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Published on: January 18, 2018
Parenting and child distress during cancer procedures: a multidimensional assessment
L M Dahlquist1, T G Power, C N Cox
1Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine.
Insights
Children
Area of Science:
- Pediatric Oncology
- Child Psychology
- Clinical Psychology
Background:
- Pediatric cancer patients experience distress during invasive procedures.
- Parental factors like anxiety and discipline may influence child distress.
- Understanding these relationships is crucial for effective interventions.
Purpose of the Study:
- To examine the link between child distress during cancer procedures and parental anxiety, discipline, and behavior.
- To explore how age influences the relationship between child distress and parental variables.
Main Methods:
- Sixty-six pediatric cancer patients and their parents were assessed during a bone marrow aspiration.
- Child distress levels were measured during the procedure.
- Parental anxiety, attitudes, and behaviors were evaluated.
Main Results:
- Younger children (under 8) exhibited significantly higher distress levels.
- Parental anxiety correlated with less effective discipline and reassurance in young children.
- Age moderated the relationship between child distress and parenting strategies.
Conclusions:
- Younger children's distress during procedures is influenced by parental factors.
- Age-specific approaches are needed for parental support and distress reduction.
- Findings inform clinical programs aimed at mitigating pediatric cancer patient distress.
Abstract:
We examined the relationship between children's distress during invasive cancer procedures and parent anxiety, parent disciplinary attitudes, and parent behavior during the medical procedure. Sixty-six children with cancer and their parents were evaluated during a routine bone marrow aspiration. Significantly higher levels of distress were obtained for young (under age 8) versus older children. Patterns of relationships with parent variables also varied by age. Anxious parents of young children reported relying on less effective discipline strategies. They also were less reassuring prior to to medical procedure. Age differences in the correlations between child distress and parenting are discussed in terms of developmental differences in children's dependence on caregivers for emotional regulation and control. Implications for clinical distress reduction programs are also discussed.
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