Psychosocial Predictors of Resilience in Turkish Parents of Children with Cancer: A Cross-sectional Study
Yıl 2025,
Cilt: 12 Sayı: 1, 61 - 69, 22.04.2025
Tuba Arpaci
,
Merve Kurt
Öz
Aim: This cross-sectional study was conducted to identify the predictive effect of hope, uncertainty, and perceived social support on resilience in Turkish parents of children with cancer.
Material and Methods: The sample of the study consisted of parents of children who were followed up with a diagnosis of cancer. The study was performed between May 2023 and Jan 2024. Spearman’s correlation analysis, univariate, and multiple linear regression analysis were used to evaluate the data.
Results: The mean age of the parents was 37.19 ± 6.35 years, and 67.7% of participants were mothers. The mean age of the children was 8.73 ± 4.79 years, and the diagnosis of most of them was acute lymphoblastic leukemia (38.7%). Psychological resilience in parents was moderately and positively associated with hope (r = .523 p = <.001). A weak negative correlation was found between resilience and uncertainty (r = .288 p = .023). Hope had a significant positive effect on resilience (β = .463 p = .001). No statistically significant correlation was found between resilience and perceived social support.
Conclusions: This study revealed that psychological resilience was positively associated with hope and negatively associated with uncertainty in parents. Health care Professionals should develop psychosocial interventions to enhance resilience and integrate into the care of parents of children with cancer.
Kaynakça
-
Al Qadire, M., Al-Sheikh, H., Suliman, M., Tawalbeh, L.I., Albashtawy, M., Al-Radwan, M., & Abu Musameh, H. (2018). Predictors of anxiety and depression among parents of children with cancer in Jordan. Psycho-Oncology, 27(4), 1344–46. https://doi.org/10.1002/pon.4634
-
Al-Saadi, L. S., Chan, M. F., & Al-Azri, M. (2022). Prevalence of anxiety, depression, and post-traumatic stress disorder among children and adolescents with cancer: A systematic review and meta-analysis. Journal of Pediatric Hematology/Oncology Nursing, 39(2), 114–131. https://doi.org/10.1177/27527530211056001
-
Anderson, K. J., Bradford, N. K., & Clark, J. E. (2018). Through their eyes: Parental perceptions on hospital admissions for febrile neutropenia in children with cancer. Journal of Pediatric Oncology Nursing, 35(5), 342-352. https://doi.org/10.1177/1043454218777719
-
Aslan, Ö., Sekmen, K., & Kömürcü, S. (2007). Hope in cancer patients. Journal of Cumhuriyet University School of Nursing, 11(2), 18-24.
-
Atay, E.A., & Işıl, Ö. (2024). Kanserli çocukların ebeveynlerinin psikolojik dayanıklılığı ve etkileyen faktörlerin belirlenmesi: Pilot çalışma. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 17(1), 130–138. https://doi.org/10.26559/mersinsbd.1331363
-
Borrescio-Higa, F., & Valdés, N. (2022). The psychosocial burden of families with childhood blood cancer. International Journal of Environmental Research and Public Health, 19(1), 599. https://doi.org/10.3390/ijerph19010599
-
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
-
Chung, J.O.K., Li, W.H.C., Cheung, A.T., Ho, L.L.K., & Chan, G.C.F. (2022). Association of resilience with psychological well-being and quality of life for parents of children with cancer. Research Square. https://doi.org/10.21203/rs.3.rs-1688101/v1
-
Connor, K.M., & Davidson, J.R.T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76-82. https://doi.org/10.1002/da.10113
-
Conway, M.F., Pantaleao, A., & Popp, J.M. (2017). Parents’ experience of hope when their child has cancer: Perceived meaning and the influence of health care professionals. Journal of Pediatric Oncology Nursing, 34(6), 427–434. https://doi.org/10.1177/1043454217713454
-
Duman, N. (2019). Travma sonrası büyüme ve gelişim. Uluslararası Afro-Avrasya Araştırmaları Dergisi, 4(7), 178-184.
-
Eker, D., Arkar, H., & Yaldız, H. (2001). Çok Boyutlu Algılanan Sosyal Destek Ölçeği'nin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 12(1), 17–25.
-
George, D., & Mallery, M. (2010). SPSS for Windows step by step: A simple guide and reference (10th ed.). Pearson.
