首页|Psychosocial Functioning Among Caregivers of Childhood Cancer Survivors Following Treatment Completion
Psychosocial Functioning Among Caregivers of Childhood Cancer Survivors Following Treatment Completion
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NSTL
Oxford Univ Press
Objective To inform efforts to better support caregivers of children with cancer during the transition from treatment to survivorship, this study sought to characterize caregiver mental health-related quality of life (HRQOL) and anxiety, and examine the influence of family psychosocial risk and caregiver problem-solving on these outcomes. Method Participants included 124 caregivers (child age M=10.05years; SD = 4.78), 12-19months from the conclusion of cancer-directed treatment. Participants' self-reported mental HRQOL, anxiety, and problem-solving were compared with community norms using t-tests. Correlations and hierarchical multiple regressions examined the influence of psychosocial risk and problem-solving on caregiver mental HRQOL and anxiety. Results Overall, caregivers reported HRQOL and anxiety within normal limits. Caregivers also reported more adaptive patterns of problem-solving than community norms. Subsets of caregivers reported clinical levels of psychosocial risk (11%) and at-risk levels of mental HRQOL (2.5%) and anxiety (5.7%). Females reported greater anxiety than males. Psychosocial risk and negative problem orientation (NPO) were both related to poorer mental HRQOL and greater anxiety (r = .40-.51, p's < .001). Positive problem orientation related to better mental HRQOL and lower anxiety (r = .18-.21, p's < .05). Impulsivity/carelessness and avoidance were associated with greater anxiety (r = .19-.25, p's < .05). Only NPO accounted for additional variance in mental HRQOL and anxiety, over and above psychosocial risk and demographic characteristics. Conclusions The majority of caregivers appear to be resilient and experience limited distress during the off therapy period. Targeting negative cognitive appraisals (NPO) through cognitive-behavioral therapy or problem-solving skills training may further improve caregiver psychosocial functioning.
coping skills and adjustmentmental healthoncologyparentsparent psychological functioningpsychological functioningquality of life
Quast, Lauren F.、Lewis, Rebecca Williamson、Lee, Jennifer L.、Blount, Ronald L.、Marchak, Jordan Gilleland
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Univ Georgia, Dept Psychol, 125 Baldwin St, Athens, GA 30602 USA
Childrens Healthcare Atlanta, Aflac Canc & Blood Disorders Ctr, Atlanta, GA USA
NSTL
Oxford Univ Press
