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Brolin R, Hanson E, Magnusson L, Lewis F, Parkhouse T, Hlebec V, Santini S, Hoefman R, Leu A, Becker S. Adolescent Young Carers Who Provide Help and Support to Friends. Healthcare (Basel) 2023; 11:2876. [PMID: 37958020 PMCID: PMC10649303 DOI: 10.3390/healthcare11212876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 10/12/2023] [Accepted: 10/24/2023] [Indexed: 11/15/2023] Open
Abstract
Prior studies emphasize the value of friends' support for children/adolescents who have a disability or suffer from mental ill-health or a long-term illness. However, few studies have explored how a caring role affects those young friend carers themselves. This paper addresses a gap in the research by focusing on this hitherto neglected group of young carers to explore the impact of providing care to friends. An online survey was employed for a cross-national study conducted in 2018-2019 in Sweden, Italy, Slovenia, the Netherlands, Switzerland, and the United Kingdom to examine the incidence of adolescent young friend carers, the extent of care they provide, and their self-reported health, well-being, and school situation. The survey was completed by 7146 adolescents, aged 15-17, and 1121 of them provided care to a friend with a health-related condition, most frequently mental ill-health. They carried out high levels of caring activities, and a quarter of them also provided care to a family member. They experienced both positive and negative aspects of caring. Nevertheless, in comparison with adolescents who provided care to family members, they reported more health problems, with a dominance of mental ill-health, and they received lower levels of support. Since adolescent friends play a valuable role for young people with health-related conditions, especially mental ill-health, it is important to find ways of optimizing their caring experiences in order that those adolescents who choose to care for a friend can do so without it having a negative impact on their own mental health, well-being, and life situation.
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Affiliation(s)
- Rosita Brolin
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
| | - Elizabeth Hanson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Lennart Magnusson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Feylyn Lewis
- School of Nursing 179, Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA;
| | - Tom Parkhouse
- School of Psychology, University of Sussex, Falmer, Brighton BN1 9QQ, UK;
| | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, 1000 Ljubljana, Slovenia;
| | - Sara Santini
- Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy;
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 BD The Hague, The Netherlands;
| | - Agnes Leu
- Institute for Biomedical Ethics, Science and Medical Faculty, University of Basel, 4001 Basel, Switzerland;
| | - Saul Becker
- School of Education and Social Work, University of Sussex, Falmer, Brighton BN1 9QQ, UK;
- Faculty of Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK
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Winning AM, Howard Sharp K, Ferrante AC, Ralph J, Desjardins L, Friedman DL, Young-Saleme TK, Vannatta K, Compas BE, Gerhardt CA. CNS-Directed Cancer Treatment and Child Adjustment: Moderating Effects of Maternal Parenting. J Pediatr Psychol 2022; 47:916-928. [PMID: 35303090 PMCID: PMC9372750 DOI: 10.1093/jpepsy/jsac021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 02/28/2022] [Accepted: 03/01/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The aim of this study was to examine whether maternal parenting behaviors (i.e., warmth, behavioral/psychological control) moderate the association between central nervous system (CNS)-directed treatment and adjustment among pediatric cancer survivors at 3 years post-diagnosis or relapse. METHODS Three years after their child's cancer diagnosis or relapse, mothers (N = 84) reported on their child's academic and social competence, as well as their internalizing and externalizing problems. Children (N = 84; Mage = 13.21 years, 52.4% male) reported on maternal parenting behaviors. Using medical chart data, children were separated into CNS (i.e., received cranial radiation, intrathecal chemotherapy, and/or neurosurgery; N = 45) or non-CNS-directed treatment (N = 39) groups. Twelve moderation models were tested when examining two-way interactions between CNS treatment group and maternal parenting behaviors. RESULTS Children in the CNS-directed treatment group demonstrated significantly worse academic and social competence. Moderation analyses revealed four significant two-way interactions between CNS treatment group and maternal parenting behaviors when predicting children's adjustment. High levels of maternal behavioral control buffered the negative impact of CNS-directed treatment on children's social competence. In addition, maternal warmth had a contrasting effect, as CNS-directed treatment was associated with worse academic competence at high levels of warmth. Analyses with psychological control revealed that low levels of this parenting style were not protective against internalizing or externalizing problems among those with CNS-directed treatment. CONCLUSIONS Children who receive CNS-directed treatment may benefit from a different pattern of parenting during early cancer survivorship. Findings highlight the importance of considering the broader family context when conceptualizing the impact of illness-related factors on adjustment among pediatric cancer survivors.
