Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 2/2020

02-07-2019

Emotional adjustment among parents of adolescents and young adults with cancer: the influence of social constraints on cognitive processing and fear of recurrence

Auteurs: Emilia E. Mikrut, Aliza A. Panjwani, Rebecca Cipollina, Tracey A. Revenson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Parents of adolescents and young adults (AYAs) with cancer experience distress comparable to other caregiver populations, but remain understudied. This study tested the social cognitive processing model of emotional adjustment to cancer. We hypothesized that social constraints on emotional disclosure would inhibit cognitive processing and be related to greater fear of cancer recurrence (FCR), potentially negatively influencing psychological adjustment. Data were collected through an online cross-sectional survey study of 66 parents of AYAs with cancer (aged 15–39) and analyzed using bootstrapping techniques for ordinary least squares regression. One-third of the parents reported moderate to severe depressive symptoms. Serial mediation analyses indicated that greater social constraints were related to poorer cognitive processing and higher FCR, and, ultimately, greater depressive symptoms. Alternative models were tested and were not significant. Future psychosocial interventions for parents of AYAs with cancer should include improving cancer-related communication between parents and their social network.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Grinyer, A. (2002). Cancer in young adults: Through parents’ eyes. Florence: Open University Press. Grinyer, A. (2002). Cancer in young adults: Through parents’ eyes. Florence: Open University Press.
go back to reference Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach (2nd ed.). New York: Guilford Publications. Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach (2nd ed.). New York: Guilford Publications.
go back to reference Klassen, A., Raina, P., Reineking, S., Dix, D., Pritchard, S., & O’Donnell, M. (2007). Developing a literature base to understand the caregiving experience of parents of children with cancer: A systematic review of factors related to parental health and well-being. Supportive Care in Cancer,15, 807–818. https://doi.org/10.1007/s00520-007-0243-x CrossRefPubMed Klassen, A., Raina, P., Reineking, S., Dix, D., Pritchard, S., & O’Donnell, M. (2007). Developing a literature base to understand the caregiving experience of parents of children with cancer: A systematic review of factors related to parental health and well-being. Supportive Care in Cancer,15, 807–818. https://​doi.​org/​10.​1007/​s00520-007-0243-x CrossRefPubMed
go back to reference Lepore, S. J. (2001). A social–cognitive processing model of emotional adjustment to cancer. In A. Baum & B. L. Andersen (Eds.), Psychosocial interventions for cancer (pp. 99–116). Washington, DC: American Psychological Association.CrossRef Lepore, S. J. (2001). A social–cognitive processing model of emotional adjustment to cancer. In A. Baum & B. L. Andersen (Eds.), Psychosocial interventions for cancer (pp. 99–116). Washington, DC: American Psychological Association.CrossRef
go back to reference Lepore, S. J., & Ituarte, P. H. (1999). Optimism about cancer enhances mood by reducing negative social interactions. Cancer Research, Therapy and Control,8, 165–174. Lepore, S. J., & Ituarte, P. H. (1999). Optimism about cancer enhances mood by reducing negative social interactions. Cancer Research, Therapy and Control,8, 165–174.
go back to reference Panjwani, A. A., & Revenson, T. A. (2017). A tale of two studies: Young adults with cancer, parent caregivers, and uncertainty. In Poster presented at the international conference on stress and dyadic coping: Health, family and cultural contexts, Milan, Italy. Panjwani, A. A., & Revenson, T. A. (2017). A tale of two studies: Young adults with cancer, parent caregivers, and uncertainty. In Poster presented at the international conference on stress and dyadic coping: Health, family and cultural contexts, Milan, Italy.
go back to reference Pasipanodya, E. C., Parrish, B. P., Laurenceau, J., Cohen, L. H., Siegel, S. D., Graber, E. C., et al. (2012). Social constraints on disclosure predict daily well-being in couples coping with early-stage breast cancer. Journal of Family Psychology,26, 661–667. https://doi.org/10.1037/a0028655 CrossRefPubMed Pasipanodya, E. C., Parrish, B. P., Laurenceau, J., Cohen, L. H., Siegel, S. D., Graber, E. C., et al. (2012). Social constraints on disclosure predict daily well-being in couples coping with early-stage breast cancer. Journal of Family Psychology,26, 661–667. https://​doi.​org/​10.​1037/​a0028655 CrossRefPubMed
go back to reference Piet, J., Würtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology,80, 1007–1020. https://doi.org/10.1037/a0028329 CrossRefPubMed Piet, J., Würtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology,80, 1007–1020. https://​doi.​org/​10.​1037/​a0028329 CrossRefPubMed
go back to reference Revenson, T. A. (2016). Never the right time: Unique stressors facing young and middle-aged adults with hematologic cancer. Hannover, Germany: Keynote address presented at the Association for Psychooncology, German Cancer Society. Revenson, T. A. (2016). Never the right time: Unique stressors facing young and middle-aged adults with hematologic cancer. Hannover, Germany: Keynote address presented at the Association for Psychooncology, German Cancer Society.
go back to reference Smyth, J., Pennebaker, J., & Arigo, D. (2012). What are the health effects of disclosure? In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (2nd ed., pp. 175–192). New York, NY: Taylor & Francis. Smyth, J., Pennebaker, J., & Arigo, D. (2012). What are the health effects of disclosure? In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (2nd ed., pp. 175–192). New York, NY: Taylor & Francis.
go back to reference Stanton, A. L., Luecken, L. J., MacKinnon, D. P., & Thompson, E. H. (2013). Mechanisms in psychosocial interventions for adults living with cancer: Opportunity for integration of theory, research, and practice. Journal of Consulting and Clinical Psychology,81, 318–335. https://doi.org/10.1037/a0028833 CrossRefPubMed Stanton, A. L., Luecken, L. J., MacKinnon, D. P., & Thompson, E. H. (2013). Mechanisms in psychosocial interventions for adults living with cancer: Opportunity for integration of theory, research, and practice. Journal of Consulting and Clinical Psychology,81, 318–335. https://​doi.​org/​10.​1037/​a0028833 CrossRefPubMed
go back to reference Szasz, P. L. (2009). Thought suppression, depressive rumination and depression: A mediation analysis. Journal of Cognitive and Behavioral Psychotherapies.,9, 199–209. Szasz, P. L. (2009). Thought suppression, depressive rumination and depression: A mediation analysis. Journal of Cognitive and Behavioral Psychotherapies.,9, 199–209.
go back to reference Weiss, D. S., & Marmar, C. R. (1997). The impact of event scale-revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399–411). New York: Guilford. Weiss, D. S., & Marmar, C. R. (1997). The impact of event scale-revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399–411). New York: Guilford.
Metagegevens
Titel
Emotional adjustment among parents of adolescents and young adults with cancer: the influence of social constraints on cognitive processing and fear of recurrence
Auteurs
Emilia E. Mikrut
Aliza A. Panjwani
Rebecca Cipollina
Tracey A. Revenson
Publicatiedatum
02-07-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 2/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00072-x

Andere artikelen Uitgave 2/2020

Journal of Behavioral Medicine 2/2020 Naar de uitgave