Social support during childhood cancer treatment enhances quality of life at survival [El apoyo social durante el cáncer infantil favorece la calidad de vida en periodo de supervivencia]
Supporting Agencies
- Pre-doctoral research grant from Universitat Autònoma de Barcelona (FI00286UAB) and funding provided by the Spanish Ministerio de Ciencia e Innovación (PSI2011-29807-C03-01/PSIC).
Abstract
Background: Health-related quality of life (HRQoL) in cancer has been related to several protective and risk factors such as perceived social support (PSS) and coping. However, their effects on HRQoL once patients are in survivorship have not been fully described in pediatric samples.
Objective: To describe and explore the relationship between HRQoL in survivorship and some factors (PSS, coping) present while active treatment.
Methods: Cross-sectional study. Forty-one pediatric cancer survivors answered HRQoL measures referred to survivorship, as well as PSS and coping measures referred to treatment period.
Results: The discriminant function obtained succeeds to correctly classify 78% of the sample. Survivors who showed high HRQoL were those who, in the hardest moment while hospitalization, perceived satisfactory emotional support (from nurses) and did not deploy a wide range of active coping resources to cope with stressful events (only social action coping strategy showed a significant relationship with HRQoL).
Conclusions and implications: Considering these outcomes, educational and counseling interventions to strengthen patients’ social networks and supportive relationships are recommended, specially, among health providers (nurses). These results highlight the importance of not overlooking opportunities to address the emotional needs of patients while hospitalization, since a positive and endurable effect has been observed at survivorship.
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References
Anderzen-Carlsson, A., Kihlgren, M., Skeppner, G., & Sorlie, V. (2007). How physicians and nurses handle fear in children with cancer. Journal of Pediatric Nursing, 22, 71-79.
Arora, N. K. (2003). Interacting with cancer patients: the significance of physicians’ communication behavior. Social Science & Medicine, 57(5), 791-806.
Askins, M. A., & Moore, B. D. (2008). Psychosocial support of the pediatric cancer patient: lessons learned over the past 50 years. Current Oncology Reports, 10(6), 469-476.
Barrón-López, A., & Sánchez-Moreno, E. (2001). Estructura social, apoyo social y salud mental. Psicothema, 13(1), 17-23.
Bloom, J. R. (1982). Social support, accommodation to stress and adjustment to breast cancer. Social Science & Medicine, 16(14), 1329-1338.
Bloom, J. R. (2008). Improving the health and well-being of cancer survivors: past as prologue. Psychooncology, 17(6), 525-532.
Bonanno, G. A., Moskowitz, J. T., Papa, A., & Folkman, S. (2005). Resilience to loss in bereaved spouses, bereaved parents, and bereaved gay men. Journal of Personality & Social Psychology, 88(5), 827-843.
Cantrell, M. A. (2011). A narrative review summarizing the state of the evidence on the health-related quality of life among childhood cancer survivors. Journal of Pediatric Oncology Nursing, 28(2), 75-82.
Caplan, G. (1974). Psychosocial processes and Stress: Theoretical formulation. International Journal of Health Services, 4, 471-482.
Castellano, C., Blasco, T., Pérez-Campdepadrós, M., & Capdevila, L. (2014). Making sense of resilience: a review from the field of paediatric psycho-oncology and a proposal of a model for its study. Anales de Psicología, 30(3), 865-877.
Castellano, C., Blasco, T., Oller, A., Pérez-Campdepadrós, M., Sánchez de Toledo, J., & Capdevila, L. (2009). Quality of life in adolescent survivors of childhood cancer. Medicina Clínica (Barc), 133(20), 783-786.
Cohen, S., & Wills, T. (1985). Stress, Social Support and the buffering hypothesis. Psychological Bulletin, 98, 310-357.
Cutrona, C. E., & Russell, D. Type of social support and specific stress: toward a theory of optimal matching. In saranson, I. G., Saranson, B. R., & Pierce, G. R. (Eds.), Social support: An international view (p. 319-366). New York: Wiley, 1990.
