The impact of cancer on the mental health of patients parenting minor children: A systematic review of quantitative evidence.

anxiety cancer depression distress mental health oncology parenting concerns prevalence quality of life systematic review

Journal

Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524

Informations de publication

Date de publication:
06 2022
Historique:
revised: 21 02 2022
received: 09 12 2021
accepted: 24 02 2022
pubmed: 27 2 2022
medline: 9 6 2022
entrez: 26 2 2022
Statut: ppublish

Résumé

To provide an overview of quantitative data on the impact of cancer on the mental health of patients parenting minor children. We focused on mental health outcomes, their levels and prevalence, and applied measurement tools. MEDLINE, CINAHL, PsycInfo and Web of Science were searched up to March 2021. We included quantitative studies, published in a peer-reviewed journal and reporting outcomes on the mental health (e.g., depression, anxiety) of cancer patients parenting minor children (≤ 21 years). Study quality was assessed based on the National Institute for Health assessment tool for observational studies. This study is registered on PROSPERO (CRD42019141954). A total of 54 articles based on 36 different studies were included in this systematic review. Studies differ markedly regarding study and sample characteristics (e.g., outcome measures, sample size, parental health status). Depression and anxiety levels range from normal to abnormal, according to applied measurement tools. 7%-83% of parents with cancer have depression scores indicating probable depression and 19%-88% have anxiety scores indicating anxiety disorder. This review reveals the dimension of mental burden affecting cancer patients parenting minor children. To identify, address and timely treat potentially arising mental health problems and support needs, affected parents should be closely monitored by healthcare professionals and referred to specialized support offers, if necessary. In the context of a comprehensive patient- and family-oriented care, it is highly relevant to integrate mental health (including parental) issues routinely into oncological care by proactively asking for the patient's psychosocial situation and the family status.

Identifiants

pubmed: 35218110
doi: 10.1002/pon.5912
doi:

Types de publication

Journal Article Review Systematic Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

869-878

Informations de copyright

© 2022 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.

