Spiritual and religious coping and depression among family caregivers of pediatric cancer patients in <scp>Latin America</scp>

Vitorino, Luciano Magalhães; Lopes-Júnior, Luí­s Carlos; Oliveira, Gabriela Hernandes de; Tenaglia, Mariane; Brunheroto, Andressa; Cortez, Paulo José Oliveira; Lucchetti, Giancarlo

doi:10.1002/pon.4739

Cited by 42 publications

(46 citation statements)

References 37 publications

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“…Furthermore, previous works have reported a positive relation between caregivers’ anxiety and children’s distress experienced during medical procedures 50102103. Longitudinal data have also shown a moderate to strong equivalency between the caregiver’s and the child’s experiences on emotional competence during treatment 104…”

Section: Discussionmentioning

confidence: 94%

Effectiveness of hospital clowns for symptom management in paediatrics: systematic review of randomised and non-randomised controlled trials

Lopes-Júnior

Bomfim

Olson

et al. 2020

BMJ

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Objective To evaluate evidence from randomised controlled trials and non-randomised controlled trials on the effectiveness of hospital clowns for a range of symptom clusters in children and adolescents admitted to hospital with acute and chronic conditions. Design Systematic review of randomised and non-randomised controlled trials. Data sources Medline, ISI of Knowledge, Cochrane Central Register of Controlled Trials, Science Direct, Scopus, American Psychological Association PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences Literature. Study selection Randomised and non-randomised controlled trials were peer reviewed using the following eligibility criteria: children and adolescents who were admitted to hospital for acute conditions or chronic disorders, studies comparing use of hospital clowns with standard care, and studies evaluating the effect of hospital clowns on symptom management of inpatient children and adolescents as a primary outcome. Data extraction and synthesis Two investigators independently screened studies, extracted data, and appraised the risk of bias. Methodological appraisal was assessed by two investigators independently using the Jadad scale, the revised Cochrane risk-of-bias tool for randomised controlled trials (RoB 2), and the risk of bias in non-randomised studies (ROBINS-I) tool for non-randomised controlled trials. Results 24 studies (n=1612) met the inclusion criteria for data extraction and analysis. Most studies were randomised controlled trials (n=13). Anxiety was the most frequently analysed symptom (n=13), followed by pain (n=9), psychological and emotional responses and perceived wellbeing (n=4), stress (n=4), cancer related fatigue (n=3), and crying (n=2). Five studies used biomarkers, mainly cortisol, to assess stress or fatigue outcome following hospital clowns. Most of the randomised controlled trials (n=11; 85%) were rated as showing some concerns, and two trials were rated with a high risk of bias. Most non-randomised controlled trials (n=6; 55%) were rated with a moderate risk of bias according to ROBINS-I tool. Studies showed that children and adolescents who were in the presence of hospital clowns, either with or without a parent present, reported significantly less anxiety during a range of medical procedures, as well as improved psychological adjustment (P<0.05). Three studies that evaluated chronic conditions showed favourable results for the intervention of hospital clowns with significant reduction in stress, fatigue, pain, and distress (P<0.05). Conclusions These findings suggest that the presence of hospital clowns during medical procedures, induction of anaesthesia in the preoperative room, and as part of routine care for chronic conditions might be a beneficial strategy to manage some symptom clusters. Furthermore, hospital clowns might help improve psychological wellbeing in admitted children and adolescents with acute and chronic disorders, compared with those who received only standard care. Systematic review registration PROSPERO CRD42018107099.

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Section: Discussionmentioning

confidence: 94%

Effectiveness of hospital clowns for symptom management in paediatrics: systematic review of randomised and non-randomised controlled trials

Lopes-Júnior

Bomfim

Olson

et al. 2020

BMJ

Self Cite

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“…In another study, neither positive nor negative religious coping strategies were significantly related to the well-being of mothers of children with autism (Davis and Kiang 2018). Finally, Vitorino et al (2018) observed that negative religious coping was associated with depression among family caregivers of pediatric cancer patients, also after adjusting for sociodemographic variables and positive religious coping, which was unrelated to depression. However, positive reappraisal was not included in any of these studies.…”

Section: Discussionmentioning

confidence: 90%

Emotional State of Parents of Children Diagnosed with Cancer: Examining Religious and Meaning-Focused Coping

2020

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For parents, a child’s oncological disease is a critical life event with a high burdening potential, which changes the functioning of the whole family on many different levels. It triggers various coping strategies with this situation, including religious-based coping. This topic has been somewhat rarely explored, and thus, the aim of the study was to examine the relationship between the emotional state and religious and meaning-focused coping among parents of children diagnosed with cancer. A total of 147 parents participated in this study. Hierarchical regression analysis showed that correlates of positive emotions in the studied group were the economic situation, the time from diagnosis, positive reappraisal and negative religious coping. Only one significant correlate of negative emotions was identified. There is some support for the incremental validity of negative religious coping in relation to meaning-focused coping.

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“…Their family suffered from prolonged fear and sadness (Sudarji et al, 2016). Coping abilities and lower levels of depression in caregiver have a correlation with positive communication (Vitorino et al, 2018). By knowing the communication patterns of caregivers and the factors that influence them, more effective communication that may be attempted to improve outcomes in children (Jaser et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Study in Denpasar, Bali showed that Children with ALL who undergo treatment therapy showed coping strategies, including accepting responsibility, humor, wishful thinking, assistance seeking, behavioral management, direct action, emotional approach, denial, self-control, and self criticism (Damayanti et al, 2016). Studies showed that the coping skills in caregiver may affect child stress level (Vitorino et al, 2018). In addition, family factors have also been shown to be related to parental stress levels.…”

Section: Discussionmentioning

confidence: 99%

Impact of Caregiver’s Psychological Aspects towards Quality of Life of Children with Acute Lymphoblastic Leukemia (ALL)

Irwanto

Ratwita

Prihaningtyas

et al. 2020

Asian Pac J Cancer Prev

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Spiritual and religious coping and depression among family caregivers of pediatric cancer patients in Latin America

Abstract: Negative SRC was associated with depressive symptoms in FCs of pediatric cancer patients. Health professionals must be aware of the use of Negative SRC strategies in oncology care.

Cited by 42 publications

References 37 publications

Effectiveness of hospital clowns for symptom management in paediatrics: systematic review of randomised and non-randomised controlled trials

Effectiveness of hospital clowns for symptom management in paediatrics: systematic review of randomised and non-randomised controlled trials

Emotional State of Parents of Children Diagnosed with Cancer: Examining Religious and Meaning-Focused Coping

Impact of Caregiver’s Psychological Aspects towards Quality of Life of Children with Acute Lymphoblastic Leukemia (ALL)

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