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Affiliation(s)
- Adrien M Winning
- The Abigail Wexner Research Institute at Nationwide Children's Hospital, USA
| | - Katianne Howard Sharp
- The Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.,The Ohio State University, USA
| | - Amanda C Ferrante
- The Abigail Wexner Research Institute at Nationwide Children's Hospital, USA
| | - Jessica Ralph
- The Abigail Wexner Research Institute at Nationwide Children's Hospital, USA
| | | | | | | | - Kathryn Vannatta
- The Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.,The Ohio State University, USA
| | | | - Cynthia A Gerhardt
- The Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.,The Ohio State University, USA
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Nieto-Eugenio I, Ventura-Puertos PE, Rich-Ruiz M. S.O.S! My Child is at School: A Hermeneutic of the Experience of Living a Chronic Disease in the School Environment. J Pediatr Nurs 2020; 53:e171-e178. [PMID: 32334897 DOI: 10.1016/j.pedn.2020.03.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 03/23/2020] [Accepted: 03/25/2020] [Indexed: 12/11/2022]
Abstract
PURPOSE The purpose of the present study is to understand the experience of living a chronic disease in the school, from the perspective of the parents. DESIGN AND METHODS A Grounded Theory study was proposed with a sample of 14 affected families with children between three and eleven years old, all of them from the west and south of Spain. Information was collected using semi-structured surveys and the constant comparative method was used for the analysis. RESULTS Results are divided into three main themes: SOS! My child is at school, The Systems (don't) Answer and Families Answer. Parents live school enrolment in a state of constant alertness, characterized by distrust, worry, fear, anguish, and indignation. The responses to the problem given by the education and health systems are insufficient, uncoordinated and inefficient. Therefore, parents end up not expecting anything, they transmit the information, organize training sessions, and solve any occurring incident by themselves, often at the expense of quitting their jobs. CONCLUSION The presence of a school nurse would mean for these parents the integration between the education and health systems. PRACTICE IMPLICATIONS As findings highlight, more collaboration and sensitivity between the healthcare and educational system is needed, and the school nurse has been indicated as a crucial figure in this matter.
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Affiliation(s)
- Irene Nieto-Eugenio
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Hospital Universitario Reina Sofía (HURS). Avda. Menéndez Pidal s/n, Córdoba, Spain
| | - Pedro E Ventura-Puertos
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Hospital Universitario Reina Sofía (HURS). Avda. Menéndez Pidal s/n, Córdoba, Spain..
| | - Manuel Rich-Ruiz
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Hospital Universitario Reina Sofía (HURS). Avda. Menéndez Pidal s/n, Córdoba, Spain
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Havewala M, Felton JW, Lejuez CW. Friendship Quality Moderates the Relation Between Maternal Anxiety and Trajectories of Adolescent Internalizing Symptoms. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2019; 41:495-506. [PMID: 31983803 DOI: 10.1007/s10862-019-09742-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The current study examined the moderating role of friendship quality on the relation between maternal anxiety and internalizing symptoms in a 3-year prospective study of adolescent development. Participants included 177 adolescents (M age = 16.05, SD age = 0.91) and their mothers. Mothers reported their own levels of anxiety; youth completed self-reports of internalizing symptoms and friendship quality. Positive friendship quality moderated the relation between maternal anxiety and initial levels of internalizing symptoms. Maternal anxiety was associated with steeper increases in internalizing symptoms over time, but only for those with greater negative peer interactions. Findings underscore the important role of both parental and peer relationships in the development of internalizing symptoms and highlight specific avenues for clinical interventions.