Références

Sellick SM, Edwardson AD. Screening new cancer patients for psychological distress using the hospital anxiety and depression scale. Psycho-Oncol: J Psychol, Soc & Behav Dimens Cancer. 2007;16(6):534-542.
Zabora J, BrintzenhofeSzoc K, Curbow B, Hooker C, Piantadosi S. The prevalence of psychological distress by cancer site. Psycho-Oncol: J Psychol, Soc & Behav Dimens Cancer. 2001;10(1):19-28.
Mehnert A, Hartung TJ, Friedrich M, et al. One in two cancer patients is significantly distressed: prevalence and indicators of distress. Psycho Oncol. 2018;27(1):75-82.
Mehnert A, Brähler E, Faller H, et al. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014;32(31):3540-3546.
Akter J, et al. Psychological distress in cancer patients with underage children. J Dhaka Med Coll. 2015;24(2):146-151.
Inhestern L, et al. Estimates of prevalence rates of cancer patients with children and well-being in affected children: a systematic review on population-based findings. Front Psychiatry. 2021;12(2023).
Semple CJ, McCance T. Parents' experience of cancer who have young children: a literature review. Cancer Nurs. 2010;33(2):110-118.
Kuswanto CN, Stafford L, Sharp J, Schofield P. Psychological distress, role, and identity changes in mothers following a diagnosis of cancer: a systematic review. Psycho-Oncolo. 2018;27(12):2700-2708.
Inhestern L, Bultmann JC, Beierlein V, et al. Understanding parenting concerns in cancer survivors with minor and young-adult children. J Psychosomatic Res. 2016;87:1-6.
Visser A, Huizinga GA, van der Graaf WTA, Hoekstra HJ, Hoekstra-Weebers JEHM. The impact of parental cancer on children and the family: a review of the literature. Cancer Treat Rev. 2004;30(8):683-694.
Osborn T. The psychosocial impact of parental cancer on children and adolescents: a systematic review. Psycho-Oncol: J Psychol, Soc & Behav Dimens Cancer. 2007;16(2):101-126.
Krattenmacher T, Kühne F, Ernst J, Bergelt C, Romer G, Möller B. Parental cancer: factors associated with children's psychosocial adjustment-a systematic review. J psychosomatic Res. 2012;72(5):344-356.
Bultmann JC, Beierlein V, Romer G, Möller B, Koch U, Bergelt C. Parental cancer: health-related quality of life and current psychosocial support needs of cancer survivors and their children. Int J cancer. 2014;135(11):2668-2677.
Kim Y, Wellisch DK, Spillers RL. Effects of psychological distress on quality of life of adult daughters and their mothers with cancer. Psycho-Oncol: J Psychol, Soc & Behav Dimens Cancer. 2008;17(11):1129-1136.
Beardslee W, Versage EM, T.R. GIADSTONE. Children of affectively ill parents: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 1998;37(11):1134-1141.
Romer G, Barkmann C, Schulte-Markwort M, Thomalla G, Riedesser P. Children of somatically ill parents: a methodological review. Clin Child Psychol Psychiatry. 2002;7(1):17-38.
Huizinga GA, Visser A, Zelders-Steyn YE, Teule JA, Reijneveld SA, Roodbol PF. Psychological impact of having a parent with cancer. Eur J Cancer. 2011;47:S239-S246.
Matuszczak-Świgoń J, Bakiera L. Experiences of adults as parents with cancer: a systematic review and thematic synthesis of qualitative studies. J Psychosoc Oncol. 2021:1-22.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
National Heart, Lung, and Blood Institute. Quality assessment tool for observational cohort and cross-sectional studies, 2014. Available: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools
Akter J, Khan MH, Khan JG. Gender specific psychological distress in cancer patients with underage children. J Paediatr Surg Bangladesh. 2015;6(1):10-15.
Götze H, et al. [Female spouses of cancer patients with minor children - psychological distress in comparison with the general population and the cancer partner]. Psychother Psychosom Med Psychol. 2012;62(5):170-176.
Götze H, et al. Brustkrebspatientinnen mit minderjährigen Kindern - psychosoziale Belastung und Unterstützungswünsche. Zeitschrift für Psychiatr Psychol Psychother. 2014;62:55-63.
Kühne F, et al. Parenthood and cancer: dyadic analysis of psychological distress and health-related quality of life of cancer parents with minor children. Psychother Psychosom Med Psychol. 2013;63(12):473-481.
Inhestern L, Bultmann JC, Beierlein V, et al. Psychometric properties of the Parenting Concerns Questionnaire in cancer survivors with minor and young adult children. Psycho-Oncol. 2016;25(9):1092-1098.
