Abstract

Objective

Caregivers often experience their child’s hematopoietic stem cell transplant (HCT) treatment as traumatic. Although many caregivers develop posttraumatic stress symptoms (PTSS) in response to supporting their child through HCT, other caregivers demonstrate posttraumatic growth (PTG). Religious coping may contribute to these different adjustment trajectories; however, more information is needed to clarify the unique associations of positive versus negative religious coping on caregiver PTSS and PTG in the context of pediatric HCT. This study aimed to examine the relationships between negative and positive religious coping on caregivers PTSS and PTG while controlling for caregiver sex, self-efficacy, and social support.

Methods

Caregivers (N = 140) of youth admitted to the hospital for their first HCT were asked to complete self-report measures of their use of positive and negative religious coping, PTSS, PTG, social support, and self-efficacy. Two hierarchical linear regressions were conducted to test hypotheses.

Results

Greater positive religious coping, but not negative religious coping, was associated with caregivers reporting more PTG in response to pediatric HCT. More negative religious coping, but not positive religious coping, was associated with caregivers experiencing greater PTSS.

Conclusions

Engaging in positive religious coping appears to promote better caregiver adjustment to pediatric HCT, whereas negative religious coping may increase caregiver risk for developing PTSS. Screening caregivers’ religious beliefs, including the type of religious coping they employ, could inform providers regarding the best approach to supporting caregivers towards a growth trajectory and mitigate PTSS.

中文翻译：

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小儿造血干细胞移植中的照顾者宗教应对和创伤后反应

摘要

客观的

照料者经常将他们的孩子的造血干细胞移植（HCT）治疗视为创伤性的。尽管许多保姆会通过HCT抚养孩子而出现创伤后应激障碍症状（PTSS），但其他保姆却表现出创伤后生长（PTG）。宗教应对可能会导致这些不同的调整轨迹；但是，在儿科HCT的背景下，需要更多信息来阐明在照顾者PTSS和PTG方面，正面和负面宗教应对的独特联系。这项研究旨在探讨在照顾照顾者性别，自我效能感和社会支持的同时，对照顾者PTSS和PTG的消极和积极宗教应对之间的关​​系。

方法

首次住院的青年护理人员（N  =  140）被要求完成HCT的自我报告措施，以使用积极和消极的宗教应对方式，PTSS，PTG，社会支持和自我效能感。进行了两个层次线性回归以检验假设。

结果

积极的宗教对策而非消极的宗教对策与护理人员报告对儿童HCT的反应更多的PTG有关。较负的宗教应对，而不是积极的宗教应对，与照顾者经历了更大的PTSS有关。

结论

积极的宗教应对似乎有助于更好地照顾儿童HCT，而消极的宗教应对可能会增加照顾者发展PTSS的风险。筛选照护者的宗教信仰，包括他们采用的宗教应对方式，可以使提供者了解支持照护者朝着增长轨迹和减轻PTSS的最佳方法。