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Prikken S, Raymaekers K, Lemiere J, Vercruysse T, Uyttebroeck A, Luyckx K. Worries and Benefit Finding in Cancer Survivors and Parents: A Longitudinal Study. J Pediatr Psychol. 2022 Jun 7;47(6):641-651. doi: 10.1093/jpepsy/jsab130. PMID: 34918083.
Abstract Objective: The interplay and longitudinal associations between positive and negative illness-related experiences in childhood cancer survivors and their families remain unclear. Therefore, benefit finding, cancer-related worries, depressive symptoms, and life satisfaction were prospectively investigated in childhood cancer survivors and parents. Directionality of effects and interactions between benefit finding and cancer-related worries in predicting general well-being were examined. Methods: Childhood cancer survivors (n = 125 at T1; aged 14-25), mothers (n = 133 at T1), and fathers (n = 91 at T1) completed two annual questionnaires on benefit finding, cancer-related worries, depressive symptoms, and life satisfaction. Cross-lagged panel analyses including benefit finding, cancer-related worries, their interaction, and depressive symptoms or life satisfaction were conducted in survivors, mothers, and fathers. Results: Relatively high stability coefficients were found for all study variables. In survivors, cancer-related worries predicted relative increases in depressive symptoms and benefit finding over time. Benefit finding predicted relative increases in life satisfaction over time and buffered negative effects of cancer-related worries on life satisfaction. In mothers and fathers, positive correlated change at T2 (the correlation between residuals at T2) indicated that relative change in benefit finding over time was positively related to relative change in cancer-related worries. Conclusion: Benefit finding was related both to positive well-being and negative illness experiences, which calls for more research to unravel the different functions of benefit finding over time. Clinicians should be encouraged to attend to positive illness experiences along with more negative ones to obtain a more nuanced view on the illness experiences of survivors and their families. 摘要：目的：儿童癌症幸存者及其家庭在疾病相关的积极与消极体验之间的相互作用和纵向关联尚不清楚。因此，本研究对儿童癌症幸存者及其家长的获益感、癌症相关担忧、抑郁症状和生活满意度进行了前瞻性调查。此外，还检查了获益感与癌症相关担忧在预测整体幸福感方面的效果方向和相互作用。 方法：儿童癌症幸存者（T1时点125名，年龄14-25岁）、母亲（T1时点133名）和父亲（T1时点91名）分别在两个年度填写了关于获益感、癌症相关担忧、抑郁症状和生活满意度的问卷。在幸存者、母亲和父亲中进行了包括获益感、癌症相关担忧、它们的相互作用以及抑郁症状或生活满意度在内的交叉滞后面板分析。 结果：所有研究变量的稳定性系数相对较高。在幸存者中，癌症相关担忧随时间推移预测了抑郁症状和获益感的相对增加。获益感随时间推移预测了生活满意度的相对增加，并缓解了癌症相关担忧对生活满意度的负面影响。在母亲和父亲中，T2时点的正相关变化（T2时点残差之间的相关性）表明，随时间推移，获益感的相对变化与癌症相关担忧的相对变化呈正相关。 结论：获益感既与积极的幸福感相关，也与负面的疾病体验相关，这要求进行更多研究以揭示获益感随时间推移的不同功能。临床医生应被鼓励关注疾病经历的积极方面，同时也关注更消极的方面，以获得对幸存者及其家庭疾病经历的更细致的看法。 留一个问题：纵向研究和混合研究各有什么特点？如果说作为硕士开题来说，我们再去设置纵向研究的时候需要注意哪些点？混合研究和纵向研究，哪一个更适合做硕士开题？ |
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来自： Nursing小班长 > 《待分类》
