Fear of Progression in Parents of Children with Cancer: Results of An Online Expert Survey in Pediatric Oncology

Clever, Katharina; Schepper, Florian; Küpper, Luise; Christiansen, Holger; Martini, Julia

doi:10.1055/a-0586-8921

Cited by 10 publications

(10 citation statements)

References 29 publications

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“…Therefore, coping strategies offer some clinical implication in relation to FoP and a frequent use of helpful coping strategies can enhance the functional aspects of FoP (Dinkel, Henrich, & Herschbach, ). Addressing parents' coping strategies might thus be beneficial to reduce the negative consequences of dysfunctional parental FoP as experienced by healthcare professionals in pediatric oncology settings (Clever, Schepper, Küpper et al, ). Furthermore, our study provided evidence that coping is interpersonal.…”

Section: Discussionmentioning

confidence: 99%

“…Although the manifestation of FoP is not necessarily associated with the objective risk of cancer recurrence, it is associated with illness cognitions, such as subjective risk perception (Koch et al, 2013;Simard et al, 2013). In an expert survey, professionals in pediatric oncology associated several negative consequences with parental FoP, for example, psychosomatic reactions, reduced family functioning, partnership problems, and overprotective behavior that could potentially hinder the child's social and academic reintegration after intensive treatment (Clever, Schepper, K€ upper, Christiansen, & Martini, 2018). Moreover, FoP might contribute to noncompliance or nonadherence to follow-up care recommendations (Best et al, 2001) as well as anxiety and depression in parents (Best et al, 2001;Ljungman et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Individual and Dyadic Coping and Fear of Progression in Mothers and Fathers of Children with Hematologic Cancer

et al. 2019

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This study investigated the association of individual and dyadic coping strategies with fear of progression (FoP) in mothers and fathers of children with hematologic cancer. Parental couples (N = 44) whose children had been diagnosed with hematologic cancer were recruited at a university hospital and a rehabilitation clinic in Germany between 03/2017 and 08/2017. Data included parents' self‐report on FoP (Fear of Progression Questionnaire—parent version, FoP‐Q‐SF/PR), individual coping (Coping Health Inventory for Parents, CHIP‐D), and dyadic coping (Dyadic Coping Inventory, DCI). Statistical analyses were carried out for mothers and fathers individually as well as for parental couples using dyadic data analyses (e.g., actor‐partner interdependence model, APIM). Individual and dyadic coping strategies were significantly correlated with FoP in mothers, but not in fathers. Fathers' evaluation of the couple's dyadic coping significantly predicted mothers' FoP. The more frequent use of familial integration (CHIP‐D FAM) and maintaining social support (CHIP‐D SUP) as well as a better evaluation of their partners' dyadic coping was significantly associated with lower FoP in mothers. Differences in individual and dyadic coping in parental couples were not associated with FoP. Individual and dyadic coping strategies should be addressed in the psychosocial care of mothers and fathers of children with hematologic cancer. Study results support the benefits of involving fathers in psychosocial interventions, for example, in couple‐based interventions that acknowledge interpersonal effects of coping on FoP. Future research should further explore coping strategies applied by fathers of children with hematologic cancer for the regulation of FoP.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Individual and Dyadic Coping and Fear of Progression in Mothers and Fathers of Children with Hematologic Cancer

et al. 2019

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“…Significant gender differences in FoP levels of mothers and fathers could not be found, 12,14 nor was the child's age at diagnosis associated with parental FoP 12 . According to an expert online survey in Germany, health care professionals are frequently confronted with parental FoP in clinical practice 15 . Additionally, a recent interview study identified parental FoP as an impeding factor when reintegrating into daily life after the end of treatment 16 …”

Section: Introductionmentioning

confidence: 99%

“…12 According to an expert online survey in Germany, health care professionals are frequently confronted with parental FoP in clinical practice. 15 Additionally, a recent interview study identified parental FoP as an impeding factor when reintegrating into daily life after the end of treatment. 16 Overall, research on FoP of parents of childhood cancer survivors is still in its infancy.…”

