| Longitudinal study of parent caregiving self-efficacy and parent stress reactions with pediatric cancer treatment procedures. | |
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MedLine Citation:
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PMID: 23034930 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Pain/distress during pediatric cancer treatments has substantial psychosocial consequences for children and families. We examined relationships between parents' caregiving self-efficacy, parents' affect in response to their children's cancer-related treatment procedures, and parents' symptoms of post-traumatic stress at follow-up. METHODS: Participants were 75 pediatric cancer patients and parents. On the day of each of three procedures (i.e., port-start, lumbar puncture, or bone marrow aspiration), parents rated their self-efficacy for six caregiving goals. Parents also self-reported their negative affect (i.e., state anxiety, negative mood, and distress) in response to each procedure. Three months after the last procedure, parents reported their level of post-traumatic stress symptoms (PTSS). RESULTS: Higher parent self-efficacy about keeping children calm before treatment and/or keeping children calm during the procedure was associated with lower state anxiety. Self-efficacy for keeping the child calm during procedures was significantly correlated with distress in parents at the time of procedures, and self-efficacy for keeping the child calm before procedures was significantly correlated with PTSS. All three negative affect measures significantly mediated the effects of parents' caregiving self-efficacy for both goals on parents' PTSS 3 months later. CONCLUSIONS: Parents' caregiving self-efficacy influences their immediate and longer-term distress reactions to their children's treatment procedures. These findings provide a more nuanced understanding of how parents' cognitions contribute to their ability to cope with their children's treatment and suggest the benefit of an intervention that targets parents' procedure-specific caregiver self-efficacy. Copyright © 2012 John Wiley & Sons, Ltd. |
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Authors:
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Felicity W K Harper; Amy M Peterson; Heatherlun Uphold; Terrance L Albrecht; Jeffrey W Taub; Heather Orom; Sean Phipps; Louis A Penner |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-4 |
Journal Detail:
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Title: Psycho-oncology Volume: - ISSN: 1099-1611 ISO Abbreviation: Psychooncology Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214524 Medline TA: Psychooncology Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 John Wiley & Sons, Ltd. |
Affiliation:
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Karmanos Cancer Institute Population Studies and Disparities Research Program, Detroit, MI, USA; Wayne State University School of Medicine, Department of Oncology, Detroit, MI, USA. harperf@karmanos.org. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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