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Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer

Year 2020, Volume: 5 Issue: 1, 24 - 30, 19.04.2020

Ulviye Ucar Ruhuşen Kutlu , Umran Calıskan

https://doi.org/10.22391/fppc.562433

Abstract

Introduction: Malignant and chronic diseases in children affect all family members economically and psychologically and can cause serious adjustment problems and psychological disorders. This study is aimed to compare the depression/anxiety levels and sleep quality of mothers who had children with and without cancer diagnosis.
Methods: Case group consisted of mothers of the children who applied to the Pediatric Hematology-Oncology Service and Polyclinic and diagnosed with cancer. Control group consisted of mothers of healthy children. The Pittsburg Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS) were used to the mothers.
Results: In the mothers of children with cancer; anxiety was found as 47.1% and depression was detected as 84.1% (p<0.001). There was a sleep disorder in 32.9 % (n=56) of the mothers of children with cancer (p=0.007). It was observed that 58.9% (n=53) of the mothers with sleep disorder had anxiety and 74.4% (n=67) of them had depression. There was a statistically significant relationship between sleep quality and anxiety and depression (p<0.001). Compared to the control group, the anxiety frequency of mothers of children with cancer increased 9.185 times [OR=9.185, 95% Cl (4.993-16.898); and depression frequency increased 23.748 times [OR=23.748, 95% CI (13.480-41.837)].
Conclusions: In this study, it was determined that the anxiety and depression levels of mothers of cancer children were higher than those of mothers without cancer and the sleep quality was worse. Education and counseling services to be given to the mothers will be effective in decreasing anxiety and depression levels and increasing sleep qualities and reducing fatigue.

