Child-rearing in the context of childhood cancer: Perspectives of parents and professionals

Long, Kristin A.; Keeley, Lauren M.; Reiter‐Purtill, Jennifer; Vannatta, Kathryn; Gerhardt, Cynthia A.; Noll, Robert B.

doi:10.1002/pbc.24556

Cited by 20 publications

(20 citation statements)

References 51 publications

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“…Parental coping can also contribute to this disagreement. Parents of pediatric cancer patients are known to be more concerned about their child's health and social adjustment . This could lead to an overreporting of problems.…”

Section: Discussionmentioning

confidence: 99%

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High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

Steur

Grootenhuis

Someren

et al. 2020

Pediatric Blood & Cancer

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Objective To assess sleep problems (prevalence and predictors) in pediatric patients with acute lymphoblastic leukemia (ALL) after the most intensive phase of therapy (induction). Methods Patients (≥2 years) treated according to the Dutch ALL‐11 protocol were included. Sleep was measured using parent‐reports and self‐reports (Children's Sleep Habits Questionnaire; CSHQ) and actigraphy. Parental sleep (Medical Outcome Study Sleep Scale) and distress and parenting problems (Distress Thermometer for Parents) were assessed with questionnaires. Z‐scores were calculated for total CSHQ scores using age‐appropriate scores of healthy Dutch children. The prevalence of sleep problems (defined as a Z‐score > 1) in patients with ALL was compared to healthy children (chi‐square tests). Actigraphic sleep estimates were collected in healthy Dutch children (n = 86, 2‐18 years) for comparison with patients (linear regression). Determinants of parent‐reported child sleep (total CSHQ Z‐score) were identified with regression models. Results Responses were collected for 124 patients (response rate 67%), comprising 123 parent‐reports, 34 self‐reports, and 69 actigraphy assessments. Parents reported sleep problems in 38.0% of the patients compared to 15.2% in healthy children (P < .001). Patients reported fewer sleep problems themselves: 12.1% compared to 15.8% in healthy children (P = .33). Total time in bed (B (95% CI): 22.89 (9.55‐36.22)) and total sleep time (B (95% CI):16.30 (1.40‐31.19)), as derived from actigraphy, were significantly longer in patients. More parent‐reported child sleep problems were predicted by parenting problems, more parental sleep problems, bedroom sharing, and child's sleep medication use (explained variance: 27.4%). Conclusions Systematic monitoring of child and parental sleep and implementation of effective interventions may be a gateway to improve quality of survival in pediatric ALL.

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Section: Discussionmentioning

confidence: 99%

“…Many parents report elevated levels of distress shortly after diagnosis and during treatment . Furthermore, altered parenting strategies have been described …”

Section: Introductionmentioning

confidence: 99%

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

Steur

Grootenhuis

Someren

et al. 2020

Pediatric Blood & Cancer

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“…There are a variety of factors that were not evaluated in this review, such as the influence of health status and lifestyle (metabolic syndromes, chronic conditions, nutritional status, symptoms management, physical activity and psychological well-being)(Badr et al,2013; Brinkman et al,2013; Hartman et al,2013; Huang et al,2013; Tonorezos et al,2013), environmental factors (coping strategies, education and psychological status of family members)(Norberg and Boman,2008; Trask et al,2009; Tremolada et al,2013; Long et al,2014; Williams et al,2014; Williams and McCarthy,2014 ) and the interaction between chemotherapy and other supportive care drugs that may exert additive neurotoxic effects (antibiotics, antifungals and neuropsychiatric drugs)(Haidar and Jeha,2011; van Schie et al,2011; Barrett et al,2013; Ruggiero et al,2013). A multidisciplinary approach is needed to ascertain the impact of contemporary ALL treatments on these adverse outcomes.…”

Section: Discussionmentioning

confidence: 99%

Neurocognitive outcomes in long-term survivors of childhood acute lymphoblastic leukemia treated on contemporary treatment protocols: A systematic review

