Abstract
Purpose
The aims of this study were to assess depression and type D personality in parents of children with leukemia in southern China and to investigate the associations between parents’ depression and type D personality, social support, coping style, and demographic characteristics.
Methods
Parents (n = 231) of children with leukemia (study group) and parents (n = 261) of children with acute respiratory/digestive infections (control group) were recruited from five hospitals in southern China. Children’s clinical characteristics and parents’ demographic characteristics, depression, type D personality, coping styles, and social support were collected with self-report questionnaires.
Results
Parents of children with leukemia, especially mothers, reported higher levels of depression accompanied by a higher prevalence of type D personality, more negative coping styles, and less subjective social support, but received more objective social support than controls (P < 0.05). The depression in parents in the study group was positively correlated with type D personality and negative coping style, but negatively correlated with social support and positive coping styles (P < 0.05). Multivariate logistic regression analyses showed that type D personality (OR = 5.64, P < 0.001), lower social support (OR = 2.38, P = 0.020), and less positive coping (OR = 3.32, P = 0.003) were independently associated with depression in parents of children with leukemia. As for demographic characteristics, female, lower education level, unemployed, and paying medical expenses at one’s own expenses were independent predictors of depression in parents of children with leukemia.
Conclusion
Depression and type D personality were remarkably prevalent in parents of children with leukemia in southern China. Type D personality and multiple social factors were associated with depression in parents of children with leukemia.
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Acknowledgments
This work was supported in part by NSFC (91029742, 81170647, and 81370837 to Hui Huang), Fok Ying-Tong Education Foundation for Young Teachers in the Higher Education Institutions of China (132030), Yat-sen Scholarship for Young Scientists, the Science &Technology Star of Zhujiang (Guangzhou), the Natural Science Foundation of Guangdong Province (9151008901000105), and Guangdong Province Key Laboratory of Computational Science at the Sun Yat-sen University to Hui Huang.
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All named authors have no conflicts of interest.
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Jie Chen, Yang Liu, and Qingqing Cai contributed equally to the development of this research study.
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Chen, J., Liu, Y., Cai, Q. et al. Depression in parents of children with leukemia in southern China accompanied by the prevalence of type D personality. Support Care Cancer 22, 1277–1286 (2014). https://doi.org/10.1007/s00520-013-2082-2
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DOI: https://doi.org/10.1007/s00520-013-2082-2