Top

Journal of Clinical Psychology in Medical Settings

Published in:

01-09-2014

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

Authors: Shannon Myers Virtue, Sharon Manne, Laura Mee, Abraham Bartell, Stephen Sands, Pamela Ohman-Strickland, Tina Marie Gajda

Published in: Journal of Clinical Psychology in Medical Settings | Issue 3/2014

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.

Baker, K., DePor, T., Burns, L., Ramsay, N., Naglia, J., & Robinson, L. (2003). New malignancies after blood or marrow stem-cell transplantation in children and adults: Incidence and risk factors. Journal of Clinical Oncology, 21, 1353–1358.CrossRef

Barrera, M., & Ainlay, S. L. (1983). The structure of social support: A conceptual and empirical analysis. Journal of Community Psychology, 11(2), 133–143.

Barrera, M., Atenafu, E., Doyle, J., Berlin-Romalis, D., & Hancock, K. (2012). Differences in mothers’ and fathers’ psychological distress after pediatric SCT: A longitudinal study. Bone Marrow Transplantation, 47(7), 934–939.PubMedCrossRef

Barrera, M., Sandler, I. N., & Ramsay, T. B. (1981). Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology, 9(4), 435–447.CrossRef

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation.

Canning, R. D., Harris, E. S., & Kelleher, K. J. (1995). Factors predicting distress among caregivers of children with chronic medical conditions. Journal of Pediatric Psychology, 21(5), 735–749.CrossRef

Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100.PubMedCrossRef

Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.PubMedCrossRef

Cohen, M. Z., Ley, C., & Tarzian, A. J. (2001). Isolation in blood and marrow transplantation. Western Journal of Nursing Research, 23, 592–609.PubMedCrossRef

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychology Bulletin, 98, 310–357.CrossRef

Creamer, M., Burgess, P., & Pattison, P. (1992). Reaction to trauma: A cognitive processing model. Journal of Abnormal Psychology, 101, 452–459.PubMedCrossRef

Dermatis, H., & Leski, L. M. (1990). Psychological distress in parents consenting to child’s bone marrow transplantation. Bone Marrow Transplantation, 6(6), 411–417.PubMed

DuHamel, K. N., Manne, S., Nereo, N., Ostroff, J., Martini, R., Parsons, S., … Redd, W. H. (2004). Cognitive processing among mothers of children undergoing bone marrow/stem cell transplantation. Psychosomatic Medicine, 66, 92–103.

DuHamel, K. N., Rini, C., Austin, J., Ostroff, J., Parsons, S., Martini, R., … Manne, S. (2007). Optimism and life events as predictors of fear appraisals in mothers of children undergoing hematopoietic stem cell transplantation. Psychooncology, 16, 821–833.

Dunkel-Schetter, C. (1984). Social support and cancer: Findings based on patient interviews and their implications. Journal of Social Issues, 40(4), 77–98.

Figueiredo, M. I., Fries, E., & Ingram, K. M. (2004). The role of disclosure patterns and unsupportive social interactions in the well-being of breast cancer patients. Psychooncology, 13, 96–105.PubMedCrossRef

Finch, J. F., Barrera, M, Jr, Okun, M. A., Bryant, W. H. M., Pool, G. J., & Snow-Turek, L. (1997). The factor structure of received social support: Dimensionality and the prediction of depression and life satisfaction. Journal of Social and Clinical Psychology, 16, 323–342.CrossRef

Frazier, P., & Schaugen, L. (1994). Causal attributes and recovery from rape and other stressful life events. Journal of Social and Clinical Psychology, 13(1), 1–14.CrossRef

Greening, L., & Stoppelbein, L. (2007). Brief report: Pediatric cancer, parental coping style, and risk for depressive, posttraumatic stress, and anxiety symptoms. Journal of Pediatric Psychology, 32(10), 1272–1277.PubMedCrossRef

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.

Janoff-Bulman, R. (1979). Characterological versus behavioral self-blame: Inquiries into depression and rape. Journal of Personality and Social Psychology, 37, 1798–1809.PubMedCrossRef

Kazak, A. E. (1998). Posttraumatic distress in childhood cancer survivors and their parents. Pediatric Blood & Cancer, 30(S1), 60–68.

