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Parents with cancer: Searching for the right balance between telling the truth and protecting children

Published online by Cambridge University Press:  21 June 2016

Fausto Meriggi ,
Federica Andreis ,
Nadia Liborio ,
Claudio Codignola ,
Anna Rizzi ,
Tiziana Prochilo ,
Luigina Rota ,
Brunella Di Biasi ,
Paola Bertocchi  and
Chiara Abeni
...Show all authors
Fausto Meriggi*
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Federica Andreis
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Nadia Liborio
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Claudio Codignola
Affiliation:
General Surgery Department, Fondazione Poliambulanza, Brescia, Italy
Anna Rizzi
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Tiziana Prochilo
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Luigina Rota
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Brunella Di Biasi
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Paola Bertocchi
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Chiara Abeni
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Chiara Ogliosi
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Francesca Aroldi
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
Alberto Zaniboni
Affiliation:
Oncology Department, Fondazione Poliambulanza, Brescia, Italy
*
Address correspondence and reprint requests to: Fausto Meriggi, Fondazione Poliambulanza, Via Bissolati 57, 25124, Brescia, Italy. E-mail: [email protected]; [email protected]
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Abstract

Objective:

Recent scientific approaches to cancer patients draw attention to the psychological aspects of the disease and the involvement of their families, who are forced to reorganize themselves in order to manage the patient's illness. Functional responses to a stressful event facilitate open communication between family members and empathy for the patient's children, who need to be involved and informed about the illness in a clear and open fashion. The primary goal of this observational study was to explore the communication styles used by cancer-stricken parents with their children and to identify a correlation with the patient's levels of anxiety and depression and their ability to cope. We also sought to understand whether location, severity, and time from diagnosis influenced communication, coping, anxiety, or depression.

Method:

From September of 2011 to July of 2015, 151 questionnaires were given to patients who had received at least one course of chemotherapy. The instruments that we employed were the Openness to Discuss Cancer in the Nuclear Family Scale, the Hospital Anxiety and Depression Scale, and the Mini-Mental Adjustment to Cancer Scale. Our sample included patients with children aged from 3 to 18 years. The patients had different types of cancer, mainly gastrointestinal and breast cancer. Their disease was at the metastatic stage in approximately 20% of patients.

Results:

Our results showed statistically significant correlations between higher levels of anxiety and depression and more closed communication styles. The coping styles “hopelessness/helplessness,” “cognitive avoidance,” and “anxious preoccupation” were associated with a closed communication style that is correlated with higher levels of anxiety and depression. Tumor location, time from diagnosis, and stage of disease did not show statistically significant correlations with anxiety, depression, coping mechanisms, or communication styles.

Significance of results:

Our study confirmed what has been reported in the literature: high levels of anxiety and depression affect communication among family members. Not surprisingly, the “fighting spirit” coping style engenders open communication.

Keywords

CancerCommunicationChildrenPsychological support
Type
Original Articles
Information
Palliative & Supportive Care , Volume 15 , Issue 1 , February 2017 , pp. 88 - 97
Copyright
Copyright © Cambridge University Press 2016 

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