Cheung

Krull

2015

Neuroscience & Biobehavioral Reviews

144

145

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The intensified administration of chemotherapeutic drugs has gradually replaced cranial radiation therapy (CRT) for the treatment of childhood acute lymphoblastic leukemia (ALL). While CRT is often implicated in neurocognitive impairment in ALL survivors, there is a paucity of literature that evaluates the persistence of neurocognitive deficits in long-term survivors of pediatric ALL who were treated with contemporary chemotherapy-only protocols. Results from this systematic review concurred to the probable cognitive-sparing effect of chemotherapy-based protocols over CRT in long-term survivors. However, coupled with multiple intrinsic and extrinsic factors, survivors who received chemotherapy treatment still suffered from apparent cognitive impairment, particularly in the attention and executive function domains. Notably, there is evidence to suggest that the late neurotoxic effect of methotrexate on survivors’ neurocognitive performance may be dose-related. This review also recommends future pharmacokinetic, neuroimaging and genetic studies to illuminate the multifactorial nature of this subject matter and discusses the potential value of neurochemical, physiological, inflammatory and genetic markers for the prediction of susceptibility to neurocognitive impairment in long-term survivors of childhood ALL.

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“…In particular, parents who have children with chronic diseases can feel conflicted about being indulgent towards them. People who have children with juvenile rheumatoid arthritis [2] and those who have children with cancer [3,4] are commonly concerned that they may be overprotective or their children may become ill-disciplined because of the prioritization of treating symptoms. In addition, parents who have children with chronic diseases generally search for appropriate ways to raise them according to their disease symptoms, and encounter difficulties in being consistent about child raising due to these symptoms [5].…”

mentioning

confidence: 99%

Nurses' Awareness of and care for Mothers' Intentional Indulgence

Yoshitsugu¹,

Sobue²

2016

Int J Nurs Clin Pract

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Background: To clarify nurses' awareness of and care for the indulgence and intentional indulgence of mothers who have children hospitalized with chronic diseases. Method: Between September and November 2014, semi-structured interviews were conducted with nurses who provided written consented. Verbatim transcripts of the audiotaped interviews were made. These transcripts were then encoded, and divided into subcategories and categories. Results: The data obtained from the interviews were divided into 33 labels, 17 subcategories, 8 categories, and 4 core categories. Nurses regarded indulgence as prioritization of mothers' needs, and intervened for them in consideration of such indulgence's long-term adverse influence on their children. In addition, nurses considered that intentional indulgence shown by mothers had rational reasons, did not have a long-term adverse influence on children, was benefits for children, and was benefits for mothers, and only watched them closely. The conflicted feelings of nurses regarding intentional indulgence were caused by their professional ideas and prejudice about indulgence. To cope with such feelings, nurses aimed to provide care which did not require intentional indulgence, appropriately assessed pediatric patients, and gave their mothers care-related guidance. Conclusion: When investigating nurses' awareness of and care for mothers' indulgence and intentional indulgence, the long-term influence of these types of indulgence on children's development was an important factor. The results of the present study suggest the need to conduct studies investigating the long-term influence of mothers' intentional indulgence on their children's development. Research ArticleOpen Access BackgroundIn general, children's emotional dependence on their mothers is important for developing the mother-child relationship, and an essential factor for these children's health and mentality [1]. However, mothers' indulgence towards their children may promote their self-indulgence and regression, and hinder their development. In particular, parents who have children with chronic diseases can feel conflicted about being indulgent towards them. People who have children with juvenile rheumatoid arthritis [2] and those who have children with cancer [3,4] are commonly concerned that they may be overprotective or their children may become ill-disciplined because of the prioritization of treating symptoms. In addition, parents who have children with chronic diseases generally search for appropriate ways to raise them according to their disease symptoms, and encounter difficulties in being consistent about child raising due to these symptoms [5]. Thus, these parents' indulgence towards their children is a significant issue.On the other hand, Yukimatsu investigated mothers who had children with chronic diseases, and identified these mothers' consistent awareness of and responses to their children's emotional dependence. Because mothers need to raise their children in consideration of limitations from whi...

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Child-rearing in the context of childhood cancer: Perspectives of parents and professionals

Abstract: Parents of children with cancer report differences in some, but not all, domains of child-rearing, as predicted by healthcare professionals.

Cited by 20 publications

References 51 publications

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

Neurocognitive outcomes in long-term survivors of childhood acute lymphoblastic leukemia treated on contemporary treatment protocols: A systematic review

Nurses' Awareness of and care for Mothers' Intentional Indulgence

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