Stress and Perception of Procedural Pain Management in Chinese Parents of Children With Cancer

Yan, Cuixia; Cheung, Rita Sum-yi; Wong, Cho Lee; Cheng, Ho Yu; Liu, Fengying; Huang, Haiying; Ewig, Celeste Lom-Ying; Li, Chi Kong; Zhang, Hui; Cheung, Yin Ting

doi:10.1016/j.jpainsymman.2020.06.028

Cited by 6 publications

(2 citation statements)

References 42 publications

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“…Evidence from Western countries has shown that general life stress and treatment-related stress are leading predictors of poor psychological adjustment in parents of children with cancer (Gurtovenko et al, 2021). In China, the effects of these two types of stresses are less clear, whereas parental perceptions of children’s treatment, for example, procedural pain management, were highly associated with parental psychological distress (Yan et al, 2021). Although our study verified the important impact of stress on parental psychological distress, future research is needed to further explore the effects of different types of stress to guide targeted interventions for Chinese parents of children with cancer.…”

Section: Discussionmentioning

confidence: 99%

The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer

Luo,

Xu,

Xie

et al. 2023

J Health Psychol

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Caring for children with cancer is stressful for parents and leads to psychological distress, which is mainly manifested as depressive symptoms and anxiety. This study explored the mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer. We recruited 258 parents of children with cancer in three tertiary hospitals in Mainland China. The results revealed that the mediating effect of resilience for the relationships between stress and depressive symptoms and between stress and anxiety accounted for 23.4% and 11.4%, respectively, of the total effect. Resilience was confirmed as a protective factor that can be incorporated into future intervention programmes to improve the psychological well-being of parents of children with cancer. Future studies could develop resilience training programmes to enhance the resilience of parents of children with cancer to alleviate parents’ psychological distress.

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Section: Discussionmentioning

confidence: 99%

The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer

Luo,

Xu,

Xie

et al. 2023

J Health Psychol

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“…Their responses might also have reflected the psychological status of parents or their relationship with their child, rather than the child’s actual behavior [ 11 , 50 ]. This is especially relevant for the context of Asian societies, as our group has previously reported that parents’ age, educational attainment and beliefs might reflect proxy-reports of symptoms in Chinese children undergoing invasive procedures [ 57 ]. As there are now more validated and multilingual patient-reported outcome measures available for use in pediatric populations, future study designs should also include age-appropriate tools to capture pediatric survivors’ self-reported outcomes.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial outcomes in Chinese survivors of pediatric cancers or bone marrow failure disorders: A single-center study

et al. 2022

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Background/Objectives Most of the studies on functional outcomes in pediatric survivors of cancers and bone marrow failure disorders have been conducted in North American, European, and Oceanian populations, with few studies having been performed in China. The objective of this study was to evaluate psychosocial outcomes in a cohort of Chinese pediatric survivors diagnosed with cancer or conditions requiring hematopoietic stem cell transplantation (HSCT), and to identify clinical and behavioral factors associated with adverse psychosocial outcomes. Methods This was a cross-sectional survey study. We recruited pediatric survivors of cancer or inherited disorder requiring HSCT at ≤18 years old and were ≥6 months post-treatment. Parents completed the St. Jude Children’s Research Hospital After Completion of Therapy questionnaire to report their child’s emotional functioning, social functioning, attention/concentration and behavior. Multivariable general linear modeling was used to identify clinical, treatment and behavioral factors associated with psychosocial outcomes, adjusting for sex, age and cancer diagnoses. Results Ninety-five pediatric survivors were recruited (62.1% male; mean [standard deviation] age 9.7 [3.4] years; 4.1 [2.6] years post-diagnosis). They were diagnosed with bone marrow failure disorders (23.2%), hematological malignancies (45.3%) or solid tumors (23.2%). Compared with survivors with no current health problems, those with more than one current health problem performed worse in emotional functioning (Estimate = 2.42, SE = 0.88, P = 0.008) and social functioning (Estimate = 2.90, SE = 1.64, P = 0.03). Higher pain interference was significantly associated with worse emotional functioning (Estimate = 0.19, SE = 0.08, P = 0.03) and attention functioning (Estimate = 0.26, SE = 0.11, P = 0.03). Compared with survivors who reported less sleep problems, those who had more sleep problems demonstrated poorer emotional functioning (Estimate = 0.30, SE = 0.08, P = 0.001). Survivors who had a longer duration of screen usage per day reported more impairment on attention and behavior functioning than those who had a shorter duration of screen usage per day (both P<0.5). Conclusion Survivors who were diagnosed at a younger age or had unaddressed/untreated health problems may require additional psychological evaluation. The implementation of psychosocial assessments during routine long-term follow-up care may help to identify high-risk patients during the early phase of survivorship. Rehabilitation interventions should address modifiable behavioral factors (e.g. sleep habits, screen time and chronic pain).

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Pharmacological management of invasive procedural pain in children: Facilitators and barriers

Anim-Boamah,

Ani-Amponsah,

Laari

et al. 2024

Douleurs : Évaluation - Diagnostic - Traitement

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Stress and Perception of Procedural Pain Management in Chinese Parents of Children With Cancer

Cited by 6 publications

References 42 publications

The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer

The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer

Psychosocial outcomes in Chinese survivors of pediatric cancers or bone marrow failure disorders: A single-center study

Pharmacological management of invasive procedural pain in children: Facilitators and barriers

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