Posttraumatic Stress in Parents of Children Diagnosed with Cancer: Hyperarousal and Avoidance as Mediators of the Relationship between Re-Experiencing and Dysphoria
Increased understanding of the relationships between different symptom clusters involved in posttraumatic stress symptoms (PTSS) could guide empirical research and clinical practice. The objective of the present study was to investigate whether hyperarousal and avoidance mediated the relationship be...
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| creator | Hovén, Emma Ljungman, Lisa Boger, Marike Ljótsson, Brjánn Silberleitner, Nicola von Essen, Louise Cernvall, Martin |
| description | Increased understanding of the relationships between different symptom clusters involved in posttraumatic stress symptoms (PTSS) could guide empirical research and clinical practice. The objective of the present study was to investigate whether hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria in parents of children diagnosed with cancer.
Longitudinal data from parents of children receiving cancer therapy were used. PTSS were assessed using the PTSD Checklist Civilian Version at one week (T1), two (T2) and four months (T3) after diagnosis. Mediation analyses for multiple mediators were conducted for mothers (n = 122) and fathers (n = 121), respectively. The mediation model tested the assumption that the PTSS symptom clusters hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria.
For fathers, none of the hypothesized mediators were significant. For mothers, hyperarousal mediated the relationship between re-experiencing and dysphoria, but avoidance did not.
Results suggest that hyperarousal is important for the development of dysphoria in mothers, supporting use of interventions targeting such symptoms in the early and ongoing period following the child's diagnosis. |
| doi_str_mv | 10.1371/journal.pone.0155585 |
| format | Article |
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Longitudinal data from parents of children receiving cancer therapy were used. PTSS were assessed using the PTSD Checklist Civilian Version at one week (T1), two (T2) and four months (T3) after diagnosis. Mediation analyses for multiple mediators were conducted for mothers (n = 122) and fathers (n = 121), respectively. The mediation model tested the assumption that the PTSS symptom clusters hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria.
For fathers, none of the hypothesized mediators were significant. For mothers, hyperarousal mediated the relationship between re-experiencing and dysphoria, but avoidance did not.
Results suggest that hyperarousal is important for the development of dysphoria in mothers, supporting use of interventions targeting such symptoms in the early and ongoing period following the child's diagnosis.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0155585</identifier><identifier>PMID: 27187780</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Analysis ; Anxiety ; Arousal ; Avoidance ; Cancer ; Cancer patients ; Care and treatment ; Child ; Child, Preschool ; Children ; Children & youth ; Clinical psychology ; Clusters ; Demographic aspects ; Depression - etiology ; Depression - psychology ; Diagnosis ; Empirical analysis ; Engineering and Technology ; Family Health ; Female ; Gender differences ; Humans ; Infant ; Infant, Newborn ; Longitudinal Studies ; Male ; Mediation ; Medical diagnosis ; Medicine and Health Sciences ; Model testing ; Mothers ; Neoplasms - psychology ; Parents ; Parents & parenting ; Parents - psychology ; People and Places ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Psychological aspects ; Psychology ; Psykologi ; Public health ; Quantitative psychology ; Risk factors ; Stress ; Stress Disorders, Post-Traumatic - etiology ; Stress Disorders, Post-Traumatic - psychology ; Studies</subject><ispartof>PloS one, 2016-05, Vol.11 (5), p.e0155585-e0155585</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Hovén et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Hovén et al 2016 Hovén et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c660t-588bbfdc18585359e9ab04a9346107ef3397f1f0eaa931e98ee3b24a20981e613</citedby><cites>FETCH-LOGICAL-c660t-588bbfdc18585359e9ab04a9346107ef3397f1f0eaa931e98ee3b24a20981e613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4871492/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4871492/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27187780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-296193$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:133639334$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Hovén, Emma</creatorcontrib><creatorcontrib>Ljungman, Lisa</creatorcontrib><creatorcontrib>Boger, Marike</creatorcontrib><creatorcontrib>Ljótsson, Brjánn</creatorcontrib><creatorcontrib>Silberleitner, Nicola</creatorcontrib><creatorcontrib>von Essen, Louise</creatorcontrib><creatorcontrib>Cernvall, Martin</creatorcontrib><title>Posttraumatic Stress in Parents of Children Diagnosed with Cancer: Hyperarousal and Avoidance as Mediators of the Relationship between Re-Experiencing and Dysphoria</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Increased understanding of the relationships between different symptom clusters involved in posttraumatic stress symptoms (PTSS) could guide empirical research and clinical practice. The objective of the present study was to investigate whether hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria in parents of children diagnosed with cancer.
