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Moon Y, Lee S. Comparison of perceived parental empathy between adolescents with leukemia and healthy adolescents: A comparative descriptive study. Heliyon 2023; 9:e22528. [PMID: 38058643 PMCID: PMC10696105 DOI: 10.1016/j.heliyon.2023.e22528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/16/2023] [Accepted: 11/14/2023] [Indexed: 12/08/2023] Open
Abstract
Purpose The purpose of this study was to investigate and compare perceived parental empathy between adolescents with and without leukemia. Methods This study used a cross-sectional, descriptive design. Thirty-eight adolescents with leukemia and 205 without, completed a self-reported questionnaire regarding their perceptions of parental empathy and general characteristics. For this comparative study, adolescents were selected through matched sampling, and 38 adolescents per group were used for analysis. Data were examined using independent t-tests. Results In terms of parental empathy, excessive emotional reactions and cold emotional reactions were perceived more frequently by adolescents with leukemia than healthy adolescents. Differences between the two groups were statistically significant. Conclusion Since parents caring for children with leukemia have an extra burden in caring for their children, these parents are continuously anxious about prognoses, and tend to feel guilty for their child's disease. Thus, healthcare providers need to develop a program for improving the ability of parents of cancer patients to demonstrate empathy, focusing on how to recognize and manage what may be perceived by their children as excessive or cold emotional reactions, and must take a role in communicating to parents how adolescents with leukemia perceive parental rearing behaviors and the impacts of these behaviors on their well-being.
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Affiliation(s)
- Youngji Moon
- College of Nursing, the Catholic University of Korea, Seoul, South Korea
| | - Sunhee Lee
- College of Nursing, the Catholic University of Korea, Seoul, South Korea
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Parker K, Durben N, Oleson D, Yu Y, Lim JY, Recht M, Lindemulder S. Hopping as an Indicator of Chemotoxicity: Gait Analysis in Patients With Leukemia and Lymphoma. J Pediatr Hematol Oncol 2023; 45:e582-e589. [PMID: 36898017 DOI: 10.1097/mph.0000000000002645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 01/07/2023] [Indexed: 03/12/2023]
Abstract
BACKGROUND Survivors of acute lymphoblastic leukemia (ALL) can experience chemotherapy-related changes in neuromuscular function, which can persist and impact the quality of life. Clinically, neuromuscular changes are assessed by observing gait. The primary aims of this study were to compare observational gait/functional movement analysis to matched electronic gait analysis in children with ALL and lymphoblastic lymphoma at specific time points during and after treatment. PATIENTS AND METHODS Participants 2 to 27 years old diagnosed with ALL/lymphoblastic lymphoma who were on or off therapy within 10 years were eligible. Participants underwent electronic gait assessment using GAITRite, observational gait, and functional movement analysis and completed quality of life questionnaires. Parents also completed quality-of-life assessments. RESULTS Electronic gait parameters were not different in this cohort compared with controls. Mean overall scores on observational gait and functional movement analysis improved over time. Hopping was the most frequent and walking was the least frequent noted deficit. Participants had a lower patient and parent-reported QoL scores compared with the general population. CONCLUSION Observational gait and functional movement analysis identified more deficits than the electronic gait assessment. Future studies are warranted to determine whether hopping deficits are an early clinical indicator of toxicity and signal for intervention.
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Affiliation(s)
- Kellee Parker
- Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Utah, Salt Lake City, UT
| | - Nancy Durben
- Division of Pediatric Hematology and Oncology, Department of Pediatrics
| | - David Oleson
- Division of Pediatric Hematology and Oncology, Department of Pediatrics
| | - Yun Yu
- Biostatistics Shared Resource, Knight Cancer Institute, Oregon Health and Science University, Portland, OR
| | - Jeong Y Lim
- Biostatistics Shared Resource, Knight Cancer Institute, Oregon Health and Science University, Portland, OR
| | - Michael Recht
- Division of Pediatric Hematology and Oncology, Department of Pediatrics
| | - Susan Lindemulder
- Division of Pediatric Hematology and Oncology, Department of Pediatrics
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Shinohara Y, Morino T, Shimoura K, Niu Q, Mukaiyama K, Chen C, Matsumura N, Shimizu H, Tabata A, Hanai A, Nagai-Tanima M, Ogawa M, Kato T, Tanimukai H, Matsuoka M, Adachi S, Takita J, Tsuboyama T, Aoyama T. Comparison of Psychological Quality of Life Between Long-term Survivors of Childhood Cancer and Their Families. J Adolesc Young Adult Oncol 2022. [PMID: 35969380 DOI: 10.1089/jayao.2021.0217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Purpose: Although treatment outcomes for childhood cancer have improved in recent years, some patients continue to experience physical symptoms and psychological stress several years after the end of treatment. This study aimed to examine the correlation between the quality-of-life (QOL) scores of childhood cancer survivors (CCSs) aged 18-39 and (1) their families and (2) the time since the end of treatment. Methods: Measuring the QOL of CCSs attending the long-term follow-up (LTFU) and those of their families. The Short-Form Health Survey (SF-36) was used for CCSs and the Caregiver Quality of Life Index-Cancer (CQOLC) for their families. Spearman's rank correlation analyses were used to examine the relationship between the CCSs' and their families' QOL and the time since the end of treatment. Results: Twenty-nine CCSs (mean age, 24.2 years; mean the time since the end of treatment, 13.9 years), each paired with one family member, were included. Time since the end of treatment was positively correlated with the CCSs' QOL on the physical component score (ρ = 0.42, p = 0.03) and negatively correlated with mental health (MH) (ρ = -0.50, p = 0.01), a subscale of the mental component score (MCS). Furthermore, the CCSs' QOL on the MCS was positively correlated with their families' QOL scores (ρ = 0.58, p < 0.01). Conclusion: Psychological stress may persist in CCSs long after treatment, even when physical symptoms improve. Therefore, it is necessary to establish a comprehensive support system for the LTFU of CCSs, including MH care and QOL monitoring for patients and their families.
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Affiliation(s)
- Yuki Shinohara
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Tappei Morino
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Kanako Shimoura
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Qian Niu
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Kohei Mukaiyama
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Changyu Chen
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Natsuki Matsumura
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Hiroki Shimizu
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Ami Tabata
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Akiko Hanai
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.,Advanced Data Science Project, RIKEN, Yokohama, Japan
| | - Momoko Nagai-Tanima
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Masahiro Ogawa
- Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Japan
| | - Toshihiro Kato
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Hitoshi Tanimukai
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.,Department of Palliative Medicine, Kyoto University Hospital, Kyoto, Japan
| | - Mari Matsuoka
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.,Department of Nursing, Graduate School of Medicine, Mie University, Mie, Japan
| | - Souichi Adachi
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Junko Takita
- Department of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Tadao Tsuboyama
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.,School of Health Sciences, Bukkyo University, Kyoto, Japan
| | - Tomoki Aoyama
- Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
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