Ajuste psicológico de padres de niños con distintos pronósticos de cáncer
DOI:
https://doi.org/10.1590/1982-4327e3120Palabras clave:
Adaptación emocional, Cáncer en niños, RecurrenciaResumen
Poco se conoce sobre el ajuste psicológico de padres de niños en recidiva de cáncer y en remisión. Este estudio investigó las diferencias en el ajuste psicológico de cuidadores de niños con distintos pronósticos de cáncer, comparándolos con un grupo control. Participaron 183 cuidadores de niños en recidiva/en tratamiento (n = 32), remisión/sin tratamiento (n = 75) y “sanos” (n = 76). Se analizaron los Inventarios de Depresión y Ansiedad de Beck, la Escala de Síntomas 90-R, el Cuestionario Norbeck de Apoyo Social Revisado y la Family Environment Scale mediante análisis de varianza, prueba t de Student, test de chi-cuadrado y correlaciones de Pearson. Los resultados mostraron que los padres de niños en recidiva presentaban menos ajuste psicológico. Además, se observó un efecto protector de la cohesión familiar y posibles factores de riesgo relacionados a variables sociodemográficas. Se discute la conveniencia de desarrollar intervenciones psicológicas para padres de niños en recidiva de cáncer.
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Andriola, W. B., Troccóli, B. T., & Dias, M. R. (1990). Caracterização do apoio social em estudantes universitários brasileiros [Social support characterization in Brazilian university students]. Revista de Psicologia, 7/8(1/2), 61-78. Retrieved from http://www.repositorio.ufc.br/handle/riufc/10909
Arruda-Colli, M. N. F., & Santos, M. A. (2015). Aspectos psicológicos da recidiva em oncologia pediátrica: Uma revisão integrativa [Psychological aspects of child cancer relapse: An integrative literature review]. Arquivos Brasileiros de Psicologia, 67(3), 75-93. Retrieved from http://pepsic.bvsalud.org/pdf/arbp/v67n3/07.pdf
Bakker, A., Maertens, K. J. P., Van Son, M. J. M., & Van Loey, N. E. E. (2013). Psychological consequences of pediatric burns from a child and family perspective: A review of the empirical literature. Clinical Psychology Review, 33(3), 361-371. doi:10.1016/j.cpr.2012.12.006
Bemis, H., Yarboi, J., Gerhardt, C. A., Vannatta, K., Desjardins, L., Murphy, L. K, … Compas, B. E. (2015). Childhood cancer in context: Sociodemographic factors, stress, and psychological distress among mothers and children. Journal of Pediatric Psychology, 40(8), 733-743. doi:10.1093/jpepsy/jsv024
Boivin, J., Rice, F., Hay, D., Harold, G., Lewis, A., van den Bree, M. M. B., & Thapar, A. (2009). Associations between maternal older age, family environment and parent and child wellbeing in families using assisted reproductive techniques to conceive. Social Science & Medicine, 68(11), 1948-1955. doi:10.1016/j.socscimed.2009.02.036
Cooper, S. L., & Brown, P. A. (2015). Treatment of pediatric acute lymphoblastic leukemia. Pediatric Clinics of North America, 62(1), 61-73. doi:10.1016/j.pcl.2014.09.006
Cunha, J. A. (2001). Escalas Beck - Manual. São Paulo, SP: Casa do Psicólogo.
