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Effect of Depression, Anxiety, Stress of Caregivers on Emotional and Behavioral Problems of Children with Cancer: The Buffer Role of Parental Psychological Flexibility
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  • Ziyue Hu,
  • Jinjin Lei,
  • Xiaodi Kan,
  • Huifang Huang,
  • Ruixing Zhang,
  • Lalit Kodzo
Ziyue Hu
Zhengzhou University
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Jinjin Lei
Zhengzhou University
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Xiaodi Kan
Zhengzhou University
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Huifang Huang
Zhengzhou University
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Ruixing Zhang
Zhengzhou University

Corresponding Author:[email protected]

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Lalit Kodzo
Zhengzhou University
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Abstract

Objective: The purpose of this study was to investigate the current status of emotional and behavioral problems in children with cancer and to explore the buffer role of parental psychological flexibility in the effects of anxiety, depression, and pressure on emotional and behavioral problems in children. Method: 138 pairs of Children with cancer and their caregivers were included in the study. Explanatory variables included demography, parental psychological flexibility, depression-anxiety-stress, strengths, and difficulties of children. The effect of parental psychological flexibility on children’s emotional and behavioral problems was explored by simple intermediary analysis. Results: 138 valid questionnaires were collected in the First Affiliated Hospital of Zhengzhou University. The abnormal rate of emotional symptoms was 8.2%, conduct problems was 6.8%, hyperactivity score was 7.7%, peer interaction score 24.2%, total difficulties was 9.2% and pro-social behavior was 9.7%. Intermediary analysis showed that parental psychological flexibility partially mediated the effects of caregivers’ depression, anxiety, and stress on the emotional and behavioral problems of children with cancer (P<0.001). Conclusion: Psychological inflexibility of caregivers of children with cancer have relatively apparent effects on children, including direct direct and indirect effects. And the mechanism needs further investigation.