THE MEDIATING ROLE OF RESILIENCE IN THE RELATIONSHIP BETWEEN STRESS AND PSYCHOLOGICAL DISTRESS AMONG PARENTS OF CHILDREN WITH CANCER

Yuanhui Luo; Tianji Zhou; Zhenyu Meng; Wenjin Xiong; Jingping Zhang

Abstract

Background and Aims: Parents usually report psychological distress in the face of children's cancer diagnosis. Perceived stress has been found highly correlated with the parental psychological distress, while whether resilience could play an indirect effect to stress on the parental psychological distress is unknown. This study aims to explore the mediating role of resilience in the relationship between stress and psychological distress among parents of children with cancer.

Methods: A cross-sectional study was conducted in three tertiary hospitals in mainland China, from August 2018 to November 2019. The parents of children (0–19 years old) with cancer were invited to participate in the study. The Perceived Stress Scale (PSS) was used to assess parental stress. Resilience was assessed by the Connor-Davidson Resilience Scale (CD-RISC). The psychological distress, including depressive symptoms and anxiety, were assessed by Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), respectively. Hierarchical linear regression analyses were conducted to explore the direct effects of stress and resilience on parental psychological distress. The indirect effects of mediation were analysed by structural equation models.

Results: A total of 258 parents were recruited in this study. The parents were mostly female (65.9%) and married (95.0%), with a mean age of 33.8 years (SD = 5.5 years). The results indicated that resilience was a significant predictor of psychological distress (depressive symptoms: β = -0.24, P < 0.001; anxiety: β = -0.16, P < 0.001), after controlling for stress. For the relationship between stress and depressive symptoms, the mediating effect of resilience accounted for 23.4% of the total effect; for the relationship between stress and anxiety, the mediating effect ratio was 11.4%.

Conclusions: Resilience could be a direct and indirect protective factor for parental psychological distress caused by perceived stress. Interventions to enhance resilience are encouraged to be developed and implemented for parents of children with cancer.

Original language	English
Pages	S57-S58
Publication status	Presented - 13 Oct 2023
Externally published	Yes
Event	55th Congress of the Société Internationale d'Oncologie Pédiatrique (International Society of Paediatric Oncology)(SIOP 2023) - Ottawa, Canada Duration: 11 Oct 2023 → 14 Oct 2023 Conference number: 55 https://2023.siop-congress.org

Conference

Conference	55th Congress of the Société Internationale d'Oncologie Pédiatrique (International Society of Paediatric Oncology)(SIOP 2023)
Abbreviated title	SIOP
Place	Canada
City	Ottawa
Period	11/10/23 → 14/10/23
Internet address	https://2023.siop-congress.org

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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Cite this

Luo, Y., Zhou, T., Meng, Z., Xiong, W., & Zhang, J. (2023). THE MEDIATING ROLE OF RESILIENCE IN THE RELATIONSHIP BETWEEN STRESS AND PSYCHOLOGICAL DISTRESS AMONG PARENTS OF CHILDREN WITH CANCER. S57-S58. Abstract from 55th Congress of the Société Internationale d'Oncologie Pédiatrique (International Society of Paediatric Oncology)(SIOP 2023), Ottawa, Ontario, Canada.

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title = "THE MEDIATING ROLE OF RESILIENCE IN THE RELATIONSHIP BETWEEN STRESS AND PSYCHOLOGICAL DISTRESS AMONG PARENTS OF CHILDREN WITH CANCER",

abstract = "Background and Aims: Parents usually report psychological distress in the face of children's cancer diagnosis. Perceived stress has been found highly correlated with the parental psychological distress, while whether resilience could play an indirect effect to stress on the parental psychological distress is unknown. This study aims to explore the mediating role of resilience in the relationship between stress and psychological distress among parents of children with cancer. Methods: A cross-sectional study was conducted in three tertiary hospitals in mainland China, from August 2018 to November 2019. The parents of children (0–19 years old) with cancer were invited to participate in the study. The Perceived Stress Scale (PSS) was used to assess parental stress. Resilience was assessed by the Connor-Davidson Resilience Scale (CD-RISC). The psychological distress, including depressive symptoms and anxiety, were assessed by Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), respectively. Hierarchical linear regression analyses were conducted to explore the direct effects of stress and resilience on parental psychological distress. The indirect effects of mediation were analysed by structural equation models. Results: A total of 258 parents were recruited in this study. The parents were mostly female (65.9\%) and married (95.0\%), with a mean age of 33.8 years (SD = 5.5 years). The results indicated that resilience was a significant predictor of psychological distress (depressive symptoms: β = -0.24, P < 0.001; anxiety: β = -0.16, P < 0.001), after controlling for stress. For the relationship between stress and depressive symptoms, the mediating effect of resilience accounted for 23.4\% of the total effect; for the relationship between stress and anxiety, the mediating effect ratio was 11.4\%. Conclusions: Resilience could be a direct and indirect protective factor for parental psychological distress caused by perceived stress. Interventions to enhance resilience are encouraged to be developed and implemented for parents of children with cancer.",

author = "Yuanhui Luo and Tianji Zhou and Zhenyu Meng and Wenjin Xiong and Jingping Zhang",

year = "2023",

month = oct,

day = "13",

language = "English",

pages = "S57--S58",

note = "55th Congress of the Soci{\'e}t{\'e} Internationale d'Oncologie P{\'e}diatrique (International Society of Paediatric Oncology)(SIOP 2023), SIOP ; Conference date: 11-10-2023 Through 14-10-2023",

