Psychological distress in parents of children treated for cancer: An explorative study

被引:90
作者
Carlsson, Tommy [1 ,2 ]
Kukkola, Laura [1 ]
Ljungman, Lisa [3 ]
Hoven, Emma [1 ]
von Essen, Louise [1 ]
机构
[1] Uppsala Univ, Dept Womens & Childrens Hlth, Clin Psychol Healthcare, Uppsala, Sweden
[2] Sophiahemmet Univ, Stockholm, Sweden
[3] Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden
基金
芬兰科学院; 瑞典研究理事会;
关键词
QUALITATIVE CONTENT-ANALYSIS; CHILDHOOD-CANCER; POSTTRAUMATIC-STRESS; INFORMATION NEEDS; RATING-SCALE; SURVIVORS; TERM; CARE; COMMUNICATION; GROWTH;
D O I
10.1371/journal.pone.0218860
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective To explore psychological distress experienced by parents who express a need for psychotherapy after curative treatment for their child's cancer. Methods 15 parents (eight mothers and seven fathers) of children treated for cancer (median time since end of curative treatment: two years) were recruited via a pediatric oncology center. Each parent was interviewed twice and data was analyzed with inductive latent qualitative content analysis. Results Two overarching themes emerged. One theme, An unfamiliar and frightening situation during treatment, portrayed experiences during the treatment period, and included the sub-themes Initial reactions to the uncontrollable situation, Adjustment to the situation, and Focus on supporting the child. Another theme, Emotional struggles after end of curative treatment, portrayed experiences following curative treatment, and included the sub-themes Transitioning back to life as it was before the diagnosis, Emotional scars, Uncontrollable fears and worries of diseases, and New perspectives on life. Conclusions Parents of children with cancer experience existential, physical, psychological, and social struggles. They describe an unstable situation after diagnosis and having focused their attention towards protecting their child during treatment. After the end of curative treatment, they experience challenges with transitioning back to life as it was before the diagnosis and dealing with their own emotional scars and fears related to the child's cancer. The findings indicate an unmet need for psychological support among parents of children treated for cancer.
引用
收藏
页数:18
相关论文
共 50 条
[41]   An open trial of individualized face-to-face cognitive behavior therapy for psychological distress in parents of children after end of treatment for childhood cancer including a cognitive behavioral conceptualization [J].
Ljungman, Lisa ;
Cernvall, Martin ;
Ghaderi, Ata ;
Ljungman, Gustaf ;
von Essen, Louise ;
Ljotsson, Brjann .
PEERJ, 2018, 6
[42]   Internet-administered, low-intensity cognitive behavioral therapy for parents of children treated for cancer: A feasibility trial (ENGAGE) [J].
Thiblin, Ella ;
Woodford, Joanne ;
Reuther, Christina ;
Lundgren, Johan ;
Lutvica, Nina ;
von Essen, Louise .
CANCER MEDICINE, 2023, 12 (05) :6225-6243
[43]   Conducting a Randomized Clinical Trial of an Psychological Intervention for Parents/Caregivers of Children with Cancer Shortly after Diagnosis [J].
Stehl, Meredith Lutz ;
Kazak, Anne E. ;
Alderfer, Melissa A. ;
Rodriguez, Alyssa ;
Hwang, Wei-Ting ;
Pai, Ahna L. H. ;
Boeving, Alexandra ;
Reilly, Anne .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 2009, 34 (08) :803-816
[44]   Hospital Contacts for Psychiatric Disorders in Parents of Children With Cancer in Denmark [J].
Mader, Luzius ;
Frederiksen, Line Elmerdahl ;
Bidstrup, Pernille Envold ;
Hargreave, Marie ;
Kjaer, Susanne K. ;
Kuehni, Claudia E. ;
Nielsen, Thomas Tjornelund ;
Kroyer, Anja ;
Winther, Jeanette Falck ;
Erdmann, Friederike .
JNCI CANCER SPECTRUM, 2021, 5 (03)
[45]   Needs Assessment in Parents of Children Affected by Cancer: A Qualitative Perspective [J].
Bretones Nieto, Blanca ;
Pozo Munoz, Carmen ;
Vazquez Lopez, Maria Angeles .
CHILDREN-BASEL, 2022, 9 (12)
[46]   Psychological distress in cancer patients with underage children: gender-specific differences [J].
Ernst, Jochen ;
Goetze, Heide ;
Krauel, Kerstin ;
Romer, Georg ;
Bergelt, Corinna ;
Flechtner, Hans-Henning ;
Herzog, Wolfgang ;
Lehmkuhl, Ulrike ;
Keller, Monika ;
Braehler, Elmar ;
von Klitzing, Kai .
PSYCHO-ONCOLOGY, 2013, 22 (04) :823-828
[47]   Effectiveness of psychological interventions intended to promote adjustment of children with cancer and their parents: an overview [J].
Muglia-Wechsler, Amanda ;
Bragado-Alvarez, Carmen ;
Hernandez-Lloreda, Maria J. .
ANALES DE PSICOLOGIA, 2014, 30 (01) :94-104
[48]   Psychological Interventions for Parents of Children with Cancer: A Systematic Review and Meta-analysis [J].
Bautista, Ana B. ;
Ruiz, Francisco J. ;
Sierra, Marco A. ;
Suarez Falcon, Juan Carlos .
INTERNATIONAL JOURNAL OF PSYCHOLOGY AND PSYCHOLOGICAL THERAPY, 2021, 21 (01) :19-31
[49]   Barriers to care in pediatric cancer: The role of illness uncertainty in relation to parent psychological distress [J].
Perez, Megan N. ;
Traino, Katherine A. ;
Bakula, Dana M. ;
Sharkey, Christina M. ;
Espeleta, Hannah C. ;
Delozier, Alexandria M. ;
Mayes, Sunnye ;
McNall, Rene ;
Chaney, John M. ;
Mullins, Larry L. .
PSYCHO-ONCOLOGY, 2020, 29 (02) :304-310
[50]   Parents' Experiences and Responses to an Intervention for Psychological Preparation of Children and Families During the Child's Radiotherapy [J].
Angstrom-Brannstrom, Charlotte ;
Lindh, Viveca ;
Mullaney, Tara ;
Nilsson, Kristina ;
Wickart-Johansson, Gun ;
Svard, Anna-Maja ;
Nyholm, Tufve ;
Lindh, Jack ;
Engvall, Gunn .
JOURNAL OF PEDIATRIC ONCOLOGY NURSING, 2018, 35 (02) :132-148