Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia
Abstract Background Informal caregivers of children with leukemia can be emotionally and psychiatrically vulnerable when facing difficult treatment decisions (e.g., chemotherapy, targeted therapy, radiation, transplantation). A common behavioral manifestation of decisional conflict is the verbalized...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-05084-1 |
| _version_ | 1797451847327285248 |
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| author | Mowen Liu Weizhou Tang Ye Zhang Wenjun Sun Yang Wang |
| author_facet | Mowen Liu Weizhou Tang Ye Zhang Wenjun Sun Yang Wang |
| author_sort | Mowen Liu |
| collection | DOAJ |
| description | Abstract Background Informal caregivers of children with leukemia can be emotionally and psychiatrically vulnerable when facing difficult treatment decisions (e.g., chemotherapy, targeted therapy, radiation, transplantation). A common behavioral manifestation of decisional conflict is the verbalized expression of uncertainty about which medical treatment plan to take. The study aims to examine the associations between decisional conflict, mastery, and depressive symptoms among parental caregivers of children with leukemia in China. It explored the mediating role of mastery in the relationship. Methods A cross-sectional survey design was adopted. A total of 386 parental caregivers were recruited, and 325 valid questionnaires remained. The mean age of caregivers was 37.7 years, and 61.5% caregivers were female. We used Question Format Decisional Conflict Scale to assess decisional conflict, Pearlin’s Mastery Scale to assess mastery, and Center for Epidemiological Studies Depression 10 to assess depressive symptoms. We used mediation analyses to test the mediating effect of mastery. Results The total score of decisional conflict scale, along with its dimensions of uncertainty, support, and effective decision were found negatively associated with depressive symptoms. In contrast, the dimension of information and value were not significantly associated with depressive symptoms. Mediation analyses demonstrated the direct effects of overall decisional conflict and uncertainly were fully mediated by mastery, while the direct effect of support and effective decision were partially mediated. Conclusions Efforts should be made to alleviate parental caregivers’ decisional conflict and enhance sense of mastery. Particular attention should be paid to the psycho-social support to relieve uncertainties and ineffectiveness in decision making. |
| first_indexed | 2024-03-09T15:00:16Z |
| format | Article |
| id | doaj.art-bf096b89a9734f26be133080230319a2 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-09T15:00:16Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-bf096b89a9734f26be133080230319a22023-11-26T13:57:22ZengBMCBMC Psychiatry1471-244X2023-08-0123111010.1186/s12888-023-05084-1Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemiaMowen Liu0Weizhou Tang1Ye Zhang2Wenjun Sun3Yang Wang4Department of Social Work and Social Policy, Renmin University of ChinaCharles R. Drew University of Medicine and Sciencethe High School Affiliated to Renmin University of ChinaTianjin Di Ai Zhi Jia Hard-pressed Families Service CenterDepartment of Social Work and Social Policy, Renmin University of ChinaAbstract Background Informal caregivers of children with leukemia can be emotionally and psychiatrically vulnerable when facing difficult treatment decisions (e.g., chemotherapy, targeted therapy, radiation, transplantation). A common behavioral manifestation of decisional conflict is the verbalized expression of uncertainty about which medical treatment plan to take. The study aims to examine the associations between decisional conflict, mastery, and depressive symptoms among parental caregivers of children with leukemia in China. It explored the mediating role of mastery in the relationship. Methods A cross-sectional survey design was adopted. A total of 386 parental caregivers were recruited, and 325 valid questionnaires remained. The mean age of caregivers was 37.7 years, and 61.5% caregivers were female. We used Question Format Decisional Conflict Scale to assess decisional conflict, Pearlin’s Mastery Scale to assess mastery, and Center for Epidemiological Studies Depression 10 to assess depressive symptoms. We used mediation analyses to test the mediating effect of mastery. Results The total score of decisional conflict scale, along with its dimensions of uncertainty, support, and effective decision were found negatively associated with depressive symptoms. In contrast, the dimension of information and value were not significantly associated with depressive symptoms. Mediation analyses demonstrated the direct effects of overall decisional conflict and uncertainly were fully mediated by mastery, while the direct effect of support and effective decision were partially mediated. Conclusions Efforts should be made to alleviate parental caregivers’ decisional conflict and enhance sense of mastery. Particular attention should be paid to the psycho-social support to relieve uncertainties and ineffectiveness in decision making.https://doi.org/10.1186/s12888-023-05084-1Decisional conflictMasteryDepressive symptomsParental caregivers |
| spellingShingle | Mowen Liu Weizhou Tang Ye Zhang Wenjun Sun Yang Wang Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia BMC Psychiatry Decisional conflict Mastery Depressive symptoms Parental caregivers |
| title | Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia |
| title_full | Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia |
| title_fullStr | Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia |
| title_full_unstemmed | Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia |
| title_short | Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia |
| title_sort | decisional conflict caregiver mastery and depression among chinese parental caregivers of children with leukemia |
| topic | Decisional conflict Mastery Depressive symptoms Parental caregivers |
| url | https://doi.org/10.1186/s12888-023-05084-1 |
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