Stress-related disorders in parents of children with cancer at the stage of hospital treatment

The purpose of this study was to investigate the psychopathological features of post-traumatic stress symptoms and the role of some psychosocial factors in the formation of adjustment disorders in parents of childhood cancer patients in hospital. 52 parents aged 22 to 48 years old were selected by screening for "Hospital Anxiety /Depression Scale » (HADS) and examined clinical and psychopathological method. A comprehensive analysis of clinical and psychosocial characteristics of adjustment disorders was conducted. The article presents the clinical and typological variants, the basic principles of treatment and rehabilitation.

1. Andriushchenko A.V., Drobizhev M.Iu., Dobrovol'skii A.V. Sravnitel'naia otsenka shkal CES-D, BDI i HADS(d) v diagnostike depressii v obshchemeditsinskoi praktike. Zhurnal nevrologii i psikhiatrii. 2003. № 5. Pp. 11–18.
2. Zhislin S.G. Ocherki klinicheskoi psikhiatrii / Moscow: Meditsina, 1965.
3. Il'ina N.A. Psikhogennye reaktsii u bol'nykh s shizotipicheskim rasstroistvom (k voprosu o shizofrenicheskikh reaktsiiakh). Psikhiatriia (nauchno-prakticheskii zhurnal).  2005.  № 3. Pp. 28–37.
4. Kireeva I.P., Luk'ianenko T.E. Psikhiatricheskie aspekty v detskoi somatologii. Nauchnaia konferentsiia molodykh uchenykh Rossii, posviashchennaia 50-letiiu Akademii meditsinskikh nauk: tezisy dokladov. Moscow, 1994. Pp. 287–288.
5. Koren' E.V., Kupriianova T.A. Kontseptsiia psikhicheskogo zdorov'ia i psikhosotsial'naia reabilitatsiia detei i podrostkov s psikhicheskimi rasstroistvami. Rossiiskii psikhiatricheskii zhurnal.  2012.  №3.  Pp. 4–12.
6. Kudriavitskii A.R., Khain A.E., Klipinina N.V. Obosnovanie kompleksnogo podkhoda v rabote psikhologicheskoi sluzhby, soprovozhdaiushchei lechebnyi protsess, v detskoi onkologii/gematologii. Voprosy gematologii/onkologii i immunopatologii v pediatrii. 2006. T. 5. № 3.
7. Sukhareva G.E.  Klinicheskie lektsii po psikhiatrii detskogo vozrasta. T. II / Moscow: Medgiz, 1959.
8. Iaspers K. Obshchaia psikhopatologiia / Moscow: «Praktika», 1997.

9. Balluffi A., Kassam-Adams N., Kazak A., Tucker M., Dominguez T. & Helfaer M. Traumatic stress in parents of children admitted to the pediatric intensive care unit // Pediatric Critical Care Medicine. 2004. № 5. Рp. 547–553.

10. Centers for Disease Control and Prevention (CDC). Trends in childhood cancer mortality—United States, 1990–2004 / MMWR. 2007. № 56(48). Рp. 1257–1261.
11.  Holland J.C.  Psychological Care of Patients:  Psycho-Oncology's Contribution  // J  Clinical Oncology. V. 21. № 23. 2003. Рp. 253–265.
12.  Kazak A.E., Boeving А., Alderfer М.А. et al.  Posttraumatic Stress Symptoms During Treatment in Parents of Children With Cancer // J Clinical Oncology.  Oct. 2005. V. 23. № 30. Рp. 7405–7410.
13.  Kazak A., Kassam-Adams N., Schneider S. et al. An integrative model of pediatric medical traumatic stress // J Pediatr Psychol. May 2006. V. 31. № 4. Рp. 343–355.
14.  Patino-Fernandez A.M., Ahna L.H.P., Alderfer M., Hwang W.T., Reilly A., Kazak A.E. Acute Stress in Parents of Children Newly Diagnosed With Cancer // Pediatric blood & cancer. 2008. V. 50. № 2. Рp. 289–92.
15.  Phipps S., Dunavant M. Psychosocial Predictors of Distress in Parents of Children Undergoing Stem Cell or Bone Marrow Transplantation // J. Pediatr. Psychol. 2005. № 30 (2). Рp. 139–153.
16.  Rosenberg A.R., Dussel V., Geyer J.R., et al. Psychological Distress in Parents of Children With Advanced Cancer // JAMA Pediatrics. 2013. № 167(6). Рp. 537-543.
17.  Vollrath M., Torgersen S. Personality types and coping // Personality and Individual Differences. 2000. № 29. Рp. 367–378.
18.  Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale //Acta Psychiatrica Scandinavica. № 67 (6). Рp. 361–370.