Mckeown Lydia, Campbell Kerry, Dempster Martin, Groarke Jenny, Graham-Wisener Lisa
School of Psychology, Centre for Improving Health-Related Quality of Life, Queen's University Belfast, Belfast, UK.
School of Psychology, National University of Ireland, Galway, Ireland.
Psychooncology. 2025 Apr;34(4):e70148. doi: 10.1002/pon.70148.
The aim of this systematic review was to synthesise the available qualitative evidence relating to adolescent loneliness (aged 10-19) when a parent has cancer. This included considering how adolescents experience loneliness when their parent has cancer and exploring the perceived factors that influence this experience.
A qualitative systematic literature review was conducted to synthesise and critically evaluate loneliness in adolescents experiencing parental cancer. The JBI qualitative systematic review approach was followed throughout, including quality appraisal, data extraction and a meta-aggregative synthesis. The reports were screened by two independent reviewers and conflicts were resolved by a third reviewer. The review was pre-registered on PROSPERO (CRD42023409596).
A total of 17 papers were included, published between 2007-2024. Findings indicate that young people experiencing parental cancer are lonely and deal with overwhelming emotions alone. Loneliness is intensified by a lack of understanding from peers and family constrained communication. Family and social support may protect young people against experiencing loneliness.
Although there is a dearth of research on parental cancer which has focused on loneliness in this population, the analysis revealed that experiences of loneliness are indeed apparent in this cohort. Future research should focus on interviewing this population to develop a more comprehensive understanding of their lived experience.
本系统评价的目的是综合现有的关于父母患癌症时青少年（10 - 19岁）孤独感的定性证据。这包括考虑青少年在父母患癌症时如何体验孤独感，并探索影响这种体验的感知因素。
进行了一项定性系统文献综述，以综合并批判性评价父母患癌症的青少年的孤独感。全程遵循JBI定性系统综述方法，包括质量评估、数据提取和元聚合综合。报告由两名独立评审员筛选，冲突由第三名评审员解决。该综述已在PROSPERO（CRD42023409596）上预先注册。
共纳入17篇2007年至2024年发表的论文。研究结果表明，父母患癌症的年轻人感到孤独，且独自应对强烈的情绪。同伴缺乏理解和家庭沟通受限加剧了孤独感。家庭和社会支持可能保护年轻人免受孤独感的影响。
尽管针对父母患癌症且聚焦该人群孤独感的研究匮乏，但分析表明，这一群体中孤独感的体验确实很明显。未来的研究应侧重于对这一人群进行访谈，以更全面地了解他们的生活经历。
