Terrasson Johanna, Brédart Anne, El Mellah Leïla, Doz François, Seigneur Étienne, Dolbeault Sylvie
Unité de Psycho-Oncologie, Institut Curie, PSL Université Paris, 75005 Paris, France.
Unité de Psycho-Oncologie, Institut Curie, PSL Université Paris, 75005 Paris, France; Laboratoire Psychopathologie et Processus de Santé, Université de Paris, 92100 Boulogne-Billancourt, France.
Bull Cancer. 2021 Apr;108(4):399-414. doi: 10.1016/j.bulcan.2020.11.018. Epub 2021 Mar 9.
This literature review aims to explain how the emotions aroused by the announcement of bad news in pediatric oncology affect communication between parents and pediatric oncologists. In the first part, we summarize the parents' expectations regarding communication with the pediatrician at this critical time in their child's care. Then, in a second part, we specify the influence that the emotions of pediatric oncologists and parents during these announcements can have on parent-pediatrician communication. In this context, the emotions and defense mechanisms of pediatric oncologists, parental distress as expressed by parents and as perceived or feared by pediatricians, are discussed. For this synthesis, we have endeavoured to select studies including both mothers and fathers. On the basis of the observations carried out in this review, we conclude by suggesting avenues for the practical implications and for future research. The continuation of research including both parents appears necessary to allow for a closer adaptation of the reactions and needs of each parent, particularly at key moments in the child's care, such as the announcement of bad news. Encouraging exchanges on the emotions felt within the medical and care team, particularly with the department psychologist, could be an opportunity for pediatricians to question their experience of the announcement of bad news and could promote the circulation of emotions in the parent-pediatrician relationship and communication.
本综述旨在解释儿科肿瘤学中坏消息宣布所引发的情绪如何影响家长与儿科肿瘤学家之间的沟通。在第一部分，我们总结了家长在孩子治疗这一关键时期对与儿科医生沟通的期望。然后，在第二部分，我们详细说明了在这些消息宣布期间儿科肿瘤学家和家长的情绪对家长与儿科医生沟通可能产生的影响。在此背景下，讨论了儿科肿瘤学家的情绪和防御机制、家长所表达的以及儿科医生所感知或担心的家长痛苦。为了进行这一综述，我们努力挑选了包括母亲和父亲的研究。基于本综述中的观察结果，我们通过提出实际应用和未来研究的方向来得出结论。继续开展包括父母双方的研究似乎很有必要，以便更紧密地适应每位家长的反应和需求，尤其是在孩子治疗的关键时刻，比如坏消息的宣布。鼓励医疗和护理团队内部就所感受到的情绪进行交流，特别是与科室心理学家交流，可能会让儿科医生有机会反思他们在宣布坏消息时的经历，并可能促进家长与儿科医生关系及沟通中情绪的流通。
