Impact of pediatric cancer on parents’ relationships Gajda, Jana; Johns, Charlotte; Zimmermann, Tanja
European journal of oncology nursing : the official journal of European Oncology Nursing Society,
April 2024, 2024-Apr, 2024-04-00, 20240401, Volume:
69
Journal Article
Peer reviewed
Open access
Cancer in children leads to changes in family life, which can also affect the stability and quality of the parents' relationships. Studies show that parents' educational level, duration of ...partnership until diagnosis, child's cancer, and grandparents' relationship stability may influence parental partnership. The aim of this study was to investigate the influence of childhood cancer on the stability and quality of parental relationships in Germany.
N = 74 parents of children with cancer aged 28–65 years (M = 41.9, SD = 7.6) completed questions on the stability and quality of their partnership as well as parental distress, depression, and anxiety. Stability was compared with the separation rate in the general population, and quality was compared using norm data from the German version of the Quality of Marriage Index (QMI-D; Zimmermann et al., 2019). A regression model was developed to predict mothers' current partnership quality.
The proportion of separated and divorced people was 12.2 % compared to 14. % in the general population. Retrospectively assessed partnership quality at time of diagnosis was significantly lower than in the German general population (p < .05). Higher anxiety proved to be the most significant predictor of maternal lower partnership satisfaction assessed at the time of the survey.
Parents of children with cancer did not show an increased separation rate. The partnership quality at the time of diagnosis was significantly lower, but was still above the cut-off of 34, suggesting predominant resilience of parental partnerships. However, some of parents showed significantly lower satisfaction. Future studies should identify parents who are more likely to experience a deterioration in partnership satisfaction or separation so that partnership interventions can be offered where appropriate.
•Parents of children with cancer showed a higher to similar stability than partnerships in the German population.•Relationship satisfaction among parents of children with cancer was lower at diagnosis than in the general population.•Anxiety proved to be the most significant predictor of maternal partnership satisfaction.
This study exmined the education and tenure of Presiden Director and consistency in Corporate Social Responsibility (CSR) action, wich in State Owned Enterprises known as Partnership and Comunity ...Development Program. The purpose of this study was to examine the education and tenure of President Director on the quality of Partnership and Comunity Development Program. The sample of this study are state owned enterprises with the total population are 119 firms, based on the sampling criteria, the final sample of this study are 50 firms. Content analysis method was used to measure the quality of Partnership and Comunity Development Program. Data was analysed by SPSS program. Multiple linear regression model was used to test the hypothesis. The result shows that education and tenure have insignificant effect toward the quality of Partnership and Comunity Development Program. Future research could investigate other variables that could affect the quality of Partnership and Comunity Development Program.
A transplant represents a decisive event for patients and their caregivers. This article deals with the attitudes patients and their spouses have towards the transplantation.
In a cross-sectional ...study, 121 patients and their spouses were surveyed by questionnaire after a heart, lung, liver or kidney transplant. Attitudes were assessed by means of semantic differentials. Based on the results, an 'Attitudes towards Transplantation' Scale was developed. Sense of coherence (SOC-13), quality of life (Sf-36), quality of the relationship (RAS), burnout (BM) and the patient's emotional response to the transplant (TxEQ-D) were additional psychosocial variables measured in order to assess the association between the attitudes and psychosocial characteristics of transplant patients and their spouses.
The majority of patients and their spouses reported positive attitudes towards the transplant, including the attitudes towards medication, their perceived self and fate of being a transplant patient or spouse. Patients and spouses, however, had a negative attitude towards the transplantation in terms of stress and anxiety. Patients reported greater emotional stress from the transplant and rated their post-transplant perceived fate more negatively than their spouses. Attitudes towards the transplant were significantly associated with the sense of coherence and the quality of relationship.
