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How do parents perceive high-dose chemotherapy and autologous stem cell transplantation for their children

D Oppenheim1, D Valteau-Couanet, S Vasselon

  • 1Pediatrics Department, and Unit of Psycho-oncology, Institut Gustave Roussy, Villejuif, France.

Bone Marrow Transplantation
|July 10, 2002
PubMed

Insights

Parents undergoing adolescent and child psychiatric treatment (ASCT) experience significant distress and role difficulties. Support from a multidisciplinary team can help families navigate these challenges.

Area of Science:

  • Psychiatry
  • Psychoanalysis
  • Child Psychology

Background:

  • Parental perception of children undergoing treatment is crucial for therapeutic success.
  • Adolescent and Child Psychiatry (ASCT) units often involve complex family dynamics.
  • Understanding parental distress is key to effective child and adolescent mental health care.

Purpose of the Study:

  • To explore parents' perceptions and experiences of their children treated in an ASCT unit.
  • To identify the psychological and social challenges faced by parents during their child's treatment.
  • To understand the parental relationship with care providers and its impact on treatment.

Main Methods:

  • Qualitative study involving semi-structured interviews with 40 parents.
  • Interviews conducted by a psychiatrist-psychoanalyst over a 9-month period.
  • Analysis of parental narratives regarding distress, role difficulties, and relationship dynamics.

Main Results:

  • Parents reported intense distress, helplessness, and guilt.
  • Distorted parent-child relationships and ambivalent connections with care providers were common.
  • Parents experienced disturbed temporal and social landmarks, impacting their sense of continuity and social engagement.

Conclusions:

  • Parents undergoing ASCT treatment experience significant psychological and social disorientation.
  • A psycho-oncology-informed multidisciplinary team can effectively support parents.
  • Interventions should focus on enhancing parental understanding, balancing roles, and preventing familial conflict.

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