Decker, C. L. (2007). Social support and adolescent cancer survivors: a review of the literature. Psychooncology, 16(1), 1-11.
Dixon-Woods, M., Findlay, M., Young, B., Cox, H., & Heney, D. (2001). Parents accounts of obtaining a diagnosis of childhood cancer. Lancet, 357, 670-674.
Eilerstsen, M. E. B., Kristiansen, K., Reinfjell, T., Rannestad, T., & Indredavik, Vik. T. (2009). Professional collaboration -support for children with cancer and their families- focus group interview -a source of information and knowledge- professionals’ perspectives. Journal of Interprofessional Care, 23, 356-368.
Frydenberg, E, & Lewis, R. Adolescent Coping Scale: Administrator’s manual. Hawthorn, Australia: The Australian Council for Educational Research, 1993.
Forsey, M., Salmon, P., Eden, T., & Young, B. (2013). Comparing doctors’ and nurses’ accounts of how they provide emotional care for parents of children with acute lymphoblastic leukaemia. Psychooncology, 22(2), 260-267.
Gil, A. (2005). Repressing distress in childhood: a defense against health-related stress. Child Psychiatry & Human Development, 36(1), 27-52.
Grootenhuis, M. A., & Last, B. F. (1997). Adjustment and coping by parents of children with cancer: a review of the literature. Support Care Cancer, 5(6), 466-484.
Haluska, H. B., Jessee, P. O., & Nagy, M. C. (2002). Sources of social support: adolescents with cancer. Oncology Nursing Forum, 29(9), 1317-1324.
House, J. S., & Khan, R. L. Measures and concepts of social support. In Sheldon Cohen & S Leonard Syme (Eds.), Social support and Health (p. 83-108). New York: Academic Press, 1985.
Hegelson, V. S., & Cohen, S. (1996). Social support and adjustment to cancer: reconciling descriptive, correlational, and intervention research. Health Psychology, 15(2), 135-148.
Henderson, T. O., Friedman, D. L., & Meadows, A. T. (2010). Child-hood cancer survivors: transition to adult-focused risk-based care. Pediatrics, 126(1), 129-136.
Kiernan, G., Meyler, E., & Guerin, S. (2010). Psychosocial issues and care in pediatric oncology. Cancer Nursing, 33, 12-20.
Langeveld, N. E., Stam, H., Grootenhuis, M. A., & Last, B. (2002). Quality of life in young adult survivors of childhood cancer. Support Care Cancer, 10(8), 579-600.
Ljungman, G., McGrath, P. J., Cooper, E., Widger, K., Ceccolini, J., Fernández, C. V., Frager, G., & Wilkins, K. (2003). Psychosocial needs of families with a child with cancer. Journal of Pediatric Hematology & Oncology, 25(3), 223-231.
Maru, M., Gibson, F., & Hinds, P. S. (2013). Pediatric oncology nursing research goes global. Cancer Nursing, 36(5), 339.
Maslow, G. R., & Chung, R. J. (2013). Systematic review of positive youth development programs for adolescents with chronic illness. Pediatrics, 131(5), e1605-1618.
McDougall, J., & Tsonis, M. (2009). Quality of life in survivors of childhood cancer: a systematic review of the literature (2001-2008). Support Care Cancer, 17(10), 1231-1246.
McDowell, I. Measuring health. A guide to rating scales and questionnaires (3rd Ed.), Social Health (p.150-203). Owford University Press: New York, 2006.
McKenzie, S. E., & Curle, C. (2012). “The end of treatment is not the end”: parents’ experiences of their child’s transition from treatment for childhood cancer. Psychooncology, 21(6), 647-654.
Myers, L. B. (2010). The importance of the repressive coping style: findings from 30 years of research. Anxiety Stress Coping, 23(1), 3-17.
Noeker, M. (2012). Survivors of pediatric cancer. Developmental paths and outcomes between trauma and resilience. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschultz, 55(4), 481-492.
Norberg, A. L., & Boman, K. K. (2007). Parents’ perceptions of support when a child has cancer: a longitudinal perspective. Cancer Nursing, 30(4), 294-301.
