Self-Distancing Buffers High Trait Anxious Pediatric Cancer Caregivers Against Short- and Longer-Term Distress
Open accessAbstract
Pediatric cancer caregivers are typically present at their child’s frequent, invasive treatments, and such treatments elicit substantial distress. Yet variability exists in how even the most anxious caregivers cope. Here we examined one potential source of this variability: caregivers’ tendencies to self-distance when reflecting on their feelings surrounding their child’s treatments. We measured caregivers’ self-distancing and trait anxiety at baseline, anticipatory anxiety during their child’s treatment procedures, and psychological distress and avoidance 3 months later. Self-distancing buffered high (but not low) trait anxious caregivers against short- and long-term distress without promoting avoidance. These findings held when controlling for other buffers, highlighting the unique benefits of self-distancing. These results identify a coping process that buffers vulnerable caregivers against a chronic life stressor while also demonstrating the ecological validity of laboratory research on self-distancing. Future research is needed to explicate causality and the cognitive and physiological processes that mediate these results.
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Cross-sectional studies indicate that the positive association between psychological stressors and distress is lessened as decentering-related abilities increase.
“Second, cross-sectional studies indicate that the positive association between psychological stressors and distress is lessened as decentering-related abilities increase.”
From Decentering as a core component in the psychological treatment and prevention of youth anxiety and depression: a narrative review and insight report (2021) · cites this paper as [66]
The Results section reports that spontaneous self-distancing moderated the association between trait anxiety and distress among pediatric cancer caregivers, supporting the buffering idea. The claim generalizes this finding to psychological stressors and decentering-related abilities broadly, while the paper studies trait anxiety and self-distancing specifically. Its longer-term distress analysis also uses follow-up data, rather than a cross-sectional design. (LLM, conf=0.84)
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- Authors
- Penner, L. A., Guevarra, D. A., Harper, F. W. K., Taub, J., Phipps, S., Albrecht, T. L., & Kross, E.
- Affiliations
- Wayne State University (US)
- University of Michigan (US)
- Children's Hospital of Michigan (US)
- St. Jude Children's Research Hospital (US)
- Corresponding author
- Penner, Louis A.
- ORCID
- Venue
- Clinical Psychological Science
- Publisher
- SAGE Publications
- Published
- 2016-06-23
- Volume
- 4
- Issue
- 4
- Pages
- 629-640
- ISSN
- 2167-7026 (ISSN-L)
- 2167-7034
- PMC
- PMC5014492
- OpenAlex
- W2175952388
- Cited by
- 29
- References
- 69
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 1 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 1
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychological Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA138981)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- self-distancing, trait anxiety, anticipatory anxiety, psychological distress, avoidance, coping, caregiver burden
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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