title: Patterns of posttraumatic stress symptoms in parents of childhood cancer survivors.
abstract: Posttraumatic stress (PTS) symptoms have been reported in mothers and fathers of childhood cancer survivors; however, little is known about patterns of PTS in these families. Cluster analysis was applied to the Posttraumatic Stress Disorder (PTSD) Reaction Index scores of 98 couples parenting adolescent childhood cancer survivors to describe patterns of PTS in families, yielding the following 5 clusters: Minimal PTS, Mothers Elevated, Disengaged, Fathers Elevated, and Elevated PTS. The clusters were validated using data from a structured psychiatric interview, an additional self-report measure of PTS, and an index of family functioning. These clinically meaningful patterns reveal that a majority of families had at least one parent with moderate to severe PTS, which supports development of family-based interventions for this population.
authors.affiliation: Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399, USA. alderfer@email.chop.edu
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Alderfer
authors.forename: Avital
authors.initials: A
authors.lastname: Cnaan
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Annunziato
authors.forename: Anne E
authors.initials: AE
authors.lastname: Kazak
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D016000:Cluster Analysis; D005190:Family / Q000523:psychology; D005195:Family Relations; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D015203:Reproducibility of Results; D012650:Self Disclosure; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology*; D017741:Survivors / Q000523:psychology*