Emotional regulation and adjustment to childhood cancer: role of the biological, psychological and social regulators on pediatric oncology adjustment

Children with cancer should deal with difficult situations such as undergoing multimodal treatment. Emotion Regulation Mechanisms [ERM] could be more effective for childhood cancer adaptation. The main purpose of this study was examination a number of the biological, psychological and social emotion regulators on adjustment to pediatric oncology. In this study, 98 children [39 girls and 59 boys] have participated that diagnosed as Acute Lymphoblastic Leukemia [ALL] cases along with their mothers. The participants were between 8 to 12 years old. Salivary cortisol, cognitive emotion regulation, children's level of inhibition, maternal positivity and Beck Depression Inventory have been applied for evaluation of Emotion Regulation [ER] while Cancer-Specific Stress and Coping, Connor-Davidson Resilience Scale, anxiety-depression scales and vitality test have all used for assessing the Emotional Adjustment [EA]. Using the canonical correlation has been showing significant relation between predictors of ER and EA. Cortisol level and mother's depression have played the most important role in above correlation. Variation of cortisol level has identified by its various effects on the mother's behavioral system depression, cognitive strategies and emotional inhibition; would determine the rate of coping with cancer, resiliency and vitality

[Predictive role of self-efficacy, belief of treatment effectiveness and social support in diabetes mellitus self-management]

The aim of this research was to study the predictive role of self-efficacy, belief of treatment effectiveness, social support and doctor-patient relationship on diabetes Mellitus self-management. 500 type II diabetes outpatients [245 men and 255 women] presenting to Shariati Hospital in Tehran were selected by convenience sampling. The subjects completed the scales related to diabetic self-care, self-efficacy, belief of treatment effectiveness, social support and doctor-patient relationship. Data were analyzed using Pearson correlation coefficient and multiple regression analysis. There was a significant and positive relationship between self-efficacy, belief of treatment effectiveness, doctor-patient relationship, social support and diabetes self-management [p<0.001]. Self-efficacy, belief of treatment effectiveness and social support were capable of predicting diabetes self-management variance significantly [F=1.326, df=3 and 310, p<0.001] and explain 89% of diabetes self-management. Belief of treatment effectiveness, social support and especially, self-efficacy, are important self-management activities in diabetes Mellitus. Therefore, provision of improvement and enrichment programs for self-efficacy, are helpful for the improvement of self-care behaviors and the reduction of diabetes Mellitus associated harm