Keywords

Child Neoplasms mother anxiety depression sleep wake disorders

References

  • 1. Rao P, Pradhan PV, Shah H. Psychopathology and coping in parents of chronically ill children. Indian J Pediatr 2004;71(8):695-9. https://doi.org/10.1007/BF02730656
  • 2. Van Dongen-Melman JE. Developing psychosocial aftercare for children surviving cancer and their families. Acta Oncol 2000;39(1):23-31. https://doi.org/10.1080/028418600430932
  • 3. Atagun IM, Balaban OD, Atagun Z, Elagoz M, Ozpolat AY. [Caregiver Burden in Chronic Diseases] (in Turkish). Current Approaches in Psychiatry 2011;3(3):513-52. https://doi.org/10.5455/cap.20110323
  • 4. Lawoko S, Soares JJF. Distress and hopelessness among parents of disease, and parents of healthy children. J Psychosom Res 2002;52(4):193-208. https://doi.org/10.1016/S0022-3999(02)00301-X
  • 5. McCubbin M, Balling K, Possin P, Frierdich S, Bryne B. Family resiliency in childhood cancer. Family Relations 2002;51(2):103–11. https://doi.org/10.1111/j.1741-3729.2002.00103.x
  • 6. Sari D, Eser I, Khorshid L Sleep Quality And Depression Level in Cancer Caregivers (in Turkish). Journal of Ege University School of Nursing 2010;26(1):1-10.
  • 7. Carter PA, Chang BL. Sleep and depression in cancer caregivers. Cancer Nurs 2000;23(6):410-5. https://doi.org/10.1097/00002820-200012000-00002
  • 8. Meltzer LJ, Moore M. Sleep disruptions in parents of children and adolescents with chronic illnesses. prevalence, causes, andconsequences. J Pediatr Psychol 2008;33(3):279-91. https://doi.org/10.1093/jpepsy/jsm118
  • 9. Bahammam AS. Knowledge and attitude of primary health care physicians towards sleep disorders. Saudi Med J 2000;21(12):1164-7. https://www.ncbi.nlm.nih.gov/pubmed/11360092
  • 10. Amin R, Bean J, Burklow K, Jeffries J. The relationship between sleep disturbance and pulmonary function in stable pediatric cystic fibrosis patients. Chest 2005;128(3):1357-63. https://doi.org/10.1016/S0012-3692(15)52159-4
  • 11. Ochoa L, Beck AT, Steer RA. Gender differences in comorbid anxiety and mood disorders. Am J Psychiatry 1992;149(10):1409-10. https://doi.org/10.1176/ajp.149.10.1409b
  • 12. Berger AM, Parker KP, Young-McCaughan S, Mallory GA, Barsevick AM, Beck SL et al. Sleep wake disturbances in people with cancer and their caregivers: state of the science. Oncol Nurs Forum 2005;32(6):98-126. https://doi.org/10.1188/05.ONF.E98-E126
  • 13. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Res 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  • 14. Agargun MY, Kara H, Anlar O. [The Validity of the Pittsburgh Sleep Quality Index and Reliability] (in Turkish). Turkish Journal of Psychiatry 1996; 7(2):107-15.
  • 15. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67:361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  • 16. Aydemir O, Guvenir T, Kuey L, Kultur S. [Reliability and Validity of the Turkish version of Hospital Anxiety and Depression Scale] (in Turkish). Turk J Psychiatry 1997;8(4):280-7. http://www.turkpsikiyatri.com/en/default.aspx?modul=summary&id=191
  • 17. Dokmen Z. The Relations Between Mental Health And Perceived Social Support of Family Caregivers. Ankyra: 2012;3(1):3-38.
  • 18. Turkey Demographic and Health Survey 2013 (TNSA). Available at: http://www.hips.hacettepe.edu.tr/ (Access Date: 10.01.2018).
  • 19. Quine L, Pahl J. Stres and coping in mothers caring for a child with severe learning difficulties: a test of lazarus transactional model of coping. J Com Appl Soc Psych 1991;1(2):57-70. https://doi.org/10.1002/casp.2450010109
  • 20. Yeh CH, Lee TT, Chen ML, Li W. Adaptational Process of Parents of Pediatric Oncology Patients. Pediatr Hematol Oncol 2000;17(2):119-31. https://doi.org/10.1080/088800100276479
  • 21. Orr DP, Weller SC, Satterwhite B, Pless IB. Psychosocial implications of chronic illness in adolescence. J Pediatr 1984;104(1):152-7. https://doi.org/10.1016/S0022-3476(84)80616-2
  • 22. Davis H, Fallowfield L. Counseling and communication in health Care. Wiley-Blackwell, 1991. ISBN 10: 0471928186 / ISBN 13: 9780471928188. https://trove.nla.gov.au/version/7428338
  • 23. Brown RT, Kaslow NJ, Madan-Swain A, Doepkem KJ, Sexson SB, Hill LJ. Parental psychopathology and children’s adjustment to Leukemia. J Am Acad Child Adol Psych 1993;32(3): 554-61. https://doi.org/10.1097/00004583-199305000-00010
  • 24. Ozguven D, Ozguven H, Unluoğlu G. [Psychiatric Morbidity in Cancer Patients and Their Relatives] (in Turkish). 3P journal 1998;6(3):196-206
  • 25. James K, Keegan-Wells D, Hinds PS, Kelly KP, Bond D, Hall B, et al. The care of my child with cancer: parents perceptions of caregiving demands. J Pediatr Oncol Nurs 2002;19(6):218-28. https://doi.org/10.1177/104345420201900606
  • 26. Walsh SD, Rybicki L. The symptoms of advanced cancer: Relationship to age, gender and performance status in 1000 patients. Support Care Cancer 2000;8(3):175–9. https://doi.org/10.1007/s005200050281
  • 27. Chang EW, Tsai YY, Chang TW, Tsao CJ. Quality of sleep and quality of life in caregivers of breast cancer patient. Psychooncology 2007;16(10):950-5. https://doi.org/10.1002/pon.1167
  • 28. Klassen AF, Gulati S, Granek L, Rosenberg-Yunger ZR, Watt L, Sung L, et al. Understanding the health impact of caregiving: a qualitative study of immigrant parents and single parents of children with cancer. Qual Life Res 2012;21(9):1595-605. https://doi.org/10.1007/s11136-011-0072-8

