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Impact of pediatric cancer on parents’ relationships
European Journal of Oncology Nursing ( IF 2.8 ) Pub Date : 2024-01-28 , DOI: 10.1016/j.ejon.2024.102514
Jana Gajda , Charlotte Johns , Tanja Zimmermann

Cancer in children leads to changes in family life, which can also affect the stability and quality of the parents' relationships. Studies show that parents' educational level, duration of partnership until diagnosis, child's cancer, and grandparents' relationship stability may influence parental partnership. The aim of this study was to investigate the influence of childhood cancer on the stability and quality of parental relationships in Germany. N = 74 parents of children with cancer aged 28–65 years (M = 41.9, SD = 7.6) completed questions on the stability and quality of their partnership as well as parental distress, depression, and anxiety. Stability was compared with the separation rate in the general population, and quality was compared using norm data from the German version of the Quality of Marriage Index (QMI-D; Zimmermann et al., 2019). A regression model was developed to predict mothers' current partnership quality. The proportion of separated and divorced people was 12.2 % compared to 14. % in the general population. Retrospectively assessed partnership quality at time of diagnosis was significantly lower than in the German general population (p < .05). Higher anxiety proved to be the most significant predictor of maternal lower partnership satisfaction assessed at the time of the survey. Parents of children with cancer did not show an increased separation rate. The partnership quality at the time of diagnosis was significantly lower, but was still above the cut-off of 34, suggesting predominant resilience of parental partnerships. However, some of parents showed significantly lower satisfaction. Future studies should identify parents who are more likely to experience a deterioration in partnership satisfaction or separation so that partnership interventions can be offered where appropriate.

中文翻译:

儿科癌症对父母关系的影响

儿童癌症会导致家庭生活的变化,也会影响父母关系的稳定性和质量。研究表明,父母的教育水平、诊断前的伴侣关系持续时间、孩子的癌症情况以及祖父母的关系稳定性可能会影响父母的伴侣关系。本研究的目的是调查德国儿童癌症对父母关系稳定性和质量的影响。 N = 74 名 28-65 岁癌症儿童的父母(M = 41.9,SD = 7.6)完成了有关其伴侣关系的稳定性和质量以及父母的痛苦、抑郁和焦虑的问题。将稳定性与一般人群的分居率进行比较,并使用德国版婚姻质量指数(QMI-D;Zimmermann 等人,2019)的常模数据对质量进行比较。开发了一个回归模型来预测母亲当前的伴侣关系质量。分居和离婚者的比例为 12.2%,而总人口的比例为 14.%。诊断时回顾性评估的伙伴关系质量显着低于德国一般人群 (p < .05)。事实证明,较高的焦虑程度是调查时评估的母亲伴侣关系满意度较低的最重要预测因素。患有癌症的儿童的父母并没有表现出分离率增加。诊断时的伴侣关系质量明显较低,但仍高于 34 的分界线,这表明父母伴侣关系具有显着的弹性。然而,一些家长的满意度明显较低。未来的研究应该确定哪些父母更有可能经历伴侣关系满意度下降或分居,以便在适当的情况下提供伴侣关系干预措施。
更新日期:2024-01-28
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