在儿童急性淋巴细胞白血病的多中心临床试验中,父母痛苦的差异
Puja J Umaretiya1,2,3,4,5, Victoria B Koch1, Yael Flamand6
1Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Journal of the National Cancer Institute
|June 1, 2023
概括
在儿童癌症治疗期间面临家庭物质困难的父母经历了显著更高的心理痛苦. 针对心理社会需求和物质困难的早期干预对这些家庭至关重要.
科学领域:
- 儿科瘤学 儿科瘤学
- 心理社会瘤学
- 健康差异 在健康上的差异
背景情况:
- 父母的心理压力会影响儿童癌症治疗的结果.
- 识别父母痛苦的预测因素是有效干预的关键.
- 家庭物质困难 (HMH) 是一种可修改的贫困风险,与父母的困境有关.
研究的目的:
- 在患有急性淋巴细胞白血病 (ALL) 的儿童的父母中调查家庭物质困难 (HMH) 和严重的心理痛苦之间的联系.
主要方法:
- 从达纳-法伯ALL联盟试验16-001.1.中继分析母报告的数据.
- 父母在入学时 (T0) 和6个月后 (T1) 完成了HMH调查.
- 使用Kessler-6尺度定义了严重的父母痛苦;多变量模型根据ALL风险和单亲父母身份进行了调整.
主要成果:
- 三分之一的家长 (32%) 在T0.0报告了HMH.
- 在T0的HMH与严重心理困扰的几率增加了两倍以上.
- 在T1时的HMH与在T1时严重痛苦的几率增加了五倍以上.
结论:
- 患有HMH的父母经历了显著增加的心理痛苦,随着时间的推移而恶化.
- 这突出了需要有针对性的心理社会和HMH干预的高风险人群.
- 解决HMH可以减轻儿童癌症治疗的家庭的福祉差异.
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