Eun Kyung Choi1, Soo Jin Yoon2, Jong-Heun Kim3, Hyeon Jin Park4, Joo Young Kim5, Eun-Seung Yu3,6. 1. Department of Psychology, Duksung Women's University, Seoul, Republic of Korea. 2. Department of Psychology, Yonsei University, Seoul, Republic of Korea. 3. Mental Health Clinic, National Cancer Center, Goyang, Republic of Korea. 4. Center for Pediatric Cancer, National Cancer Center, Goyang, Republic of Korea. 5. Proton Therapy Center, National Cancer Center, Goyang, Republic of Korea. 6. Department of Psychology, Korea University, Seoul, Republic of Korea.
Abstract
OBJECTIVE: This study's objectives were to examine the effects of depression on the distress of caregivers of children with brain tumors and to identify the factors moderating depression and caregiver distress. METHODS: Participants were 82 caregivers of children with brain tumors undergoing treatment in the National Cancer Center of South Korea. The depression subscale of the Symptom Checklist 90-Revised (SCL-90-R) and the Burden of a Primary Caregiver (BPC) Scale were used to measure participants' depression and caregiver distress, respectively. The Korean version of the Parenting Sense of Competence (K-PSOC) Scale, Family Environmental Scale-Revised (K-FES-R), and the DUKE-UNC Functional Social Support Questionnaire-S (DUKE-UNC-FSSQ) were used to assess parental efficacy, family relationships, and perceived social support, respectively. RESULTS: Younger patient age, lower family income, and caregivers' greater number of years of education significantly predicted caregiver distress. Caregivers with depression experienced significantly more distress than those without depression. The interaction of depression with parenting efficacy and social support affected caregiver distress. For highly depressed caregivers, parental efficacy, social support, and family relationships played weaker roles as protective factors against caregiver distress. High parental efficacy and social support were protective factors against distress in caregivers without depression. CONCLUSIONS: A multi-dimensional assessment of the psychosocial factors that may affect caregivers of children with brain tumors should precede interventions for distress management. Interventions tailored to individuals' psychosocial factors are needed.
OBJECTIVE: This study's objectives were to examine the effects of depression on the distress of caregivers of children with brain tumors and to identify the factors moderating depression and caregiver distress. METHODS:Participants were 82 caregivers of children with brain tumors undergoing treatment in the National Cancer Center of South Korea. The depression subscale of the Symptom Checklist 90-Revised (SCL-90-R) and the Burden of a Primary Caregiver (BPC) Scale were used to measure participants' depression and caregiver distress, respectively. The Korean version of the Parenting Sense of Competence (K-PSOC) Scale, Family Environmental Scale-Revised (K-FES-R), and the DUKE-UNC Functional Social Support Questionnaire-S (DUKE-UNC-FSSQ) were used to assess parental efficacy, family relationships, and perceived social support, respectively. RESULTS: Younger patient age, lower family income, and caregivers' greater number of years of education significantly predicted caregiver distress. Caregivers with depression experienced significantly more distress than those without depression. The interaction of depression with parenting efficacy and social support affected caregiver distress. For highly depressed caregivers, parental efficacy, social support, and family relationships played weaker roles as protective factors against caregiver distress. High parental efficacy and social support were protective factors against distress in caregivers without depression. CONCLUSIONS: A multi-dimensional assessment of the psychosocial factors that may affect caregivers of children with brain tumors should precede interventions for distress management. Interventions tailored to individuals' psychosocial factors are needed.
Authors: Alessandra Babore; Sonia M Bramanti; Lucia Lombardi; Liborio Stuppia; Carmen Trumello; Ivana Antonucci; Alessandra Cavallo Journal: Support Care Cancer Date: 2018-12-19 Impact factor: 3.603
Authors: Kathleen Meert; Beth S Slomine; James R Christensen; Russell Telford; Richard Holubkov; J Michael Dean; Frank W Moler Journal: Resuscitation Date: 2018-03-27 Impact factor: 5.262
Authors: Filiberto Toledano-Toledano; José Moral de la Rubia; René Reyes Frometa; Fabiola González Betanzos; Laura Villavicencio Guzmán; Marcela Salazar García Journal: Int J Environ Res Public Health Date: 2020-10-26 Impact factor: 3.390
Authors: Emma Nicklin; Lucy Pointon; Adam Glaser; Naseem Sarwar; Michelle Kwok-Williams; Miguel Debono; Galina Velikova; Florien W Boele Journal: Support Care Cancer Date: 2021-04-16 Impact factor: 3.603