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Affiliation(s)
- Mazneen Havewala
- Department of Psychology, University of Maryland, College Park, MD
| | - Julia W Felton
- Division of Public Health, Michigan State University, Flint, MI
| | - Carl W Lejuez
- Department of Psychology, University of Kansas, Lawrence, KS
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Crandell JL, Sandelowski M, Leeman J, Havill NL, Knafl K. Parenting behaviors and the well-being of children with a chronic physical condition. FAMILIES, SYSTEMS & HEALTH : THE JOURNAL OF COLLABORATIVE FAMILY HEALTHCARE 2018; 36:45-61. [PMID: 29172624 PMCID: PMC5880719 DOI: 10.1037/fsh0000305] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Numerous studies have identified the importance of parenting behaviors to the well-being of children with chronic physical conditions. Synthesizing the findings of these studies has potential to identify which parenting behaviors are associated with specific aspects of child well-being. METHOD We retrieved research reports addressing the relationship between parenting behaviors and well-being in children with chronic physical conditions, and categorized parenting behaviors based on Skinner, Johnson, and Snyder's (2005) core dimensions of parenting (warmth, rejection, structure, chaos, autonomy support, and coercion) Through meta-analysis, we examined relationships between parenting dimension and child well-being variables. RESULTS Fifty-four reports from 47 unique studies met inclusion criteria. Parent warmth was associated with less child depression, better quality of life, better physical functioning, and fewer externalizing behavior problems. Parent rejection was associated with more child depression, internalizing/externalizing behavior problems, and poorer physical functioning. Parent structure was associated with better child physical functioning. Parent chaos was associated with poorer child physical functioning. Parent autonomy support was associated with better quality of life and fewer externalizing behavior problems. Parent coercion was associated with more child depression, poorer quality of life, poorer physical function, and more internalizing behavior problems. CONCLUSION The results identify multiple, potentially modifiable parenting dimensions associated with well-being in children with a chronic condition, which could be targeted in developing family-focused interventions. They also provide evidence that research using Skinner's core dimensions could lead to conceptualization and study of parenting behaviors in ways that would enable comparison of parenting in a variety of health and sociocultural contexts. (PsycINFO Database Record
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Affiliation(s)
| | | | - Jennifer Leeman
- School of Nursing, University of North Carolina at Chapel Hill
| | - Nancy L Havill
- School of Nursing, University of North Carolina at Chapel Hill
| | - Kathleen Knafl
- School of Nursing, University of North Carolina at Chapel Hill
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Berg CA, Butner J, Wiebe DJ, Lansing AH, Osborn P, King PS, Palmer DL, Butler JM. Developmental model of parent-child coordination for self-regulation across childhood and into emerging adulthood: Type 1 diabetes management as an example. DEVELOPMENTAL REVIEW 2017; 46:1-26. [DOI: 10.1016/j.dr.2017.09.001] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Kay JS, Juth V, Silver RC, Sender LS. Support and conflict in relationships and psychological health in adolescents and young adults with cancer. J Health Psychol 2017; 24:502-517. [PMID: 28810372 DOI: 10.1177/1359105316676629] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Perceived support and conflict between adolescents and young adults with cancer and their primary caregivers, other family, close friends, and medical staff were examined in relation to adolescents and young adults' psychological health. Adolescents and young adults ( n = 115, 51% male, ages 12-24 years, M (standard deviation) = 16.07 (2.29)) in outpatient cancer treatment perceived more support and conflict within familial relationships than other relationships. Among familial relationships, perceived support and conflict were associated with psychological health; within other relationships, only support was associated with psychological health. Interactions among family were most strongly correlated with psychological distress; interactions with friends were stronger correlates of posttraumatic stress symptoms, positive affect, and posttraumatic growth.
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Affiliation(s)
| | | | | | - Leonard S Sender
- 1 University of California, Irvine, USA.,2 Children's Hospital of Orange County, USA
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Roberts CA, Geryk LL, Sage AJ, Sleath BL, Tate DF, Carpenter DM. Adolescent, caregiver, and friend preferences for integrating social support and communication features into an asthma self-management app. J Asthma 2016; 53:948-54. [PMID: 27116540 DOI: 10.3109/02770903.2016.1171339] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES This study examines: 1) adolescent preferences for using asthma self-management mobile applications (apps) to interact with their friends, caregivers, medical providers, and other adolescents with asthma and 2) how caregivers and friends would use mobile apps to communicate with the adolescent and serve as sources of support for asthma management. METHODS We recruited 20 adolescents aged 12-16 years with persistent asthma, their caregivers (n = 20), and friends (n = 3) from two suburban pediatric practices in North Carolina. We gave participants iPods with two preloaded asthma apps and asked them to use the apps for 1 week. Adolescents and caregivers provided app feedback during a semi-structured interview at a regularly-scheduled clinic appointment and during a telephone interview one week later. Friends completed one telephone interview. Interviews were audio-recorded and transcribed verbatim. An inductive, theory-driven analysis was used to identify themes and preferences. RESULTS Adolescents preferred to use apps for instrumental support from caregivers, informational support from friends, and belonging and informational support from others with asthma. The majority of adolescents believed apps could enhance communication with their caregivers and medical providers, and the theme of self-reliance emerged in which caregivers and adolescents believed apps could enable adolescents to better self-manage their asthma. Friends preferred to use apps to provide instrumental and informational support. CONCLUSIONS Given preferences expressed in this study, apps may help adolescents obtain social support to better self-manage their asthma. Future app-based interventions should include features enabling adolescents with asthma to communicate and interact with their caregivers, medical providers, and friends.
