ASSESSMENT OF PSYCHOLOGICAL DISTRESS AMONG PARENTS HAVING CANCER DEPENDENTS
DOI:
https://doi.org/10.54112/pjicm.v5i02.241Keywords:
Psychological Distress, Caregivers, Parents, Neoplasms, Pediatric Cancer, Anxiety, Depression, Caregiver BurdenAbstract
Background: Parents of children with cancer experience substantial psychological burden due to caregiving responsibilities, uncertainty of disease outcomes, and socioeconomic challenges. In low- and middle-income countries, including Pakistan, limited access to mental health resources and sociocultural factors may further exacerbate this distress. Objective: To assess the level of psychological distress among parents of children diagnosed with cancer. Study design: Descriptive cross-sectional study. Setting: Chemotherapy Department of Ittefaq Hospital, Lahore, Pakistan. Duration of study: March to August 2025. Methods: A total of 155 parents were recruited through non-probability convenience sampling over six months. Data were collected using a structured, pre-validated questionnaire assessing emotional, cognitive, behavioral, and physical symptoms of psychological distress. Data analysis was performed using SPSS version 25. Descriptive statistics were presented as frequencies and percentages, and psychological distress was categorized into mild, moderate, and severe based on cumulative scores. Results: Among 155 participants, the majority were aged 46–65 years (45.2%), females (52.3%), and urban residents (79.4%). Psychological distress was highly prevalent, with 33.5% experiencing mild, 34.8% moderate, and 31.6% severe distress. Common symptoms included sadness (57.4%), reduced Satisfaction in daily activities (74.8%), irritability (53.5%), decreased interest in others (67.7%), sleep disturbances (51.6%), increased fatigue (64.5%), and frequent guilt (45.2%). Behavioral symptoms such as increased crying (50.3%) and indecisiveness (45.2%) were also frequently reported. Conclusion: A substantial proportion of parents of children with cancer experience moderate to severe psychological distress. These findings highlight the importance of routine psychological screening and targeted supportive interventions to improve mental well-being in this vulnerable population.
References
Zahid N, Enam S, Mårtensson T, Azam I, Mushtaq N, Moochhala M, et al. Factors associated with changes in the quality of life and family functioning scores of primary caregivers of children and young people with primary brain tumors in Karachi, Pakistan: a prospective cohort study. BMC Pediatr. 2024;24(1). https://doi.org/10.1186/s12887-024-04867-z
Sajjad S, Barolia R, Gul R. Living with cancer: child–parent dyads’ perspectives and experiences from a private tertiary care hospital in Pakistan. Qual Health Res. 2024;35(2):174-189. https://doi.org/10.1177/10497323241255636
Heller N, Melnikov S. Factors affecting caregiver burden among parents of children with cancer: a path analysis. J Clin Nurs. 2024;34(1):128-138. https://doi.org/10.1111/jocn.17202
Pan Y, Lin Y. Systematic review and meta-analysis of prevalence of depression among caregivers of cancer patients. Front Psychiatry. 2022;13. https://doi.org/10.3389/fpsyt.2022.817936
Graetz D, Ahmad A, Raza M, Hameed A, Naheed A, Najmi A, et al. Functions of patient- and family-centered pediatric cancer communication in Pakistan. Front Oncol. 2024;14. https://doi.org/10.3389/fonc.2024.1393908
Hussain T, Hussain S, Hussain S, Jabeen N, Nurunnabi M. Measuring mental health of caregivers of special children: a case of Gilgit-Baltistan (GB), Pakistan. Sage Open. 2020;10(2). https://doi.org/10.1177/2158244020919509
Saeed S, Malik M, Khan M, Malik S, Aziz B. Care for the caregiver: an exploration of caregiver burden of children with chronic medical conditions at a tertiary care hospital in Karachi, Pakistan – a mixed-methods study. BMJ Open. 2024;14(5):e083088. https://doi.org/10.1136/bmjopen-2023-083088
Jabeen S, Zakar R, Zakar M, Fischer F. Experiences of family caregivers in dealing with cases of advanced breast cancer: a qualitative study of the sociocultural context in Punjab, Pakistan. 2023. https://doi.org/10.21203/rs.3.rs-3260755/v1
Hussain M, Ahmad K. Spirituality and social support as predictors of resilience among elderly cancer patients' informal caregivers in Punjab, Pakistan. J Manag Pract Humanit Soc Sci. 2021;5(6). https://doi.org/10.33152/jmphss-5.6.4
Shah S, Qaisar F, Azam I, Mansoor K. Perceptions, knowledge and attitudes towards the concept and approach of palliative care amongst caregivers: a cross-sectional survey in Karachi, Pakistan. BMC Palliat Care. 2020;19(1). https://doi.org/10.1186/s12904-020-00688-w
Lutfi N, Lami F. Prevalence and determinants of depression among caregivers of children with leukaemia in Iraq. East Mediterr Health J. 2019;25(6):385-393. https://doi.org/10.26719/emhj.19.005
Majeed M, Khokhar M, Abid M, Raza A, Qaisar M, Ali A, et al. Frequency and correlates of symptoms of anxiety and depression among young caregivers of cancer patients: a pilot study. BMC Res Notes. 2018;11(1). https://doi.org/10.1186/s13104-018-3740-8
Thomas S, Ryan N, Byrne L, Hendrieckx C, White V. Psychological distress among parents of children with chronic health conditions and its association with unmet supportive care needs and children’s quality of life. J Pediatr Psychol. 2023;49(1):45-55. https://doi.org/10.1093/jpepsy/jsad074
Burns W, Péloquin K, Rondeau É, Drouin S, Bertout L, Lacoste-Julien A, et al. Cancer-related effects on relationships, long-term psychological status and relationship Satisfaction in couples whose child was treated for leukemia: a PETALE study. PLoS One. 2018;13(9):e0203435. https://doi.org/10.1371/journal.pone.0203435
Teo I, Ng S, Bundoc F, Malhotra C, Özdemir S, Steel J, et al. A prospective study of psychological distress among patients with advanced cancer and their caregivers. Cancer Med. 2023;12(8):9956-9965. https://doi.org/10.1002/cam4.5713
Kim Y, Mitchell H, Ting A. Application of psychological theories on the role of gender in caregiving to psycho-oncology research. Psychooncology. 2018;28(2):228-254. https://doi.org/10.1002/pon.4953
McLachlan L, Engster S, Winger J, Haupt A, Levin-Decanini T, Decker M, et al. Self-reported well-being of family caregivers of children with medical complexity. Acad Pediatr. 2024;24(7):1133-1140. https://doi.org/10.1016/j.acap.2024.04.002
Eche I, Pires C, Isibor C, Achibiri A, Aronowitz T. A systematic mixed-studies review of hope experiences in parents of children with cancer. Cancer Nurs. 2020;45(1):E43-E58. https://doi.org/10.1097/ncc.0000000000000841
Shahali S, Tavousi M, Sadighi J, Kermani R, Rostami R. Health challenges faced by parents of children with disabilities: a scoping review. BMC Pediatr. 2024;24(1). https://doi.org/10.1186/s12887-024-05104-3
Ayesha A, Ahmad S, Saba S, Kashif M, Khan D, Haque A, et al. The relationship between psychological disability and religious practice and coping strategies in caregivers of children with traumatic brain injury in Pakistani population. Healthcare. 2022;10(11):2158. https://doi.org/10.3390/healthcare10112158
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