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Psychological problems in children with cancer in the initial period of treatment
Maria Gerali1, Marina Servitzoglou, Dimitra Paikopoulou
1Nursing Education Office, Faculty of Nursing, University of Athens, Athens, Greece.
Insights
Children with cancer experience psychological issues during intensive treatment, influenced by age and cancer type. Early identification and tailored interventions are crucial for improving their well-being.
Area of Science:
- Pediatric Oncology
- Child Psychology
- Clinical Psychology
Background:
- Increasing survival rates in childhood cancer necessitate understanding psychological burdens.
- Refined cancer treatments highlight the need to assess young patients' mental health.
Purpose of the Study:
- To evaluate the development of psychological problems in children undergoing intensive cancer treatment.
- To track psychological changes over the initial six months post-diagnosis.
Main Methods:
- Prospective, comparative study of 132 children with cancer and 100 controls in Athens.
- Utilized Rutter instruments for parental and teacher reports at multiple time points.
- Assessed psychological symptoms at 1, 3, and 6 months from diagnosis.
Main Results:
- Significant differences in psychological scores were observed in cancer patients over time (P < .001).
- Cancer patients showed significantly higher psychological distress compared to controls (P < .00001 by parents, P < .001 by teachers).
- Leukemia patients exhibited greater score reduction during treatment (P = .009).
Conclusions:
- Parental reports indicate children with cancer develop psychological problems during intensive treatment.
- Psychological problem development is influenced by patient age and cancer type.
- Findings support targeted interventions for specific pediatric cancer patient groups.
Background:
The increasing survival rate of children with cancer because of more refined treatments makes necessary the investigation of psychological burden for the young patients.
Objective:
The aim of the study was to evaluate the development of psychological problems in children with cancer during the initial 6-month period of intensive treatment.
Methods:
This prospective, comparative study was conducted at one of the largest Greek pediatric oncology units in Athens. The sample comprised 132 children with cancer treated during a 30-month period and 100 children with no cancer as control group. Data were collected using the Rutter instruments for parents and teachers. For patients, it was completed by their parents at 1 (T1), 3 (T2), and 6 months (T3) from diagnosis and by teachers at T3. In the control group, the questionnaire was completed by teachers and parents once.
Results:
The comparison of total Rutter scores for patients at T1, T2, and T3, according to parents' responses, showed statistically significant difference (P < .001). The difference in scores for patients (at T3) and control subjects was also significant according to both parents' (P < .00001) and teachers' (P < .001) responses. Children with leukemia had higher score reduction during treatment (P = .009) compared with the rest. Only age had a marginal impact on score of patients at T1 (R = 0.04).
Conclusions:
Based on parental reports, children treated for cancer develop psychological problems during the period of intensive treatment. The development and evolution of these problems depend on their age and type of cancer.
Implications For Practice:
This information can be used for relevant interventions in specific groups.
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