Intolerance of uncertainty as the vulnerability factor among parents of childhood cancer survivors: A 3-month follow-up study

Haegen, Marie Vander; Étienne, Anne-Marie

doi:10.1080/07347332.2018.1443192

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…Moreover, working mothers realized that their everyday life and the child's physical condition had recovered. According to previous studies (Boman et al, 2013;Vander Haegen & Etienne, 2018;Wikman et al, 2018), mothers experience anxiety and uncertainty after discharge, such as worrying about the recurrence of cancer, the onset of late effects and symptoms of posttraumatic stress. However, because of the reduced frequency of outpatient visits and the return of their child to school, some mothers return to work despite having psychological problems.…”

Section: Post-treatment Psychological Support For Mothersmentioning

confidence: 99%

The maternal employment status after the completion of their child's cancer treatment: A cross‐sectional exploratory study

et al. 2022

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Aim To clarify the details of mothers' employment status after the completion of their child's cancer treatment. Design A cross‐sectional exploratory study. Methods Data are collected from 62 mothers of childhood cancer survivors using self‐report questionnaires. Fisher's exact test was used to determine the statistical significance of factors between the mothers who worked and those who did not work after their child's cancer treatment had been completed. Results Thirty‐two mothers worked after the completion of their child's cancer treatment. There were significant differences in age, education level, employment status at the diagnosis and time elapsed since the diagnosis between the working mothers and non‐working mothers. Twenty‐two non‐working mothers reported that they had some motivation to work, but the most common reason for not working was “To nurse or care for the child with cancer”. Some mothers also stated that they did not work due to anxiety about cancer recurrence.

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Section: Post-treatment Psychological Support For Mothersmentioning

confidence: 99%

The maternal employment status after the completion of their child's cancer treatment: A cross‐sectional exploratory study

et al. 2022

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“…If through their participation in PRISM families became aware of a treatment option but then encountered barriers to access, this could cause psychological distress and potentially negatively impact patient QoL. Related to this, uncertainty is known to be psychologically challenging for families [ 74 , 75 ] and it is possible the precision medicine process increased the uncertainty patients and families faced. The identification of pathogenic and likely pathogenic germline variants (identified in 16.2% of the first 247 PRISM patients [ 26 ]), with implications for the patient and their family, may also have impacted patient QoL.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life (QoL) of Children and Adolescents Participating in a Precision Medicine Trial for High-Risk Childhood Cancer

Hetherington

Wakefield

Kunalan

et al. 2022

Cancers

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Precision medicine is changing the treatment of childhood cancer globally, however little is known about quality of life (QoL) in children and adolescents participating in precision medicine trials. We examined QoL among patients enrolled in PRISM, the Zero Childhood Cancer Program’s precision medicine trial for high-risk childhood cancer. We assessed patient QoL via self-report (aged 12–17 years) and parent-proxy (aged 4–17 years) completion of the EQ-5D-Y. We analysed data using descriptive statistics and regression models. Patients (n = 23) and parents (n = 136) provided data after trial enrolment and following receipt of trial results and treatment recommendations (n = 8 patients, n = 84 parents). At enrolment, most patients were experiencing at least some difficulty across more than one QoL domain (81% patient self-report, 83% parent report). We did not find strong evidence of a change in QoL between timepoints, or of demographic or disease factors that predicted parent-reported patient QoL (EQ-VAS) at enrolment. There was strong evidence that receiving a treatment recommendation but not a change in cancer therapy was associated with poorer parent-reported patient QoL (EQ-VAS; Mdiff = −22.5, 95% CI:−36.5 to −8.5, p = 0.006). Future research needs to better understand the relationship between treatment decisions and QoL and would benefit from integrating assessment of QoL into routine clinical care.

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“…It has been hypothesized that the cancer experience can trigger a prolonged state of elevated alertness, which may result in increased worries, anxiety, and negative emotions 14 . Additionally, intolerance of uncertainty may contribute to a vicious cycle of hypervigilance and thereby continuous distress 17 . Several studies found elevated levels of anxiety in parents many years after cancer diagnosis of their child 15,18,19 …”

Section: Introductionmentioning

confidence: 99%

“…14 Additionally, intolerance of uncertainty may contribute to a vicious cycle of hypervigilance and thereby continuous distress. 17 Several studies found elevated levels of anxiety in parents many years after cancer diagnosis of their child. 15,18,19 Previous studies have shown that a cancer diagnosis of a child can affect many aspects of parents' lives in the long-term, for example, their relationship, financial situation, and involvement in healthcare of child.…”

Section: Introductionmentioning

confidence: 99%

Worries and anxiety in parents of adult survivors of childhood cancer: A report from the Swiss Childhood Cancer Survivor Study‐Parents

Christen

Roser

Harju

et al. 2023

Pediatric Blood & Cancer

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Objective Having a child diagnosed with cancer is distressing for parents. We aimed to compare worries and anxiety in parents of adult childhood cancer survivors with parents of the Swiss general population (GP‐parents), and to evaluate characteristics associated with worry in parents of survivors. Methods We conducted a nationwide, population‐based study in parents of survivors (survivors aged ≥20 years at study, ≤16 years at diagnosis, >5 years post diagnosis) and GP‐parents (≥1 child aged ≥20 years at study). We used the Worry and Anxiety Questionnaire (WAQ), and computed the WAQ total score (worries; possible range 0–80) and caseness for generalized anxiety disorder (anxiety), cognitive, somatic, and any criteria. We used multilevel, multivariable linear regression to identify characteristics associated with worries in parents of survivors. Results We included 787 parents of 513 survivors (41.0% fathers) and 478 GP‐parents (42.3% fathers). Parents of survivors and GP‐parents did not differ regarding worries (16.6 vs. 17.1, p = .977), anxiety (2.7% vs. 3.6%, p = .536), cognitive (p = .440), and somatic criteria (p = .067). Less parents of survivors met any criteria (17.7% vs. 24.0%, p = .039). Half of parents reported current cancer‐related worries. Higher cancer‐related worries were reported by mothers (β = 4.1; 95% CI: 2.0–6.2), parents with one child (β = 5.9; 95% CI: 2.0–9.7), currently experiencing disadvantages because of their child's former disease (β = 7.3; 95% CI: 4.0–10.6), or with support needs (β = 9.0; 95% CI: 3.9–14.2; p = .001). Conclusions It is encouraging that most parents of adult survivors report similar worries and anxiety as GP‐parents, but cancer‐related worries are still prevalent. Efforts should be made to empower parents to seek psycho‐social support if required.

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Intolerance of uncertainty as the vulnerability factor among parents of childhood cancer survivors: A 3-month follow-up study

Abstract: Parents who are intolerant of uncertainty are at risk to display dysfunctional behaviors over time. Sensitizing health care professionals to the identification of this factor and its associated difficulties is essential for the implementation of efficient intervention strategies.

Cited by 6 publications

References 26 publications

The maternal employment status after the completion of their child's cancer treatment: A cross‐sectional exploratory study

The maternal employment status after the completion of their child's cancer treatment: A cross‐sectional exploratory study

Quality of Life (QoL) of Children and Adolescents Participating in a Precision Medicine Trial for High-Risk Childhood Cancer

Worries and anxiety in parents of adult survivors of childhood cancer: A report from the Swiss Childhood Cancer Survivor Study‐Parents

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