What's past is prologue: Recalled parenting styles are associated with childhood cancer survivors' mental health outcomes more than 25 years after diagnosis

被引：16

作者：

Ernst, Mareike ^{[1
]}

Braehler, Elmar ^{[1
]}

Klein, Eva M. ^{[1
]}

Juenger, Claus ^{[2
]}

Wild, Philipp S. ^{[2
,3
,4
]}

Faber, Joerg ^{[5
]}

Schneider, Astrid ^{[6
]}

Beutel, Manfred E. ^{[1
]}

机构：

[1] Johannes Gutenberg Univ Mainz, Dept Psychosomat Med & Psychotherapy, Univ Med Ctr, Untere Zahlbacher Str 8, D-55131 Mainz, Germany

[2] Johannes Gutenberg Univ Mainz, Prevent Cardiol & Prevent Med Ctr Cardiol, Univ Med Ctr, Mainz, Germany

[3] Johannes Gutenberg Univ Mainz, Ctr Thrombosis & Hemostasis, Univ Med Ctr, Mainz, Germany

[4] DZHK German Ctr Cardiovasc Res, Partner Site Rhine Main, Mainz, Germany

[5] Johannes Gutenberg Univ Mainz, Ctr Pediat & Adolescent Med, Dept Pediat Hematol Oncol Hemostaseol, Univ Med Ctr, Mainz, Germany

[6] Johannes Gutenberg Univ Mainz, Inst Med Biostat Epidemiol & Informat, Univ Med Ctr, Mainz, Germany

来源：

SOCIAL SCIENCE & MEDICINE | 2020年 / 252卷

关键词：

Anxiety; Childhood cancer; Cancer survivorship; Depression; Family; Mental health; Parenting; Psycho-oncology; QUALITY-OF-LIFE; PEDIATRIC CANCER; REARING BEHAVIOR; DEPRESSIVE SYMPTOMS; ATTACHMENT SECURITY; GENDER-DIFFERENCES; ADULT ATTACHMENT; CHILDREN; FAMILY; OVERPROTECTION;

D O I：

10.1016/j.socscimed.2020.112916

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: With the increased survival rates of childhood cancer, long-term survivors' well-being over the life span has come into focus. A better understanding of the determinants of childhood cancer survivors' (CCS) mental health outcomes contributes to the identification of vulnerable individuals as well as to the development of evidence-based prevention and intervention efforts. It has been noted that psychosocial factors such as parental rearing behavior shape individual differences in mental health. There is also evidence that parents show altered parenting behavior in the face of childhood cancer, e. g. that they express more emotional support, but also more worries. However, little is known about the relevance of different parenting styles for CCS' mental health decades after diagnosis and treatment. Methods: We examined the associations of recalled parenting styles and disease-related factors with lifetime diagnoses of depression and anxiety disorders in a German, registry-based sample of adult CCS (N = 948, 44.50% women) with survival times > 25 years. We conducted logistic regression analyses of lifetime diagnoses of depression and anxiety disorders, respectively, on dimensions of recalled parental rearing behavior (measured with a validated German short version of the EMBU) controlling for relevant adjustment variables such as the presence of physical illnesses. Results: Recalled parenting styles of both parents had statistically relevant associations with CCS' lifetime depression and anxiety diagnoses. Maternal emotional warmth was related to fewer lifetime diagnoses of depression and fewer lifetime diagnoses of anxiety. Memories of paternal control and overprotection were positively associated with lifetime diagnoses of anxiety. Conclusion: The results indicate that mental representations of one's caregivers are associated with psychological long-term outcomes. Thus, medical professionals should involve the parents and support them in accompanying their child through the difficult times of treatment and survivorship. Interventions aimed at fostering survivors' quality of life should consider the sustained relevance of early relationships.

引用

页数：8