Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.
Center for Psychology, University of Porto, Porto, Portugal.
Psychooncology. 2018 Feb;27(2):367-375. doi: 10.1002/pon.4451. Epub 2017 May 31.
To systematically review and integrate the findings from quantitative and qualitative studies on parenting and parent-child relationships in families where mothers had breast cancer (BC).
Ten different databases were searched from inception to January 2016. All authors assessed these data independently. Full-text, peer-reviewed articles exploring parenting and/or mother-child relationships in families where the mother had BC, regardless of cancer stage, were considered for inclusion. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed.
From 116 studies, 23 were deemed eligible for inclusion. Five of them were quantitative, 15 were qualitative, and 1 study used a mixed-method approach. Most studies analysed the mother's perceptions about the experience of having BC in parenting and in the parent-child relationship. The majority of studies explored experiences and perspectives on the parent-child relationship in mothers with minor children, although a minority of studies included adult children. Additionally, a few studies (17%) addressed perceptions and experiences of women with advanced stage cancer. Three main themes were found: priorities and concerns of patients, decision-making processes about sharing the diagnosis with their children, and mother-child relationship and parenting after mother's diagnosis.
Findings indicated that the diagnosis of BC is accompanied by an array of challenges that affect parental roles and parenting. Further studies are needed to explore these issues more sensitively. For now, however, the evidence suggests that the families of women with BC, and particularly the women themselves, may benefit from informal and formal support aimed at helping them cope effectively with this challenging life event.
系统回顾和整合关于母亲患有乳腺癌（BC）的家庭中的育儿和亲子关系的定量和定性研究结果。
从 2016 年 1 月开始，在十个不同的数据库中进行了搜索。所有作者均独立评估这些数据。纳入了全文同行评审文章，以探索患有 BC 的母亲的家庭中的育儿和/或母子关系，无论癌症阶段如何。遵循系统评价和荟萃分析报告的首选报告项目的指南。
从 116 项研究中，有 23 项被认为符合纳入标准。其中 5 项为定量研究，15 项为定性研究，1 项研究采用混合方法。大多数研究分析了母亲在育儿和亲子关系方面对患有 BC 的经历的看法。大多数研究探讨了有未成年子女的母亲的亲子关系的经验和观点，尽管少数研究包括成年子女。此外，一些研究（17％）涉及晚期癌症妇女的看法和经验。发现了三个主要主题：患者的优先事项和关注点，与子女分享诊断的决策过程，以及母亲诊断后的母子关系和育儿。
研究结果表明，BC 的诊断伴随着一系列影响父母角色和育儿的挑战。需要进一步研究来更敏感地探讨这些问题。不过，目前的证据表明，BC 妇女的家庭，尤其是妇女本身，可能受益于旨在帮助他们有效应对这一具有挑战性的生活事件的非正式和正式支持。