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Affiliation(s)
- Courtney A Roberts
- a Eshelman School of Pharmacy , University of North Carolina , Chapel Hill , NC , USA
| | - Lorie L Geryk
- a Eshelman School of Pharmacy , University of North Carolina , Chapel Hill , NC , USA
| | - Adam J Sage
- a Eshelman School of Pharmacy , University of North Carolina , Chapel Hill , NC , USA
| | - Betsy L Sleath
- a Eshelman School of Pharmacy , University of North Carolina , Chapel Hill , NC , USA
| | - Deborah F Tate
- b Gillings School of Global Public Health , University of North Carolina , Chapel Hill , NC , USA
| | - Delesha M Carpenter
- a Eshelman School of Pharmacy , University of North Carolina , Chapel Hill , NC , USA
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Svedberg P, Einberg EL, Wärnestål P, Stigmar J, Castor A, Enskär K, Nygren JM. Support from healthcare services during transition to adulthood - Experiences of young adult survivors of pediatric cancer. Eur J Oncol Nurs 2016; 21:105-12. [PMID: 26952685 DOI: 10.1016/j.ejon.2016.02.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Revised: 02/02/2016] [Accepted: 02/06/2016] [Indexed: 11/25/2022]
Abstract
PURPOSE Improved survival rates of pediatric cancer have drawn attention on how to best facilitate long-term follow up and transition from pediatric to adult care. The transition process is multifactorial and necessitates the joint involvement of the patient, the family and the healthcare providers. The purpose of this study was to explore the experiences of support from healthcare services during the transition from adolescence to adulthood described by young adult survivors of pediatric cancer. METHODS A mixed method with a convergent parallel design was used to evaluate the experiences of receiving support from healthcare services (eg pediatric oncology and pediatric clinic) during transition from adolescence to adulthood described by young adult survivors of pediatric cancer (n = 213) in a nation wide cross-sectional survey. RESULTS A quantitative assessment of the experienced extent and satisfaction of support from healthcare services to handle physical, mental and social changes to continue life after the disease showed that a majority of the participants had received insufficient support. The qualitative analysis indicated a need for equal roles in healthcare to promote participation, a need to manage and process consequences of the disease, and a need for continuous support. CONCLUSIONS During transition to adulthood, there's a need for a personalized care plan that takes a holistic approach towards supporting the young cancer survivor in managing life in the best way. Identifying and handling the individual needs of pediatric cancer survivors is important for providing the resources and support required to increase the likelihood of successful transition to adulthood.
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Affiliation(s)
- Petra Svedberg
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - Eva-Lena Einberg
- School of Health and Welfare, Halmstad University, Halmstad, Sweden; School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Pontus Wärnestål
- School of Information Technology, Halmstad University, Halmstad, Sweden
| | - Jennie Stigmar
- Department of Pediatrics, Skåne University Hospital, Lund, Sweden
| | - Anders Castor
- Department of Pediatrics, Skåne University Hospital, Lund, Sweden
| | - Karin Enskär
- School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Jens M Nygren
- School of Health and Welfare, Halmstad University, Halmstad, Sweden.
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Moulin V, Akre C, Rodondi PY, Ambresin AE, Suris JC. A qualitative study of adolescents with medically unexplained symptoms and their parents. Part 1: Experiences and impact on daily life. J Adolesc 2015; 45:307-16. [PMID: 26530332 DOI: 10.1016/j.adolescence.2015.10.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Revised: 10/06/2015] [Accepted: 10/07/2015] [Indexed: 12/18/2022]
Abstract
Medically unexplained symptoms (MUS) are common among adolescents and are frequently encountered in primary care. Our aim was to explore how these adolescents and their parents experience the condition and its impact on their daily lives and to provide recommendations for health professionals. Using a qualitative approach, six focus groups and two individual interviews were conducted. These involved a total of ten adolescents with different types of MUS and sixteen parents. The respondents were recruited in a university hospital in Switzerland. A thematic analysis was conducted according to the Grounded Theory. The analysis of the data highlighted four core themes: disbelief, being different, concealing symptoms, and priority to adolescent's health. Transcending these themes was a core issue regarding the discrepancy between the strategies that adolescents and their parents use to cope with the symptoms. Health professionals should be made aware of the emotional needs of these patients and their families.