Kronenberger, W. G., Carter, B. D., Edwards, J., Morrow, C., Stewart, J., & Sender, L. (1998). Psychological adjustment of mothers of children undergoing bone marrow transplantation: The role of stress, coping, and family factors. Children’s Health, 27(2), 77–95.

Lepore, S. J. (2001). A social-cognitive processing model of emotional adjustment to cancer. In A. Baum & B. L. Anderson (Eds.), Psychosocial interventions for cancer (pp. 99–116). Washington, DC: American Psychological Association.CrossRef

Llewellyn, C. D., Weinman, J., McGurk, M., & Humphris, G. (2008). Can we predict which head and neck cancer survivors develop fears of recurrence? Journal of Psychosomatic Research, 65(6), 525–532.PubMedCrossRef

Lutwak, N., Panish, J., & Ferrari, J. (2003). Shame and guilt: Characterological vs. behavioral self-blame and their relationship to fear of intimacy. Personality and Individual Differences, 35, 909–916.CrossRef

Maltezou, H., Kafetzis, D., Abisaid, D., Mantzouranis, E., Chan, K., & Rolston, K. V. (2000). Viral infections of children undergoing hematopoietic stem cell transplant. Pediatric Infectious Disease Journal, 19, 307–312.PubMedCrossRef

Manne, S. (1998). Cancer in the marital context: A review of the literature. Cancer Investigation, 16(3), 188–202.PubMedCrossRef

Manne, S. L., Badr, H., Zaider, T., Nelson, C., & Kissane, D. (2010). Cancer-related communication, relationship intimacy, and psychological distress among couples coping with localized prostate cancer. Journal of Cancer Survivorship, 4, 74–85.

Manne, S., Dougherty, J., Veach, S., & Kless, R. (1999). Hiding worries from one’s spouse: Protective buffering among cancer patients and their spouses. Cancer Research Therapy and Control, 8, 175–188.

Manne, S., DuHamel, K., Nereo, N., Ostroff, J., Parsons, S., Martini, R. … Redd, W. H. (2002). Predictors of PTSD in mothers of children undergoing bone marrow transplantation: The role of cognitive and social processes. Journal of Pediatric Psychology, 27(7), 607–617.

Manne, S., DuHamel, K., Ostroff, J., Parsons, S., Marini, D. R., Williams, S. E., … Redd, W. H. (2003). Coping and the course of mother’s depressive symptoms during and after pediatric bone marrow transplant. Journal of the American Academy of Child and Adolescent Psychiatry, 42(9), 1055–1068.

Manne, S., DuHamel, K., Ostroff, J., Parsons, S., Marini, D. R., Williams, S. E., … Redd, W. H. (2004). Anxiety, depression, and posttraumatic stress disorders among mothers of pediatric survivors of hematopoietic stem cell transplantation. Pediatrics, 113(6), 1700–1708.

Manne, S., Nereo, N., DuHamel, K., Ostroff, J., Parsons, S., & Martini, D. R. (2001). Anxiety and depression in mothers of children undergoing bone marrow transplant: Symptom prevalence and use of the Beck depression and Beck anxiety inventories as screening instruments. Journal of Consulting and Clinical Psychology, 69(9), 1037–1047.PubMedCrossRef

Mosher, C. E., Redd, W. H., Rini, C. M., Burkhalter, J. E., & DuHamel, K. (2009). Physical, psychological, and social sequelae following hematopoietic stem cell transplantation: A review of the literature. Psychooncology, 18, 113–127.PubMedCentralPubMedCrossRef

Myers, S., Manne, S. L., Kissane, D. W., Ozga, M., Kashy, D. A., Rubin, S., … Graff, J. J. (2013). Social-cognitive processes associated with fear of recurrence among women newly diagnosed with gynecological cancers. Gynecologic Oncology, 128(1), 120–127.

