4.6 Article

Emotional and behavioral problems of pediatric cancer survivors and their siblings: Concordance of child self-report and parent proxy-report

期刊

PSYCHO-ONCOLOGY
卷 32, 期 8, 页码 1248-1256

出版社

WILEY
DOI: 10.1002/pon.6175

关键词

aftercare; cancer; concordance; oncology; parent-children; pediatric cancer; psycho-oncology; psychological adjustment; SDQ; siblings

向作者/读者索取更多资源

This study aimed to develop an empirical and multi-perspective understanding of emotional and behavioral problems in leukemia and brain tumor survivors and their siblings. The concordance between child self-report and parent proxy-report was also examined. Results showed significant differences in emotional problems and prosocial behavior between survivors and siblings compared to a normative sample, highlighting the importance of psychosocial services in regular aftercare that addresses the needs of both survivors and their siblings.
ObjectiveChildhood cancer confronts families with major challenges. The study aimed at developing an empirical and multi-perspective understanding of emotional and behavioral problems of cancer survivors diagnosed with leukemia and brain tumors and their siblings. Further, the concordance between child self-report and parent proxy-report was examined. Methods140 children (72 survivors, 68 siblings) and 309 parents were included in the analysis (respond rate: 34%). Patients, diagnosed with leukemia or brain tumors, and their families were surveyed on average 7.2 months after the end of intensive therapy. Outcomes were assessed using the German SDQ. Results were compared with normative samples. Data were analyzed descriptively, and group differences between survivors, siblings, and a norm sample were determined using one-factor ANOVA followed by pairwise comparisons. The concordance between the parents and children was determined by calculating Cohen's kappa coefficient. ResultsNo differences in the self-report of survivors and their siblings were identified. Both groups reported significantly more emotional problems and more prosocial behavior than the normative sample. Although the interrater reliability between parents and children was mostly significant, low concordances were found for emotional problems, prosocial behavior (survivor/parents), and peer relationship problems (siblings/parents). ConclusionThe findings point out the importance of psychosocial services in regular aftercare. These should not only focus on survivors, but additionally address the siblings' needs. The low concordance between the parents' and the children's perspectives on emotional problems, prosocial behavior, and peer relationship problems suggests the inclusion of both perspectives to allow needs-based support.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据