Gerhardt, C. A., Gutzwiller, J., Huiet, K. A., Fischer, S., Noll, R. B., & Vannatta, K. (2007). Parental adjustment to childhood cancer: A replication study. Families, Systems, & Health, 25(3), 263-275. doi:10.1037/1091-7527.25.3.263
Grootenhuis, M. A., & Last, B. F. (1997). Predictors of parental emotional adjustment to childhood cancer. Psycho-Oncology, 6(2), 115-128. doi:10.1002/(SICI)1099-1611(199706)6:2<115::AID-PON252>3.0.CO;2-D
Jurbergs, N., Long, A., Ticona, L., & Phipps, S. (2009). Symptoms of posttraumatic stress in parents of children with cancer: Are they elevated relative to parents of healthy children? Journal of Pediatric Psychology, 34(1), 4-13. doi:10.1093/jpepsy/jsm119
Kazak, A. E., Abrams, A. N., Banks, J., Christofferson, J., DiDonato, S., Grootenhuis, M. A., … Kupst, M. J. (2015). Psychosocial assessment as a standard of care in pediatric cancer. Pediatric Blood & Cancer, 62(Suppl 5), S426-S459. doi:10.1002/pbc.25730
Khanjari, S., Damghanifar, M., & Haqqani, H. (2018). Investigating the relationship between the quality of life and religious coping in mothers of children with recurrence leukemia. Journal of Family Medicine and Primary Care, 7(1), 213-219. doi:10.4103/jfmpc.jfmpc_236_17
Klassen, A. F., Raina, P., McIntosh, C., Sung, L., Klaassen, R. J., O´Donnell, M., … Dix, D. (2011). Parents of children with cancer: Which factors explain differences in health-related quality of life. International Journal of Cancer, 129(5), 1190-1198. doi:10.1002/ijc.25737
Laloni, D. T. (2001). Escala de avaliação de sintomas-90-R-SCL-90-R: Adaptação, precisão e validade (Tese de doutorado). Retrieved from http://tede.bibliotecadigital.puc-campinas.edu.br:8080/jspui/handle/tede/389
Ljungman, L., Cernvall, M., Grönqvist, H., Ljótsson, B., Ljungman, G., & von Essen, L. (2014). Long-term positive and negative psychological late effects for parents of childhood cancer survivors: A systematic review. PloS One, 9(7), e103340. doi:10.1371/journal.pone.0103340
Maurice-Stam, H., Oort, F. J., Last, B. F., & Grootenhuis, M. A. (2008). Emotional functioning of parents of children with cancer: The first five years of continuous remission after the end of treatment. Psycho-Oncology, 17(5), 448-459. doi:10.1002/pon.1260
Meyler, E., Guerin, S., Kiernan, G., & Breatnach, F. (2010). Review of family-based psychosocial interventions for childhood cancer. Journal of Pediatric Psychology, 35(10), 1116-1132. doi:10.1093/jpepsy/jsq032
Ministério da Saúde. Instituto Nacional de Câncer. (2018). É possível falar em cura? [Is it possible to talk about cure?]. Rede Câncer, (40), 12-16. Retrieved from https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/rrc-40-capa-e-possivel-falar-em-cura.pdf
Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. (2019). Estimativa 2020: Incidência de câncer no Brasil [Estimate 2020: Incidence of cancer in Brazil]. Rio de Janeiro, RJ: INCA. Retrieved from https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Pai, A. L. H., Drotar, D., Zebracki, K., Moore, M., & Youngstrom, E. (2006). A meta-analysis of the effects of psychological interventions in pediatric oncology on outcomes of psychological distress and adjustment. Journal of Pediatric Psychology, 31(9), 978-988. doi:10.1093/jpepsy/jsj109
Phipps, S., Long, A., Willard, V. W., Okado, Y., Hudson, M., Huang, Q., … Noll, R. (2015). Parents of children with cancer: At-risk or resilient? Journal of Pediatric Psychology, 40(9), 914-925. doi:10.1093/jpepsy/jsv047
Rodríguez, E. M., Dunn, M. J., Zuckerman, T., Hughart, L., Vannatta, K., Gerhardt, C. A., … Compas, B. E. (2013). Mother-child communication and maternal depressive symptoms in families of children with cancer: Integrating macro and micro levels of analysis. Journal of Pediatric Psychology, 38(7), 732-743. doi:10.1093/jpepsy/jst018
Rosenberg, A. R., Dussel, V., Kang, T., Geyer, J. R., Gerhardt, C. A., Feudtner, C., & Wolfe, J. (2013). Psychological distress in parents of children with advanced cancer. JAMA Pediatrics, 167(6), 537-543. doi:10.1001/jamapediatrics.2013.628