Kanserli çocuklarin annelerinde uyku kalitesi, anksiyete ve depresyon düzeylerinin değerlendirilmesi

Year 2020, Volume: 5 Issue: 1, 24 - 30, 19.04.2020

Ulviye Ucar Ruhuşen Kutlu , Umran Calıskan

https://doi.org/10.22391/fppc.562433

Abstract

Giriş: Çocuklardaki malign ve kronik hastalıklar tüm aile üyelerini ekonomik ve psikolojik olarak etkilemekte ve ciddi uyum problemlerine ve psikolojik bozukluklara neden olabilmektedir. Bu çalışmada, kanser tanısı olan ve olmayan çocukların annelerinde depresyon / anksiyete düzeyleri ile uyku kalitelerinin karşılaştırılması amaçlanmıştır.
Yöntem: Vaka grubu, Pediatrik Hematoloji-Onkoloji Servisi ve Polikliniğine başvuran ve kanser tanısı alan çocukların annelerinden oluşuyordu. Kontrol grubu sağlıklı çocukların annelerinden oluşuyordu. Annelere Pittsburg Uyku Kalitesi İndeksi (PSQI), Hastane Anksiyete ve Depresyon Ölçeği (HADS) uygulandı.
Bulgular: Kanserli çocukların annelerinde; anksiyete % 47,1, depresyon % 84,1 olarak tespit edildi (p <0,001). Kanserli çocukların annelerinin % 32,9'unda (n=56) uyku bozukluğu mevcuttu (p=0,007). Uyku bozukluğu olan annelerin % 58,9'unun (n=53) anksiyete, % 74,4'ünün (n=67) depresyon geçirdiği görülmüştür. Uyku kalitesi ile anksiyete ve depresyon arasında istatistiksel olarak anlamlı bir ilişki vardı (p <0,001). Kontrol grubu ile karşılaştırıldığında kanserli çocukların annelerinin kaygı sıklığı 9,185 kat [OR = 9,185, % 95 Cl (4,993-16,898) ve depresyon sıklığı 23,748 kat artmıştır [OR = 23,748, % 95 CI (13,480-41,837)].
Sonuç: Bu çalışmada kanserli çocukların annelerinin anksiyete ve depresyon düzeylerinin sağlıklı çocukların annelerine göre daha yüksek olduğu ve uyku kalitesinin daha kötü olduğu belirlenmiştir. Annelere verilecek eğitim ve danışmanlık hizmetlerinin; kaygı ve depresyon düzeylerini azaltmada, uyku kalitesini arttırmada ve yorgunluğu azaltmada etkili olacağını düşünmekteyiz.

