原创力文档parental palliative cancer psychosocial adjustment and health-related quality of life in adolescents participating in a german family counselling service父母缓和癌症心理调整和健康相关的生活质量青少年参与德国家庭咨询服务.pdf
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parental palliative cancer psychosocial adjustment and health-related quality of life in adolescents participating in a german family counselling service父母缓和癌症心理调整和健康相关的生活质量青少年参与德国家庭咨询服务
Kühne et al. BMC Palliative Care 2012, 11:21
/1472-684X/11/21
RESEARCH ARTICLE Open Access
Parental palliative cancer: psychosocial
adjustment and health-related quality of life in
adolescents participating in a German family
counselling service
1* 1 2 2 3
Franziska Kühne , Thomas Krattenmacher , Corinna Bergelt , Johanna C Ernst , Hans-Henning Flechtner ,
4 5 6 1 1
Daniel Führer , Wolfgang Herzog , Kai v Klitzing , Georg Romer and Birgit Möller
Abstract
Background: Parental palliative disease is a family affair, however adolescents well-being and coping are still rarely
considered. The objectives of this paper were a) to identify differences in psychosocial adjustment and
health-related quality of life (HRQoL) among adolescents and young adults with parents suffering from palliative
cancer or cancers in other disease stages, b) to relate psychosocial adjustment and health-related quality of life to
adolescent coping, and c) to explore significant mediator and predictor variables.
Methods: Cross-sectional data were derived from a multi-site research study of families before child-centered
counselling. N=86 adolescents and young adults were included, their mean age 13.78 years (sd 2.45), 56% being
female. Performed analyses included ANCOVA, multiple linear regression, and mediation analysis.
Results: Adolescents with parents suffering from palliative cancers reported significantly less total psychosocial
problems, and better overall HRQoL. There were no significant group differences regarding coping frequency and
efficacy. Our set of coping items significantly mediated the effect of p
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