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Published on: March 25, 2016
Neuroimmunological function in parents of children suffering from cancer
Noa Benaroya-Milshtein1, Alan Apter, Isaac Yaniv
1The Department of Child and Adolescent Psychiatry, Schneider Children's Medical Center of Israel, 49202, Petah Tikva, Israel, nbenaroya@gmail.com.
Insights
Parents of children with cancer experiencing depression show altered immune function, including higher CD8 cell percentages and lower CD4/CD8 ratios. This highlights the significant psychological and physiological impact of cancer on caregivers.
Area of Science:
- Psychoneuroimmunology
- Pediatric Oncology
Background:
- Parental mental health is crucial during childhood cancer treatment.
- Stress and depression in parents can impact their well-being and potentially their immune system.
Purpose of the Study:
- To investigate the relationship between depression and immunological function in parents of children with cancer.
- To assess how stress, depression, and quality of life relate to immune markers in this population.
Main Methods:
- Thirty-two parents completed questionnaires assessing stress, depression (Beck Depression Inventory II), and quality of life.
- Blood samples were analyzed for cortisol levels and lymphocyte subgroups (CD4, CD8).
- Participants were categorized into depressed (DP) and non-depressed (non-DP) groups based on depression scores.
Main Results:
- Depressed parents (DP) reported significantly higher stress and dysfunction scores.
- DP group exhibited higher CD8 percentages and lower CD4 percentages and CD4/CD8 ratios compared to non-DP.
- Depression scores correlated positively with stress/dysfunction and negatively with quality of life and CD4/CD8 ratio.
Conclusions:
- Parents of children with cancer exhibit high psychiatric morbidity.
- Depression in these parents is associated with significant alterations in immune function.
- These findings suggest that stress and depression can physiologically impact immune responses in caregivers.
Abstract:
The main aim of this study is to evaluate the relationship between depression and immunological function in parents of children with cancer. Thirty-two parents participated in the study. The parents completed the following assessments: a list of major stressful events in a Hemato-Oncology ward, beck depression inventory II (BDI-II), posttraumatic diagnostic scale (PDS) and quality of life (QOL) questionnaire. A single blood sample was drawn from parents for evaluation of cortisol levels and lymphocyte cell subgroups. The parents were divided into two groups: Those who suffered from depression as defined by BDI-II cutoff score of 14 (depressed parents (DP), n = 7), and non-depressed parents (non-DP, n = 25). In parents of children with cancer the DP group had statistically significantly higher stressful event scores, dysfunction scores (from the PDS) and CD8 percentage compared to the non-DP group. QOL, CD4 percentage and CD4/CD8 ratio were significantly lower in the DP group. The BDI scores significantly positively correlated with events and dysfunctional scores, and significantly negatively correlated with QOL scores and CD4/CD8 ratio. High psychiatric morbidity was found in parents of children with cancer. The findings of altered immunity in DP provide further evidence that the physiological response to stress and depression may alter immune functions.
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