关于儿童癌症和父母创伤后应激障碍症状的新闻传递方式。

IF 3.3 2区 医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2025-01-01 DOI:10.1002/pon.70071
Moshe U Farchi, Yori Gidron
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引用次数: 0

摘要

背景:接受孩子的癌症诊断对父母来说是一个非常痛苦的经历,通常会导致严重的心理困扰,包括创伤后应激障碍(PTSD)的症状。医疗保健专业人员传递这一消息的方式会影响父母反应的严重程度。虽然一些研究考察了沟通方式对患者的影响,但很少有研究关注其对父母的影响。目的:本研究探讨肿瘤学家在提供儿童癌症诊断时使用的沟通方式与随后的创伤后应激障碍症状水平、心理弹性和父母自我效能之间的关系。方法:128名诊断为癌症儿童的家长参与。数据采用沟通方式问卷(SCQ)、创伤后应激障碍(PTSD)心理健康量表(PCL-5)、康诺-戴维森弹性量表(CD-RISK)和一般自我效能量表收集。通过相关分析和层次多元回归分析来检验沟通方式与心理结果之间的关系。结果:认为肿瘤科医生的沟通方式更活跃(清晰、有条理、以行动为导向)的家长报告说,创伤后应激障碍症状水平明显降低,恢复力和自我效能水平较高。同理心的感知起着至关重要的作用,尤其是当医生平衡情感同理心和认知同理心时。这种平衡与父母更好的心理结果有关。结论:该研究强调了沟通方式在减轻儿童癌症诊断对父母的心理影响方面的关键作用。培训医疗服务提供者在沟通中平衡认知和情感共鸣,可能会减少PTSD症状,增强父母的适应能力和自我效能感,最终改善他们在这一充满挑战的时期的心理健康。
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Styles of Delivering News About a Child's Cancer and Parents' PTSD Symptoms.

Background: Receiving a child's cancer diagnosis is a highly traumatic experience for parents, often leading to significant psychological distress, including symptoms of Post-Traumatic Stress Disorder (PTSD). The way healthcare professionals deliver this news can affect the severity of parents' reactions. While some research examines communication style's impact on patients, few studies focus on its effects on parents.

Aims: This study explores the relationship between the communication style used by oncologists when delivering a child's cancer diagnosis and the subsequent levels of PTSD symptoms, mental resilience, and self-efficacy in parents.

Methods: One hundred twenty eight parents of children diagnosed with cancer participated. Data were collected using the Styles of Communicating Questionnaire (SCQ), PTSD Checklist for DSM-V (PCL-5), the Connor-Davidson Resilience Scale (CD-RISK), and the General Self-Efficacy Scale. Correlations and hierarchical multiple regressions were performed to examine the relationship between communication style and psychological outcomes.

Results: Parents who perceived the oncologist's communication style as more activating (clear, structured, and action-oriented) reported significantly lower levels of PTSD symptoms and higher levels of resilience and self-efficacy. The perception of empathy played a crucial role, particularly when physicians balanced emotional and cognitive empathy. This balance was linked to better psychological outcomes in parents.

Conclusions: The study highlights the critical role of communication style in mitigating the psychological impact of a child's cancer diagnosis on parents. Training healthcare providers to balance cognitive and emotional empathy in communication may reduce PTSD symptoms and enhance resilience and self-efficacy in parents, ultimately improving their psychological well-being during such a challenging time.

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来源期刊
Psycho‐Oncology
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.
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