-
Gu, G.E. (2019). Effect of the solution-focused family resilience enhancement program for the family adaptation of childhood cancer [Dissertation, Kyungpook National University, Department of Nursing Graduate School], Daegu (South Korea)
-
Haglund, M.M.E., Nestadt, P.S., Cooper, N.S., Southwick, S.M., & Charney, D.S. (2007). Psychobiological mechanisms of resilience: Relevance to prevention and treatment of stress-related psychopathology. Development and Psychopathology, 19(3), 889–920. https://doi.org/10.1017/S0954579407000430
-
Hayran, M., & Hayran, M. (2011). Basic statistics for health research. Ari Ofset Matbaacılık
-
Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17(10), 1251–1259. https://doi.org/10.1111/j.1365-2648.1992.tb01843.x
-
Hyslop, S., Tomlinson, D., Baggott, C., Dix, D., Gibson, P., Johnston, D.L., Orsey, A.D., Portwine, C., Price, V., Vanan, M., Kuczynski, S., Spiegler, B., Tomlinson, G.A., Dupuis, L.L., & Sung, L. (2021). Feeling scared or worried self-report in children receiving cancer treatments using the Symptom Screening in Pediatrics Tool (SSPedi). Supportive Care in Cancer, 29(6), 3137-3144. https://doi.org/10.1007/s00520-020-05818-x
-
Jones, B. (2006). Caregivers of children with cancer. Journal of Human Behavior in the Social Environment, 14, 221–240. https://doi.org/10.1300/J137v14n01_11
-
Kamkhoad, D., & Phonyiam, R. (2023). Symptom clusters that include gastrointestinal symptoms among children receiving cancer treatments: A scoping review. Oncology Nursing Forum, 50(3), 381–395. https://doi.org/10.1188/23.ONF.381-395
-
Kaya, F., & Odacı, H. (2021). The adaptation of the Connor-Davidson Resilience Scale short form into Turkish: A validity and reliability study. HAYEF: Journal of Education, 18(1), 38-55. https://doi.org/10.5152/hayef.2021.20029
-
Kearney, J. A., Salley, C.G., & Muriel, A.C. (2015). Standards of psychosocial care for parents of children with cancer. Pediatric Blood & Cancer, 62(Suppl 5), S632–S683. https://doi.org/10.1002/pbc.25761.
-
Koyu, H.O., Algül, G., Altay, N., & Kilicarslan, E. (2024). The effect of psychological resilience and spiritual well-being on the experience of hope in parents of children with cancer. Journal of Pediatric Nursing, 76, e34–e41 https://doi.org/10.1016/j.pedn.2024.01.016
-
Lazor, T., Pole, J. D., De Souza, C., Schechter, T., Grant, R., Davis, H., Duong, N., Stein, E., Cook, S., Tigelaar, L., & Sung, L. (2019). Severity, change over time, and risk factors of anxiety in children with cancer depend on the anxiety instrument used. Psycho-Oncology, 28(4), 710–717. https://doi.org/10.1002/pon.5004
-
Luo, Y., Xu, J., Xie, J., Xiao, P., & Cai, Q. (2024). The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer. Journal of Health Psychology, 29(4), 266-274. https://doi.org/10.1177/13591053231202635
-
Luo, Y.H., Li, W.H.C., Cheung, A.T., Ho, L.L.K., Xia, W., He, X.L., Zhang, J.P., & Chung, O.K. (2022). Relationships between resilience and quality of life in parents of children with cancer. Journal of Health Psychology, 27(5), 1048–1056. https://doi.org/10.1177/1359105321990806
-
Luo, Y.H., Xia, W., He, X.L., Zhang, J.P., & Li, H.C.W. (2021). Psychological interventions for enhancing resilience in parents of children with cancer: A systematic review and meta-analysis. Supportive Care in Cancer, 29(11), 7101–7110. https://doi.org/10.1007/s00520-021-06344-0
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Luthar, S.S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164
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Mahakwe, G., Johnson, E., Karlsson, K., & Nilsson, S. (2021). A systematic review of self-report instruments for the measurement of anxiety in hospitalized children with cancer. International Journal of Environmental Research and Public Health, 18(4), 1911. https://doi.org/10.3390/ijerph18041911
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Maravilha, T.L.F.D., Marcelino, M.F.L., & Charepe, Z. B. (2021). Factors influencing hope in parents of children with chronic illness. Acta Paulista de Enfermagem, 34, eAPE001545. https://doi.org/10.37689/acta-ape/2021AR01545
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Kanser Tanısıyla İzlenen Çocukların Ebeveynlerinde Dayanıklılığı Etkileyen Psikososyal Faktörlerin İncelenmesi: Kesitsel bir Araştırma
Yıl 2025,
Cilt: 12 Sayı: 1, 61 - 69, 22.04.2025
Tuba Arpaci
,
Merve Kurt
Öz
Amaç: Bu kesitsel çalışma kanserli çocuğu olan ebeveynlerde belirsizlik, umut ve algılanan sosyal desteğin dayanıklılık üzerine yordayıcı etkisinin belirlenmesi amacıyla yürütülmüştür.
