Parental psychological distress and cancer stage: a comparison of adults with metastatic and non-metastatic cancer.
Purpose: Parents with cancer have unique and often under-recognized psychological distress about the impact of their illness on their children. Relatively little is known about how parenting concerns may differ among patients by cancer stage.Methods: This is a secondary data analysis of 203 adults w...
| Published in: | Supportive Care in Cancer Vol. 27; no. 7; pp. 2443 - 2452 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Published: |
Springer Nature
Jul2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136714692&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136714692 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Jul2019 vid: 27 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136714692 136714692 NLM30368671 10.1007/s00520-018-4518-1 NLM30368671 136714692 ppf: 2443 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Parental psychological distress and cancer stage: a comparison of adults with metastatic and non-metastatic cancer. aug: au: Park, Eliza M. Deal, Allison M. Stephenson, Elise M. Moore, Cynthia W. Muriel, Anna C. affil: Department of Psychiatry, University of North Carolina, 170 Manning Drive, CB #7305, 27599, Chapel Hill, NC, USA sug: subj: Stress, Psychological Psychosocial Factors Neoplasms Psychosocial Factors Parenting Parents Psychosocial Factors Young Adult Female Adult Adolescence Child, Preschool Child Male Middle Age Psychological Tests Adult: 19-44 years Adolescent: 13-18 years Child, Preschool: 2-5 years Child: 6-12 years Middle Aged: 45-64 years Female Male ab: Purpose: Parents with cancer have unique and often under-recognized psychological distress about the impact of their illness on their children. Relatively little is known about how parenting concerns may differ among patients by cancer stage.Methods: This is a secondary data analysis of 203 adults with cancer who had children < 18 years old from two geographically distinct areas. We used an analysis of covariance to estimate the mean differences in PCQ, depression symptom severity and anxiety symptom severity (Hospital Anxiety and Depression Scale, HADS) scores between participants with metastatic and non-metastatic disease, and Pearson's correlation coefficients to assess associations between HADS and PCQ scores by cancer stage.Results: Seventy-two percent of participants (n = 146) had metastatic solid tumor cancer. In adjusted analyses, mean PCQ scores did not significantly differ between parents with metastatic and non-metastatic disease (2.0 vs. 2.2, p = 0.06). Differences in mean PCQ scores were driven by a single question concerning the impact of death on children (2.3 vs. 2.9, p = 0.004). Mean HADS scores did not significantly differ between groups, although PCQ scores explained a greater amount of variance in HADS scores for the metastatic group as compared to the non-metastatic group.Conclusions: With the exception of concerns about death, intensity of parenting concerns, as measured by the PCQ, was similar between parents with metastatic and non-metastatic cancer. However, parenting concerns may be more strongly linked to overall psychological distress in patients with metastatic disease. Further research is needed to clarify how parenting concerns uniquely relate to advanced stage illness. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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