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Affiliation(s)
- Virginie Moulin
- Research Group on Adolescent Health (GRSA), Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 1010 Lausanne, Switzerland
| | - Christina Akre
- Research Group on Adolescent Health (GRSA), Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 1010 Lausanne, Switzerland
| | - Pierre-Yves Rodondi
- Research and Teaching Group on Complementary Medicine, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 1010 Lausanne, Switzerland
| | - Anne-Emmanuelle Ambresin
- Multidisciplinary Adolescent Health Unit (UMSA), Department of Pediatrics (DMCP), Lausanne University Hospital, 1010 Lausanne, Switzerland
| | - Joan-Carles Suris
- Research Group on Adolescent Health (GRSA), Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 1010 Lausanne, Switzerland.
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Howard Sharp KM, Willard VW, Okado Y, Tillery R, Barnes S, Long A, Phipps S. Profiles of Connectedness: Processes of Resilience and Growth in Children With Cancer. J Pediatr Psychol 2015; 40:904-13. [PMID: 25968051 DOI: 10.1093/jpepsy/jsv036] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Accepted: 03/31/2015] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Identified patterns of connectedness in youth with cancer and demographically similar healthy peers. METHOD Participants included 153 youth with a history of cancer and 101 youth without a history of serious illness (8-19 years). Children completed measures of connectedness, posttraumatic stress symptoms (PTSS), and benefit-finding. Parents also reported on children's PTSS. RESULTS Latent profile analysis revealed four profiles: high connectedness (45%), low connectedness (6%), connectedness primarily to parents (40%), and connectedness primarily to peers (9%). These profiles did not differ by history of cancer. However, profiles differed on PTSS and benefit-finding. Children highly connected across domains displayed the lowest PTSS and highest benefit-finding, while those with the lowest connectedness had the highest PTSS, with moderate PTSS and benefit-finding for the parent and peer profiles. CONCLUSION Children with cancer demonstrate patterns of connectedness similar to their healthy peers. Findings support connectedness as a possible mechanism facilitating resilience and growth.
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Affiliation(s)
- Katianne M Howard Sharp
- Department of Psychology, St. Jude Children's Research Hospital and Department of Psychology, The University of Memphis
| | | | - Yuko Okado
- Department of Psychology, St. Jude Children's Research Hospital and
| | - Rachel Tillery
- Department of Psychology, St. Jude Children's Research Hospital and Department of Psychology, The University of Memphis
| | - Sarah Barnes
- Department of Psychology, St. Jude Children's Research Hospital and Department of Psychology, The University of Memphis
| | - Alanna Long
- Department of Psychology, St. Jude Children's Research Hospital and
| | - Sean Phipps
- Department of Psychology, St. Jude Children's Research Hospital and
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Santos GSD, Tavares CMDM, Ferreira RE, Pereira CSDF. Rede social e virtual de apoio ao adolescente que convive com doenças crônicas: uma revisão integrativa. AQUICHAN 2015. [DOI: 10.5294/aqui.2015.15.1.7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: identificar o papel do enfermeiro na rede social e virtual de apoio aos adolescentes que convivem com o diagnóstico de doença crônica. Metodologia: trata-se de uma revisão integrativa, realizada na base de dados: MEDLINE, LILACS e BDENF, no período de junho a novembro de 2013, com artigos indexados a partir de 2008 até 2013 e os descritores: “enfermagem”, “apoio social”, “adolescentes”, “doenças crônicas” e “rede social”. Resultados: os artigos descrevem que o apoio social de forma direta aos portadores de doenças crônicas ou por meio do apoio que os pais recebem, afetará positivamente no estado de saúde do portador. Conclusão: o enfermeiro deve estar preparado para fornecer o apoio necessário às famílias e ao portador de doença crônica com o objetivo de melhorar a saúde do paciente. Esse apoio por meio das redes sociais virtuais é um novo método que vem conquistando espaço e trazendo grandes benefícios para esses pacientes e seus familiares.
