Effects of Caregivers on the Mental State of Children Receiving Inpatient Treatment in the Oncology Service
Küçük Resim Yok
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publishing House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: Economic and social burdens lead caregivers to psychopathologies that affect their childrens’ undergoing cancer treatment. In this study, we aimed to evaluate the effect of caregivers on the mental health of children and adolescents receiving inpatient treatment for cancer. Materials and Methods: In this study, 44 patients who received inpatient treatment at Ege University Tülay Aktaş Oncology Hospital between March 2019 and March 2020 and who accepted participation were included. The diagnoses of the patients were made according to the Affective Disorders and Schizophrenia Interview Schedule for School-Age Children-current and lifelong version which is a semi-structured interview and according to the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders. Symptom Checklist-90-Revised (SCL), Parental Attitude Research Instrument (PARI), and Hospital Anxiety-Depression Scale (HADS) were applied to the caregivers. Results: A total of 44 patients, [24 (54.5%) girls and 20 (45.5%) boys] between the ages of 2-18 years were included in the study. The mean age of the girls was 9.2 (±5.7), and that of the boys was 10.0 (±5.2) years. The most common diagnosis in 26 (59.1%) patients with psychiatric diagnosis was depressive disorder (n=14, 31.8%). As the education level of mothers decreased, there was a significant increase in the frequency of psychiatric diagnoses among patients (p=0.02). As the number of hospitalization days increased, the frequency of psychiatric diagnoses in children increased (p=0.01). Scale scores of those with and without psychopathology were similar (p>0.05). The average number of hospitalization days was 93. According to HADS cut-offs twenty-eight (63.6%) of the parents had elevated anxiety scores while 21 (47.7%) had elevated depression scores. PARI attitude of hostility and rejection [p=0.01, mean ± standard deviation (SD): 30.70±7.50], husband and wife incompatibility subscale scores (p=0.04, mean ± SD: 17.00±4.93), anxiety subscale of HADS scores (p=0.07, mean ± SD: 12.11±4.18), were higher in the caregivers of patients who were hospitalized for more than 93 days. Conclusion: It has been observed that children of caregivers with rigid and protective attitudes who have low education levels are at risk of psychiatric disorders. A multidisciplinary approach is important for developing psychosocial support strategies for caregivers of patients in oncology. Prolonged hospitalization time is an important factor that negatively affects the psychiatric status of both caregivers and patients. The treatment team should notice the need for psychiatric support in such cases. © 2024 Yazar.
Açıklama
Anahtar Kelimeler
caregiver, child psychiatry, consultation, Psychooncology
