Last B F, van Veldhuizen A M
Paediatric Psychosocial Department, University of Amsterdam, Netherlands.
Eur J Cancer. 1996 Feb;32A(2):290-4. doi: 10.1016/0959-8049(95)00576-5.
The aim of this study was to test the hypothesis that being openly informed about the diagnosis and prognosis benefits the emotional well-being of children with cancer. A stratified sample of 56 children with cancer aged 8-16 years and their parents participated. The parents were interviewed about the information they had given to their child. Self-report questionnaires were administered to the children measuring anxiety and depression. Children who received open information about their diagnosis and prognosis at the initial stage of the disease showed significantly less anxiety and depression. Our findings suggest that parents should be advised to inform their child with cancer openly and soon after the initial diagnosis. Physicians should offer help to the parents in dealing with the difficult task of confronting the child with the diagnosis, prognosis and treatment.
让癌症患儿公开了解诊断和预后情况有利于其情绪健康。56名年龄在8至16岁的癌症患儿及其父母参与了分层抽样。就他们向孩子提供的信息对父母进行了访谈。对孩子们进行了测量焦虑和抑郁的自陈式问卷调查。在疾病初期就公开了解自己诊断和预后情况的孩子焦虑和抑郁程度明显更低。我们的研究结果表明,应建议父母在初次诊断后尽快向患癌孩子坦诚相告。医生应帮助父母应对向孩子告知诊断、预后和治疗情况这项艰巨任务。