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Factors Associated with Emotional Distress in Children and Adolescents during Early Treatment for Cancer.

 In Jung Sohn  ;  Jung Woo Han  ;  Seung Min Hahn  ;  Dong Ho Song  ;  Chuhl Joo Lyu  ;  Keun-Ah Cheon 
 Yonsei Medical Journal, Vol.58(4) : 816-822, 2017 
Journal Title
 Yonsei Medical Journal 
Issue Date
Adolescent ; Child ; Child, Preschool ; Demography ; Female ; Humans ; Infant ; Linear Models ; Male ; Neoplasms/psychology* ; Neoplasms/therapy* ; Parents/psychology ; Republic of Korea ; Retrospective Studies ; Stress, Psychological/complications*
Diagnosis of cancer ; anxiety ; depression ; mother-child relationship
PURPOSE: Children and adolescents diagnosed with cancer experience emotional distress, such as sadness, worrying, and irritability. However, there is little information about the psychological well-being of parents at the time of their child's diagnosis. We sought to identify factors that were associated with emotional distress in cancer patients as a basis for developing innovative psychological interventions. MATERIALS AND METHODS: A retrospective chart review was performed on patients newly diagnosed with cancer at a single center in Korea from 2014 to 2016. Eighty-five patients and their mothers completed psychological inventories. To determine factors associated with emotional distress in patients, we assessed the psychological inventory results using multiple linear regression after performing correlation analysis. RESULTS: The maternal Beck Depression Inventory-II (BDI-II) score was positively correlated with total problem scores and externalizing scores in patients aged less than 7 years. In patients aged 7-12 years, there was no significant association between the patient's emotional distress and other variables. In contrast, the maternal BDI-II score was the strongest factor associated with patient depression in adolescents. CONCLUSION: We suggest that the most important factor affecting emotional distress in children and adolescents with cancer is maternal depression, especially in patients aged 1-6 years and aged 13-17 years. Understanding the factors associated with emotional distress of cancer patients allows us to develop early psychiatric interventions for patients and their parents at the initial psychological crisis.
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1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
손인정(Sohn, In-Jung)
송동호(Song, Dong Ho) ORCID logo https://orcid.org/0000-0002-9647-3130
유철주(Lyu, Chuhl Joo) ORCID logo https://orcid.org/0000-0001-7124-7818
천근아(Cheon, Keun Ah) ORCID logo https://orcid.org/0000-0001-7113-9286
한승민(Hahn, Seung Min) ORCID logo https://orcid.org/0000-0001-9832-6380
한정우(Han, Jung Woo) ORCID logo https://orcid.org/0000-0001-8936-1205
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