Background Posttraumatic growth (PTG), a positive change in values and major life goals experienced as a result of the struggle with a highly challenging life circumstance, has been shown to be related to the construct of hope, the belief that goals can be met. To date, no studies have examined the relationship between PTG and hope in parents of children with cancer. Procedure Participants were parents (N=85) of children and adolescents (ages 2–18 years, M = 7.72 years) receiving treatment for cancer. Parents completed a demographic questionnaire, the Posttraumatic Growth Inventory (PTGI), and Hope Scale (HS). Results Hope was found to be related to PTG in parents of children with cancer, with higher levels of hope associated with greater PTG. Exploratory analyses on the subscales of the PTGI revealed that hope was also related to higher scores on the Relating to Others, New Possibilities, Personal Strength, and Appreciation of Life subscales. Spiritual Change was not related to hope in parents. Conclusions Findings suggest that experiencing hope during the pediatric cancer experience may facilitate posttraumatic growth in parents. The construct of hope may be an important target of intervention for promoting positive adjustment in this population.
Research regarding family adaption and resilience in children with chronic health conditions has resulted in the development of a number of theoretical models and data‐driven psychosocial interventions in the field of pediatric psychology, some of which may not be well known in the field of family science. These models incorporate family systems theory and multiple resiliency factors within their framework to better describe the complex process of adaptation and subsequent adjustment outcomes. In this article, three contemporary resilience models within pediatric psychology are briefly reviewed and discussed. The development of a psychosocial intervention targeting uncertainty management for caregivers of children with cancer and the preliminary results are also presented as an exemplar of how such models may utilized to build interventions. Finally, the implications of the authors' findings and future research directions involving psychosocial interventions for families of children with chronic health conditions are discussed.
Psychosocial distress is a salient construct experienced by families of children with newly diagnosed cancer, but little is known about parental appraisal of the child's illness and the subsequent impact this may have on child and parent functioning. The goal of the present study was to examine the interrelationships among multiple parent illness appraisals, parent adjustment outcomes, and parent-reported child quality of life in parents of children diagnosed with cancer. Parents completed measures of illness appraisal (illness uncertainty and attitude toward illness), parent adjustment (general distress, posttraumatic stress, parenting stress), and child quality of life (general and cancer-related). Path analysis revealed direct effects for parent illness uncertainty and illness attitudes on all 3 measures of parent adjustment. Illness uncertainty, but not illness attitudes, demonstrated a direct effect on parent-reported child general quality of life; parenting stress had direct effects on general and cancer-related quality of life. Exploratory analyses indicated that parent illness uncertainty and illness attitudes conferred indirect effects on parent-reported general and cancer-related quality of life through parenting stress. Negative parent illness appraisals appear to have adverse impacts on parents' psychosocial functioning and have implications for the well-being of their child with cancer.
The present study sought to examine dating anxiety and problems in social relationships and healthrelated quality of life in adolescents and young adults with food allergies compared with their healthy peers. It was hypothesized that individuals with food allergies would experience greater dating anxiety and poorer social functioning and physical and mental health-related quality of life than their healthy peers. Participants with food allergies were age, gender, and ethnicity matched to young adults without a history of allergies or any other chronic illness for analyses. The majority of adolescents and young adults with food allergies reported that their allergies interfere with physical intimacy with their current partner. Results further revealed that adolescents and young adults with food allergies reported greater dating anxiety and fear of negative evaluation than healthy peers. No differences were observed between the groups on physical or mental health-related quality of life or social functioning. For both groups, dating anxiety was a significant predictor of mental quality of life and social functioning.
The current study sought to compare rates of depressive symptoms, anxious symptoms, and healthrelated quality of life (HRQOL) in adolescents and young adults (AYAs) with allergies, asthma, and healthy controls. Participants were undergraduate students aged 18 to 29 years with self-reported allergies (N = 79), asthma (N = 79), and with no history of a chronic illness (N = 79). Participants completed the Center for Epidemiologic Studies Depression Scale, the Zung Self-Rating Anxiety Scale, and the SF-36 Health Survey Questionnaire as self-report measures of depressive symptoms, anxious symptoms, and HRQOL, respectively. A series of ANCOVAs (analysis of covariance; allergies vs asthma vs healthy controls) was conducted to examine differences between the groups. The results of the current examination suggest that AYAs with allergies are indeed at risk for experiencing higher rates of depressive and anxious symptoms and poorer HRQOL than healthy AYAs. Furthermore, they are experiencing psychosocial concerns on par with or worse than those of AYAs with asthma. Allergies, often perceived as a relatively benign illness, have commonly been overlooked in discussions of psychosocial concerns related to chronic illnesses. The results of the current study suggest that young adults with allergies are also an important population to examine.
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