Post-traumatic growth in parents of long-term childhood cancer survivors compared to the general population: A report from the Swiss childhood cancer survivor study-Parents.

IF 3.3 2区医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-01-01 Epub Date: 2023-12-04 DOI:10.1002/pon.6246

Julia Baenziger, Katharina Roser, Luzius Mader, Anica Ilic, Ursula M Sansom-Daly, André O von Bueren, Eva Maria Tinner, Gisela Michel

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Abstract

Objective: Post-traumatic growth (PTG) describes perceived positive changes following a traumatic event. We describe (i) PTG in parents of long-term childhood cancer survivors (CCS-parents) compared to parents of similar-aged children of the general population (comparison-parents), (ii) normative data for the Swiss population, and (iii) psychological, socio-economic, and event-related characteristics associated with PTG.

Methods: CCS-parents (aged ≤16 years at diagnosis, ≥20 years old at study, registered in the Childhood Cancer Registry Switzerland (ChCR), and the Swiss population responded to a paper-based survey, including the PTG-Inventory (total score 0-105). We carried out (i) t-tests, (ii) descriptive statistics, and (iii) multilevel regression models with survivor/household as the cluster variable.

Results: In total, 746 CCS-parents (41.7% fathers, response-rate = 42.3%) of 494 survivors (median time since diagnosis 24 (7-40) years), 411 comparison-parents (42.8% fathers, 312 households), and 1069 individuals of the Swiss population (40.7% male, response-rate = 20.1%) participated. Mean [M] total PTG was in CCS-parents M = 52.3 versus comparison-parents M = 50.4, p = 0.078; and in the Swiss population M = 44.5). CCS-parents showed higher 'relating-to-others' (18.4 vs. 17.3, p = 0.010), 'spiritual-change' (3.3 vs. 3.0, p = 0.038) and 'appreciation-of-life' (9.3 vs. 8.4, p = 0.027) than comparison-parents, but not in 'new-possibilities' and 'personal-strength'. Female gender, older age, higher post-traumatic stress, and higher resilience were positively associated with PTG. Individuals reporting events not typically classified as traumatic also reported growth.

Conclusions: Our findings highlight that mothers and fathers can experience heightened growth many years after their child's illness. Being able to sensitively foreshadow the potential for new-possibilities and personal development may help support parents in developing a sense of hope.

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与一般人群相比，长期儿童癌症幸存者的父母创伤后生长:来自瑞士儿童癌症幸存者研究-父母的报告。

目的:创伤后成长(PTG)描述创伤事件后感知到的积极变化。我们描述了(i)长期儿童癌症幸存者的父母(ccs -父母)与一般人群中相似年龄儿童的父母(比较父母)的PTG， (ii)瑞士人口的规范数据，以及(iii)与PTG相关的心理，社会经济和事件相关特征。方法:ccs -父母(诊断时年龄≤16岁，研究时年龄≥20岁，在瑞士儿童癌症登记处(ChCR)登记，瑞士人口参与了一项基于纸张的调查，包括PTG-Inventory(总分0-105)。我们进行了(i) t检验，(ii)描述性统计，以及(iii)以幸存者/家庭为聚类变量的多水平回归模型。结果:共有494名幸存者(诊断后中位时间为24(7-40)年)中的746名ccs父母(41.7%为父亲，应答率= 42.3%)，411名比较父母(42.8%为父亲，312户)和1069名瑞士人口(40.7%为男性，应答率= 20.1%)参与研究。ccs组家长的平均[M]总PTG M = 52.3，对照组家长M = 50.4, p = 0.078;瑞士人口M = 44.5)。ccs父母在“与他人的关系”(18.4比17.3,p = 0.010)、“精神改变”(3.3比3.0,p = 0.038)和“对生活的欣赏”(9.3比8.4,p = 0.027)方面的表现高于对照父母，但在“新的可能性”和“个人力量”方面没有表现出来。女性、年龄较大、创伤后应激程度较高、心理韧性较高与PTG呈正相关。那些不被归类为创伤性事件的人也报告了成长。结论:我们的研究结果强调，在孩子患病多年后，父母可能会经历更快的成长。能够敏感地预示新的可能性和个人发展的潜力可能有助于支持父母发展希望感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.