Child symptoms, parent behaviors, and family strain in long‐term survivors of childhood acute lymphoblastic leukemia

Huang, I‐Chan; Brinkman, Tara M.; Mullins, Larry L.; Pui, Ching‐Hon; Robison, Leslie L.; Hudson, Melissa M.; Krull, Kevin R.

doi:10.1002/pon.4769

Cited by 34 publications

(38 citation statements)

References 41 publications

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“…Parents whose child aged from just-born to 18 years old was diagnosed with epilepsy in accordance with the International League Against Epilepsy criteria ( 14 ) were enrolled via convenience sampling at the Department of Pediatrics or Neurology in this study. Children with epilepsy and other chronic diseases (i.e., leukemia, congenital heart disease, diabetes), which could affect the attitudes and mental states of parents, were excluded from this study ( 15 – 17 ). Only the primary caregivers (one participant per family) living with the CWE and taking the main responsibility of caring for the child's physical and mental needs were included in this study.…”

Section: Methodsmentioning

confidence: 99%

Attitudes Toward Epilepsy Among Parents of Children With Epilepsy in Southern China

Yang

Chi²,

Zhu

et al. 2021

Front. Neurol.

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Purpose: To evaluate the attitudes toward epilepsy among parents of children with epilepsy (CWE) in China and identify some related factors for future interventions for parents to offer more social support for CWE.Method: The Chinese Public Attitudes Toward Epilepsy (CPATE) scale was administered to 234 parents of CWE and 203 parents of normal children in Xiangya hospital during 2019–2020.Results: The cumulative score of the parents of CWE (26.427 ± 6.688) was significantly lower than that of the normal children group (32.330 ± 7.234, p < 0.001). Subanalysis showed more positive attitudes among parents of CWE than the control group (p < 0.001) toward education (4.765 ± 1.985 vs. 6.621 ± 2.419), social life (6.556 ± 2.456 vs. 8.010 ± 2.683), marriage (9.586 ± 2.675 vs. 11.025 ± 2.900), and employment (3.876 ± 1.364 vs. 4.5123 ± 1.283). The attitudes toward epilepsy among parents of CWE with seizures in public (27.16 ± 6.66) or during sleep (27.10 ± 6.38) were more negative than those without (25.35 ± 6.62 and 25.08 ± 7.10, respectively) (p < 0.05). In addition, female and low income were negatively related to parents' attitudes toward epilepsy.Conclusions: More active policy guidance and adequate social support should be given to parents of children with seizures in public or during sleep to instruct their children to form a positive perception about epilepsy, which is expected to have a positive impact on their social abilities in the future.

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Section: Methodsmentioning

confidence: 99%

Attitudes Toward Epilepsy Among Parents of Children With Epilepsy in Southern China

Yang

Chi²,

Zhu

et al. 2021

Front. Neurol.

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“…Dukungan keluarga juga memberikan pengaruh yang signifikan terhadap rasa cemas. Ketika orang tua merasakan kecemasan mengenai anak, hal tersebut secara tidak langsung memengaruhi pola asuh anak sehingga menyebabkan penurunan dukungan emosional terhadap anak (Huang, et al, 2018). Dukungan sosial dapat mengurangi cemas yang dialami pada anak karena anak merasa mendapat perlindungan (Putranti & Susilaningsih, 2016).…”

Section: Pembahasanunclassified

Gambaran Tingkat Kecemasan Pada Anak Kanker Sebelum Menjalani Kemoterapi Di Rumah Singgah Yayasan Peduli Kanker Anak Bali

