Factors Associated with Emotional Distress in Children and Adolescents during Early Treatment for Cancer
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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 psychologicalinterventions. 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 associatedwith 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 externalizingscores in patients aged less than 7 years. In patients aged 7–12 years, there was no significant association between the patient’semotional distress and other variables. In contrast, the maternal BDI-II score was the strongest factor associated with patientdepression 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 emotionaldistress of cancer patients allows us to develop early psychiatric interventions for patients and their parents at the initial psychological crisis.
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 psychologicalinterventions. 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 associatedwith 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 externalizingscores in patients aged less than 7 years. In patients aged 7–12 years, there was no significant association between the patient’semotional distress and other variables. In contrast, the maternal BDI-II score was the strongest factor associated with patientdepression 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 emotionaldistress of cancer patients allows us to develop early psychiatric interventions for patients and their parents at the initial psychological crisis.
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