Chauhan V S, Chatterjee Kaushik, Srivastava Kalpana, Sharma Sanjeevan, Saini R K
Professor, Department of Psychiatry, Armed Forces Medical College, Pune, India.
Professor & Head, Department of Psychiatry, Armed Forces Medical College, Pune, India.
Med J Armed Forces India. 2023 Mar-Apr;79(2):201-206. doi: 10.1016/j.mjafi.2021.05.008. Epub 2021 Jul 30.
Mothers of children diagnosed with cancer are found to have coping difficulties in various studies. Most of the studies were done on parents after their child has been newly diagnosed with malignancy, and very few studies were done on coping skills intervention. Hence, this study has been done to assess the impact of cognitive behavioural intervention on caregiver burden in mothers of children diagnosed with cancer.
Twenty mothers coming to the outpatient department of paediatric oncology from 01 September 2018 to 30 April 2019 were enrolled for the study. The participants were administered General Health Questionnaire, Brief Coping Operation Preference Enquiry Scale, Zung Self-Rating Anxiety Scale, and Coping Inventory for Stressful Situations-21 (CISS-21) Scale. Sixteen sessions of cognitive behavioural intervention were given over 8 weeks to all the participants. Reassessment was done after 3 months by use of the above mentioned scales.
Participants' mean anxiety score was 49.40 (standard deviation [SD] ±8.89). They used adaptive (active coping and positive reframing) more than the maladaptive (denial and self-blame) coping strategies. Task- and emotion-focused coping mean score on CISS-21 revealed 19.25 (SD ±6.20) and 18.90 (SD ±5.76), respectively. Reassessment after cognitive behavioural intervention revealed statistically significant improvement in maladaptive coping styles, mean anxiety index score, avoidance, and emotion-focused coping.
The study has revealed mild to moderate anxiety and the use of both adaptive and maladaptive coping strategies by participants. There is statistically significant improvement in anxiety, maladaptive coping strategies with cognitive behavioural intervention.
在各项研究中发现，被诊断患有癌症的儿童的母亲存在应对困难。大多数研究是在孩子新被诊断患有恶性肿瘤后对其父母进行的，而针对应对技能干预的研究非常少。因此，本研究旨在评估认知行为干预对被诊断患有癌症的儿童的母亲的照顾者负担的影响。
2018年9月1日至2019年4月30日到儿科肿瘤门诊就诊的20名母亲被纳入本研究。对参与者进行了一般健康问卷、简短应对操作偏好询问量表、zung自评焦虑量表和应激情境应对量表-21（CISS-21）的测评。在8周内对所有参与者进行了16次认知行为干预。3个月后使用上述量表进行重新评估。
参与者的平均焦虑评分为49.40（标准差[SD]±8.89）。他们使用适应性（积极应对和积极重新构建）应对策略多于适应不良（否认和自责）应对策略。CISS-21上以任务为导向和以情绪为导向的应对平均得分分别为19.25（SD±6.20）和18.90（SD±5.76）。认知行为干预后的重新评估显示，适应不良的应对方式、平均焦虑指数得分、回避和以情绪为导向的应对有统计学意义的改善。
该研究揭示了参与者存在轻度至中度焦虑，且使用了适应性和适应不良的应对策略。认知行为干预在焦虑、适应不良的应对策略方面有统计学意义的改善。
