The Relationship between Patient and Parent Posttraumatic Stress in Pediatric Oncology: A Theoretical Framework

Goldwin, Michelle; Lee, Sengyeon; Afzal, Khalid I.; Drossos, Tina; Karnik, Niranjan S.

doi:10.1080/02739615.2014.850855

Cited by 5 publications

(11 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among the correlates of parental PTSS that were assessed, levels of child PTSS were most closely associated with parental PTSS. This association is likely due to the ways common stressors and influences of PTSS in one family member affect PTSS in other members (Goldwin et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…For example, a recent study of an Internet-based, guided self-help intervention for distressed parents of children currently going through cancer treatments found strong reductions in parental PTSS (Cernvall, Carlbring, Ljungman, Ljungman, & von Essen, 2015). Reductions of parental PTSS may also contribute to a decline in related symptoms in their children (Goldwin et al, 2014;Landolt et al, 2012). The present results indicate that the need to screen for PTSS does not only apply to diseases associated with high mortality, such as cancer and HIV infection or AIDS (as is suggested in the DSM-5 PTSD diagnostic criteria; APA, 2013), but also to other chronic diseases, such as diabetes.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the current study explored whether there is a negative association between parental PTSS and adherence. Goldwin, Lee, Afzal, Drossos, and Karnik (2014) proposed a theoretical model of the association between PTSS in children with cancer and their parents: First, the illness-related traumatic events affect PTSS in both children and their parents. Second, one family member's PTSS can affect the PTSS levels of other family members.…”

Section: Adherencementioning

confidence: 99%

“…Second, one family member's PTSS can affect the PTSS levels of other family members. Based on the model posited by Goldwin et al (2014), the current study tested whether there is a positive concurrent association between PTSS of parents and PTSS in their children with chronic illnesses. Because most available studies provided only cross-sectional data, the present metaanalysis could not test causal associations between PTSS in children and in their parents.…”

Section: Adherencementioning

confidence: 99%

See 3 more Smart Citations

Posttraumatic Stress Symptoms and Disorders in Parents of Children and Adolescents With Chronic Physical Illnesses: A Meta‐Analysis

Pinquart

2019

Journal of Traumatic Stress

View full text Add to dashboard Cite

The present meta‐analysis analyzed whether parents of young people with pediatric chronic physical illnesses experience higher levels of posttraumatic stress symptoms (PTSS) and higher rates of posttraumatic stress disorder (PTSD) than other adults and searched for correlates of PTSS in these parents. Based on a systematic search in electronic databases, 184 studies were included in the meta‐analysis. On average, 18.9% of the parents fulfilled the criteria for PTSD, and PTSS were more common among parents of young people with pediatric chronic physical illnesses than in other adults, with Hedges' g showing a 0.85 increase in standard deviation units. Parental PTSS were most prevalent among parents of children with epilepsy, g = 1.25, and diabetes, g = 1.16, and were positively associated with being the mother, r = .19; illness severity, r = .18; treatment duration/intensity, r = .21; and PTSS of the child, r = .34. In contrast, longer illness duration, r = −.19; longer time since active treatment, r = −.10; and better social resources, rs = −.17 to −.07, were associated with lower parental PTSS. The findings indicate that parents who have faced traumatic events in the context of their child's chronic illnesses should be screened for PTSS and PTSD and receive psychological interventions when needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Adherencementioning

confidence: 99%

Section: Adherencementioning

confidence: 99%

See 2 more Smart Citations

Posttraumatic Stress Symptoms and Disorders in Parents of Children and Adolescents With Chronic Physical Illnesses: A Meta‐Analysis

Pinquart

2019

Journal of Traumatic Stress

View full text Add to dashboard Cite

show abstract

“…A previous study showed that posttraumatic stress symptoms (PTSS) were common among the parents participating in the caring of children with ongoing treatment for cancer 4 . A theoretical model demonstrated that PTSS of parents could affect PTSS levels in their children with cancer 5 . During cancer treatment, some families experience lasting damages of daily function, strained relationships and demands on family resources, which result in frequently disrupted family functioning 6 .…”

mentioning

confidence: 99%

Posttraumatic stress symptoms, depression, family functioning and children’s pain in families of children with cancer: a cross-sectional study in south China

Yang

Tan

Cai

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective: This study aimed to compare posttraumatic stress symptoms (PTSS), depression and family functioning between families of children with cancer and families of healthy children, examine the relationships among children's PTSS, parents' PTSS and depression, and family functioning, and explore the effect of disease experience on PTSS and the association between pain and PTSS in children with cancer. Methods: Participants were children with cancer (n=91) and their parents (n=91), and healthy children (n=114) and their parents (n=96). The children were asked to self-report PTSS and self-rate their pain degree, and the parents completed self-reported measures of PTSS, depression, and general family functioning. Results: The prevalence of severe PTSS in parents of children with cancer (21.98%) was significantly higher than that in parents of healthy children (1.04%). No significant difference was found in the total PTSS scores between children with cancer and healthy children. The children's PTSS was positively correlated with their parents' PTSS and depression in cancer group but not in the control group. Family functioning affected children's PTSS in both families of children with cancer and healthy families. In children with cancer, PTSS was positively correlated with pain during cancer treatment but not correlated with disease experience. Conclusions: Children with cancer perceive the fear of pain during cancer treatment, whilst their parents experience more psychological trauma. Apart from cancer treatment, attention should also be given to pain management in children with cancer and the mental health of the entire family.

show abstract

Pediatric sarcoma survivorship: A call for a developmental cascades approach

2021

View full text Add to dashboard Cite

Survivors of pediatric sarcomas often experience greater psychological and psychosocial difficulties than their non-afflicted peers. We consider findings related to poorer outcomes from a developmental cascade perspective. Specifically, we discuss how physical, neurocognitive, psychological, and psychosocial costs associated with pediatric sarcomas and their treatment function transactionally to degrade well-being in long-term pediatric sarcoma survivors. We situate the sarcoma experience as a broad developmental threat – one stemming from both the presence and treatment of a life-imperiling disease, and the absence of typical childhood experiences. Ways in which degradation in one developmental domain spills over and effects other domains are highlighted. We argue that the aggregate effect of these cascades is two-fold: first, it adds to the typical stress involved in meeting developmental milestones and navigating developmental transitions; and second, it deprives survivors of crucial coping strategies that mitigate these stressors. This position suggests specific moments of intervention and raises specific hypotheses for investigators to explore.

show abstract

The Relationship between Patient and Parent Posttraumatic Stress in Pediatric Oncology: A Theoretical Framework

Cited by 5 publications

References 58 publications

Posttraumatic Stress Symptoms and Disorders in Parents of Children and Adolescents With Chronic Physical Illnesses: A Meta‐Analysis

Posttraumatic Stress Symptoms and Disorders in Parents of Children and Adolescents With Chronic Physical Illnesses: A Meta‐Analysis

Posttraumatic stress symptoms, depression, family functioning and children’s pain in families of children with cancer: a cross-sectional study in south China

Pediatric sarcoma survivorship: A call for a developmental cascades approach

Contact Info

Product

Resources

About