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Einberg EL, Svedberg P, Enskär K, Nygren JM. Friendship Relations From the Perspective of Children With Experience of Cancer Treatment. J Pediatr Oncol Nurs 2014; 32:153-64. [DOI: 10.1177/1043454214554009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Friendships are significant to child development and health but diseases such as cancer can interrupt the contact with friends. The purpose of this study was to describe perceptions of friendship from the perspective of children undergoing cancer treatment, in order to build knowledge that can be used in a health promotion intervention for these children. Fifteen children between 8 and 12 years of age participated in focus groups, where a mixture of informative and creative techniques were used. The focus group discussions were analyzed using qualitative content analysis. The analysis resulted in three generic categories, “Common interests and experiences,” “Mutual empathic actions.” and “Mutual trust and understanding,” incorporating seven subcategories. Based on children’s descriptions from a salutogenic perspective, friendship emerged as An equal and mutual commitment that evolves over time and with interactions face-to-face and digitally, a child perspective on friendship should be central to the development of health promotion interventions designed to support friendship relations of children treated for cancer.
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Affiliation(s)
- Eva-Lena Einberg
- Halmstad University, Halmstad, Sweden
- School of Health Sciences, Jönköping University, Jönköping, Sweden
| | | | - Karin Enskär
- School of Health Sciences, Jönköping University, Jönköping, Sweden
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Chesney ML. Education - an important prescription for health. J Pediatr Health Care 2014; 28:374-5. [PMID: 25275166 DOI: 10.1016/j.pedhc.2014.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Helms SW, Dellon EP, Prinstein MJ. Friendship Quality and Health-Related Outcomes Among Adolescents With Cystic Fibrosis. J Pediatr Psychol 2014; 40:349-58. [DOI: 10.1093/jpepsy/jsu063] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
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Helgeson VS, Palladino DK, Reynolds KA, Becker DJ, Escobar O, Siminerio L. Relationships and health among emerging adults with and without Type 1 diabetes. Health Psychol 2013; 33:1125-33. [PMID: 23914816 DOI: 10.1037/a0033511] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The study's goal was to examine the impact of parent and peer relationships on health behaviors and psychological well-being of those with and without Type 1 diabetes over the transition to emerging adulthood. Emerging adulthood is an understudied developmental period and a high-risk period--especially for those with Type 1 diabetes. METHOD Youth with (n = 117) and without Type 1 diabetes (n = 122) completed questionnaires during their senior year of high school and 1 year later. Measures included supportive and problematic aspects of parent and peer relationships, health behaviors, psychological well-being, and, for those with diabetes, self-care behavior and glycemic control. RESULTS Prospective multiple and logistic regression analysis revealed that friend conflict was a more potent predictor than friend support of changes in health behaviors and psychological well-being. Parent support was associated with positive changes in psychological well-being and decreases in smoking, whereas parent control was related to increases in smoking and depressive symptoms. There was some evidence of cross-domain buffering such that supportive relationships in one domain buffered adverse effects of problematic relationships in the other domain on health outcomes. CONCLUSIONS This longitudinal study showed that parent relationships remain an important influence on, and peer relationships continue to influence, the health behaviors and psychological well-being of emerging adults with and without Type 1 diabetes. Parent relationships also have the potential to buffer the adverse effects of difficulties with peers.
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Affiliation(s)
| | | | | | - Dorothy J Becker
- Department of Pediatric Endocrinology, Children's Hospital of Pittsburgh
| | - Oscar Escobar
- Department of Pediatric Endocrinology, Children's Hospital of Pittsburgh
| | - Linda Siminerio
- Department of Medicine, University of Pittsburgh Medical Center
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Wakefield CE, McLoone J, Butow P, Lenthen K, Cohn RJ. Support after the completion of cancer treatment: perspectives of Australian adolescents and their families. Eur J Cancer Care (Engl) 2013; 22:530-9. [PMID: 23730980 DOI: 10.1111/ecc.12059] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2013] [Indexed: 11/30/2022]
Abstract
Young people recovering from cancer may lack adequate support post-treatment, yet little is known about the types of support and information young Australians and their families need. This study investigated adolescent/young adult cancer survivors' and their families' perceptions of care and support needs after completing cancer treatment. Seventy semi-structured interviews were conducted with 19 survivors (mean age 16.1 years), 21 mothers, 15 fathers and 15 siblings. Interviews were recorded, transcribed and analysed using the conceptual framework of Miles and Huberman. Post-treatment, participants regarded medical staff positively but were reluctant to ask for their help fearing it may deflect resources away from patients still receiving treatment. Appraisals of social workers' and psychologists' support post-treatment were mixed. Formal emotional support was rarely accessed and participants reported that any additional funds should be directed to greater psychological support in this period. Participants also reported the need for additional financial support post-treatment. Clinicians need to be aware that while young people and their families may not demand support post-treatment, they may 'suffer in silence' or burden family members and friends with the responsibility of providing emotional support, though they may be experiencing distress also.
