Emotion Regulation in Pediatric Cancer Survivors

小儿癌症幸存者的情绪调节

• 批准号: 6863898
• 负责人: LYNN Fainsilber KATZ
• 金额: $ 5.94万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-27 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6863898
• 关键词: acute lymphocytic leukemia; anxiety; children; clinical research; depression; electrocardiography; emotional adjustment; experience; heart rate; human subject; interview; long term survivor; patient oriented research; posttraumatic stress disorder; psychosocial rehabilitation

DESCRIPTION (provided by applicant): Current research indicates that a significant subset of children who are treated for cancer experience difficulty in post-treatment psychosocial adjustment, including symptoms of post-traumatic stress, anxiety and depression. Unfortunately, to date there has been limited success in predicting which children will be most negatively affected by having cancer and undergoing necessary but often painful treatments. The current study is designed to test the hypothesis that children's post-treatment adjustment is related to both their emotional regulation abilities and to parenting processes that affect how they process and cope with strong negative emotions. Vagal tone, a physiological index of emotion regulation, has been shown to buffer children from negative psychological effects of stressors in their environment. However, up to this point, no research has investigated whether vagal tone is related to psychosocial functioning in cancer survivors. The proposed study will use a multi-method, multi-informant, cross-sectional design to test the relationship between vagal tone and adjustment in 150 children, half of whom will be survivors of Acute Lymphocytic Leukemia. Additionally, how parents think about emotions and help their children manage their emotions - their "meta-emotion philosophy" - will be examined as a potential buffer in the relationship between cancer treatment and range of negative psychosocial outcomes. Understanding the relationship between emotion regulation abilities and adjustment following cancer treatment can help build new and effective empirically based interventions that focus on (1) teaching children how to physiologically self-soothe when distressed and (2) teaching parents to help children manage their emotions.

描述（由申请人提供）：当前的研究表明，在治疗后心理社会调整方面接受癌症经验难度的儿童的大量子集，包括创伤后压力，焦虑和抑郁症的症状。不幸的是，迄今为止，预测哪些儿童将受到癌症的影响最大的影响，并且经常受到必要但经常痛苦的治疗方法有限。当前的研究旨在检验以下假设：儿童的治疗后调整既与他们的情绪调节能力以及影响他们处理方式并应对强烈的负面情绪的育儿过程有关。迷走神经是情绪调节的生理指数，已显示出使儿童从压力源对环境中的负面心理影响中缓冲。但是，到目前为止，尚无研究调查迷走神经张力是否与癌症幸存者中的社会心理功能有关。拟议的研究将使用多方法，多信息，横截面设计来测试150名儿童迷走神经和调整之间的关系，其中一半将是急性淋巴细胞性白血病的幸存者。此外，父母如何思考情绪并帮助孩子管理情绪（他们的“元情感哲学”）将被视为癌症治疗与负面心理社会成果范围之间关系的潜在缓冲。了解癌症治疗后的情绪调节能力与调整之间的关系可以帮助建立新的和有效的基于经验的干预措施，以（1）教孩子在痛苦时教孩子如何进行生理自我抚慰，以及（2）教父母帮助孩子管理情绪。