Document Detail


Longitudinal study of parent caregiving self-efficacy and parent stress reactions with pediatric cancer treatment procedures.
MedLine Citation:
PMID:  23034930     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Felicity W K Harper; Amy M Peterson; Heatherlun Uphold; Terrance L Albrecht; Jeffrey W Taub; Heather Orom; Sean Phipps; Louis A Penner
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-10-04
Journal Detail:
Title:  Psycho-oncology     Volume:  22     ISSN:  1099-1611     ISO Abbreviation:  Psychooncology     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-07-08     Completed Date:  2014-03-05     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  9214524     Medline TA:  Psychooncology     Country:  England    
Other Details:
Languages:  eng     Pagination:  1658-64     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 John Wiley & Sons, Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adolescent
Adult
Anxiety
Caregivers / psychology*
Child
Female
Humans
Longitudinal Studies
Male
Middle Aged
Neoplasms / psychology*,  therapy
Pain / psychology*
Parent-Child Relations*
Parents / psychology*
Questionnaires
Self Efficacy*
Socioeconomic Factors
Stress, Psychological / psychology*
Grant Support
ID/Acronym/Agency:
1R01CA138981-03/CA/NCI NIH HHS; P30 AG015281/AG/NIA NIH HHS; P30 CA022453/CA/NCI NIH HHS; R01 CA138981/CA/NCI NIH HHS
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