Keywords

Çocuk kanser anne kaygı depresyon uyku bozuklukları

References

  • 1. Rao P, Pradhan PV, Shah H. Psychopathology and coping in parents of chronically ill children. Indian J Pediatr 2004;71(8):695-9. https://doi.org/10.1007/BF02730656
  • 2. Van Dongen-Melman JE. Developing psychosocial aftercare for children surviving cancer and their families. Acta Oncol 2000;39(1):23-31. https://doi.org/10.1080/028418600430932
  • 3. Atagun IM, Balaban OD, Atagun Z, Elagoz M, Ozpolat AY. [Caregiver Burden in Chronic Diseases] (in Turkish). Current Approaches in Psychiatry 2011;3(3):513-52. https://doi.org/10.5455/cap.20110323
  • 4. Lawoko S, Soares JJF. Distress and hopelessness among parents of disease, and parents of healthy children. J Psychosom Res 2002;52(4):193-208. https://doi.org/10.1016/S0022-3999(02)00301-X
  • 5. McCubbin M, Balling K, Possin P, Frierdich S, Bryne B. Family resiliency in childhood cancer. Family Relations 2002;51(2):103–11. https://doi.org/10.1111/j.1741-3729.2002.00103.x
  • 6. Sari D, Eser I, Khorshid L Sleep Quality And Depression Level in Cancer Caregivers (in Turkish). Journal of Ege University School of Nursing 2010;26(1):1-10.
  • 7. Carter PA, Chang BL. Sleep and depression in cancer caregivers. Cancer Nurs 2000;23(6):410-5. https://doi.org/10.1097/00002820-200012000-00002
  • 8. Meltzer LJ, Moore M. Sleep disruptions in parents of children and adolescents with chronic illnesses. prevalence, causes, andconsequences. J Pediatr Psychol 2008;33(3):279-91. https://doi.org/10.1093/jpepsy/jsm118
  • 9. Bahammam AS. Knowledge and attitude of primary health care physicians towards sleep disorders. Saudi Med J 2000;21(12):1164-7. https://www.ncbi.nlm.nih.gov/pubmed/11360092
  • 10. Amin R, Bean J, Burklow K, Jeffries J. The relationship between sleep disturbance and pulmonary function in stable pediatric cystic fibrosis patients. Chest 2005;128(3):1357-63. https://doi.org/10.1016/S0012-3692(15)52159-4
  • 11. Ochoa L, Beck AT, Steer RA. Gender differences in comorbid anxiety and mood disorders. Am J Psychiatry 1992;149(10):1409-10. https://doi.org/10.1176/ajp.149.10.1409b
  • 12. Berger AM, Parker KP, Young-McCaughan S, Mallory GA, Barsevick AM, Beck SL et al. Sleep wake disturbances in people with cancer and their caregivers: state of the science. Oncol Nurs Forum 2005;32(6):98-126. https://doi.org/10.1188/05.ONF.E98-E126
  • 13. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Res 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  • 14. Agargun MY, Kara H, Anlar O. [The Validity of the Pittsburgh Sleep Quality Index and Reliability] (in Turkish). Turkish Journal of Psychiatry 1996; 7(2):107-15.
  • 15. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67:361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  • 16. Aydemir O, Guvenir T, Kuey L, Kultur S. [Reliability and Validity of the Turkish version of Hospital Anxiety and Depression Scale] (in Turkish). Turk J Psychiatry 1997;8(4):280-7. http://www.turkpsikiyatri.com/en/default.aspx?modul=summary&id=191
  • 17. Dokmen Z. The Relations Between Mental Health And Perceived Social Support of Family Caregivers. Ankyra: 2012;3(1):3-38.
  • 18. Turkey Demographic and Health Survey 2013 (TNSA). Available at: http://www.hips.hacettepe.edu.tr/ (Access Date: 10.01.2018).
  • 19. Quine L, Pahl J. Stres and coping in mothers caring for a child with severe learning difficulties: a test of lazarus transactional model of coping. J Com Appl Soc Psych 1991;1(2):57-70. https://doi.org/10.1002/casp.2450010109
  • 20. Yeh CH, Lee TT, Chen ML, Li W. Adaptational Process of Parents of Pediatric Oncology Patients. Pediatr Hematol Oncol 2000;17(2):119-31. https://doi.org/10.1080/088800100276479
  • 21. Orr DP, Weller SC, Satterwhite B, Pless IB. Psychosocial implications of chronic illness in adolescence. J Pediatr 1984;104(1):152-7. https://doi.org/10.1016/S0022-3476(84)80616-2
  • 22. Davis H, Fallowfield L. Counseling and communication in health Care. Wiley-Blackwell, 1991. ISBN 10: 0471928186 / ISBN 13: 9780471928188. https://trove.nla.gov.au/version/7428338
  • 23. Brown RT, Kaslow NJ, Madan-Swain A, Doepkem KJ, Sexson SB, Hill LJ. Parental psychopathology and children’s adjustment to Leukemia. J Am Acad Child Adol Psych 1993;32(3): 554-61. https://doi.org/10.1097/00004583-199305000-00010
  • 24. Ozguven D, Ozguven H, Unluoğlu G. [Psychiatric Morbidity in Cancer Patients and Their Relatives] (in Turkish). 3P journal 1998;6(3):196-206
  • 25. James K, Keegan-Wells D, Hinds PS, Kelly KP, Bond D, Hall B, et al. The care of my child with cancer: parents perceptions of caregiving demands. J Pediatr Oncol Nurs 2002;19(6):218-28. https://doi.org/10.1177/104345420201900606
  • 26. Walsh SD, Rybicki L. The symptoms of advanced cancer: Relationship to age, gender and performance status in 1000 patients. Support Care Cancer 2000;8(3):175–9. https://doi.org/10.1007/s005200050281
  • 27. Chang EW, Tsai YY, Chang TW, Tsao CJ. Quality of sleep and quality of life in caregivers of breast cancer patient. Psychooncology 2007;16(10):950-5. https://doi.org/10.1002/pon.1167
  • 28. Klassen AF, Gulati S, Granek L, Rosenberg-Yunger ZR, Watt L, Sung L, et al. Understanding the health impact of caregiving: a qualitative study of immigrant parents and single parents of children with cancer. Qual Life Res 2012;21(9):1595-605. https://doi.org/10.1007/s11136-011-0072-8
There are 28 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research
Authors

