The Influence of Maternal Stress Resistance and Family Relationships on Depression in Children with Cancer
Titel:
The Influence of Maternal Stress Resistance and Family Relationships on Depression in Children with Cancer
Auteur:
Noojin, Ashley Bryant Causey, David L. Gros, Bryan J. Bertolone, Salvatore Carter, Bryan D.
Verschenen in:
Journal of psychosocial oncology
Paginering:
Jaargang 17 (2000) nr. 2 pagina's 79-97
Jaar:
2000-01-12
Inhoud:
The current study proposed a theoretical model for explaining the potential influences on child adjustment to the complex and often painful treatment regimens required in the management of childhood cancer. The primary psychosocial factors of parental coping beliefs and behavior are explored, both directly and through their influence on family relationships, for their impact on child depression in pediatric oncology patients. The study sample included 27 children and their mothers with a variety of childhood cancers, whose treatment protocols were classified as either “more aggressive” (12) or “less aggressive” (15). Results indicated that maternal confidence in her coping efficacy was strongly related to the mother's use of approach coping strategies, the overall quality of the family environment, and the child's self-reported level of depression. Few significant relationships were found between demographic and disease variables (despite selection of cases for extremes in disease and treatment severity) and the psychological mediator and outcome variables. Parental education and financial status were found to function as personal resources for the mothers. Maternal confidence in her ability to cope was found to decrease with time after diagnosis. Recommendations are made for future studies to minimize the limitations inherent in the present small sample size.