title: The role of social and cognitive processes in the relationship between fear network and psychological distress among parents of children undergoing hematopoietic stem cell transplantation.
abstract: The current study examined whether cognitive and social processing variables mediated the relationship between fear network and depression among parents of children undergoing hematopoietic stem cell transplant (HSCT). Parents whose children were initiating HSCT (N = 179) completed survey measures including fear network, Beck Depression Inventory, cognitive processing variables (positive reappraisal and self-blame) and social processing variables (emotional support and holding back from sharing concerns). Fear network was positively correlated with depression (p < .001). Self-blame and holding back emerged as individual partial mediators in the relationship between fear network and depression. Together they accounted for 34.3% of the variance in the relationship between fear network and depression. Positive reappraisal and emotional support did not have significant mediating effects. Social and cognitive processes, specifically self-blame and holding back from sharing concerns, play a negative role in parents' psychological adaptation to fears surrounding a child's HSCT.
authors.affiliation: Department of Population Science, Rutgers Cancer Institute of New Jersey, 195 Little Albany, New Brunswick, NJ, 08903, USA, myerssb@cinj.rutgers.edu.
authors.forename: Shannon Myers
authors.initials: SM
authors.lastname: Virtue
authors.forename: Sharon
authors.initials: S
authors.lastname: Manne
authors.forename: Laura
authors.initials: L
authors.lastname: Mee
authors.forename: Abraham
authors.initials: A
authors.lastname: Bartell
authors.forename: Stephen
authors.initials: S
authors.lastname: Sands
authors.forename: Pamela
authors.initials: P
authors.lastname: Ohman-Strickland
authors.forename: Tina Marie
authors.initials: TM
authors.lastname: Gajda
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D001294:Attitude to Health; D002648:Child; D003071:Cognition / Q000502:physiology*; D003430:Cross-Sectional Studies; D005239:Fear / Q000523:psychology*; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000523:psychology*; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D012919:Social Behavior; D013315:Stress, Psychological / Q000523:psychology*
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