Fear of progression in parents of childhood cancer survivors: prevalence and associated factors
| Autor: | Mona L Peikert, Laura Inhestern, Louis J Schiekiera, Stefan Rutkowski, Daniela Kandels, Gabriele Escherich, Corinna Bergelt, Konstantin A Krauth |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Parents Coping (psychology) Pediatrics medicine.medical_specialty Psycho-oncology Psychological intervention Dysfunctional family 03 medical and health sciences 0302 clinical medicine Cancer Survivors Neoplasms Prevalence Humans Medicine 030212 general & internal medicine ddc:610 Child Depression (differential diagnoses) Leukemia Oncology (nursing) business.industry Cancer Fear medicine.disease Pediatric cancer Oncology 030220 oncology & carcinogenesis Disease Progression Quality of Life business Psychosocial |
| Popis: | Purpose Recent research demonstrated that fear of progression (FoP) is a major burden for adult cancer survivors. However, knowledge on FoP in parents of childhood cancer survivors is scarce. This study aimed to determine the proportion of parents who show dysfunctional levels of FoP, to investigate gender differences, and to examine factors associated with FoP in mothers and fathers. Methods Five hundred sixteen parents of pediatric cancer survivors (aged 0–17 years at diagnosis of leukemia or central nervous system (CNS) tumor) were consecutively recruited after the end of intensive cancer treatment. We conducted hierarchical multiple regression analyses for mothers and fathers and integrated parent-, patient-, and family-related factors in the models. Results Significantly more mothers (54%) than fathers (41%) suffered from dysfunctional levels of FoP. Maternal FoP was significantly associated with depression, a medical coping style, a child diagnosed with a CNS tumor in comparison to leukemia, and lower family functioning (adjusted R2 = .30, p < .001). Paternal FoP was significantly associated with a lower level of education, depression, a family coping style, a child diagnosed with a CNS tumor in comparison to leukemia, and fewer siblings (adjusted R2 = .48, p < .001). Conclusions FoP represents a great burden for parents of pediatric cancer survivors. We identified associated factors of parental FoP. Some of these factors can be targeted by health care professionals within psychosocial interventions and others can provide an indication for an increased risk for higher levels of FoP. Implications for Cancer Survivors Psychosocial support targeting FoP in parents of childhood cancer survivors is highly indicated. |
| Databáze: | OpenAIRE |
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