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Affiliation(s)
- C E Wakefield
- Behavioural Sciences Unit, Centre for Children's Cancer and Blood Disorders, Sydney Children's Hospital, Randwick, NSW, Sydney, NSW, Australia.
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Nóbrega VMD, Reichert APDS, Silva KDL, Coutinho SED, Collet N. Imposições e conflitos no cotidiano das famílias de crianças com doença crônica. ESCOLA ANNA NERY 2012. [DOI: 10.1590/s1414-81452012000400020] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Estudo descritivo-exploratório com abordagem qualitativa com o objetivo de identificar as imposições e os conflitos enfrentados no cotidiano pelas famílias de crianças com doença crônica. Os dados foram coletados entre novembro de 2008 e janeiro de 2009 mediante entrevistas semiestruturadas realizadas em um hospital público, referência no tratamento de doença crônica, com três famílias residentes no município de João Pessoa - PB, e processados a partir da análise temática. Os resultados apontam que os conflitos e imposições no cotidiano da família envolvem o abandono do emprego, ocasionando desequilíbrio financeiro; redução/interrupção dos momentos de lazer; incompreensão social e familiar; sobrecarga do cuidador principal; desestruturação familiar e relacionamentos fragilizados com repercussão negativa em toda família. Aponta-se a necessidade de os profissionais de saúde conhecerem o contexto de vida da criança com doença crônica e sua família, a fim de obterem elementos para um planejamento adequado de superação dos percalços decorrentes da doença.
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20
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Palladino DK, Helgeson VS. Friends or foes? A review of peer influence on self-care and glycemic control in adolescents with type 1 diabetes. J Pediatr Psychol 2012; 37:591-603. [PMID: 22460759 DOI: 10.1093/jpepsy/jss009] [Citation(s) in RCA: 67] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVE We reviewed studies published from 1990 to 2010 examining the relation of peer influence to diabetes outcomes for adolescents with type 1 diabetes. METHODS We searched PsychInfo and MedLine databases and personal archives for studies meeting our criteria. 24 articles were included in the final review. RESULTS Qualitative studies revealed that teens believe peers have an impact on diabetes behaviors, but quantitative findings are inconclusive. We found more evidence that social conflict was harmful than social support was helpful. Associations were more likely in studies that measured specific support and specific self-care variables. Studies addressing how individual differences interact with social context had promising findings. CONCLUSIONS The literature linking peer relations to diabetes outcomes is mixed. Future research should consider moderator variables, expand the conceptualization of peer relationships, and consider interactions between person and social context.
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Affiliation(s)
- Dianne K Palladino
- Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213, USA.
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Stewart M, Masuda JR, Letourneau N, Anderson S, McGhan S. "I want to meet other kids like me": support needs of children with asthma and allergies. ACTA ACUST UNITED AC 2011; 34:62-78. [PMID: 21568624 DOI: 10.3109/01460862.2011.572638] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
CONTEXT Asthma is the most common chronic illness of childhood and the leading cause of hospitalization in young children. Asthma negatively impacts physical health, psychosocial wellbeing, and quality of life for affected children but the psychosocial support needs of children with asthma and severe have not been studied from their point of view. OBJECTIVE The objective of this study was to assess the support and education needs and preferred interventions of allergic children with asthma and/or severe allergies. METHODS Qualitative constant comparative content analysis was used to identify major themes from semi-structured individual interviews with 20 children with asthma and allergies and 35 parents. FINDINGS Children expressed frustration with the limitations imposed by asthma and allergies on their regular activities and normal lives. Parents believed that peer support--someone to whom their child could relate as a role model--could improve both their children's and their own coping. CONCLUSIONS Parents and children preferred a combination of in-person meetings and Internet support to enhance the capacity of children, reduce children's anxiety, increase their self-care skills, and self-confidence. In addition they believed a support intervention was a stepping stone to developing a community of support for children with asthma, allergies, and anaphylaxis.
