Mental health outcomes in parents of children with a cancer diagnosis in Sweden: a nationwide cohort study

Liu, Yishan; Sundquist, Jan; Sundquist, Kristina; Zheng, Deqiang; Ji, Jianguang

doi:10.1016/j.eclinm.2022.101734

Cited by 15 publications

(8 citation statements)

References 42 publications

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“…This poses a stress to the individual parents. Earlier research has described how the focus of both the staff and the parents tends to be on the infant’s needs, and hence the needs of the parent may become overshadowed [13, 22, 23]. A limited experience for some hours after birth is likely to be different from that of longer stays in the neonatal unit.…”

Section: Discussionmentioning

confidence: 99%

Parental Experiences of Neonatal Care: A Nationwide Study on Determinants of Excellence

Linnér,

Thernström Blomqvist,

Jonsson

et al. 2023

Neonatology

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Introduction: Infant- and family-centered developmental care can reduce adverse outcomes in both infants and parents. Parents’ experiences of the care and staff treatment remain to be evaluated. Methods: Parents of infants admitted to neonatal units in Sweden from July 2020 to May 2022 responded to a questionnaire with standardized questions about in-hospital care. Exposures were hospital, gestational age, length of hospital stay, unit level, and bed density. The proportions of parents rating aspects of neonatal care as excellent, defined as five on a Likert scale, and the determinants of excellence were described. The results were benchmarked with ratings in adult somatic care. Results: A total of 4,475/13,108 (34%) parents responded. The ratings of excellent care varied by question from 65% to 90%. The largest variation in excellence between neonatal units (range 43–80%) was found for “participation and involvement.” The proportion of excellence was significantly lower among parents of extremely preterm infants. Confidence in the staff was lower in parents of extremely preterm infants than in parents of term infants (56% vs. 83%). Longer hospital stays affected the experience of neonatal care adversely, whereas level of care and bed density were overall unrelated to the parental experience. Parents in neonatal care rated the care as excellent to a higher extent than patients cared for in adult medicine. Conclusion: A majority of parents rated neonatal care in Sweden as excellent. The less frequent ratings of excellence among parents of extremely preterm infants indicate that more could be done to optimize parental involvement and support.

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Section: Discussionmentioning

confidence: 99%

Parental Experiences of Neonatal Care: A Nationwide Study on Determinants of Excellence

Linnér,

Thernström Blomqvist,

Jonsson

et al. 2023

Neonatology

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“…(1) It is one of the leading causes of death among children. (1,2) Leukemia represents the most frequent pediatric malignancies (about 28%) followed by tumors of the central nervous system (CNS) (about 26%) followed by lymphoma (about 8%), less frequent neuroblastoma (8%), nephroblastoma (5%), malignant bone tumors (5%), soft tissue tumors (7%), germ-cell tumors (about 4%). (3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

The Epidemiological Study of Children with Malignant Disorders in the Pediatric Department at Menoufia University Hospital, Menoufia, Egypt during the Last Fifteen Years

Ragab,

El-Hawy,

Mahmoud

et al. 2024

IJPHO

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Background: This study aims to assess the epidemiological, clinical, and paraclinical characteristics and survival of childhood with malignant disorders in the pediatrics department, menoufia University Hospital. Methods: A retrospective study with clinical and epidemiological data from patients was conducted on 314 children who attended Pediatric Department, Haematology-Oncology Unit, Menoufia University Hospital during the last fifteen years. Results: 314 children were assessed, their ages ranged from 2 months-18 years with mean 5.96±3.79 years. Also, 252 (80.3%) were diagnosed with hematological malignancies, and 62 (19.5%) were diagnosed with solid tumors. Among hematological malignancies, 186 were diagnosed with acute leukemia, 158 (49.7%) with acute lymphoblastic leukemia (ALL), and 28 (8.8%) with acute myeloid leukemia (AML). The most frequent clinical presentations were fever in 95.24% in hematological malignancies vs 48.4% in solid (p<0.001),, pallor in 92.5% in hematological malignancies vs 69.4% in solid (p<0.001), hepatomegaly in 81.3% in hematological malignancies vs 37.1% in solid (p<0.001),, lymphadenopathy in 77.6 % in hematological malignancies vs 24.2% in solid (p<0.001), and splenomegaly in 76.3% of hematological malignancies vs 12.9% in solid (p<0.001),The majority of the patients 64.15% had white blood cells (WBCs) less than 50,000/mm³, while 35.85% had WBCs more or equal to 50,000/mm³ with significant relation with risk stratification (p=0.001). The survivors who finished their treatment course were 31.8% and the recurence patients were 9%. Conclusion: Acute lymphoblastic leukemia is the most frequent childhood hematological neoplasm. Various clinical and laboratory features present at the time of initial diagnosis can predict the likelihood that a patient will remain in remission or not including age: under 1 and over 10 years, gender: male sex, WBCS more than 50,000/mm³ at presentation.

