父母罹患癌症的青少年的创伤后成长:自我调节模型的应用。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Shiri Shinan-Altman, Liat Becker
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引用次数: 0

摘要

背景:癌症发病率的上升导致越来越多的成年子女受到父母癌症的影响。以往的研究主要集中在年轻人身上,对 20-35 岁成年子女的经历的了解还存在空白:研究一个模型,该模型综合了父母被诊断患有癌症的年轻成人的疾病特征(即疾病阶段)、疾病表征、应对策略和创伤后成长(PTG)之间的相互关系。此外,我们还研究了作为自变量的疾病表征、作为中介的应对策略以及作为结果变量的创伤后成长的间接关系。目的:癌症发病率的上升导致越来越多的成年子女受到父母癌症的影响。以往的研究主要集中在年轻人身上,对 20-35 岁成年子女的经历缺乏了解。本研究探讨了一个模型,该模型综合了父母被诊断患有癌症的年轻成年人的疾病特征(即疾病阶段)、疾病表征、应对策略和创伤后成长(PTG)之间的相互关系。此外,我们还研究了以疾病表征为自变量、以应对策略为中介、以创伤后成长为结果变量的间接关系:我们对 109 名癌症患者的成年子女(20-35 岁)进行了横断面调查。使用创伤后成长量表、简明疾病感知问卷和 COPE 问卷收集数据。对研究假设进行了路径分析:研究结果表明,疾病表征和应对策略在创伤后成长量表中占显著差异。对父母疾病严重程度的感知越高,就越多地使用以问题为中心和以情绪为中心的应对策略,这与较高的PTG有关。对疾病的控制感知越低,则越少使用以问题为中心的应对策略,PTG 也就越低:本研究强调了主观认知和应对策略在促进父母被诊断患有癌症的年轻成年人的PTG方面的重要性。研究结果突出表明,有必要采取有针对性的社会心理干预措施,以增强适应性疾病表征和有效的应对策略,促进这一特殊人群的复原力和成长。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posttraumatic growth in young adults with parents diagnosed with cancer: Application of the self-regulation model.

Background: The rising incidence of cancer has led to an increased number of adult children impacted by parental cancer. Previous research primarily focused on younger individuals, leaving a gap in understanding the experiences of adult children aged 20-35.

Objectives: To examine a model that integrates the interrelationships among the disease's characteristics (i.e., disease stage), illness representations, coping strategies, and posttraumatic growth (PTG) in young adults with parents diagnosed with cancer. In addition, we examined indirect relationships involving illness representations as independent variables, coping strategies as mediators, and PTG as the outcome variable.

Purpose: The rising incidence of cancer has led to an increased number of adult children impacted by parental cancer. Previous research primarily focused on younger individuals, leaving a gap in understanding the experiences of adult children aged 20-35. This study examines a model that integrates the interrelationships among the disease's characteristics (i.e., disease stage), illness representations, coping strategies, and posttraumatic growth (PTG) in young adults with parents diagnosed with cancer. In addition, we examined indirect relationships involving illness representations as independent variables, coping strategies as mediators, and PTG as the outcome variable.

Methods: A cross-sectional survey was conducted with 109 adult children (ages 20-35) of cancer patients. Data were collected using the Posttraumatic Growth Inventory, the Brief Illness Perception Questionnaire, and the COPE questionnaire. Path analysis was performed to test the study's hypotheses.

Results: The findings revealed that illness representations and coping strategies accounted for significant variance in PTG. Higher perceived severity of the parent's illness was associated with greater use of problem-focused and emotion-focused coping strategies, which were linked to higher PTG. Lower perceived control over the illness was associated with less use of problem-focused coping and subsequently lower PTG.

Conclusions: This study underscores the importance of subjective perceptions and coping strategies in fostering PTG among young adults with parents diagnosed with cancer. The findings highlight the need for tailored psychosocial interventions to enhance adaptive illness representations and effective coping strategies, promoting resilience and growth in this unique demographic.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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