Psychosocial functioning of parents of Dutch long-term survivors of childhood cancer
© 2022 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd..
OBJECTIVE: To describe health-related quality of life (HRQoL), post-traumatic stress and post-traumatic growth of parents of long-term survivors of childhood cancer (CCS) and study associated factors.
METHODS: Parents of survivors of the Dutch Childhood Cancer Survivor Study LATER cohort below 30 years and diagnosed 1986-2001 were invited to complete the TNO-AZL Questionnaire for Adult's HRQoL (e.g., sleep and aggressive emotions), Self-Rating Scale for Post-traumatic Stress Disorder, Post-traumatic Growth Inventory, and Illness Cognition Questionnaire. HRQoL domain scores were compared to references using Mann-Whitney U tests. Correlations between post-traumatic stress, growth and HRQoL were evaluated. Medical characteristics of their child and illness cognitions were studied as associated factors of HRQOL, post-traumatic stress and growth. p < 0.05 was considered statistically significant.
RESULTS: Parents (n = 661 of n = 448 survivors, 56% female, mean time since child's diagnosis: 21.3 [SD: 3.3] years) reported better HRQoL in social functioning and aggressive emotions than references (r = .08-0.17). Mothers additionally reported better HRQoL in pain, daily activities, sexuality, vitality, positive and depressive emotions (r = .07-0.14). Post-traumatic stress was symptomatic in 3%, and associated with worse HRQoL (r = -0.27-0.48). Post-traumatic growth was positively associated to post-traumatic stress and better HRQoL (r = 0.09-0.12). Cancer recurrence was associated to better HRQoL (β = 0.37-0.46). Acceptance illness cognitions were associated to better (β = 0.12-0.25), and helplessness to worse outcomes (β = 0.14-0.38).
CONCLUSIONS: HRQoL of parents of young adult survivors of CCS is comparable to references or slightly better. Only a small proportion reports symptomatic post-traumatic stress. Improving acceptance and reducing feelings of helplessness may provide treatment targets for parents with psychosocial problems.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
Psycho-oncology - 32(2023), 2 vom: 24. Feb., Seite 283-294 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
van Gorp, Marloes [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 07.02.2023 Date Revised 19.04.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/pon.6069 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM34939623X |
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| 245 | 1 | 0 | |a Psychosocial functioning of parents of Dutch long-term survivors of childhood cancer |
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| 500 | |a Date Completed 07.02.2023 | ||
| 500 | |a Date Revised 19.04.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd. | ||
| 520 | |a OBJECTIVE: To describe health-related quality of life (HRQoL), post-traumatic stress and post-traumatic growth of parents of long-term survivors of childhood cancer (CCS) and study associated factors | ||
| 520 | |a METHODS: Parents of survivors of the Dutch Childhood Cancer Survivor Study LATER cohort below 30 years and diagnosed 1986-2001 were invited to complete the TNO-AZL Questionnaire for Adult's HRQoL (e.g., sleep and aggressive emotions), Self-Rating Scale for Post-traumatic Stress Disorder, Post-traumatic Growth Inventory, and Illness Cognition Questionnaire. HRQoL domain scores were compared to references using Mann-Whitney U tests. Correlations between post-traumatic stress, growth and HRQoL were evaluated. Medical characteristics of their child and illness cognitions were studied as associated factors of HRQOL, post-traumatic stress and growth. p < 0.05 was considered statistically significant | ||
| 520 | |a RESULTS: Parents (n = 661 of n = 448 survivors, 56% female, mean time since child's diagnosis: 21.3 [SD: 3.3] years) reported better HRQoL in social functioning and aggressive emotions than references (r = .08-0.17). Mothers additionally reported better HRQoL in pain, daily activities, sexuality, vitality, positive and depressive emotions (r = .07-0.14). Post-traumatic stress was symptomatic in 3%, and associated with worse HRQoL (r = -0.27-0.48). Post-traumatic growth was positively associated to post-traumatic stress and better HRQoL (r = 0.09-0.12). Cancer recurrence was associated to better HRQoL (β = 0.37-0.46). Acceptance illness cognitions were associated to better (β = 0.12-0.25), and helplessness to worse outcomes (β = 0.14-0.38) | ||
| 520 | |a CONCLUSIONS: HRQoL of parents of young adult survivors of CCS is comparable to references or slightly better. Only a small proportion reports symptomatic post-traumatic stress. Improving acceptance and reducing feelings of helplessness may provide treatment targets for parents with psychosocial problems | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a post-traumatic stress | |
| 650 | 4 | |a psycho-oncology | |
| 650 | 4 | |a psychosocial outcomes | |
| 650 | 4 | |a survivors of childhood cancer | |
| 700 | 1 | |a Joosten, Mala M H |e verfasserin |4 aut | |
| 700 | 1 | |a Maas, Anne |e verfasserin |4 aut | |
| 700 | 1 | |a Drenth, Babet L |e verfasserin |4 aut | |
| 700 | 1 | |a van der Aa-van Delden, Alied |e verfasserin |4 aut | |
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| 700 | 1 | |a van Dulmen-den Broeder, Eline |e verfasserin |4 aut | |
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| 700 | 1 | |a Loonen, Jacqueline J |e verfasserin |4 aut | |
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| 700 | 1 | |a de Vries, Andrica C H |e verfasserin |4 aut | |
| 700 | 1 | |a van den Heuvel-Eibrink, Marry M |e verfasserin |4 aut | |
| 700 | 1 | |a Ronckers, Cécile |e verfasserin |4 aut | |
| 700 | 1 | |a Bresters, Dorine |e verfasserin |4 aut | |
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| 700 | 1 | |a Maurice-Stam, Heleen |e verfasserin |4 aut | |
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| 700 | 0 | |a Dutch LATER study group |e verfasserin |4 aut | |
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