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THE MEDIATING ROLE OF RESILIENCE IN THE RELATIONSHIP BETWEEN STRESS AND PSYCHOLOGICAL DISTRESS AMONG PARENTS OF CHILDREN WITH CANCER. / Luo, Yuanhui; Zhou, Tianji; Meng, Zhenyu et al.
2023. S57-S58 Abstract from 55th Congress of the Société Internationale d'Oncologie Pédiatrique (International Society of Paediatric Oncology)(SIOP 2023), Ottawa, Ontario, Canada.

Research output: Conference Papers › Abstract › peer-review

TY - CONF

T1 - THE MEDIATING ROLE OF RESILIENCE IN THE RELATIONSHIP BETWEEN STRESS AND PSYCHOLOGICAL DISTRESS AMONG PARENTS OF CHILDREN WITH CANCER

AU - Luo, Yuanhui

AU - Zhou, Tianji

AU - Meng, Zhenyu

AU - Xiong, Wenjin

AU - Zhang, Jingping

N1 - Conference code: 55

PY - 2023/10/13

Y1 - 2023/10/13

N2 - Background and Aims: Parents usually report psychological distress in the face of children's cancer diagnosis. Perceived stress has been found highly correlated with the parental psychological distress, while whether resilience could play an indirect effect to stress on the parental psychological distress is unknown. This study aims to explore the mediating role of resilience in the relationship between stress and psychological distress among parents of children with cancer. Methods: A cross-sectional study was conducted in three tertiary hospitals in mainland China, from August 2018 to November 2019. The parents of children (0–19 years old) with cancer were invited to participate in the study. The Perceived Stress Scale (PSS) was used to assess parental stress. Resilience was assessed by the Connor-Davidson Resilience Scale (CD-RISC). The psychological distress, including depressive symptoms and anxiety, were assessed by Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), respectively. Hierarchical linear regression analyses were conducted to explore the direct effects of stress and resilience on parental psychological distress. The indirect effects of mediation were analysed by structural equation models. Results: A total of 258 parents were recruited in this study. The parents were mostly female (65.9%) and married (95.0%), with a mean age of 33.8 years (SD = 5.5 years). The results indicated that resilience was a significant predictor of psychological distress (depressive symptoms: β = -0.24, P < 0.001; anxiety: β = -0.16, P < 0.001), after controlling for stress. For the relationship between stress and depressive symptoms, the mediating effect of resilience accounted for 23.4% of the total effect; for the relationship between stress and anxiety, the mediating effect ratio was 11.4%. Conclusions: Resilience could be a direct and indirect protective factor for parental psychological distress caused by perceived stress. Interventions to enhance resilience are encouraged to be developed and implemented for parents of children with cancer.

AB - Background and Aims: Parents usually report psychological distress in the face of children's cancer diagnosis. Perceived stress has been found highly correlated with the parental psychological distress, while whether resilience could play an indirect effect to stress on the parental psychological distress is unknown. This study aims to explore the mediating role of resilience in the relationship between stress and psychological distress among parents of children with cancer. Methods: A cross-sectional study was conducted in three tertiary hospitals in mainland China, from August 2018 to November 2019. The parents of children (0–19 years old) with cancer were invited to participate in the study. The Perceived Stress Scale (PSS) was used to assess parental stress. Resilience was assessed by the Connor-Davidson Resilience Scale (CD-RISC). The psychological distress, including depressive symptoms and anxiety, were assessed by Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), respectively. Hierarchical linear regression analyses were conducted to explore the direct effects of stress and resilience on parental psychological distress. The indirect effects of mediation were analysed by structural equation models. Results: A total of 258 parents were recruited in this study. The parents were mostly female (65.9%) and married (95.0%), with a mean age of 33.8 years (SD = 5.5 years). The results indicated that resilience was a significant predictor of psychological distress (depressive symptoms: β = -0.24, P < 0.001; anxiety: β = -0.16, P < 0.001), after controlling for stress. For the relationship between stress and depressive symptoms, the mediating effect of resilience accounted for 23.4% of the total effect; for the relationship between stress and anxiety, the mediating effect ratio was 11.4%. Conclusions: Resilience could be a direct and indirect protective factor for parental psychological distress caused by perceived stress. Interventions to enhance resilience are encouraged to be developed and implemented for parents of children with cancer.

M3 - Abstract

SP - S57-S58

T2 - 55th Congress of the Société Internationale d'Oncologie Pédiatrique (International Society of Paediatric Oncology)(SIOP 2023)

Y2 - 11 October 2023 through 14 October 2023