Post‐traumatic stress disorder in mothers of children who have undergone cancer surgery

Cerit, Kıvılcım Karadeniz; Cerit, Cem; Nart, Ömer; Eker, Nurşah; Kıyan, Gürsu; Dağlı, Tolga E.; Ekíngen, Gülşen; Tokuç, Gülnur; Karaca, Ömer; Çorapçıoğlu, Funda

doi:10.1111/ped.13343

Cited by 10 publications

(9 citation statements)

References 29 publications

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“…Four studies showed that length of stay in hospital was positively associated with PTSD. 15-17 25 Some authors 17 suggested that this finding was explained by length of stay in hospital reflecting illness severity in the child. Others proposed that children who spend longer in hospital will be exposed to higher levels of accumulative trauma.…”

Section: Findings On Potential Influencing Factors Within Studiesmentioning

confidence: 99%

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Turgoose

Kerr

Coppi

et al. 2021

bmjpo

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BackgroundChildren undergoing surgery and their parents are at risk of developing post-traumatic stress reactions. We systematically reviewed the literature to understand the prevalence of this issue, as well as potential risk factors.MethodsWe conducted a systematic review and meta-analysis, using PubMed, PsycInfo, Web of Science and Google Scholar, with searches conducted in February 2021. Papers were included if they measured post-traumatic stress in children and/or parents following paediatric surgery and were excluded if they did not use a validated measure of post-traumatic stress. Data were extracted from published reports.FindingsOur search yielded a total of 1672 papers, of which 16 met our inclusion criteria. In meta-analysis, pooled studies of children estimated an overall prevalence of 16% meeting criteria for post-traumatic stress disorder post surgery (N=187, 95% CI 5% to 31%, I2=80%). After pooling studies of parents, overall prevalence was estimated at 23% (N=1444, 95% CI 16% to 31%, I2=91%). Prevalence rates were higher than those reported in the general population. Risk factors reported within studies included length of stay, level of social support and parental mental health.InterpretationThere is consistent evidence of traumatic stress following surgery in childhood which warrants further investigation. Those delivering surgical care to children would benefit from a raised awareness of the potential for post-traumatic stress in their patients and their families, including offering screening and support.

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Section: Findings On Potential Influencing Factors Within Studiesmentioning

confidence: 99%

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Turgoose

Kerr

Coppi

et al. 2021

bmjpo

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“…It was, therefore, concluded that poorer prognosis and presence of radiotherapy in child's treatment affect the prevalence of PTSD in parents of children with cancer. Guilt-arousing thoughts such as "I am being punished" are also more frequent in mothers with PTSD (Karadeniz Cerit et al, 2017).…”

Section: Results Of Thematic Analysismentioning

confidence: 99%

Psychosocial Status of Turkish Families of Pediatric Cancer Patients

Akyar

2019

J Transcult Nurs

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Introduction: In some countries, family members are not involved in routine pediatric cancer psychosocial care although it is essential. This integrative review aims to determine the extent of research on family members of pediatric cancer patients in Turkey. Method: Four main keywords were used: parent/sibling/family, child/pediatric, cancer and psychosocial outcomes to search articles on PubMed, EKUAL, ULAKBİM, WOS databases (limited to 1997-2017). Among first 317 hits, 284 records were excluded. Of 33 eligible articles, 14 were excluded due to sample characteristics. Results: Research on psychosocial effects of pediatric cancer on family members is mostly descriptive and offers moderate-quality evidence. The reported psychosocial effects are (1) depression, anxiety, hopelessness, acceptance; (2) burden of care, quality of life, posttraumatic stress disorder; and (3) need for social support, information. Discussion: This study will contribute to the literature and help for the planning of protective psychosocial interventions for family members of children with cancer in Turkey.

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“…It is not fully determined if the age of parents raising children with oncologic disease has a significant effect on the expression of PTSD symptoms. Some findings do not confirm the association between age and PTSS [ 22 , 33 ], while others suggest that younger parents have more expressed symptoms [ 19 ]. Contradicting these studies, our data demonstrated a stronger PTSD symptom expression in older parents.…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted that there is still no unequivocal answer in the scientific literature about how the age of a child with cancer is related to the traumatic effect on parents. Some studies found no association between the sick child’s age and the expression of parental PTSD symptoms [ 33 ], whilst others showed a stronger expression of PTSS when the child with cancer was younger [ 36 ]. Our results once again contradict the previous findings.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Stress Symptoms among Lithuanian Parents Raising Children with Cancer

Banienė

Žemaitienė

2020

Children

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Background and objectives: The study aims to evaluate post-traumatic stress symptom expression among Lithuanian parents raising children with cancer, including social, demographic, and medical factors, and to determine their significance for the risk of developing post-traumatic stress disorder. Materials and methods: The study was carried out in two major Lithuanian hospitals treating children with oncologic diseases. The cross-sectional study included 195 parents, out of which 151 were mothers (77.4%) and 44 were fathers (22.6%). Post-traumatic stress symptoms were assessed using the Impact of Event Scale-Revised. To collect the sociodemographic, childhood cancer, and treatment data, we developed a questionnaire that was completed by the parents. Main study results were obtained using multiple linear regression. Results: A total of 75.4% of parents caring for children with cancer had pronounced symptoms of post-traumatic stress disorder. The female gender (β = 0.83, p < 0.001) was associated with an increased manifestation of symptoms, whilst higher parental education (β = −0.21, p = 0.034) and the absence of relapse (β = −0.48, p < 0.001) of the child’s disease reduced post-traumatic stress symptom expression. Conclusions: Obtained results confirmed that experiencing a child’s cancer diagnosis and treatment is extremely stressful for many parents. This event may lead to impaired mental health and increased post-traumatic stress disorder (PTSD) risk; hence, it is necessary to provide better support and assistance to parents of children with cancer.

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Post‐traumatic stress disorder in mothers of children who have undergone cancer surgery

Abstract: Post-traumatic stress disorder is a severe disorder that may worsen the daily functioning of mothers and may also have an unfavorable effect on child. It is therefore of utmost importance for clinicians to recognize PTSD and the associated risk factors in order to guide these parents.

Cited by 10 publications

References 29 publications

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Psychosocial Status of Turkish Families of Pediatric Cancer Patients

Post-Traumatic Stress Symptoms among Lithuanian Parents Raising Children with Cancer

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