Childhood cancer: Impact on parents’ marital dynamics

Silva-Rodrigues, Fernanda Machado; Pan, Raquel; Sposito, Amanda Mota Pacciulio; Alvarenga, Willyane de Andrade; Nascimento, Lucila Castanheira

doi:10.1016/j.ejon.2016.03.002

Cited by 44 publications

(49 citation statements)

References 37 publications

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“…A qualitative study (14) conducted with ninety couples who were biological parents of children with cancer supports the findings of this meta-synthesis regarding the repercussion of the child's cancer in the father's social interactions, especially the marital relationship. The authors pointed out that the couple's relationship is affected since the onset of the symptoms and the search for the health service, because, at that moment, the attention and concern turn to the sick child, which affects the couple's intimacy and sexuality (14) .…”

Section: Discussionmentioning

confidence: 70%

“…The study highlighted the geographic, physical and affective distance between the partners caused by the separation required during the treatment of the child and by the stress related to the new responsibilities, the changing of roles in the family and the need to be always alert and watch the child. It is worth noting that, despite the damage to the intimacy of the couple after the illness, some spouses reported greater union and mutual commitment (14) . Based on the findings of this meta-synthesis it is possible to infer that the way the father deals with the cancer of his child is also influenced by the social standards of defending gender stereotype with masculine actions.…”

Section: Discussionmentioning

confidence: 99%

“…The authors pointed out that the couple's relationship is affected since the onset of the symptoms and the search for the health service, because, at that moment, the attention and concern turn to the sick child, which affects the couple's intimacy and sexuality (14) . The study highlighted the geographic, physical and affective distance between the partners caused by the separation required during the treatment of the child and by the stress related to the new responsibilities, the changing of roles in the family and the need to be always alert and watch the child.…”

Section: Discussionmentioning

confidence: 99%

“…Physical, social and emotional overload repercussions are part of the experience of family members who face childhood cancer, especially the father, who deals with his masculine roles in the family and in society (11) . Qualitative studies have been conducted to investigate the experience of the father and other family members with the child or adolescent's cancer diagnosis (9,(12)(13)(14) . Given the above and the importance of further investigate fathers' experience of care, the present study is proposed with the purpose of synthesizing and interpreting results and conclusions of qualitative research addressing the father's experience in the care of the child with cancer.…”

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Care provided by the father to the child with cancer under the influence of masculinities: qualitative meta-synthesis

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Approval: 03-18-2017 ABSTRACT Objective: To synthesize and interpret fi ndings and conclusions of qualitative research addressing the experience of the father in the care of the child with cancer. Method: Meta-synthesis of 16 qualitative studies from six databases, analyzed through taxonomic analysis. Results: Child and adolescent cancer have several repercussions on the daily life of the father, especially related to the stigma around the disease, the fear of the unknown and the social and family role. Faced with the illness and the need to care for the child, the father seeks to recover normality in the family and transitions between hegemonic masculine behaviors and practices culturally recognized as female. Final Considerations: The complex experience of the father, infl uenced by masculinities, was evidenced. The limitations regard the restricted understanding of the contextual specifi cities of the experiences, due to the limited characteristics of the parents and children described in the studies. The knowledge produced is useful to promote involvement of fathers in the care of the child, as well as to strengthen and assist him in this task. Descriptors: Fathers; Pediatric Nursing; Qualitative Research; Cancer; Family Nursing. RESUMO Objetivo: Sintetizar e interpretar resultados e conclusões de pesquisas qualitativas sobre a experiência do pai no cuidado do fi lho com câncer. Método: Metassíntese de 16 estudos qualitativos capturados em seis bases de dados e analisados por meio da análise taxonômica. Resultados: O câncer infantojuvenil impõe inúmeras repercussões ao cotidiano do pai, sobretudo relacionadas ao estigma da doença, ao medo do desconhecido e ao papel social e familiar. Diante da doença e da necessidade de cuidado do fi lho, o pai busca resgatar a normalidade na família e transita entre comportamentos hegemonicamente masculinizantes e práticas reconhecidas culturalmente como femininas. Considerações fi nais: Evidenciou-se a complexa experiência paterna infl uenciada pelas masculinidades. As limitações referem-se à restrita compreensão das especifi cidades contextuais das experiências, pelas escassas características dos pais e fi lhos descritas nos estudos. O conhecimento produzido revela-se útil para promover o engajamento paterno no cuidado do fi lho, bem como fortalecê-lo e auxiliá-lo nesta tarefa. Descritores: Pai; Enfermagem Pediátrica; Pesquisa Qualitativa; Neoplasia; Enfermagem Familiar. RESUMENObjetivo: Sintetizar e interpretar resultados y conclusiones de investigaciones cualitativas sobre la experiencia del padre en el cuidado del hijo con cáncer. Método: Metasíntesis de 16 estudios cualitativos recogidos en seis bases de datos y examinados mediante análisis taxonómica. Resultados: El cáncer infantojuvenil repercute considerablemente en la vida cotidiana del padre, sobre todo con relación al estigma de la enfermedad, al miedo a lo desconocido y al papel social y familiar. Ante la enfermedad y la necesidad de Care provided by the father to the child with cancer under the infl uence of m...