Gereç ve Yöntem: Araştırmanın örneklemini kanser tanısıyla izlenen çocukların ebeveynleri oluşturmuştur (n = 62). Araştırma Mayıs 2023-Ocak 2024 tarihleri arasında yürütülmüştür. Verilerin değerlendirilmesinde Spearman korelasyon analizi, tek değişkenli ve çoklu doğrusal regresyon analizi kullanılmıştır.
Bulgular: Ebeveynlerin yaş ortalaması 37.19 ± 6.35 olup, katılımcıların %67.7'si annedir. Çocukların ortalama yaşı 8.73 ± 4.79 yıl olup, çoğunluğunun tanısı akut lenfoblastik lösemi (%38.7)’dir. Ebeveynlerdeki psikolojik dayanıklılık umutla orta düzeyde pozitif yönde (r = 0.523 p = < 0.001). Belirsizlikle zayıf negatif (r = 0.288 p = 0.023) yönde ilişkilidir. Umudun dayanıklılık üzerinde anlamlı ve olumlu bir etkisi olduğu saptanmıştır (p < 0.05). Dayanıklılık ile algılanan sosyal destek arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır.
Sonuç: Bu çalışmanın bulguları, psikolojik dayanıklılığın ebeveynlerdeki umutla pozitif, belirsizlikle ise negatif ilişkili olduğunu göstermektedir. Sağlık profesyonelleri dayanıklılığı artırmak için psikososyal müdahaleler geliştirmeli ve kanserli çocukların ebeveynlerine sunulacak bakıma entegre etmelidir.
Kaynakça
-
Al Qadire, M., Al-Sheikh, H., Suliman, M., Tawalbeh, L.I., Albashtawy, M., Al-Radwan, M., & Abu Musameh, H. (2018). Predictors of anxiety and depression among parents of children with cancer in Jordan. Psycho-Oncology, 27(4), 1344–46. https://doi.org/10.1002/pon.4634
-
Al-Saadi, L. S., Chan, M. F., & Al-Azri, M. (2022). Prevalence of anxiety, depression, and post-traumatic stress disorder among children and adolescents with cancer: A systematic review and meta-analysis. Journal of Pediatric Hematology/Oncology Nursing, 39(2), 114–131. https://doi.org/10.1177/27527530211056001
-
Anderson, K. J., Bradford, N. K., & Clark, J. E. (2018). Through their eyes: Parental perceptions on hospital admissions for febrile neutropenia in children with cancer. Journal of Pediatric Oncology Nursing, 35(5), 342-352. https://doi.org/10.1177/1043454218777719
-
Aslan, Ö., Sekmen, K., & Kömürcü, S. (2007). Hope in cancer patients. Journal of Cumhuriyet University School of Nursing, 11(2), 18-24.
-
Atay, E.A., & Işıl, Ö. (2024). Kanserli çocukların ebeveynlerinin psikolojik dayanıklılığı ve etkileyen faktörlerin belirlenmesi: Pilot çalışma. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 17(1), 130–138. https://doi.org/10.26559/mersinsbd.1331363
-
Borrescio-Higa, F., & Valdés, N. (2022). The psychosocial burden of families with childhood blood cancer. International Journal of Environmental Research and Public Health, 19(1), 599. https://doi.org/10.3390/ijerph19010599
-
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
-
Chung, J.O.K., Li, W.H.C., Cheung, A.T., Ho, L.L.K., & Chan, G.C.F. (2022). Association of resilience with psychological well-being and quality of life for parents of children with cancer. Research Square. https://doi.org/10.21203/rs.3.rs-1688101/v1
-
Connor, K.M., & Davidson, J.R.T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76-82. https://doi.org/10.1002/da.10113
-
Conway, M.F., Pantaleao, A., & Popp, J.M. (2017). Parents’ experience of hope when their child has cancer: Perceived meaning and the influence of health care professionals. Journal of Pediatric Oncology Nursing, 34(6), 427–434. https://doi.org/10.1177/1043454217713454
-
Duman, N. (2019). Travma sonrası büyüme ve gelişim. Uluslararası Afro-Avrasya Araştırmaları Dergisi, 4(7), 178-184.
