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Longitudinal study of parent caregiving self-efficacy and parent stress reactions with pediatric cancer treatment procedures.

Abstract：

BACKGROUND:Pain/distress during pediatric cancer treatments has substantial psychosocial consequences for children and families. We examined relationships between parents' caregiving self-efficacy, parents' affect in response to their children's cancer-related treatment procedures, and parents' symptoms of post-traumatic stress at follow-up. METHODS:Participants were 75 pediatric cancer patients and parents. On the day of each of three procedures (i.e., port-start, lumbar puncture, or bone marrow aspiration), parents rated their self-efficacy for six caregiving goals. Parents also self-reported their negative affect (i.e., state anxiety, negative mood, and distress) in response to each procedure. Three months after the last procedure, parents reported their level of post-traumatic stress symptoms (PTSS). RESULTS:Higher parent self-efficacy about keeping children calm before treatment and/or keeping children calm during the procedure was associated with lower state anxiety. Self-efficacy for keeping the child calm during procedures was significantly correlated with distress in parents at the time of procedures, and self-efficacy for keeping the child calm before procedures was significantly correlated with PTSS. All three negative affect measures significantly mediated the effects of parents' caregiving self-efficacy for both goals on parents' PTSS 3 months later. CONCLUSIONS:Parents' caregiving self-efficacy influences their immediate and longer-term distress reactions to their children's treatment procedures. These findings provide a more nuanced understanding of how parents' cognitions contribute to their ability to cope with their children's treatment and suggest the benefit of an intervention that targets parents' procedure-specific caregiver self-efficacy.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Harper FW,Peterson AM,Uphold H,Albrecht TL,Taub JW,Orom H,Phipps S,Penner LA

doi

10.1002/pon.3199

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

1658-64

issue

eissn

1057-9249

issn

1099-1611

journal_volume

pub_type

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Longitudinal study of parent caregiving self-efficacy and parent stress reactions with pediatric cancer treatment procedures.