Yonsei Med J.
2017 Jul;58(4):816-822. 10.3349/ymj.2017.58.4.816.
Factors Associated with Emotional Distress in Children and Adolescents during Early Treatment for Cancer
- Affiliations
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- 1Division of Child and Adolescent Psychiatry, Department of Psychiatry, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea. kacheon@yuhs.ac
- 2Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 3Division of Pediatric Hematology and Oncology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea. cj@yuhs.ac
- KMID: 2419089
- DOI: http://doi.org/10.3349/ymj.2017.58.4.816
Abstract
- PURPOSE
Children and adolescents diagnosed with cancer experience emotional distress, such as sadness, worrying, and irritability. However, there is little information about the psychological well-being of parents at the time of their child's diagnosis. We sought to identify factors that were associated with emotional distress in cancer patients as a basis for developing innovative psychological interventions.
MATERIALS AND METHODS
A retrospective chart review was performed on patients newly diagnosed with cancer at a single center in Korea from 2014 to 2016. Eighty-five patients and their mothers completed psychological inventories. To determine factors associated with emotional distress in patients, we assessed the psychological inventory results using multiple linear regression after performing correlation analysis.
RESULTS
The maternal Beck Depression Inventory-II (BDI-II) score was positively correlated with total problem scores and externalizing scores in patients aged less than 7 years. In patients aged 7-12 years, there was no significant association between the patient's emotional distress and other variables. In contrast, the maternal BDI-II score was the strongest factor associated with patient depression in adolescents.
CONCLUSION
We suggest that the most important factor affecting emotional distress in children and adolescents with cancer is maternal depression, especially in patients aged 1-6 years and aged 13-17 years. Understanding the factors associated with emotional distress of cancer patients allows us to develop early psychiatric interventions for patients and their parents at the initial psychological crisis.
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