A child's death from cancer may increase the risk for poor self-worth in bereaved siblings. Furthermore, bereaved parents may experience depressive symptoms and communicate differently with their surviving children. However, limited research has examined family factors associated with self-worth in bereaved siblings. Thus, we examined: (a) differences in parental depressive symptoms, parent-child communication, and sibling self-worth between bereaved and nonbereaved families and (b) indirect effects of parental depressive symptoms and communication quality on the association between bereavement and sibling self-worth. Bereaved parents and siblings were recruited 3-12 months after a child's death from cancer. Bereaved (n = 72) and nonbereaved families of classmates (n = 58) completed home-based questionnaires upon enrollment (T1), and 48 bereaved and 45 nonbereaved families completed 1-year follow-up (T2). Relative to controls at T1 and T2, bereaved mothers, but not fathers, reported more depressive symptoms. Bereaved siblings reported poorer maternal and similar paternal communication, and similar levels of self-worth compared to controls. Both cross-sectional and longitudinal serial mediation models for mothers were significant. Bereaved mothers were at greater risk for depressive symptoms, which adversely affected sibling self-worth over time through disrupted mother-child communication. The father sample was limited, but the cross-sectional model was nonsignificant. Mothers and fathers may grieve differently and may require different therapeutic approaches. Family-centered interventions should target bereaved mothers' emotional adjustment and communication to enhance sibling self-worth. Additionally, clinicians should bolster other sources of support for bereaved siblings to promote adaptive outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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父母抑郁、沟通和因癌症失去亲人的兄弟姐妹的自我价值之间的关联。

孩子死于癌症可能会增加失去亲人的兄弟姐妹自我价值感低下的风险。此外，失去亲人的父母可能会出现抑郁症状，并与幸存的孩子进行不同的沟通。然而，有限的研究探讨了与失去亲人的兄弟姐妹的自我价值相关的家庭因素。因此，我们研究了：（a）丧亲家庭和非丧亲家庭之间父母抑郁症状、亲子沟通和兄弟姐妹自我价值的差异，以及（b）父母抑郁症状和沟通质量对丧亲与兄弟姐妹自我之间关系的间接影响-值得。孩子因癌症死亡 3-12 个月后，失去亲人的父母和兄弟姐妹被招募。同学的丧亲家庭 (n = 72) 和非丧亲家庭 (n = 58) 在入学时完成了家庭问卷调查 (T1)，48 个丧亲家庭和 45 个非丧亲家庭完成了 1 年随访 (T2)。相对于 T1 和 T2 的对照组，失去亲人的母亲（而非父亲）报告了更多的抑郁症状。与对照组相比，失去亲人的兄弟姐妹报告称，母亲和父亲的沟通较差，自我价值水平相似。母亲的横断面和纵向序列中介模型都很重要。失去亲人的母亲出现抑郁症状的风险更大，随着时间的推移，母子沟通中断，对兄弟姐妹的自我价值产生不利影响。父亲样本有限，但横截面模型不显着。母亲和父亲的悲伤可能不同，可能需要不同的治疗方法。以家庭为中心的干预措施应针对丧亲母亲的情绪调节和沟通，以提高兄弟姐妹的自我价值。此外，临床医生应加强对失去亲人的兄弟姐妹的其他支持来源，以促进适应性结果。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。