Putri¹,

Kadek²,

Juniartha³

2020

COPING

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Kanker adalah kumpulan sel yang tidak normal, tumbuh secara progresif, tidak dapat berfungsi secara fisiologis yang dapat mengancam kesehatan individu pada berbagai usia dimulai dari anak-anak hingga lansia. Kemoterapi merupakan metode yang efektif dalam mengatasi penyakit kanker pada anak, namun dapat menimbulkan kecemasan. Kecemasan yang timbul terutama pada anak menyebabkan anak tidak mau untuk kembali berobat dan menjalani kemoterapi di rumah sakit. Penelitian ini bertujuan untuk mengetahui gambarane tingkati kecemasani padaianakl kanker sebelum menjalani kemoterapi di Rumah Singgah Yayasani Peduli Kanker Anak Bali. Jenis penelitian ini yaitu deskriptif dengan teknik consecutive sampling. Penelitian ini menggunakan sampel sebanyak 30 anak. Hasil penelitian didapatkan sebesar 76,7% anak mengalami tingkat kecemasan yang berat, 13,3% anak memiliki kecemasan sedang, dan 10,0% anak mengalami kecemasan ringan. Rekomendasi dalam penelitian ini, diharapkan orang tua selalu memberikan dukungan yang penuh untuk meminimalisir tingkat kecemasan yang dirasakan oleh anak.

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“…Finally, parents of survivors may also benefit from pain management interventions for themselves which may, in turn, improve survivors’ outcomes. This family systems approach to understanding late effects in SCCs has been well documented in the pediatric oncology literature [ 36 , 37 , 38 ].…”

Section: Implications For Pain Managementmentioning

confidence: 99%

The Intergenerational Transmission of Chronic Pain from Parents to Survivors of Childhood Cancer

et al. 2020

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Background: Among youth with chronic non-cancer pain, 50% have parents with chronic pain. These youth report significantly more pain interference and posttraumatic stress symptoms (PTSS), and worse health-related quality of life (HRQL) than youth whose parents do not have chronic pain. Additionally, parent chronic pain is linked to increased child anxiety and depressive symptoms. Survivors of childhood cancer (SCCs) are at risk of pain and negative psychosocial outcomes and therefore may be especially vulnerable if their parents have chronic pain. Thus, the aims of the current study were to (1) identify rates of chronic pain among parents of SCCs, (2) test group differences in psychological symptoms in parents with chronic pain versus without, and (3) test group differences in pain interference, HRQL, anxiety, depression, and PTSS in SCCs with parents with chronic pain versus without. Methods: 122 SCCs (Mean age = 15.8, SD = 4.8, 45.7% male, Mean age at diagnosis = 5.9, SD = 4.7) and their parents were recruited from across Canada to complete online questionnaires. Parents were asked if they have had pain for at least three consecutive months and completed the brief symptom inventory (BSI) as a measure of psychological symptomatology. Survivors completed the pain questionnaire, patient reported outcomes measurement information system (PROMIS)—pain interference, anxiety, and depression measures, child posttraumatic stress scale, posttraumatic stress disorder checklist for the Diagnostic and Statistical Manual of Mental Disorders, and the pediatric quality of life inventory. Results: Forty-three (39%) parents of SCCs reported having chronic pain. Of the 29 survivors who had chronic pain, 14 (48%) also had parents with chronic pain. Parents with chronic pain reported significantly higher scores on the BSI than parents without chronic pain, F(1, 116) = 5.07, p = 0.026. SCCs with parents with versus without chronic pain reported significantly higher PTSS F(1, 105) = 10.53, p = 0.002 and depressive symptoms F(1, 102) = 6.68, p = 0.011. No significant differences were found across the other variables tested. Conclusions: Findings suggest that survivors’ parents’ own pain is prevalent and is related to survivors’ increased depressive symptoms and PTSS, but not anxiety, pain interference, or HRQL. Future research should explore whether parents may benefit from psychological intervention after their child has been diagnosed with cancer and how this could improve outcomes for their child.

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Child symptoms, parent behaviors, and family strain in long‐term survivors of childhood acute lymphoblastic leukemia

Abstract: Family and parental factors contributed to health outcomes of childhood acute lymphoblastic leukemia survivors. Interventions to enhance family cohesion, decrease parental distress and overprotection, and ameliorate child symptoms may improve family functioning.

Cited by 34 publications

References 41 publications

Attitudes Toward Epilepsy Among Parents of Children With Epilepsy in Southern China

Attitudes Toward Epilepsy Among Parents of Children With Epilepsy in Southern China

Gambaran Tingkat Kecemasan Pada Anak Kanker Sebelum Menjalani Kemoterapi Di Rumah Singgah Yayasan Peduli Kanker Anak Bali

The Intergenerational Transmission of Chronic Pain from Parents to Survivors of Childhood Cancer

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