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Journal of Pediatric Psychology Advance Access published online on August 10, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj055
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received July 5, 2004
Accepted December 16, 2004

Articles

Risk of Posttraumatic Stress Symptoms: A Comparison of Child Survivors of Pediatric Cancer and Parental Bereavement

Laura A. Stoppelbein PhD1*, Leilani Greening PhD2, and T. David Elkin PhD1

1 Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center
2 Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center, and Department of Psychology, University of Alabama

* To whom correspondence should be addressed.
Laura A. Stoppelbein, E-mail: lstoppelbein{at}psychiatry.umsmed.edu


  Abstract

Objective To compare the risk of posttraumatic stress (PTS) symptoms and the mediating effect of perceived future threat on the risk of PTS symptoms among survivors of pediatric cancer and children who had a parent die. Methods Seventy-eight children (39 survivors of cancer, 39 bereaved) completed self-report measures of PTS symptoms, depression, anxiety, and perceived risk of future threat for the event they experienced. Results The children who lost a parent reported significantly more PTS symptoms than the survivors of cancer. The effect of group status (survivor of cancer vs. bereaved) on PTS symptomatology was partly mediated by the children’s perceived risk of future threat. Conclusions The rate of PTS symptoms was found to be higher among children who had lost a parent than among survivors of pediatric cancer. This difference may partly be explained by their perceived risk of a future threat. Clinical implications are discussed.

Keywords: bereaved; cancer; pediatric; posttraumatic stress; PTSD.
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