-
Eker, D., Arkar, H., & Yaldız, H. (2001). Çok Boyutlu Algılanan Sosyal Destek Ölçeği'nin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 12(1), 17–25.
-
George, D., & Mallery, M. (2010). SPSS for Windows step by step: A simple guide and reference (10th ed.). Pearson.
-
Gu, G.E. (2019). Effect of the solution-focused family resilience enhancement program for the family adaptation of childhood cancer [Dissertation, Kyungpook National University, Department of Nursing Graduate School], Daegu (South Korea)
-
Haglund, M.M.E., Nestadt, P.S., Cooper, N.S., Southwick, S.M., & Charney, D.S. (2007). Psychobiological mechanisms of resilience: Relevance to prevention and treatment of stress-related psychopathology. Development and Psychopathology, 19(3), 889–920. https://doi.org/10.1017/S0954579407000430
-
Hayran, M., & Hayran, M. (2011). Basic statistics for health research. Ari Ofset Matbaacılık
-
Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17(10), 1251–1259. https://doi.org/10.1111/j.1365-2648.1992.tb01843.x
-
Hyslop, S., Tomlinson, D., Baggott, C., Dix, D., Gibson, P., Johnston, D.L., Orsey, A.D., Portwine, C., Price, V., Vanan, M., Kuczynski, S., Spiegler, B., Tomlinson, G.A., Dupuis, L.L., & Sung, L. (2021). Feeling scared or worried self-report in children receiving cancer treatments using the Symptom Screening in Pediatrics Tool (SSPedi). Supportive Care in Cancer, 29(6), 3137-3144. https://doi.org/10.1007/s00520-020-05818-x
-
Jones, B. (2006). Caregivers of children with cancer. Journal of Human Behavior in the Social Environment, 14, 221–240. https://doi.org/10.1300/J137v14n01_11
-
Kamkhoad, D., & Phonyiam, R. (2023). Symptom clusters that include gastrointestinal symptoms among children receiving cancer treatments: A scoping review. Oncology Nursing Forum, 50(3), 381–395. https://doi.org/10.1188/23.ONF.381-395
-
Kaya, F., & Odacı, H. (2021). The adaptation of the Connor-Davidson Resilience Scale short form into Turkish: A validity and reliability study. HAYEF: Journal of Education, 18(1), 38-55. https://doi.org/10.5152/hayef.2021.20029
-
Kearney, J. A., Salley, C.G., & Muriel, A.C. (2015). Standards of psychosocial care for parents of children with cancer. Pediatric Blood & Cancer, 62(Suppl 5), S632–S683. https://doi.org/10.1002/pbc.25761.
-
Koyu, H.O., Algül, G., Altay, N., & Kilicarslan, E. (2024). The effect of psychological resilience and spiritual well-being on the experience of hope in parents of children with cancer. Journal of Pediatric Nursing, 76, e34–e41 https://doi.org/10.1016/j.pedn.2024.01.016
-
Lazor, T., Pole, J. D., De Souza, C., Schechter, T., Grant, R., Davis, H., Duong, N., Stein, E., Cook, S., Tigelaar, L., & Sung, L. (2019). Severity, change over time, and risk factors of anxiety in children with cancer depend on the anxiety instrument used. Psycho-Oncology, 28(4), 710–717. https://doi.org/10.1002/pon.5004
-
Luo, Y., Xu, J., Xie, J., Xiao, P., & Cai, Q. (2024). The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer. Journal of Health Psychology, 29(4), 266-274. https://doi.org/10.1177/13591053231202635
-
Luo, Y.H., Li, W.H.C., Cheung, A.T., Ho, L.L.K., Xia, W., He, X.L., Zhang, J.P., & Chung, O.K. (2022). Relationships between resilience and quality of life in parents of children with cancer. Journal of Health Psychology, 27(5), 1048–1056. https://doi.org/10.1177/1359105321990806
-
Luo, Y.H., Xia, W., He, X.L., Zhang, J.P., & Li, H.C.W. (2021). Psychological interventions for enhancing resilience in parents of children with cancer: A systematic review and meta-analysis. Supportive Care in Cancer, 29(11), 7101–7110. https://doi.org/10.1007/s00520-021-06344-0
-
Luthar, S.S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164
-
Mahakwe, G., Johnson, E., Karlsson, K., & Nilsson, S. (2021). A systematic review of self-report instruments for the measurement of anxiety in hospitalized children with cancer. International Journal of Environmental Research and Public Health, 18(4), 1911. https://doi.org/10.3390/ijerph18041911
-
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