Direct Observation of Mother-Child Communication in Pediatric Cancer: Assessment of Verbal and Non-verbal Behavior and Emotion

Dunn, Madeleine J.; Rodríguez, Erin M.; Miller, Kimberly S.; Gerhardt, Cynthia A.; Vannatta, Kathryn; Saylor, Megan M.; Scheule, C. Melanie; Compas, Bruce E.

doi:10.1093/jpepsy/jsq062

Cited by 32 publications

(23 citation statements)

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“…Observational studies of parent–child communication are rare but gaining attention in pediatric populations (e.g. ), and provide important insights into family functioning and adolescent wellbeing. Although previous studies have examined communication in pediatric oncology specific to other dyads, such as patient–physician (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Longitudinal associations among maternal communication and adolescent posttraumatic stress symptoms after cancer diagnosis

et al. 2015

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Objective The purpose of this study was to prospectively examine adolescent and maternal posttraumatic stress symptoms (PTSS) and maternal communication from time near cancer diagnosis to 12-month follow-up to identify potential risk factors for adolescent PTSS. Methods Forty-one adolescents with cancer (10–17 years, 54% female) and their mothers self-reported PTSS at T1 (two months after cancer diagnosis) and T3 (one year follow-up). At T2 (three months after T1), mother-adolescent dyads were videotaped discussing cancer and maternal communication was coded with macro (harsh and withdrawn) and micro (solicits and validations) systems. Results Adolescent PTSS at T1 was associated with adolescent PTSS at T3. Greater maternal PTSS at T1 predicted greater harsh maternal communication at T2. There was an indirect effect of maternal PTSS at T1 on adolescent PTSS at T3 through maternal validations at T2. Conclusions Findings underscore the importance of maternal PTSS, maternal communication, and subsequent adolescent PTSS over the course of treatment of childhood cancer.

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Section: Discussionmentioning

confidence: 99%

“…Adolescents' wellbeing during cancer diagnosis and treatment is also closely tied to parents' wellbeing, and at least a subgroup of these parents are at risk for PTSS themselves (e.g. ). Meta‐analyses indicate that parent PTSS is a risk factor for child and adolescent PTSS in response to trauma .…”

Section: Introductionmentioning

confidence: 99%

Longitudinal associations among maternal communication and adolescent posttraumatic stress symptoms after cancer diagnosis

et al. 2015

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“…Our findings suggest that a range of services for families where a child or youth is being treated for cancer may be appropriate, including psychosocial interventions that address PTSS, anxiety, and depressive symptoms in mothers and fathers. Given that mothers are often the primary caregiver and the parent who accompanies a child or adolescent to his or her medical appointments (Dunn et al, 2011), and the relative difficulty in recruiting fathers relative to mothers, psychosocial teams may want to consider alternative methods of reaching fathers of children and youth with cancer, who may also be clinically distressed. Family centered models of care may be the most effective in reaching both mothers and fathers with high levels of PTSS and other psychological symptoms (e.g., Alderfer, Navsaria, & Kazak, 2009; Kazak et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic stress symptoms in parents of children with cancer within six months of diagnosis.

Dunn¹,

Rodríguez²,

Barnwell³

et al. 2012

Health Psychology

106

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Objective To investigate levels and correlates of posttraumatic stress symptoms (PTSS) in mothers and fathers of children and youth with cancer. Methods Mothers (n = 191) and fathers (n = 95), representing 195 families of children and youth with cancer, completed measures of PTSS (Impact of Event Scale-Revised), depression (Beck Depression Inventory-II), and anxiety (Beck Anxiety Inventory) between 2 and 22 weeks after their child's cancer diagnosis or recurrence of initial diagnosis. Results Substantial subgroups of mothers (41%) and fathers (30%) reported levels of PTSS that exceeded cut-offs for elevated symptoms, and these subgroups of parents were characterized by heightened symptoms of depression and anxiety. Fathers of children and youth treated for relapse reported higher rates of elevated PTSS than fathers of children and youth treated for first-time diagnosis, but mothers' rates were similar. Mothers and fathers reported comparable mean levels of PTSS that were strongly positively correlated with symptoms of anxiety and depression. PTSS and other symptoms of distress were negatively related to education level for fathers. Conclusion These findings provide additional evidence that mothers and fathers experience substantial PTSS near the time of their child or adolescent's cancer diagnosis during the first 6 months of treatment. Results suggest that PTSS may be part of a broader pattern of emotional distress and that a substantial portion of both mothers and fathers of children and youth with cancer may be in need of supportive mental health services within the first 6 months of their child's diagnosis.

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“…Az iskolai végzettség tekintetében a mintában is megfigyelhető, hogy a fővárosiak magasabb végzettséggel rendelkeznek, azonban ez is elmarad a teljes lakosságban tapasztalható arányoktól. (Dunn et al 2011;Marsac-Alderfer, 2011).…”

Section: A Kutatás éS Minta Bemutatásaunclassified

"Az ágy közös, a párna nem"

Pilinszki¹

2013

Socio.hu

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ABSZTRAKTTanulmányomban a párkapcsolati instabilitásban mutatkozó nemi különbségeket vizsgálom egy diádkutatás adataira támaszkodva (N = 175 pár; 365 egyén). A kérdőíves kutatás során budapesti és pest megyei családsegítő-és gyermekjóléti szolgálatok igénybevevőit kérdeztem. Adataim így elsősorban az alacsony társadalmi státuszú családokra vonatkoznak.A férfiak instabilitásával több változó mutatott összefüggést (szülők családi állapota, családforma, gyermekek életkora) és ezek a kapcsolatok erősebbek voltak. Az elemzés során különböző szociodemográfiai változók hatásait vizsgálva azt találtam, hogy több jelentős tényező mint az iskolai végzettség, a válaszadó életkora, nem mutatott kapcsolatot a válás esélyével. Nem befolyásolta továbbá az instabilitást, hogy van-e gyermek a családban.Az eredmények arra utalnak, hogy gyengül vagy eltűnik a gyermekek családösszetartó ereje. Továbbá a férfiak instabilitása jobban magyarázható szociodemográfiai változókkal, mint a nőké.KULCSSZAVAK: diádkutatás, nemi különbségek, párkapcsolati instabilitás, válás, szociodemográfiai változók "The bed is shared, the pillow is not." -gender differences in partnership instability ABSTRACT In the study I examine gender differences in partnership instability based on data of a dyadic research (N = 175 dyad; 365 individuals). In the survey recipients of family support and child welfare services were asked in Budapest and Pest County. As a consequence, the data primarily applies to families with lower socio-economic status.More variables (parents' marital status, family form, age of children) were associated with men's instability and these correlations were stronger. In the analysis examining the effects of various socio-demographic variables, I found that important factors such as the level of education and the age of respondents did not correlate with the probability of divorce. The presence of children did not affect the instability either.Results suggest that the cohesive strength of children's presence has become weaker or disappeared. Furthermore, men's instability can be better explained by socio-demographic variables than that of women.

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Direct Observation of Mother-Child Communication in Pediatric Cancer: Assessment of Verbal and Non-verbal Behavior and Emotion

Abstract: Direct observation of mother-child communication about childhood cancer has the potential to be an acceptable and feasible method of assessing verbal and nonverbal behavior and emotion in this population.

Cited by 32 publications

References 29 publications

Longitudinal associations among maternal communication and adolescent posttraumatic stress symptoms after cancer diagnosis

Longitudinal associations among maternal communication and adolescent posttraumatic stress symptoms after cancer diagnosis

Posttraumatic stress symptoms in parents of children with cancer within six months of diagnosis.

"Az ágy közös, a párna nem"

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