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Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study
OBJECTIVE: The purposes of this study were (1) to describe the levels of anxiety and depressive symptoms in parents of children undergoing hematopoietic stem cell transplantation (HSCT) before (Time 1 [T1]) and one month after transplantation (Time 2 [T2]), and (2) to identify the pre-HSCT factors t...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Asia-Pacific Blood and Marrow Transplantation Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432008/ https://www.ncbi.nlm.nih.gov/pubmed/37593368 http://dx.doi.org/10.31547/bct-2018-010 |
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author | Nakajima, Shohei Setoyama, Ami Sato, Iori Fukuchi, Tomoko Tanaka, Harumi Inoue, Masami Watanabe, Kentaro Koh, Katsuyoshi Takita, Junko Tokuyama, Mika Watanabe, Kenichiro Kamibeppu, Kiyoko |
author_facet | Nakajima, Shohei Setoyama, Ami Sato, Iori Fukuchi, Tomoko Tanaka, Harumi Inoue, Masami Watanabe, Kentaro Koh, Katsuyoshi Takita, Junko Tokuyama, Mika Watanabe, Kenichiro Kamibeppu, Kiyoko |
author_sort | Nakajima, Shohei |
collection | PubMed |
description | OBJECTIVE: The purposes of this study were (1) to describe the levels of anxiety and depressive symptoms in parents of children undergoing hematopoietic stem cell transplantation (HSCT) before (Time 1 [T1]) and one month after transplantation (Time 2 [T2]), and (2) to identify the pre-HSCT factors that predict anxiety and depressive symptoms in fathers and mothers one month after transplantation. METHODS: A prospective quantitative study was conducted at four children's hospitals between June 2015 and September 2016 using self-administered questionnaires and medical records. Parents from 23 families, including 19 fathers and 23 mothers, completed the Hospital Anxiety and Depression Scale (cutoff score: 8) and provided information regarding their stress appraisal, coping strategies, family functioning, demographic characteristics, and children's health-related quality of life. Hierarchical multiple regression analysis was performed to identify the variables that predicted T2 paternal and maternal anxiety and depressive symptoms. RESULTS: Among the parents, 15 fathers (79%) and 11 mothers (48%) reported anxiety symptoms, and 13 fathers (68%) and 9 mothers (39%) reported depressive symptoms above the cutoff level for clinical relevance at T1. Similarly, 11 fathers (58%) and 6 mothers (26%) reported anxiety symptoms, and 10 fathers (53%) and 9 mothers (39%) reported depressive symptoms above the cutoff level at T2. Overall, parents' anxiety and depressive symptoms did not differ significantly between T1 and T2. For fathers, both T1 depressive symptoms and the understanding of their children's medical situation through communication with other parents and consultation with medical staff predicted T2 paternal depressive symptoms. For mothers, T1 maternal anxiety symptoms and marital satisfaction predicted T2 anxiety symptoms. CONCLUSIONS: The medical staff should understand that parents of children undergoing HSCT experience considerable psychological distress throughout the treatment process, and therefore, they should adopt unique approaches to reduce such distress. |
format | Online Article Text |
id | pubmed-10432008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Asia-Pacific Blood and Marrow Transplantation Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104320082023-08-17 Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study Nakajima, Shohei Setoyama, Ami Sato, Iori Fukuchi, Tomoko Tanaka, Harumi Inoue, Masami Watanabe, Kentaro Koh, Katsuyoshi Takita, Junko Tokuyama, Mika Watanabe, Kenichiro Kamibeppu, Kiyoko Blood Cell Ther Original Article OBJECTIVE: The purposes of this study were (1) to describe the levels of anxiety and depressive symptoms in parents of children undergoing hematopoietic stem cell transplantation (HSCT) before (Time 1 [T1]) and one month after transplantation (Time 2 [T2]), and (2) to identify the pre-HSCT factors that predict anxiety and depressive symptoms in fathers and mothers one month after transplantation. METHODS: A prospective quantitative study was conducted at four children's hospitals between June 2015 and September 2016 using self-administered questionnaires and medical records. Parents from 23 families, including 19 fathers and 23 mothers, completed the Hospital Anxiety and Depression Scale (cutoff score: 8) and provided information regarding their stress appraisal, coping strategies, family functioning, demographic characteristics, and children's health-related quality of life. Hierarchical multiple regression analysis was performed to identify the variables that predicted T2 paternal and maternal anxiety and depressive symptoms. RESULTS: Among the parents, 15 fathers (79%) and 11 mothers (48%) reported anxiety symptoms, and 13 fathers (68%) and 9 mothers (39%) reported depressive symptoms above the cutoff level for clinical relevance at T1. Similarly, 11 fathers (58%) and 6 mothers (26%) reported anxiety symptoms, and 10 fathers (53%) and 9 mothers (39%) reported depressive symptoms above the cutoff level at T2. Overall, parents' anxiety and depressive symptoms did not differ significantly between T1 and T2. For fathers, both T1 depressive symptoms and the understanding of their children's medical situation through communication with other parents and consultation with medical staff predicted T2 paternal depressive symptoms. For mothers, T1 maternal anxiety symptoms and marital satisfaction predicted T2 anxiety symptoms. CONCLUSIONS: The medical staff should understand that parents of children undergoing HSCT experience considerable psychological distress throughout the treatment process, and therefore, they should adopt unique approaches to reduce such distress. Asia-Pacific Blood and Marrow Transplantation Group 2019-07-18 /pmc/articles/PMC10432008/ /pubmed/37593368 http://dx.doi.org/10.31547/bct-2018-010 Text en Copyright Ⓒ2019 Asia-Pacific Blood and Marrow Transplantation Group (APBMT). https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under CC BY-NC license (https://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Original Article Nakajima, Shohei Setoyama, Ami Sato, Iori Fukuchi, Tomoko Tanaka, Harumi Inoue, Masami Watanabe, Kentaro Koh, Katsuyoshi Takita, Junko Tokuyama, Mika Watanabe, Kenichiro Kamibeppu, Kiyoko Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study |
title | Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study |
title_full | Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study |
title_fullStr | Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study |
title_full_unstemmed | Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study |
title_short | Predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in Japan: A multicenter prospective study |
title_sort | predictors of parental distress during acute phase of pediatric hematopoietic stem cell transplantation in japan: a multicenter prospective study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432008/ https://www.ncbi.nlm.nih.gov/pubmed/37593368 http://dx.doi.org/10.31547/bct-2018-010 |
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