Childhood Cancer and Brain Tumor Late Effects: Relationships with Family Burden and Survivor Psychological Outcomes

被引：9

作者：

Cousino, Melissa K. ^{[1
,6
,7
,8
]}

Hazen, Rebecca ^{[2
,3
]}

Josie, Katherine Leigh ^{[2
]}

Laschinger, Kelly ^{[4
]}

de Blank, Peter ^{[5
]}

Taylor, H. Gerry ^{[2
,3
]}

机构：

[1] Case Western Reserve Univ, Dept Psychol Sci, Cleveland, OH 44106 USA

[2] Case Western Reserve Univ, Dept Pediat, Cleveland, OH 44106 USA

[3] Rainbow Babies & Childrens Hosp, Div Dev Behav Pediat & Psychol, 2101 Adelbert Rd, Cleveland, OH 44106 USA

[4] Rainbow Babies & Childrens Hosp, Div Pediat Hematol Oncol, 2101 Adelbert Rd, Cleveland, OH 44106 USA

[5] Cincinnati Childrens Hosp, Div Oncol, Cincinnati, OH USA

[6] Michigan Med, CS Mott Childrens Hosp, Dept Pediat, 1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA

[7] Michigan Med, Dept Pediat & Communicable Dis, Ann Arbor, MI USA

[8] Univ Michigan, Transplant Ctr, Ann Arbor, MI 48109 USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2017年 / 24卷 / 3-4期

关键词：

Childhood cancer; Late effects; Family burden; POSTTRAUMATIC-STRESS-DISORDER; YOUNG-ADULT SURVIVORS; QUALITY-OF-LIFE; ADOLESCENT SURVIVORS; CHILDREN; ADJUSTMENT; SYMPTOMS; IMPACT; DISEASE; PARENT;

D O I：

10.1007/s10880-017-9519-6

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study examines illness-specific family burden as a mediator of the association between late effects of childhood cancer and survivors' emotional and behavioral outcomes. Childhood cancer survivors (n = 65; ages 10-17) two or more years off-treatment completed measures assessing internalizing and PTSD symptoms. Parents reported on illness-specific family burden, late effects severity, and survivor internalizing/externalizing problems. Providers documented the number of late effects. Illness-specific family burden was correlated with provider-reported late effects (r = .29, p < .05) and parent report of severe late effects (r = .56, p < .01). Results supported an indirect effect of illness-specific family burden on number of late effects and parent-reported survivor internalizing problems, p < .05. Indirect effects were not found in models predicting PTSD and externalizing problems. Illness-specific family burden is an important intervention target for reducing internalizing problems in childhood cancer survivors with late effects.

引用

页码：279 / 288

页数：10

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