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Affiliation(s)
- Miriam Stewart
- Faculty of Nursing & School of Public Health, University of Alberta, Edmonton, AB
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Abstract
Cystic fibrosis (CF) is a multisystemic life-limiting genetic disorder, primarily affecting respiratory functioning. Most patients with CF are diagnosed by 2 years of age, and the current median predicted survival rate is 37.4 years old, with 95% of patients dying from complications related to pulmonary infection. Given the chronic, progressive, and disabling nature of CF, multiple treatments are prescribed, most on a daily basis. Thus, this illness requires children, with the aid of their families, to adopt multiple health-related behaviors in addition to managing more typical developmental demands. The morbidity and mortality factors pose cognitive, emotional, and behavioral challenges for many children with CF and their families. This article applies a developmental perspective to describing the psychosocial factors affecting psychological adjustment and health-related behaviors relevant to infants, preschool and school-age children, and adolescents with CF. Topics particularly pertinent to developmental periods and medical milestones are noted, with clinical implications highlighted.
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Affiliation(s)
- Michelle M Ernst
- Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA.
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Stewart M, Masuda JR, Letourneau N, Anderson S, Cicutto L, McGhan S, Watt S. Online Support Intervention for Adolescents With Asthma and Allergies. ACTA ACUST UNITED AC 2011. [DOI: 10.1177/2150129711402686] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objectives. To determine appropriate components and contents of an online peer support intervention for young adolescents and to evaluate intervention processes, perceived benefits, and satisfaction with the intervention. Methods. Three months of support were provided through synchronous chat, e-mail exchange, instant messaging, and bulletin boards. Online support group sessions were facilitated by trained peer mentors (older youth/young adults with asthma and allergies) and health professionals. Participant use of online options was tracked (eg, log-ons, e-mails, chat minutes). Qualitative data were elicited from peer mentor reports, online support group chat transcripts, project coordinators’ field notes, peer mentor exit interviews, and adolescent telephone interviews. Results. Almost all adolescents were satisfied with this online support intervention. Topics discussed in the support groups were pertinent to their educational and support needs. Peer mentors provided emotional, affirmation, and information support. Participants appreciated opportunities for social comparison and reciprocal exchange of support with peers. Conclusion and implications. A major contribution was documentation of the complex intervention ingredients and processes through qualitative and quantitative methods that elicited diverse stakeholders’ perspectives. This strategy enables adaptation and integration into practice. Adolescents who benefited most felt isolated, suggesting the importance of targeting vulnerable youth for support programs.
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Affiliation(s)
- Miriam Stewart
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
| | - Jeffrey R. Masuda
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
| | - Nicole Letourneau
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
| | - Sharon Anderson
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
| | - Lisa Cicutto
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
| | - Shawna McGhan
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
| | - Susan Watt
- University of Alberta, Edmonton, Alberta (MS, SA)
- University of Manitoba, Winnipeg, Manitoba (JRM)
- University of New Brunswick, Fredericton, New Brunswick (NL)
- University of Toronto, Toronto, Ontario (LC)
- Alberta Asthma Centre, Edmonton, Alberta (SM)
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Abstract
Cystic fibrosis (CF) is a multisystemic life-limiting genetic disorder, primarily affecting respiratory functioning. Most patients with CF are diagnosed by 2 years of age, and the current median predicted survival rate is 37.4 years old, with 95% of patients dying from complications related to pulmonary infection. Given the chronic, progressive, and disabling nature of CF, multiple treatments are prescribed, most on a daily basis. Thus, this illness requires children, with the aid of their families, to adopt multiple health-related behaviors in addition to managing more typical developmental demands. The morbidity and mortality factors pose cognitive, emotional, and behavioral challenges for many children with CF and their families. This article applies a developmental perspective to describing the psychosocial factors affecting psychological adjustment and health-related behaviors relevant to infants, preschool and school-age children, and adolescents with CF. Topics particularly pertinent to developmental periods and medical milestones are noted, with clinical implications highlighted.
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Affiliation(s)
- Michelle M. Ernst
- Assistant Professor, Division of Behavioral Medicine and Clinical Psychology,Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Mark C. Johnson
- Assistant Professor, Division of Child and Adolescent Psychiatry,Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Lori J. Stark
- Professor, Division of Behavioral Medicine and Clinical Psychology,Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio
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