Ulviye Ucar 0000-0001-8735-5098

Ruhuşen Kutlu 0000-0002-8502-0232

Umran Calıskan 0000-0002-1355-4884

Publication Date April 19, 2020
Submission Date May 9, 2019
Acceptance Date December 24, 2019
Published in Issue Year 2020 Volume: 5 Issue: 1

Cite

APA Ucar, U., Kutlu, R., & Calıskan, U. (2020). Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer. Family Practice and Palliative Care, 5(1), 24-30. https://doi.org/10.22391/fppc.562433
AMA Ucar U, Kutlu R, Calıskan U. Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer. Fam Pract Palliat Care. April 2020;5(1):24-30. doi:10.22391/fppc.562433
Chicago Ucar, Ulviye, Ruhuşen Kutlu, and Umran Calıskan. “Evaluation of Sleep Quality, Anxiety and Depression Levels in Mothers of Children With Cancer”. Family Practice and Palliative Care 5, no. 1 (April 2020): 24-30. https://doi.org/10.22391/fppc.562433.
EndNote Ucar U, Kutlu R, Calıskan U (April 1, 2020) Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer. Family Practice and Palliative Care 5 1 24–30.
IEEE U. Ucar, R. Kutlu, and U. Calıskan, “Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer”, Fam Pract Palliat Care, vol. 5, no. 1, pp. 24–30, 2020, doi: 10.22391/fppc.562433.
ISNAD Ucar, Ulviye et al. “Evaluation of Sleep Quality, Anxiety and Depression Levels in Mothers of Children With Cancer”. Family Practice and Palliative Care 5/1 (April 2020), 24-30. https://doi.org/10.22391/fppc.562433.
JAMA Ucar U, Kutlu R, Calıskan U. Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer. Fam Pract Palliat Care. 2020;5:24–30.
MLA Ucar, Ulviye et al. “Evaluation of Sleep Quality, Anxiety and Depression Levels in Mothers of Children With Cancer”. Family Practice and Palliative Care, vol. 5, no. 1, 2020, pp. 24-30, doi:10.22391/fppc.562433.
Vancouver Ucar U, Kutlu R, Calıskan U. Evaluation of sleep quality, anxiety and depression levels in mothers of children with cancer. Fam Pract Palliat Care. 2020;5(1):24-30.

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505