Hailey CE, Yopp JM, Deal AM, et al. Communication with children about a parent's advanced cancer and measures of parental anxiety and depression: a cross-sectional mixed-methods study. Support Care Cancer. 2018;26(1):287-295.
Park EM, Stephenson EM, Moore CW, Deal AM, Muriel AC. Parental psychological distress and cancer stage: a comparison of adults with metastatic and non-metastatic cancer. Support Care Cancer. 2019;27(7):2443-2451.
Moore CW, Rauch PK, Baer L, Pirl WF, Muriel AC. Parenting changes in adults with cancer. Cancer. 2015;121(19):3551-3557.
Ernst J, Götze H, Brähler E, Körner A, Hinz A. Quality of life of parents diagnosed with cancer: change over time and influencing factors. Eur J Cancer Care. 2012;21(4):535-541.
Schmitt F, Santalahti P, Saarelainen S, Savonlahti E, Romer G, Piha J. Cancer families with children: factors associated with family functioning -A comparative study in Finland. Psycho Oncol. 2008;17(4):363-372.
Park EM, Tan X, Stephenson EM, et al. Psychometric analysis of the parenting concerns questionnaire in women with metastatic cancer. J Pain Symptom Manag. 2018;55(2):451-457.
Visser A, Huizinga GA, Hoekstra HJ, van der Graaf WTA, Hoekstra-Weebers JEHM. Parental cancer: characteristics of parents as predictors for child functioning. Cancer. 2006;106(5):1178-1187.
John K, Becker K, Mattejat F. Impact of family-oriented rehabilitation and prevention: an inpatient program for mothers with breast cancer and their children. Psycho-Oncol. 2013;22(12):2684-2692.
Wiedebusch S, et al. Behavioural problems in children of mothers with cancer-empirical results from oncological mother-child-rehabilitation. Nervenheilkunde. 2010;29(3):140-146.
Lewis F, Loggers E, Phillips F, et al. Enhancing connections-palliative care: a quasi-experimental pilot feasibility study of a cancer parenting program. J Palliat Med. 2020;23(2):211-219.
Stafford L, et al. Feasibility of Enhancing Parenting in Cancer, a psychoeducational intervention for communicating with children about parental cancer. Psycho-Oncol. 2021. n/a(n/a).
Lewis FM, Zahlis EH, Shands ME, et al. A pilot feasibility study of a group-delivered cancer parenting program: enhancing Connections-Group. J Psychosoc Oncol. 2021;39(1):1-16.
Kobayashi M, Heiney SP, Osawa K, Ozawa M, Matsushima E. Effect of a group intervention for children and their parents who have cancer. Palliat Support Care. 2017;15(5):575-586.
Hammersen F, et al. Psychosocial and Family-centered Support Among Breast Cancer Patients with Dependent Children. Psycho-Oncol; 2020.
Gazendam-Donofrio SM, Hoekstra HJ, van der Graaf WTA, et al. Quality of life of parents with children living at home: when one parent has cancer. Support Care Cancer. 2008;16(2):133-141.
Heinrichs N, Zimmermann T, Herschbach P. What strengths and difficulties do mothers with gynecological cancer and healthy fathers report in their children? Verhaltenstherapie. 2010;20(4):248-257.
Gazendam-Donofrio S, Hoekstra H, van der Graaf W, et al. Parent-child communication patterns during the first year after a parent's cancer diagnosis the effect on parents' functioning. Cancer. 2009;115(18):4227-4237.
Lewis FM, Hammond MA. Psychosocial adjustment of the family to breast cancer: a longitudinal analysis. J Am Med Womens Assoc (1972). 1992;47(5):194-200.
Brown RT, et al. Adjustment of children and their mothers with breast cancer. J Pediatr Psychol. 2007;32(3):297-308.
Ebenhan K, et al. Children and employment - resource or stressors after breast cancer? Geburtshilfe Frauenheilkd. 2013;73(8):792-799.
Ernst JC, Beierlein V, Romer G, Möller B, Koch U, Bergelt C. Use and need for psychosocial support in cancer patients: a population-based sample of patients with minor children. Cancer. 2013;119(12):2333-2341.
Ernst J, Götze H, Krauel K, et al. Psychological distress in cancer patients with underage children: gender-specific differences. Psycho-Oncol. 2013;22(4):823-828.
Meriggi F, Andreis F, Liborio N, et al. Parents with cancer: searching for the right balance between telling the truth and protecting children. Palliat Support care. 2017;15(1):88-97.
Muriel AC, Moore CW, Baer L, et al. Measuring psychosocial distress and parenting concerns among adults with cancer: the Parenting Concerns Questionnaire. Cancer. 2012;118(22):5671-5678.
Park EM, Deal AM, Check DK, et al. Parenting concerns, quality of life, and psychological distress in patients with advanced cancer. Psycho-Oncol. 2016;25(8):942-948.
Aggeli P, Fasoi G, Zartaloudi A, et al. Posttreatment anxiety, depression, sleep disorders, and associated factors in women who survive breast cancer. Asia Pac J Oncol Nurs. 2021;8(2):147-155.
