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Impact of prior traumatic life events on parental early stage reactions following a child's cancer
(Clinical Psychology in Health Care)
2013 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, ISSN 1932-6203, Vol. 8, no 3Article, review/survey (Refereed) Published
Abstract [en]

Background: In pediatric oncology, effective clinic–based management of acute and long–term distress in families calls forinvestigation of determinants of parents’ psychological response to the child’s cancer. We examined the relationshipbetween parents’ prior exposure to traumatic life events (TLE) and the occurrence of posttraumatic stress symptoms (PTSS)following their child’s cancer diagnosis. Factors mediating the TLE–PTSS relationship were analyzed.Methodology: The study comprised 169 parents (97 mothers, 72 fathers) of 103 cancer diagnosed children (median age: 5,9years; range 0.1–19.7 years). Thirty five parents were of immigrant origin (20.7%). Prior TLE were collated using astandardized questionnaire, PTSS was assessed using the Impact of Events–Revised (IES–R) questionnaire covering intrusion,avoidance and hyperarousal symptoms. The predictive significance of prior TLE on PTSS was tested in adjusted regressionmodels.Results: Mothers demonstrated more severe PTSS across all symptom dimensions. TLE were associated with significantlyincreased hyperarousal symptoms. Parents’ gender, age and immigrant status did not significantly influence the TLE–PTSSrelationship.Conclusions: Prior traumatic life–events aggravate posttraumatic hyperarousal symptoms. In clinic–based psychologicalcare of parents of high–risk pediatric patients, attention needs to be paid to life history, and to heightened vulnerability toPTSS associated with female gender.

Place, publisher, year, edition, pages
2013. Vol. 8, no 3
Keyword [en]
Childhood cancer, Parental distress, Traumatic stress, Life events
National Category
Cancer and Oncology
Research subject
Medical Science
Identifiers
URN: urn:nbn:se:uu:diva-333229DOI: 10.1371/journal.pone.0057556 PONE-D-12-11843 [pii]OAI: oai:DiVA.org:uu-333229DiVA: diva2:1155737
Funder
Swedish Childhood Cancer Foundation
Available from: 2017-11-09 Created: 2017-11-09 Last updated: 2017-11-09

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Boman, Krister K
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CiteExportLink to record
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