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Related Experiment Videos

Coping and adaptation in acute lymphoblastic leukemia.

P Sharan1, M Mehta, V P Chaudhry

  • 1Department of Psychiatry, All India Institute of Medical Sciences, New Delhi.

Indian Journal of Pediatrics
|July 1, 1995
PubMed
Summary

Children with Acute Lymphoblastic Leukemia (ALL) showed disease awareness and hope for recovery, but many experienced emotional distress. Psychiatric issues were linked to difficulties in coping and maintaining a positive outlook.

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Area of Science:

  • Pediatric Oncology
  • Child Psychology
  • Psycho-oncology

Background:

  • Acute Lymphoblastic Leukemia (ALL) is a significant diagnosis in childhood.
  • Understanding children's psychological adaptation to cancer is crucial for supportive care.
  • Projective techniques offer insight into children's emotional and cognitive processing of illness.

Purpose of the Study:

  • To assess the coping and adaptation strategies of children with ALL during first remission.
  • To identify psychological factors associated with adaptation in pediatric cancer patients.
  • To explore children's awareness, expectations, and emotional distress related to their diagnosis.

Main Methods:

  • Utilized the Children's Apperception Test - Short form (CAT-S), a projective technique.

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  • Studied a cohort of 39 children aged 6-12 years undergoing first remission for ALL.
  • Analyzed responses for disease awareness, expectation of outcome, and emotional distress.

    • Main Results:

    • 77% of children provided adequate CAT-S responses.
    • High levels of disease awareness (96%) and positive outcome expectation (70%) were observed.
    • A significant proportion (61%) exhibited emotional distress, linked to psychiatric morbidity.

    Conclusions:

    • Children with ALL demonstrate considerable psychological resources, including awareness and hope.
    • Emotional distress and psychiatric morbidity are prevalent and impact adaptation.
    • Early identification of psychological distress is vital for effective intervention in pediatric cancer care.