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.

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