well-being (the Strengths and Difficulties Questionnaire; SDQ), we describe the prevalence of abnormally high SDQ scores and identify protective and risk factors via linear regression.
The mean SDQ scores of 496 children (4-15 years old, mean age: 8) fell below the thresholds, indicating psychosocial deficits. However, most SDQ scores deviated negatively from the general population, especially for emotional problems, with one in ten children displaying high and one in five displaying very high deficits. Female sex, more siblings, a positive family environment and maternal psychosocial well-being were protective factors for children\'s psychosocial well-being.
Children of mothers with breast cancer may benefit from improved maternal well-being and family support. Further research is needed to identify appropriate interventions.
摘要:
背景:大约27%的女性乳腺癌患者在55岁之前被诊断出来,这个群体通常包括有年幼子女的母亲。母亲的心理社会幸福感对这些儿童的心理社会幸福感有显著影响。这项研究评估了患有早发性乳腺癌的母亲的儿童的幸福感。
方法:我们检查了患有非转移性乳腺癌(<55岁,平均年龄:40)参加了母子康复计划“相处融洽”。使用母亲关于儿童福祉的报告(优势和困难问卷;SDQ),我们描述了异常高的SDQ评分的患病率,并通过线性回归确定了保护因素和危险因素.
结果:496名儿童(4-15岁,平均年龄:8)低于门槛,表明心理社会缺陷。然而,大多数SDQ分数与普通人群呈负相关,尤其是情感问题,十分之一的孩子表现得很高,五分之一的孩子表现得很高。女性性别,更多的兄弟姐妹,积极的家庭环境和母亲的社会心理健康是儿童社会心理健康的保护因素。
结论:乳腺癌母亲的子女可能受益于改善的母亲幸福感和家庭支持。需要进一步研究以确定适当的干预措施。
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