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Care provided by the father to the child with cancer under the influence of masculinities: qualitative meta-synthesis

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“…Future work should consider further developing interventions to support parents, and marital dynamics through their child's cancer experience. [15,38,41] Groups of mothers also varied in their methods for decreasing distress levels. The most common methods to reduce distress used by mothers of children with cancer were communication with close friends and family and reading literature related to the illness, compared with parents of healthy children who were more likely to use communication with one's spouse and relaxation.…”

Section: Discussionmentioning

confidence: 99%

Relationships between Russian mothers and their children with, and without, cancer: A controlled study

Aralova

Robertson

Putrya

et al. 2016

IJH

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Using a traditional Russian framework to understand parent-child relationships, we investigated the development of the motherchild relationship in consideration of mothers' distress and their children with cancer. Mothers of children with (n = 26) and without cancer (n = 26) completed the "Family Relationship Analysis" (FRA) and "Distress Thermometer" questionnaires. Children of participating parents (ages 6-12) (26 with cancer, 26 without cancer) completed the graphic discussion "My Social Circle" to determine the child's close relationships. All mothers and children participated in the "The Cooperation Test (CT)" to assess parent-child interactions.Distress was higher in mothers of children with cancer, with groups of mothers differing in methods for reducing distress. High distress was associated with ignoring their child's needs and excessiveness of demands/duties. Mothers of children with cancer indulged their children's demands and were more overprotective than mothers of healthy children. Children with cancer also placed their mothers further away in their social circle than children without. Overall, a clear interconnection between mother's distress and the characteristics of the mother-child relationship were found. These findings will contribute to interventions aimed at decreasing maternal distress and improving mother-child relationships in pediatric oncology.

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Association Between Children With Life-Threatening Conditions and Their Parents’ and Siblings’ Mental and Physical Health

et al. 2021

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IMPORTANCE Despite concerns regarding the potential deleterious physical and mental health outcomes among family members of a child with a life-threatening condition (LTC), few studies have examined empirical measures of health outcomes among these family members.OBJECTIVES To examine whether mothers, fathers, sisters, and brothers of children with 1 of 4 types of pediatric LTCs have higher rates of health care encounters, diagnoses, and prescriptions compared with families of children without these conditions. DESIGN, SETTING, AND PARTICIPANTSThis retrospective cohort study included US families with commercial insurance coverage from a single carrier. Children who had 1 of 4 LTCs (substantial prematurity, critical congenital heart disease, cancer, or a condition resulting in severe neurologic impairment) were identified by a diagnosis in their insurance claim data between July 1, 2015, and June 30, 2016. Each case child and their family was matched with up to 4 control children and their families based on the age of the case and control children. Data were analyzed between August 2020 and March 2021. EXPOSURES Having a child or sibling with substantial prematurity, critical congenital heart disease, cancer, or a condition resulting in severe and progressive neurologic impairment.MAIN OUTCOMES Rates of occurrence of health care encounters, physical and mental health diagnoses, and physical and mental health medication prescriptions, identified from insurance claims data, were compared between case and control families using a multivariable negative binomial regression model. The statistical analysis adjusted for observed differences between case and control families and accounted for clustering at the family level. RESULTSThe study included 25 528 children (6909 case children [27.1%] and 18 619 control children [72.9%]; median age, 6.0 years [IQR, 1-13 years]; 13 294 [52.1%] male), 43 357 parents (11 586 case parents [26.7%] and 31 771 control parents [73.3%]; mean [SD] age, 40.4 [8.1] years; 22 318 [51.5%] female), and 25 706 siblings (7664 case siblings [29.8%] and 18 042 control siblings [70.2%]; mean [SD] age, 12.1 [6.5] years; 13 114 [51.0%] male). Overall, case mothers had higher rates of the composite outcome of health care encounters, diagnoses, and prescriptions compared with control mothers (incident rate ratio [IRR], 1.61; 95% CI, 1.54-1.68), as did case fathers compared with control fathers (IRR, 1.55; 95% CI, 1.46-1.64). Sisters of children with LTCs had higher rates of the composite outcome compared with sisters of children without LTCs (IRR, 1.68; 95% CI, 1.55-1.82), as did brothers of children with LTCs compared with brothers of children without LTCs (IRR, 1.70; 95% CI, 1.56-1.85).

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Childhood cancer: Impact on parents’ marital dynamics

Cited by 44 publications

References 37 publications

Care provided by the father to the child with cancer under the influence of masculinities: qualitative meta-synthesis

Care provided by the father to the child with cancer under the influence of masculinities: qualitative meta-synthesis

Relationships between Russian mothers and their children with, and without, cancer: A controlled study

Association Between Children With Life-Threatening Conditions and Their Parents’ and Siblings’ Mental and Physical Health

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