Institute of Health & Biomedical Innovation and School of Psychology & Counselling, Queensland University of Technology, Queensland, Australia.
Psychol Health. 2012;27(6):704-20. doi: 10.1080/08870446.2011.622379. Epub 2011 Dec 12.
Whilst survival rates for childhood cancer have improved dramatically over the past three decades, it is still a devastating diagnosis for family members and an illness which severely disrupts the lifestyle of the family unit. Developing an understanding of the impact of the illness on the family is crucial to better support families' deal with the demands of the illness. In this study nine families in which a child was diagnosed with cancer were interviewed twice over a 12 month period, approximately 6 months apart. Using Interpretative Phenomenological Analysis, a semi-structured interview was used to explicate parent's experience of childhood cancer. The results revealed five super-ordinate themes; (1) a pivotal moment in time, (2) the experience of adaptation in relation to having a sick child, (3) the nature of support, (4) re-evaluation of values during a critical life experience and (5) the experience of optimism and altruism. Findings indicate that parents express both negative and positive experiences as they re-evaluate the meaning and purpose of life, seek to redefine themselves, often in terms of priorities, relationships, sense of community and achieve degrees of optimism and altruism. Implications for addressing the needs of parents and for further research are discussed.
尽管过去三十年来儿童癌症的存活率有了显著提高,但对于家庭成员来说,这仍然是一个毁灭性的诊断,也是一种严重扰乱家庭生活方式的疾病。了解疾病对家庭的影响对于更好地支持家庭应对疾病的需求至关重要。在这项研究中,对 9 个孩子被诊断出患有癌症的家庭进行了两次采访,两次采访时间间隔约为 12 个月。使用解释现象学分析,采用半结构化访谈来详细说明父母对儿童癌症的体验。研究结果揭示了五个超主题:(1)关键时刻;(2)与患病孩子相关的适应体验;(3)支持的性质;(4)在关键生活经历中重新评估价值观;(5)乐观和利他主义的体验。研究结果表明,父母在重新评估生活的意义和目的时,表达了积极和消极的体验,试图重新定义自己,通常是根据优先级、人际关系、社区意识以及实现一定程度的乐观主义和利他主义来重新定义自己。讨论了满足父母需求和进一步研究的意义。