Parenting stress as a mediator of parents' negative mood state and behavior problems in children with newly diagnosed cancer

Geest, Ivana M. van der; Heuvel‐Eibrink, Marry M. van den; Passchier, Jan; Hoed-Heerschop, Corry van den; Pieters, Rob; Darlington, Anne‐Sophie

doi:10.1002/pon.3475

Cited by 24 publications

(14 citation statements)

References 56 publications

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“…With variation across HRQL subscales, the subset of patients with lower HRQL came from families whose parents reported higher levels of distress, and more familial risk factors, such as poor general family functioning and lack of social support. These findings support previous studies demonstrating parental distress and family risk as major factors negatively impacting patient HRQL .…”

Section: Discussionsupporting

confidence: 92%

“…Using the Psychosocial Assessment Tool (PAT), a measure of family risks and resources, a majority of families of children with cancer demonstrated resilience but a subset of families experienced difficulties in adaptation . These at‐risk families are more likely to exhibit increased distress over time , require more psychosocial services throughout cancer treatment and exhibit negative psychosocial outcomes for the child with cancer and the parents . In another study, family variables (family roles and parent–child relationships) were found to be associated with parent‐proxy report of patient HRQL, with better family functioning and higher parental overprotection associated with higher HRQL .…”

Section: Introductionmentioning

confidence: 99%

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Caregiver distress and patient health‐related quality of life: psychosocial screening during pediatric cancer treatment

et al. 2016

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Caregiver distress and patient health‐related quality of life: psychosocial screening during pediatric cancer treatment

et al. 2016

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“…Being diagnosed with this life-threating condition imposes a lot of stress on the sufferers and their families, parent may interfere with the parent-child relationship and communication (Steele et al, 2004). Van der Geest et al, (2014) stated that changing dynamic between parent and child during initial treatment under the influence of parenting stress can affect their ability to parent their child in this stressful situation. Except anxiety and depression, parenting a child with cancer can also lead to higher levels of parenting stress (Kazak et al, 1997;Colletti et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Filial Therapy on Depressive Symptoms of Children with Cancer and Their Mother’s Depression, Anxiety, and Stress: A Randomized Controlled Trial

Ebrahimi

Mirzaie

Borujeni

et al. 2019

Asian Pac J Cancer Prev

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Background: Childhood cancer is an overwhelming life event that can completely change the lives of the sufferers and their parents. Todays, advances of medical science have shifted the fetal nature of childhood cancer to chronic one exposing children and their family to behavioral and psychosocial problems. The aim of this study was to investigate the effect of filial therapy on children's depressive symptoms and their mother's stress, anxiety, and depression. Materials and Methods: In this randomized controlled trial, 32 mothers with their children who suffered from cancer were recruited (16 in each group). During a 10-week training sessions, filial therapy group underwent child-parent relation therapy (CPRT). Training sessions were held once a week. Control group received no training and only individual counseling sessions were held for them we needed. Both groups were assessed before and after the intervention using depression, anxiety, and stress questionnaire-21 (DASS-21), children depression inventory (CDI), and Wong-Baker faces pain rating scale (WBFPRS). Sample randomization and data analysis were conducted by using SPSS (version 20) and running independent t-test and chi-square test. P value< 0.05 was set as the significant level. Results: Mothers in the filial therapy group experienced significant decrease in their level of depression, anxiety, and stress in the posttest (p < 0.001). In contrast to filial therapy group, mothers in the control group did not show an improvement in their level of depression, anxiety, and stress. Moreover, the results of the current investigative showed that depression of children in the filial therapy group significantly reduced at post-test (p < 0.001). On the other hand, the mean of children's depression in the control group remained steady. Conclusion: The findings of the present study revealed that using filial therapy could reduce the depression of children with cancer and their parent's depression, anxiety, and stress. Accordingly, we suggest filial therapy programs as a routine for addressing psychosocial problems of children with cancer and their families.

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“…Next to this, a consistent link has been found between low levels of child adaptation response immediately after diagnosis and later adjustment [ 14 , 15 ]. At last, parental psychosocial factors, including distress [ 16 ], low social support [ 17 ], helpless cognitions [ 18 ], avoidant/passive coping [ 19 ], and parenting stress [ 20 , 21 ] were consistently found to be risk factors for child maladjustment.…”

Section: Introductionmentioning

confidence: 99%

Predicting trajectories of behavioral adjustment in children diagnosed with acute lymphoblastic leukemia

Nicolaas

Hoogerbrugge

Bergh

et al. 2016

Support Care Cancer

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PurposePrevious research showed that children with cancer are at risk for developing behavioral adjustment problems after successful treatment; however, the course of adjustment remains unclear. This study focuses on adjustment trajectories of children during treatment for acute lymphoblastic leukemia (ALL) and aims to distinguish subgroups of patients showing different trajectories during active treatment, and to identify sociodemographic, medical, and psychosocial predictors of the distinct adjustment trajectories.MethodsIn a multicenter longitudinal study, 108 parents of a child (response rate 80 %) diagnosed with ALL were assessed during induction treatment (T0), after induction/consolidation treatment (T1), and after end of treatment (T2). Trajectories of child behavioral adjustment (Child Behavior Checklist; CBCL) were tested with latent class growth modeling (LCGM) analyses.ResultsFor internalizing behavior, a three-trajectory model was found: a group that experienced no problems (60 %), a group that experienced only initial problems (30 %), and a group that experienced chronic problems (10 %). For externalizing behavior, a three-trajectory model was also found: a group that experienced no problems (83 %), a group that experienced chronic problems (12 %), and a group that experienced increasing problems (5 %). Only parenting stress and baseline QoL (cancer related) were found to contribute uniquely to adjustment trajectories.ConclusionsThe majority of the children (77 %) showed no or transient behavioral problems during the entire treatment as reported by parents. A substantial group (23 %) shows maladaptive trajectories of internalizing behavioral problems and/or externalizing behavioral problems. Screening for risk factors for developing problems might be helpful in early identification of these children.Electronic supplementary materialThe online version of this article (doi:10.1007/s00520-016-3289-9) contains supplementary material, which is available to authorized users.

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Parenting stress as a mediator of parents' negative mood state and behavior problems in children with newly diagnosed cancer

Abstract: This is the first study to demonstrate the mediational role of parenting stress in fathers of a child with newly diagnosed cancer.

Cited by 24 publications

References 56 publications

Caregiver distress and patient health‐related quality of life: psychosocial screening during pediatric cancer treatment

Caregiver distress and patient health‐related quality of life: psychosocial screening during pediatric cancer treatment

The Effect of Filial Therapy on Depressive Symptoms of Children with Cancer and Their Mother’s Depression, Anxiety, and Stress: A Randomized Controlled Trial

Predicting trajectories of behavioral adjustment in children diagnosed with acute lymphoblastic leukemia

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