The mediating effect of positive expectations in the relationship between social support and post-traumatic stress disorder symptoms among parents of children with acute lymphoblastic leukemia.

Autor: Feng S; Department of Health Management, Department of Ultrasound, Shengjing Hospital of China Medical University, No.36, Sanhao, Street, Shenyang, Liaoning, 110004, China. Electronic address: fengsh27@outlook.com., Zhang L; Department of Medical Humanities, China Medical University, No. 77, Puhe Road, Shenbei New District, Shenyang, China. Electronic address: 554339074@qq.com., Lin J; Department of Oncology, Shenyang Yongsen Hospital of Shengjing Hospital of China Medical University, No.108, Shenbei West Road, Yuhong District, Shenyang, Liaoning, 110148, China. Electronic address: 811655776@qq.com., Sun RW; Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: sunrw@sj-hospital.org., Wang RN; Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: fox314_84@163.com., Qu HF; Department of Nursing, Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: quhf@sj-hospital.org., Fang BX; Department of CMS, Double major in Statistics and Economics, University of Toronto, Scarborough, Canada. Electronic address: boxuan.fang@mail.utoronto.ca., Wang JN; School of Public Health, Health Science Center, Ningbo University, No.818 Fenghua Road, Ningbo, Zhejiang, 315211, China. Electronic address: wangjiana@nbu.edu.cn., Yao P; Department of Health Management, Department of Ultrasound, Shengjing Hospital of China Medical University, No.36, Sanhao, Street, Shenyang, Liaoning, 110004, China. Electronic address: yaopin@sj-hospital.org.
Jazyk: angličtina
Zdroj: Journal of psychiatric research [J Psychiatr Res] 2024 Aug; Vol. 176, pp. 198-204. Date of Electronic Publication: 2024 Jun 01.
DOI: 10.1016/j.jpsychires.2024.05.059
Abstrakt: Purpose: Parents of children with cancer are exposed to risks of developing post-traumatic stress disorder (PTSD) symptoms, but few studies have explored PTSD symptoms of Chinese parents of children with acute lymphoblastic leukemia (ALL). Our study aimed to examine the association between social support and PTSD symptoms and to examine the mediating effect of positive expectations in this relationship among parents of children with ALL.
Methods: A cross-sectional study was conducted of consecutive parents of children with ALL in the Shengjing Hospital of China Medical University. A total of 177 parents eligible for this study completed questionnaires on PTSD symptoms, perceived social support, optimism and general self-efficacy anonymously. Asymptotic and resampling strategies were used to examine how positive expectations mediated the association between perceived social support and PTSD symptoms.
Results: Mean score of PTSD symptoms was 37.64 ± 14.44; 29.4% of the sample scored 44 and above, 19.8% scored 50 and above. After adjusting for covariates, perceived social support was negatively associated with the total score of PTSD symptoms (β = -0.209, p < 0.01). Positive expectations were found to mediate the relationship between perceived social support and PTSD symptoms, especially for the symptoms of avoidance and hyperarousal.
Conclusions: Optimism and general self-efficacy fully mediated the association between perceived social support and PTSD symptoms. Therefore, social support and positive expectations should be included in PTSD preventions and treatments targeting Chinese parents of children with ALL.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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