Fernandes C, Muller R, Rodin G. Predictors of parenting stress in patients with haematological cancer. J Psychosoc Oncol. 2012;30(1):81-96.
Schmitt F, Piha J, Helenius H, et al. Multinational study of cancer patients and their children: factors associated with family functioning. J Clin Oncol. 2008;26(36):5877-5883.
Foran-Tuller K, O’Hea EL, Moon S, Miller SJ. Posttraumatic stress symptoms in children of mothers diagnosed with breast cancer. J Psychosoc Oncol. 2012;30(1):41-56.
Inhestern L, Geertz W, Schulz-Kindermann F, Bergelt C. Parental cancer: characteristics of users of child-centred counselling versus individual psycho-oncological treatment. Psycho-Oncol. 2018;27(3):955-961.
Heiney SP, et al. Impact of parental anxiety on child emotional adjustment when a parent has cancer Oncology nursing forum; 1997.
Giesinger JM, Loth FLC, Aaronson NK, et al. Thresholds for clinical importance were established to improve interpretation of the EORTC QLQ-C30 in clinical practice and research. J Clin Epidemiol. 2020;118:1-8.
Smorti M, et al. Protect, Promote and Support: A Warm Chain of Breastfeeding for Oncological Women-Results from a Survey of Young Italian Cancer Mothers; 2020.
Lewis FM, et al. The functioning of single women with breast cancer and their school-aged children. Cancer Pract 1996;4(1):15-24.
Inhestern L, et al. Parenting concerns and psychological burden in cancer patients with minor and young adult children. Psychother Psychosom Med Psychol. 2017;67(7):279-287.
Vodermaier A, Linden W, Siu C. Screening for emotional distress in cancer patients: a systematic review of assessment instruments. J Natl Cancer Inst. 2009;101(21):1464-1488.
Stefanou K, Zografos E, Zografos GC, Vaslamatzis G, Zografos CG, Kolaitis G. Emotional and behavioural problems in children dealing with maternal breast cancer: a literature review. Br J Guid Couns. 2020;48(3):394-405.
Nilsson ME, Maciejewski PK, Zhang B, et al. Mental health, treatment preferences, advance care planning, location, and quality of death in advanced cancer patients with dependent children. Cancer. 2009;115(2):399-409.
Check DK, Park EM, Reeder-Hayes KE, et al. Concerns underlying treatment preferences of advanced cancer patients with children. Psycho-oncol. 2017;26(10):1491-1497.
Alexander E, O’Connor M, Rees C, Halkett G. A systematic review of the current interventions available to support children living with parental cancer. Patient Educ Couns. 2019;102(10):1812-1821.
Inhestern L, Haller A-C, Wlodarczyk O, Bergelt C. Psychosocial interventions for families with parental cancer and barriers and facilitators to implementation and use-a systematic review. PloS one. 2016;11(6):e0156967.
Inhestern L, Frerichs W, Johannsen LM, Bergelt C. Process-evaluation and outcome-evaluation of a training programme for healthcare professionals in oncology to enhance their competencies in caring for patients with minor children: a study protocol for a randomised controlled pilot study. BMJ Open. 2019;9(10):e032778.
Semple CJ, McCaughan E. Developing and testing a theory-driven e-learning intervention to equip healthcare professionals to communicate with parents impacted by parental cancer. Eur J Oncol Nurs. 2019;41:126-134.
Turner J, Clavarino A, Butow P, et al. Enhancing the capacity of oncology nurses to provide supportive care for parents with advanced cancer: evaluation of an educational intervention. Eur J Cancer. 2009;45(10):1798-1806.
Fasciano KM, Berman H, Moore C, et al. When a parent has cancer: a community based program for school personnel. Psycho-Oncol: J Psychol, Soc & Behav Dimens Cancer. 2007;16(2):158-167.
Rechis R, Neal C, McGoldrick D. LIVESTRONG at school: changing classroom talk about cancer. J Cancer Educ. 2010;25(1):127-128.
UICC. Background to the World Cancer Declaration 2013; 2013. https://www.uicc.org/sites/main/files/atoms/files/131119_UICC_WorldCancerDeclaration_2013_Backgrounder_reupload.pdf

Auteurs

Lene Johannsen (L)

Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Maja Brandt (M)

Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Wiebke Frerichs (W)

Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Laura Inhestern (L)

Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Corinna Bergelt (C)

Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Medical Psychology, University Medicine Greifswald, Greifswald, Germany.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH