| Título: | Determining, Ranking and Comparing Treatment Stressors in Children and Adolescents With Cancer in Tehran |
| Autores: |
Azizi, Narges; Faculty of Psychology, Shahid Beheshti University, Tehran, Iran Mansour, Ladan; Faculty of Psychology, Shahid Beheshti University, Tehran, Iran Tahmassian, Karineh; Family Research Institute, Shahid Beheshti University, Tehran, Iran Mosavi, Farideh; Dept. of Pediatrics, Shohada Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
| Fecha: | 2012-07-21 |
| Publicador: | Shahid Beheshti University of Medical Sciences |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | No aplica |
| Descripción: | Background: Studies show that cancer treatment procedures could increase stress in children and adolescents diagnosed with cancer. This study was conducted to determine the frequency of stressors in children and adolescents with cancer, and to compare it in boys and girls.Methods: Relevant information was collected via a structured interview with 70 children and their mothers. Subjects were divided into four age groups of 0-3; 4-7; 8-12; 13-18. Stressors in physical, social and psychological aspects were determined and ranked. The main question asked was: "During the period of your disease, what has caused you the most suffering?" Whilst interviewing the mothers, this question was altered to:" During the period of your child's disease, what caused him/her to suffer the most?" The answers were reflected back to the respondents, and were categorized in a validated check list after their confirmation.Results: The most stressing items in the 0 to 3 age group were found to be worry, pain due to treatment procedures, and separation from their immediate family. In 4 to 7 age group, they were procedural pain, worry and fatigue. For the 8 to 12 age group, pain, separation from family and worry were the most stressing items. For the 13 to 18 age group, the main stressors were worry, pain, and parting from friends and losing them. Analysis by "Mann-Whitney U test" showed no significant differences in stressors between girls and boys.Conclusion: Our findings revealed that worry and procedural pain are the most common stressors in children treated for malignancy. Caregivers need to be aware of this fact and should take appropriate steps to relieve these stressors.Keywords: Child; Adolescence; Cancer; PsychologyPlease cite this article as: Azizi N, Mansour L, Tahmassian K, Mosavi F. Determining, Ranking and Comparing Treatment Stressors in Children and Adolescents With Cancer in Tehran. Iran J Cancer Prev.2012; 5(3): 138-43.References1. Banki Y, Monirpour N, Abedin A, Madahi P. Investigating prevalence of Depression and ifs Related Factors in Adolescence Afflicted with Cancer. 3 rd International Congress on Supporting and Palliative Care in Cancer. 2011; 115-16.2. Bessell A. Children Surviving Cancer: Psychosocial Adjustment, Quality of Life, and School Experiences. The Council for Exceptional Children. 2001; 67: 345-59.3. Clinea R, Harpera F, Pennera L, Petersona A ,Tauba J, Albrechta T. Parent communication and child pain and distress during painful pediatric cancer treatments. Social Science and Medicine. 2006; 63: 883-98.4. Enskar K, Carlsson M, Golsater M, Hamrin E, Kreuger A. Life Situation and Problems as Reported by Children With Cancer and Their Parents. Journal of Pediatric Oncology Nursing. 1997; 14: 18-26.5. Hedstrom M, Ljungman G, von Essen L Perceptions of Distress Among Adolescents Recently Diagnosed With Cancer. Journal of Pediatric Hematology/Oncology. 2005; 27: 15-22.6. Hedstrom M, Huglund K, Skolin I, Essen L. Distressing Events for Children and Adolescents With Cancer: Child, Parent, and Nurse Perceptions. Journal of Pediatric Oncology Nursing. 2003; 20: 120-32.7. Kuppenheimer WG, Brown RT. Painful procedures in pediatric cancer: A comparison of intervention. Clinical Psychology Review. 2002; 22: 753-86.8. Phipps S. Adaptive Style in Children with Cancer: Implications for a Positive Psychology Approach. Journal of Pediatric psychology Advance Access. 2007; 32: 1055-66.9. Sandeberg M, Johansson E, Björk O, Wettergren L. Health-Related Quality of Life Relates to School Attendance in Children on Treatment for Cancer. Journal of Pediatric Oncology Nursing. 2008; 25: 265-74.10. Sawyer M, Antoniou G, Toogood I, Rice M. Childhood Cancer: A Two-Year Prospective Study of the Psychological Adjustment of Children and Parents. Journal of the American Academy of Child and Adolescent Psychiatry. 1997; 36: 1736-43.11. Stegenga K, Ward-Smith P. On Receiving the Diagnosis of Cancer: The Adolescent Perspective. Journal of Pediatric Oncology Nursing. 2009; 26: 75-80.12. Woodgate R, McClement S. Symptom Distress in Children With Cancer: The Need to Adopt a Meaning-Centered Approach. Journal of Pediatric Oncology Nursing. 1998; 15: 3-12.13. Yilmaz H, Tas F, Karayagiz M, Basbakkal Z, Kantar M. Health Professionals’ Estimation of Cancer-Related Fatigue in Children. Journal of Pediatric Oncology Nursing. 2010; 27: 330-7. |
| Idioma: | Inglés |
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