Nelson, A. E., Gleaves, L., & Nuss, S. (2003). Mothers’ responses during the child’s stem cell transplantation: Pilot study. Pediatric Nursing, 29(3), 219–223.PubMed

Nelson, A. E., Miles, M. S., & Belyea, M. J. (1997). Coping and support effects on mothers’ stress responses to their child’s hematopoietic stem cell transplantation. Journal of Pediatric Oncology Nursing, 14(4), 202–212.PubMed

Phipps, S., Dunavant, M., Lensing, S., & Rai, S. N. (2004). Patterns of distress in parents of children undergoing stem cell or bone marrow transplantation. Pediatric Blood & Cancer, 43(3), 267–274.CrossRef

Phipps, S., Dunavant, M., Lensing, S., & Rai, S. N. (2005). Psychosocial predictors of distress in parents of children undergoing stem or bone marrow transplantation. Journal of Pediatric Psychology, 30(2), 139–153.PubMedCrossRef

Phipps, S., & Mulhern, R. K. (1995). Family cohesion and expressiveness promote resilience to the stress of pediatric bone marrow transplant: A preliminary report. Journal of Developmental and Behavioral Pediatric, 16(4), 257–263.

Pistrang, N., & Barker, C. (1995). The partner relationship in psychological response to breast cancer. Social Science and Medicine, 40(6), 789–797.

Porter, L. S., Keefe, F. J., Hurwitz, H., & Faber, M. (2005). Disclosure between patients with gastrointestinal cancer and their spouses. Psychooncology, 14, 1030–1042.PubMedCrossRef

Porter, L. S., Keefe, F. J., Wellington, C., & de Williams, A. (2008). Pain communication in the context of osteoarthritis: Patient and partner self-efficacy for pain communication and holding back from discussion of pain and arthritis-related concerns. Clinical Journal of Pain, 24(8), 662–668.PubMedCrossRef

Preacher, K. J., & Hayes, A. H. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36(4), 717–731.PubMedCrossRef

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavioral Research Methods, 40(3), 879–891.CrossRef

Rini, C., Manne, S., DuHamel, K. N., Austin, J., Ostroff, J., Boulad, F., … Redd, W. H. (2008). Social support from family and friends as a buffer of low spousal support among mothers of critically ill children: A multilevel modeling approach. Health Psychology, 27(5), 593–603.

Santavirta, N., Kettunen, S., & Solovieva, S. (2001). Coping in spouses of patients with acute myocardial infarction in the early phase of recovery. Journal of Cardiovascular Nursing, 16(1), 34–46.PubMedCrossRef

Titman, P., Pink, E., Skucek, E., O’Hanlon, K., Cole, T. J., Gaspar, J., … Gaspar, H. B. (2008). Cognitive and behavioral abnormalities in children after hematopoietic stem cell transplantation for severe congenital immunodeficiencies. Blood, 112(9), 3907–3913.

Wong, M. G., & Heriot, S. A. (2008). Parents of children with cystic fibrosis: How they hope, cope, and despair. Child: Care, Health, and Development, 34, 344–354.

Zhou, E. S., Penedo, F. J., Bustillo, N. E., Benedict, C., Rasheed, M., Lechner, S., … Antoni, M. H. (2010). Longitudinal effects of social support and adaptive coping on the emotional well-being of survivors of localized prostate cancer. The Journal of Supportive Oncology, 8(5), 196–201.

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
Authors: Shannon Myers Virtue
Sharon Manne
Laura Mee
Abraham Bartell
Stephen Sands
Pamela Ohman-Strickland
Tina Marie Gajda
Publication date: 01-09-2014
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 3/2014
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-014-9403-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2014

Shared Decision-Making Among Caregivers and Health Care Providers of Youth with Type 1 Diabetes

Risk and Resistance Factors Associated with Paternal Adjustment to Obstetrical Brachial Plexus Injuries

Roles of Perceived Provider Cultural Sensitivity and Health Care Justice in African American/Black Patients’ Satisfaction with Provider

Clinical Considerations for Working with Patients with Advanced Cancer

Illness and Treatment Perceptions of Patients with Chronic Low Back Pain: Characteristics and Relation to Individual, Disease and Interaction Variables

Caregiving for Patients in Vegetative and Minimally Conscious States: Perceived Burden as a Mediator in Caregivers’ Expression of Needs and Symptoms of Depression and Anxiety