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“…There is an emerging concern regarding the damage of these measures on the mental wellbeing of pediatric cancer patients. 16,[22][23][24][25] A study in Milan showed that majority of adolescent cancer patients were worried and felt personally at risk during this pandemic, as they encountered high levels of stress and anxiety, facing dilemmas regarding continuation of their treatment and access to health care facility under these threatening circumstances. 17,[22][23][24][25][26] Not only the patients but also the families of children with cancer experience challenges in balancing their life during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…16,[22][23][24][25] A study in Milan showed that majority of adolescent cancer patients were worried and felt personally at risk during this pandemic, as they encountered high levels of stress and anxiety, facing dilemmas regarding continuation of their treatment and access to health care facility under these threatening circumstances. 17,[22][23][24][25][26] Not only the patients but also the families of children with cancer experience challenges in balancing their life during the pandemic. A study in UK found that parents/caregivers were worried that their children would get infected by the virus and felt that hospital was not a safe place, thus increasing parents' anxiety and concerns about their child's care.…”

Section: Introductionmentioning

confidence: 99%

Mental Wellbeing among Children with Cancer during COVID-19 Pandemic in Indonesia: A Cross-sectional Study

Sari

Wiguna

Elvira

et al. 2023

Indian J Med Paediatr Oncol

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Introduction Coronavirus disease 2019 (COVID-19) has affected both physical and mental aspect of people worldwide, especially the high-risk group such as pediatric cancer patients. Children with cancer were considered both clinically and mentally vulnerable during this pandemic. They were also affected by the self-isolation, quarantine, and social distancing policy taken as a respond to public threat. Objectives To evaluate the impact of social distancing and health protocol during COVID-19 on the mental health profile of children with cancer in Indonesia. Methods A cross-sectional study evaluating the mental health of children with cancer during COVID-19 pandemic was conducted in Cipto Mangunkusumo Hospital, Jakarta, Indonesia from June to September 2020. An online questionnaire was used to collect demographics of parents and children, children's Strength and Difficulties Questionnaire (SDQ) score, and parents' Self-Reporting Questionnaire (SRQ). SDQ score consists of five subscales, including the emotional symptoms, conduct problems, hyperactivity, peer relationships problems and prosocial behavior. Cancer types were grouped into retinoblastoma, nonretinoblastoma (other solid tumors), and leukemia. Results There were 156 valid responses, consisting of 42 patients with retinoblastoma, 34 patients with nonretinoblastoma (other solid tumors), and 80 patients with leukemia. Pandemic-related lifestyle changes did not significantly impact emotional or behavioral problems. Children with normal total SDQ (odds ratio [OR]: 473, p = 0.001) and emotional scores (OR: 3.19, p = 0.07) had parents with normal SRQ scores (<6). Leukemia patients with shorter diagnosis period had worse hyperactivity score (p = 0.01). On the contrary, leukemia inpatients had better prosocial scores than outpatients (p = 0.03). More bilateral retinoblastoma patients (p = 0.04) with longer duration of cancer diagnosis (p = 0.03) faced peer problems. Conclusions Our study revealed that lifestyle changes during early COVID-19 pandemic were not major factors impacting emotional and behavioral problems in children with cancer. However, disease-related factors pose great challenges; thus, a holistic mental health support system should be available to both children and parents.

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Mental health outcomes in parents of children with a cancer diagnosis in Sweden: a nationwide cohort study

Cited by 15 publications

References 42 publications

Parental Experiences of Neonatal Care: A Nationwide Study on Determinants of Excellence

Parental Experiences of Neonatal Care: A Nationwide Study on Determinants of Excellence

The Epidemiological Study of Children with Malignant Disorders in the Pediatric Department at Menoufia University Hospital, Menoufia, Egypt during the Last Fifteen Years

Mental Wellbeing among Children with Cancer during COVID-19 Pandemic in Indonesia: A Cross-sectional Study

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