Cancers, Vol. 13, Pages 5597: Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘Cascade’ Intervention Trial Results and Lessons for the Future

Cancers, Vol. 13, Pages 5597: Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘Cascade’ Intervention Trial Results and Lessons for the Future Cancers doi: 10.3390/cancers13225597 Authors: Claire E. Wakefield Ursula M. Sansom-Daly Brittany C. McGill Kate Hetherington Sarah J. Ellis Eden G. Robertson Mark W. Donoghoe Maria McCarthy Lauren Kelada Afaf Girgis Madeleine King Martha Grootenhuis Antoinette Anazodo Pandora Patterson Cherie Lowe Luciano Dalla-Pozza Gordon Miles Richard J. Cohn We conducted a three-armed trial to assess Cascade, a four-module group videoconferencing cognitive behavior therapy (CBT) intervention for parents of childhood cancer survivors currently aged <18 years. We allocated parents to Cascade, an attention control (peer-support group), or a waitlist. The primary outcome was parents’ health-related quality of life (PedsQL-Family Impact/EQ-5D-5L) six months post-intervention. Parents also reported their anxiety/depression, parenting self-agency, fear of recurrence, health service and psychotropic medication use, engagement in productive activities, confidence to use, and actual use of, CBT skills, and their child’s quality of life. Seventy-six parents opted in; 56 commenced the trial. Cascade achieved good parent engagement and most Cascade parents were satisfied and reported benefits. Some parents expressed concerns about the time burden and the group form...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research

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ConclusionsOne-third of female survivors of pediatric cancer in the study had high risk of low ovarian reserve, measured by a combination of AMH and antral follicle count, and many had signs of anxiety. The longitudinal study could contribute to better knowledge in the changes of AMH over time for this patient group. Psychological follow-up with questionnaires and interviews evaluating signs of depression and anxiety may serve as a model for future screening programs.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
This study investigated the nature and extent of survivors' parents' healthcare and medication use relative to a comparison group. We also examined whether demographic or cancer-related factors were related to healthcare use and whether healthcare use was associated with parents' general functioning.METHODS: We conducted a cross-sectional study involving 55 parents of cancer survivors recruited through eight Australian hospitals, and 135 parents of children without a cancer diagnosis, through an online recruitment platform. Participants responded to a questionnaire assessing their health service usage, regular medications,...
Source: Acta Oncologica - Category: Cancer & Oncology Authors: Source Type: research
DiscussionInsomnia is prevalent in the pediatric oncology population posing a double health burden for adolescents and young adults who had childhood cancer. If guided iCBT-I is effective, guidelines for insomnia can be installed to treat insomnia and potentially improve quality of life and the health of adolescents and young adults who had childhood cancer.Trial registrationNL7220 (NTR7419; Netherlands Trial register). Registered on 2 August 2018
Source: Trials - Category: Research Source Type: clinical trials
This study aims to evaluate neurocognitive and behavioral functioning in a relatively young cohort of survivors of childhood acute lymphoblastic leukemia (ALL) in Hong Kong, and to identify clinical and socio-environmental factors associated with these outcomes.MethodsThis analysis included 152 survivors of childhood ALL who were ≥5 years post-diagnosis (52% male, mean [SD] age 23.5[7.2] years at evaluation, 17.2[7.6] years post-diagnosis). Survivors completed performance-based neurocognitive tests, and reported their emotional and behavioral symptoms using the Child/Adult Behavior Checklist. Socio-environmental variabl...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
Amber Capone had become afraid of her husband. The “laid-back, bigger than life and cooler than cool” man she’d married had become isolated, disconnected and despondent during his 13 years as a U.S. Navy SEAL. Typically, he was gone 300 days of the year, but when he was home, Amber and their two children walked on eggshells around him. “Everyone was just playing nice until he left again,” Amber says. In 2013, Marcus retired from the military. But life as a civilian only made his depression, anger, headaches, anxiety, alcoholism, impulsivity and violent dreams worse. Sometimes he’d get up...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Drugs feature Magazine Mental Health Source Type: news
Individuals with a history mental illness are more likely to show signs of aging by age 45 —including cognitive decline and loss of motor coordination—than are people without such a history, according to areport published today inJAMA Psychiatry.This remained true even after controlling for a host of other factors that might explain early aging, such as poor health in childhood; being overweight; smoking; or a history of cancer, diabetes, or heart attack.“In this cohort study, a history of psychopathology was associated with accelerated aging at midlife, years before the typical onset of age-related disea...
Source: Psychiatr News - Category: Psychiatry Tags: accelerated aging ADHD balance cognitive function depression hearing JAMA Psychiatry mental illness middle age schizophrenia vision Source Type: research
The objective of this study was to identify the sociodemographic and psychosocial factors that predict resilience in family caregivers of children with cancer and to define whether there are differences in the levels of resilience derived from these sociodemographic variables. Three hundred and thirty family caregivers of children with cancer, with an average age of 32.6 years were interviewed. The caregivers responded to a battery of tests that included a questionnaire of sociodemographic variables, the Measuring Scale of Resilience, the Beck Depression Inventory, the Inventory of Quality of Life, the Beck Anxiety Invento...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
Conclusions  Findings regarding the psychological adjustment of siblings of children with cancer differ according to the research methods used. It is important to use rigorous methods such as demographically matched peer comparisons when investigating the impact of childhood cancer on siblings.
Source: Journal of Pediatric Psychology - Category: Pediatrics Source Type: research
Publication date: Available online 26 November 2020Source: International Journal of Clinical and Health PsychologyAuthor(s): Mareike Ernst, Elmar Brähler, Philipp S. Wild, Jörg Faber, Hiltrud Merzenich, Manfred E. Beutel
Source: International Journal of Clinical and Health Psychology - Category: Psychiatry & Psychology Source Type: research
AbstractObjectiveIn adolescents and young adults (AYAs) with cancer, we examined (1) the distribution and type of traumatic events (TEs) experienced prior to baseline assessment and (2) how a resilience intervention, Promoting Resilience in Stress Management (PRISM), impacted changes in patient-reported outcomes (PROs) for AYAs with and without TEs.MethodsAYAs (12 –25 years) within 1–10 weeks of diagnosis of new malignancy or ever diagnosed with advanced cancer were enrolled and randomly assigned to usual care (UC) with or without PRISM. To assess TEs, we screened medical records for traditionally defined adver...
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
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