Abstract
ObjectiveTo explore the influence factors of behavior problems of 8~18 years old children with malignant tumors in the treatment period, as well as the mediating effects of social support self-efficacy and post-traumatic growth.MethodsFrom May 2019 to October 2019, 160 children with malignant tumors during the treatment were selected through convenience sampling method, and were investigated via the General Self-Efficacy Scale, Social Support Questionnaire, Post-Traumatic Growth Scale and Conners’ Parent Symptom Questionnaire. Structural equation model was established on the basis of survey results.ResultsThe total detection rate of behavior problems in 8~18 years old children with malignant tumors was 10.6%. The structural equation models indicated that boys had more behavior problems than girls, self-efficacy, social support and post-traumatic growth can directly affect the behavior problems of 8~18 years old children with malignant tumors in the treatment period, and the standardized total effect of self-efficacy in both of the first model and the second model was the largest. Self-efficacy is also able to indirectly and negatively predict the behavior problems based on social support or post-traumatic growth. Social support can directly affect behavior problems or indirectly predict behavior problems through self-efficacy and post-traumatic growth. After 2000 bootstrap tests, the mediating effects of social support self-efficacy and post-traumatic growth were confirmed.ConclusionReduced total detection rate of behavior problems suggests that targeted interventions in recent years may be effective. Interventions focused on improving self-efficacy, social support and post-traumatic growth may lessen behavior problems of children with malignant tumors in the treatment period.
Highlights
As the most common problem in children’s mental health, child behavior problem refers to the abnormal psychological behavior that the severity and duration exceed the normal range allowed by the corresponding age, such as attacks, violation of discipline, social withdrawal and so on [1]
The structural equation models indicated that boys had more behavior problems than girls, self-efficacy, social support and post-traumatic growth can directly affect the behavior problems of 8~18 years old children with malignant tumors in the treatment period, and the standardized total effect of self-efficacy in both of the first model and the second model was the largest
Interventions focused on improving self-efficacy, social support and post-traumatic growth may lessen behavior problems of children with malignant tumors in the treatment period
Summary
As the most common problem in children’s mental health, child behavior problem refers to the abnormal psychological behavior that the severity and duration exceed the normal range allowed by the corresponding age, such as attacks, violation of discipline, social withdrawal and so on [1]. Self-efficacy is an individual’s speculation and judgment on whether he or she has the ability to complete a certain behavior, which can reflect an individual’s belief in taking appropriate actions to face environmental challenges [5]. We can assume that individuals with low self-efficacy have no confidence in success when facing setbacks and challenges, meaning they may have some behavior problems such as withdrawal and discouragement. Self-efficacy, as an important internal factor, may be one of the influencing factors of behavior problems of children with malignant tumors
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