Adaptive style and symptoms of posttraumatic stress in children with cancer and their parents.
OBJECTIVE
To examine symptom levels of posttraumatic stress (PTS) in children with cancer and their parents as a function of patient and parent adaptive style.


METHODS
Participants included 162 pediatric cancer patients and their parents. Patients completed self-report measures of PTS and adaptive style. Parents reported on their own adaptive style and PTS, as well as levels of PTS in their child.


RESULTS
Adaptive style was a significant correlate of PTS. Children identified as low anxious (LA) or repressors (REP) obtained lower levels of PTS than did high anxious (HA) children, both by self-report and parent report. Parents identified as LA or REP self-reported lower levels of PTS than HA and also reported lower levels of PTS in their children.


CONCLUSIONS
Patient and parent adaptive style are significant determinants of PTS in the pediatric oncology setting. These findings, in combination with the generally low levels of PTS in the pediatric oncology population, raise questions about the utility of the posttraumatic stress model for understanding the experiences of children with cancer, although such a model may be more applicable to parental response.
Phipps
Sean
S
Division of Behavioral Medicine, St. Jude Children's Research Hospital, 332 North Lauderdale, Memphis, Tennessee 38105-2794, USA. sean.phipps@stjude.org
Larson
Susan
S
Long
Alanna
A
Rai
Shesh N
SN
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002648:Child; D003430:Cross-Sectional Studies; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D010551:Personality; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology*; D017741:Survivors / Q000523:psychology; D014481:United States / Q000453:epidemiology