Abstract：
OBJECTIVE: To identify profiles of coping in parents of children with cancer and their underlying factors and to examine which profile(s) are associated with illness adaptation.
METHODS: A cross-sectional study utilizing surveys among parents of children with cancer (n = 89).
METHODS: Questionnaires included socio-demographics, ways of coping, parenting stress, depression, post-traumatic symptoms, illness adjustment and quality of life. Parental coping profiles were identified via latent profile analysis. Logistic multinomial regression was used to identify predictors of coping profiles. Adaptation outcomes were compared across the coping profiles via multivariable analyses of variance with Bonferroni adjustments.
RESULTS: Five profiles were identified: The \'Strong Repertoire\' used coping strategies moderate to high degree, with a positive-active orientation; The \'Moderate-Activist\' used a similar pattern, rather more moderately; The \'Self-Regulator\' used self-content strategies; The \'Mild-Engager\' used active-engaging strategies; The \'Avoidant Coper\' used avoidant-passive strategies. Parental stress predicted coping profiles, so that parents experiencing greater stress utilized the \'Avoidant Coper\' to a greater degree. Group comparisons revealed that \'Avoidant-Copers\' had more depressive and post-traumatic symptoms, worse illness adjustment and lower quality of life.
CONCLUSIONS: Passive-avoidant mechanisms of coping may be maladaptive in terms of parental cancer adaptation and indicative of lower resilience.
CONCLUSIONS: Findings can direct clinicians to promote familial resilience by adapting policy and practice to meet familial needs.
UNASSIGNED: Not applicable.
METHODS: A cross-sectional study utilizing surveys among parents of children with cancer (n = 89).
METHODS: Questionnaires included socio-demographics, ways of coping, parenting stress, depression, post-traumatic symptoms, illness adjustment and quality of life. Parental coping profiles were identified via latent profile analysis. Logistic multinomial regression was used to identify predictors of coping profiles. Adaptation outcomes were compared across the coping profiles via multivariable analyses of variance with Bonferroni adjustments.
RESULTS: Five profiles were identified: The \'Strong Repertoire\' used coping strategies moderate to high degree, with a positive-active orientation; The \'Moderate-Activist\' used a similar pattern, rather more moderately; The \'Self-Regulator\' used self-content strategies; The \'Mild-Engager\' used active-engaging strategies; The \'Avoidant Coper\' used avoidant-passive strategies. Parental stress predicted coping profiles, so that parents experiencing greater stress utilized the \'Avoidant Coper\' to a greater degree. Group comparisons revealed that \'Avoidant-Copers\' had more depressive and post-traumatic symptoms, worse illness adjustment and lower quality of life.
CONCLUSIONS: Passive-avoidant mechanisms of coping may be maladaptive in terms of parental cancer adaptation and indicative of lower resilience.
CONCLUSIONS: Findings can direct clinicians to promote familial resilience by adapting policy and practice to meet familial needs.
UNASSIGNED: Not applicable.
摘要：
目的：确定癌症儿童父母的应对概况及其潜在因素，并检查哪些概况与疾病适应相关。
方法：一项横断面研究，利用对癌症患儿父母的调查（n=89）。
方法：问卷调查包括社会人口统计学，应对方式，育儿压力,抑郁症,创伤后症状,疾病调整和生活质量。父母应对概况是通过潜在概况分析确定的。Logistic多项式回归用于确定应对概况的预测因子。通过多变量方差分析与Bonferroni调整比较了应对方案的适应结果。
结果：确定了五个配置文件：“强大的汇辑”使用了中度到高度的应对策略，具有积极-积极的取向；“温和-活动家”使用了类似的模式，相当适度；“自我调节者”使用了自我内容策略；“温和参与者”使用了主动参与策略；“回避者”使用了回避被动策略。父母压力预测的应对概况，因此，经历更大压力的父母在更大程度上利用了“回避者”。小组比较显示，“回避者”有更多的抑郁和创伤后症状，更差的疾病调整和更低的生活质量。
结论：被动回避的应对机制在父母癌症适应方面可能是适应不良的，表明韧性较低。
结论：研究结果可以指导临床医生通过调整政策和实践以满足家庭需求来提高家庭复原力。
■不适用。
方法：一项横断面研究，利用对癌症患儿父母的调查（n=89）。
方法：问卷调查包括社会人口统计学，应对方式，育儿压力,抑郁症,创伤后症状,疾病调整和生活质量。父母应对概况是通过潜在概况分析确定的。Logistic多项式回归用于确定应对概况的预测因子。通过多变量方差分析与Bonferroni调整比较了应对方案的适应结果。
结果：确定了五个配置文件：“强大的汇辑”使用了中度到高度的应对策略，具有积极-积极的取向；“温和-活动家”使用了类似的模式，相当适度；“自我调节者”使用了自我内容策略；“温和参与者”使用了主动参与策略；“回避者”使用了回避被动策略。父母压力预测的应对概况，因此，经历更大压力的父母在更大程度上利用了“回避者”。小组比较显示，“回避者”有更多的抑郁和创伤后症状，更差的疾病调整和更低的生活质量。
结论：被动回避的应对机制在父母癌症适应方面可能是适应不良的，表明韧性较低。
结论：研究结果可以指导临床医生通过调整政策和实践以满足家庭需求来提高家庭复原力。
■不适用。