Longitudinal data from parents of children receiving cancer therapy were used. PTSS were assessed using the PTSD Checklist Civilian Version at one week (T1), two (T2) and four months (T3) after diagnosis. Mediation analyses for multiple mediators were conducted for mothers (n = 122) and fathers (n = 121), respectively. The mediation model tested the assumption that the PTSS symptom clusters hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria.
For fathers, none of the hypothesized mediators were significant. For mothers, hyperarousal mediated the relationship between re-experiencing and dysphoria, but avoidance did not.
Results suggest that hyperarousal is important for the development of dysphoria in mothers, supporting use of interventions targeting such symptoms in the early and ongoing period following the child's diagnosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Arousal</subject><subject>Avoidance</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical psychology</subject><subject>Clusters</subject><subject>Demographic aspects</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Diagnosis</subject><subject>Empirical analysis</subject><subject>Engineering and Technology</subject><subject>Family Health</subject><subject>Female</subject><subject>Gender differences</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mediation</subject><subject>Medical diagnosis</subject><subject>Medicine and Health Sciences</subject><subject>Model testing</subject><subject>Mothers</subject><subject>Neoplasms - 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The objective of the present study was to investigate whether hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria in parents of children diagnosed with cancer.
Longitudinal data from parents of children receiving cancer therapy were used. PTSS were assessed using the PTSD Checklist Civilian Version at one week (T1), two (T2) and four months (T3) after diagnosis. Mediation analyses for multiple mediators were conducted for mothers (n = 122) and fathers (n = 121), respectively. The mediation model tested the assumption that the PTSS symptom clusters hyperarousal and avoidance mediated the relationship between re-experiencing and dysphoria.
For fathers, none of the hypothesized mediators were significant. For mothers, hyperarousal mediated the relationship between re-experiencing and dysphoria, but avoidance did not.
Results suggest that hyperarousal is important for the development of dysphoria in mothers, supporting use of interventions targeting such symptoms in the early and ongoing period following the child's diagnosis.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27187780</pmid><doi>10.1371/journal.pone.0155585</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2016-05, Vol.11 (5), p.e0155585-e0155585 |
| issn | 1932-6203 1932-6203 |
| language | eng |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; SWEPUB Freely available online; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Analysis Anxiety Arousal Avoidance Cancer Cancer patients Care and treatment Child Child, Preschool Children Children & youth Clinical psychology Clusters Demographic aspects Depression - etiology Depression - psychology Diagnosis Empirical analysis Engineering and Technology Family Health Female Gender differences Humans Infant Infant, Newborn Longitudinal Studies Male Mediation Medical diagnosis Medicine and Health Sciences Model testing Mothers Neoplasms - psychology Parents Parents & parenting Parents - psychology People and Places Post traumatic stress disorder Posttraumatic stress disorder Psychological aspects Psychology Psykologi Public health Quantitative psychology Risk factors Stress Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - psychology Studies |
| title | Posttraumatic Stress in Parents of Children Diagnosed with Cancer: Hyperarousal and Avoidance as Mediators of the Relationship between Re-Experiencing and Dysphoria |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T23%3A11%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Posttraumatic%20Stress%20in%20Parents%20of%20Children%20Diagnosed%20with%20Cancer:%20Hyperarousal%20and%20Avoidance%20as%20Mediators%20of%20the%20Relationship%20between%20Re-Experiencing%20and%20Dysphoria&rft.jtitle=PloS%20one&rft.au=Hov%C3%A9n,%20Emma&rft.date=2016-05-17&rft.volume=11&rft.issue=5&rft.spage=e0155585&rft.epage=e0155585&rft.pages=e0155585-e0155585&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0155585&rft_dat=%3Cgale_plos_%3EA453360358%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1789491253&rft_id=info:pmid/27187780&rft_galeid=A453360358&rft_doaj_id=oai_doaj_org_article_350d4a67e00a43e2b5528f572b5fd446&rfr_iscdi=true |