Roser, K., Erdmann, F., Michel, G., Winther, J. F., & Mader, L. (2019). The impact of childhood cancer on parents’ socio-economic situation: A systematic review. Psycho-Oncology, 28(6), 1207-1226. doi:10.1002/pon.5088
Salvador, A., Crespo, C., & Barros, L. (2019). Parents’ psychological well-being when a child has cancer: Contribution of individual and family factors. Psycho-Oncology, 28(5), 1080-1087. doi:10.1002/pon.5057
Salvador, A., Crespo, C., Martins, A. R., Santos, S., & Canavarro, M. C. (2015). Parents’ perceptions about their child’s illness in pediatric cancer: Links with caregiving burden and quality of life. Journal of Child and Family Studies, 24(4), 1129-1140. doi:10.1007/s10826-014-9921-8
Schardong, F., Cardoso, N. O., & Mazoni, C. G. (2017). Estratégias de enfrentamento e a ansiedade dos pais de crianças com câncer: Uma revisão integrativa [Coping strategies and anxiety of parents of children with cancer: An integrative review]. Revista da SBPH, 20(1), 32-54. Retrieved from http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-08582017000100004&lng=pt&tlng=pt
Schepers, S. A., Okado, Y., Russell, K., Long, A. M., & Phipps, S. (2019). Adjustment in childhood cancer survivors, healthy peers, and their parents: The mediating role of the parent-child relationship. Journal of Pediatric Psychology, 44(2), 186-196. doi:10.1093/jpepsy/jsy069
Sulkers, E., Tissing, W. J. E., Brinksma, A., Roodbol, P. F., Kamps, W. A., Stewart, R. E., … Fleer, J. (2015). Providing care to a child with cancer: A longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis. Psycho-Oncology, 24(3), 318-324. doi:10.1002/pon.3652
Sultan, S., Leclair, T., Rondeau, E., Burns, W., & Abate, C. (2016). A systematic review on factors and consequences of parental distress as related to childhood cancer. European Journal of Cancer Care, 25(4), 616-637. doi:10.1111/ecc.12361
Van Schoors, M., De Paepe, A. L., Norga, K., Cosyns, V., Morren, H., Vercruysse, T., … Verhofstadt, L. L. (2019). Family members dealing with childhood cancer: A study on the role of family functioning and cancer appraisal. Frontiers in Psychology, 10, 1045. doi:10.3389/fpsyg.2019.01405
Vander Haegen, M., & Etienne, A. M. (2018). Intolerance of uncertainty in parents of childhood cancer survivors: A clinical profile analysis. Journal of Psychosocial Oncology, 36(6), 717-733. doi:10.1080/07347332.2018.1499692
Vianna, V. P. T., Silva, E. A., & Souza-Formigoni, M. L. O. (2007). Versão em português da Family Environment Scale: Aplicação e validação [Portuguese version of the Family Environment Scale: Aplication and validation]. Revista de Saúde Pública, 41(3), 419-426. doi:10.1590/S0034-89102007000300014
Wechsler, A. M., & Bragado-Álvarez, C. (2017). Predictores de ajuste psicológico de padres de niños con cáncer [Psychological adjustment predictors of parents of children with cáncer]. In C. R. Jara & Y. G. Valdés (Eds.), Psicooncología: Enfoques, avances e investigación [Psychooncology: Approaches, advancements and research] (pp. 319-337). Talca, Chile: Nueva Mirada.
Wechsler, A. M., & Rani, A. C. Z. (2018). Interacción familiar de madres y niños brasileros: Identificación de prácticas parentales de riesgo [Family interaction between Brazilian mothers and children: Identification of risk parental practices]. In A. C. Ríos, C. R. Jara, & E. S. Guajardo (Eds.), Familias y niñez: Nuevas tensiones, nuevas respuestas [Families and childhood: New tensions, new answers] (pp. 15-28). Talca, Chile: Nueva Mirada.
Wiener, L., Viola, A., Kearney, J., Mullins, L. L., Sherman-Bien, S., Zadeh, S., … Pao, M. (2016). Impact of caregiving for a child with cancer on parental health behaviors, relationship quality, and spiritual faith: Do lone parents fare worse? Journal of Pediatric Oncology Nursing, 33(5), 378-386. doi:10.1177/1043454215616610
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