Patenaude, A. F., & Kupst, M. J. (2005). Psychosocial functioning in pediatric cancer. Journal of Pediatric Psychology, 30(1), 9-27.
Pereña, J., & Seisdedos, N. Manual ACS: escalas de afrontamiento para adolescentes [ACS Manual: Adolescent Coping Scales]. Madrid, Spain: Ediciones TEA; 1996.
Phipps, S. (2007). Adaptative style in children with cancer: implications for a positive psychology approach. Journal of Pediatric Psychology, 32(9), 1055-1066.
Phipps, S., & Srivastava, D. K. (1997). Repressive adaptation in children with cancer. Health Psychology, 16(6), 521-528.
Phipps, S., Steele, R. G., Hall, K., & Leigh, L. (2001). Repressive adaptation in children with cancer: a replication and extension. Health Psychology, 20(6), 445-451.
Pedersen, A. F., & Zachariae, R. (2010). Cancer, acute stress disorder, and repressive coping. Scandinavian Journal of Psychology, 51(1), 84-91.
Ravens-Sieberer, U., Gosch, A., Rajmil, L, Erhart, M., Bruil, J., Power, M., Duer, W., Auguier, P., Cloetta, B., Czemy, L., Mazur, J., Czimbalmos, A., Tountas, Y., Hagguist, C., Kilroe, J., & The KIDSCREEN Group. (2008). The KIDSCREEN-52 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Value in Health, 11(4), 645-658.
Rebollo, P. (2008). Utilización del “grupo SF” de los cuestionarios de calidad de vida (SF-36, SF-12 y SF-6D) en el marco de ensayos clínicos y en la práctica clínica habitual. Medicina Clínica (Barc), 130(19), 740-741.
Schor, E. L., & American Academy of Pediatrics Task Force on the Family (2003). Family pediatrics: report of the Task Force on the family. Pediatrics, 111(6 Pt 2), 1541-1571.
Stewart, M. A. (1995). Effective physician-patient communication and health outcomes: a review. Canadian Medical Association Journal, 152(9), 1423-1433.
Trufelli, D. C., Bensi, C. G., García, J. B., Narahara, J. L., Abrao, M. N., Diniz, R. W., Miranda, Vda, C., Soares, H. P., & del Giglio, A. (2008). Burnout in cancer professionals: a systematic review and meta-analysis. European Journal of Cancer Care (Engl), 17(6), 524-531.
Van Horn, E. R., & Kautz, D. (2007). Promotion of family integrity in the acute care setting: a review of the literature. Dimensions of Critical Care Nursing, 26(3), 101-109.
Vilagut, G., Valderas, J. M., Ferrer, M., Garin, O., López-García, E., & Alonso, J. Interpretación de los cuestionarios de salud SF-36 y SF-12 en España: componentes físico y mental. Medicina Clínica (Barc), 130(19):726-735.
Wallander JL, Varni JW, Babani L, Banis, H. T., & Wilcox, K. T. (1989). Family resources as resistance factors for psychological maladjustment in chronically ill and handicapped children. Journal of Pediatric Psychology, 14(2), 157-173.
Weinberger, D. A., & Schwartz, G. E. (1990). Distress and restraint as superordinate dimensions of self-reported adjustment: a typological perspective. Journal of Personality, 58(2), 381-417.
Weinberger, D. A., Schwartz, G. E., & Davidson, R. J. (1979). Low-anxious, high-anxious, and repressive coping styles: psychometric patterns and behavioral and physiological responses to stress. Journal of Abnomal Psychology, 88(4), 369-380.
Weiss, E. Toward an integrative model of repressive coping style in stress adaptation. (Dissertation). ProQuest, UMI Dissertation Publishing, 2009.
Yarcheski, A., Mahon, N. E., & Yarcheski, T. J. (2001). Social support and well-being in early adolescents. Clinical Nursing Research, 10(2), 163-181.
Zebrack, B. J. (2000). Cancer survivor identity and quality of life. Cancer Practice, 8(5), 238-242.
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