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confidence: 99%

Fear of progression in parents of childhood cancer survivors: A dyadic data analysis

et al. 2020

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Objective: Fear of progression (FoP), also referred to as fear of cancer recurrence, is gaining increasing interest in survivorship research as it constitutes a great burden for patients and relatives. However, only little is known about FoP in parents of childhood cancer survivors. The objective of this study was to investigate the impact of FoP on quality of life (QoL) in parental couples. Methods: We analyzed dyadic data of 197 couples parenting childhood cancer survivors (aged 0-17 years at diagnosis of leukemia or central nervous system tumor) after the end of intensive cancer treatment. The actor-partner interdependence model calculated by structural equation modelling was used to examine actor effects (effect of one's own FoP on one's own QoL) and partner effects (effect of one's own FoP on the partner's QoL). Results: Eighty-one percentage of the parents reported moderate or high FoP levels. Mothers reported higher FoP levels (p < .01) and lower overall QoL levels than fathers (p < .01). The results revealed a significantly positive intra-dyadic correlation between FoP of mothers and fathers of the same dyad (r = .431, p < .001). We found significantly negative actor effects for both mothers and fathers for the overall QoL (p < .001) as well as for several QoL subscales. No significant partner effects were found. Conclusions: Most parents reported elevated levels of FoP. Our results show that FoP in parents of childhood cancer survivors is strongly negatively associated with QoL. Parental FoP should therefore be explored in future research and needs to be targeted by health care providers.

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“…Difficulties in getting back to school could be due to a plethora of reasons like developing low self-esteem during the course of treatment, body image issues related to hair loss or surgery, sense of impending failure regarding competing with peers in academics and extra-curricular activities, shame related to the prospect of joining a class younger than his peers and parental anxiety in allowing the child to be back in school [48]. Many parents and young people are fearful that the cancer may come back and often get back to their oncologists even for minor health issues that are part of normal growing up [49]. Clinicians need to address these anxieties in a systemic way with the child and his or her family members.…”

Section: Helping Children To Get Back To Normal Life and Promoting Hementioning

confidence: 99%

What do you need to learn in paediatric psycho-oncology?

Datta

Saha

Ojha

et al. 2019

ecancer

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Paediatric psycho-oncology is an evolving speciality and is increasingly being recognised as an essential component in children’s cancer care. Modern paediatric oncology services aspire to integrate physical care with psycho-social care and build capacity within clinical teams to address the emotional needs of parents and children side by side with other aspects of medical care. This article discusses the unique challenges of paediatric psycho-oncology and common situations where psychological assessment and management of children and young people with cancer become especially important. The authors propose a tiered structure of training. Providing empathic evidence-based psycho-social care is ‘everyone’s business’ in paediatric oncology and not merely that of mental health professionals. However, there are times when a more specialist intervention by a paediatric liaison psychiatrist and/or a clinical psychologist is needed for optimum outcome. Learning interviewing techniques suitable for children and adolescents should be a core part of the training in paediatric psycho-oncology. Professionals should be encouraged to reflect on their own emotional wellbeing, which in turn will provide a stable foundation of emotionally matured care to children, young people and their families.

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Fear of Progression in Parents of Children with Cancer: Results of An Online Expert Survey in Pediatric Oncology

Abstract: Parental FoP is frequently perceived by experts in clinical practice. A standardized diagnostic procedure would increase comparability of diagnostic judgments and harmonize treatment indications.

Cited by 10 publications

References 29 publications

Individual and Dyadic Coping and Fear of Progression in Mothers and Fathers of Children with Hematologic Cancer

Individual and Dyadic Coping and Fear of Progression in Mothers and Fathers of Children with Hematologic Cancer

Fear of progression in parents of childhood cancer survivors: A dyadic data analysis

What do you need to learn in paediatric psycho-oncology?

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