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Published on: July 11, 2019
The Psychosocial Burden of Families with Childhood Blood Cancer
Florencia Borrescio-Higa1, Nieves Valdés1
1Business School and GobLab UAI, Universidad Adolfo Ibáñez, Santiago 7941169, Chile.
Insights
Childhood cancer significantly impacts families in Chile, causing distress and disrupting daily life. This study highlights the need for interventions to support patients, siblings, and parents coping with these challenges.
Area of Science:
- Pediatric Oncology
- Psychosocial Oncology
- Family Studies
Background:
- Childhood cancer is a leading cause of death in children.
- Pediatric leukemias are the most common cancer diagnoses in Chile.
- Childhood cancer imposes significant psychosocial burdens on patients and families.
Purpose of the Study:
- To examine the psychosocial experiences of families with children diagnosed with blood-related cancer in Chile.
- To provide a comprehensive overview of the family's journey, including patients, caregivers, and siblings.
- To identify key areas of distress and disruption within these families.
Main Methods:
- A qualitative study involving 90 families of children with blood-related cancer in Chile.
- Focus on the experiences of pediatric patients, their caregivers, and siblings.
- Analysis of psychosocial impacts including emotional, social, and economic factors.
Main Results:
- Most families reported negative impacts post-diagnosis, including disrupted family dynamics.
- Patients experienced negative emotions like depression and irritability; social lives were affected.
- Sibling relationships, caregiver partnerships, and economic stability were negatively impacted.
- Over half of families relocated due to diagnosis or treatment.
Conclusions:
- Childhood cancer profoundly affects the psychosocial well-being of the entire family unit.
- Interventions are crucial to help patients, siblings, and parents manage distress.
- Promoting resilience and well-being is essential for families navigating pediatric cancer.
Abstract:
Cancer is the second leading cause of death for children, and leukemias are the most common pediatric cancer diagnoses in Chile. Childhood cancer is a traumatic experience and is associated with distress, pain, and other negative experiences for patients and their families. Thus, psychosocial costs represent a large part of the overall burden of cancer. This study examines psychosocial experiences in a sample of 90 families of children with blood-related cancer in Chile. We provide a global overview of the family experience, focusing on patients, caregivers, and siblings. We find that most families report a negative impact upon diagnosis; disruptions in family dynamics; a range of negative feelings of the patient, such as depression, discouragement, and irritability; and difficulty with social lives. Additionally, they report negative effects in the relationship between the siblings of the patient and their parents, and within their caregivers' spouse/partner relationship, as well as a worsening of the economic condition of the primary caregiver. Furthermore, over half of the families in the sample had to move due to diagnosis and/or treatment. Promoting interventions that can help patients, siblings, and parents cope with distress and promote resilience and well-being are important.
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