The attitudes of patients and spouses to different aspects of the transplant itself and to being a transplant patient or spouse should be deliberately reconsidered and facilitated in the psychosocial counselling with regard to the comprehensibility, manageability and meaningfulness of the transplant experience as well as to potential conflicts in the partnership.
In the general population, studies indicate a strong association between sexual dysfunction and partnership quality. Despite a high prevalence of sexual problems in patients with cardiovascular ...diseases, this association has not yet been examined in this sample.
The central task of this paper is to determine the association between sexual dysfunction and quality of partnership under a gender-specific view.
A written survey was handed out to all newly admitted patients in five participating inpatient rehabilitation centers for cardiovascular diseases in Germany. The survey included a gender-specific questionnaire to assess sexual functioning (International Index of Erectile Function for men, and Female Sexual Function Index for women), and a Partnership Questionnaire.
Correlations were calculated between sexual function and relationship satisfaction, and differences between groups (cardiovascular diseased men and women with and without sexual problems) were tested using covariance analyses.
Overall, 44.3% of 98 female participants and 52.7% of 395 male participants stated to have at least one sexual problem. Patients with sexual problems showed significantly more quarrelling (P = 0.001), significantly less tenderness (P < 0.001), communication (P < 0.001), as well as significantly lower overall quality of partnership (P < 0.001), compared with cardiac men and women without sexual problems. Suffering from a sexual problem impaired partnership quality for women to a significantly greater extent than for men.
Possible shortcomings of our study are selection bias, i.e., it is unknown whether all newly admitted patients received the questionnaire by their physician, as well as an overall low response rate, probably because of the private character of questions. This study suggests for the first time that men and women who suffer from cardiovascular diseases and sexual problems show a significantly decreased partnership satisfaction compared with those without sexual dysfunction. Further longitudinal studies might confirm the causal nature of found correlations. Günzler C, Kriston L, Harms A, Berner MM, and the members of the Sexuality of Patients in Rehabilitation of Cardiovascular Diseases study group. Association of sexual functioning and quality of partnership in patients in cardiovascular rehabilitation—A gender perspective.
Studie se zabývá vztahem těhotných žen k jejich očekávanému dítěti. U vzorku 339 žen ve třetím trimestru těhotenství byla zkoumána spojitost vztahu k očekávanému dítěti s úzkostností, depresivitou, ...kvalitou partnerského vztahu a s vyhýbavostí a úzkostností citové vazby k partnerovi. Byl kontrolován vliv parity, plánovanosti a chtěnosti dítěte a věku matky. Nejsilnějším prediktorem vztahu k očekávanému dítěti byla kvalita partnerského vztahu ženy, které hodnotily svůj partnerský vztah jako kvalitní, pociťovaly silnější vztah k očekávanému dítěti. Byl prokázán také vliv parity (prvorodičky pociťovaly k očekávanému dítěti silnější vztah než vícerodičky) a plánovanosti dítěte (ženy, jejichž těhotenství bylo plánované, pociťovaly k očekávanému dítěti mírně silnější vztah). Ve výzkumu byla poprvé použita nová škála k měření vztahu k očekávanému dítěti, která překonává některé limity dosavadních metod. Metoda měří různé aspekty vztahu k dítěti v oblasti emoční, kognitivní i behaviorální.
Our study deals with the mother-foetus relationship (MFR) and its connection to chosen mother‘s characteristics. The relationship of MFR and anxiety, depression, quality of partnership, attachment-related avoidance and attachment-related anxiety was investigated on a sample of 339 pregnant women (third trimester). The effect of parity, pregnancy planning, desire for a child and the women’s age were taken into account. Quality of the partnership was the strongest predictor of MFR. Women who considered their relationship with their partner to be functional had a stronger relationship to their unborn baby. Primiparae had a slightly stronger MFR than multiparae and a planned pregnancy is associated with a slightly stronger MFR. The present study uses the new scale of MFR for the first time. The scale overcomes some limits of the older scales and measures different aspects of MFR including emotional, cognitive and behavioural one.
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