Posttraumatic Growth and Spirituality in Mothers of Children with Pediatric Cancer
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Measures
3. Results
4. Discussion
Limitations and Future Directions
5. Conclusions
- Mothers of children with pediatric cancer undergoing treatment experience posttraumatic growth, especially in the area of life appreciation.
- There is a positive association between posttraumatic growth and spirituality, in particular its two components, ethical sensitivity and harmony.
- The area of spirituality should be considered in planning interventions to support this group.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
- Steliarova-Foucher, E.; Colombet, M.; Ries, L.A.; Moreno, F.; Dolya, A.; Bray, F.; Hamdi-Cherif, M. International incidence of childhood cancer, 2001–2010: A population-based registry study. Lancet Oncol. 2017, 18, 719–731. [Google Scholar] [CrossRef]
- Alderfer, M.A.; Navsaria, N.; Kazak, A.E. Family functioning and posttraumatic stress disorder in adolescent survivors of childhood cancer. J. Fam. Psychol. 2009, 23, 717–725. [Google Scholar] [CrossRef] [Green Version]
- Bakula, D.M.; Sharkey, C.M.; Perez, M.N.; Espeleta, H.C.; Gamwell, K.L.; Baudino, M.; Mullins, L.L. The relationship between parent distress and child quality of life in pediatric cancer: A meta-analysis. J. Pediatric Nurs. 2020, 50, 14–19. [Google Scholar] [CrossRef] [Green Version]
- Brown, R.T.; Madan-Swain, A.; Lambert, R. Posttraumatic stress symptoms in adolescent survivors of childhood cancer and their mothers. J. Traum. Stress 2003, 16, 309–318. [Google Scholar] [CrossRef] [PubMed]
- Rodriguez, E.M.; Dunn, M.J.; Zuckerman, T.; Vannatta, K.; Gerhardt, C.A.; Compas, B.E. Cancer-related sources of stress for children with cancer and their parents. J. Ped. Psychol. 2012, 37, 185–197. [Google Scholar] [CrossRef] [PubMed]
- Kazak, A.E.; Stuber, M.L.; Barakat, L.P.; Meeske, K. Assessing posttraumatic stress related to medical illness and treatment: The Impact of Traumatic Stressors Interview Schedule (ITSIS). Fam. Syst. Health 1996, 14, 365–380. [Google Scholar] [CrossRef]
- Bruce, M. A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents. Clin. Psychol. Rev. 2006, 26, 233–256. [Google Scholar] [CrossRef]
- Vrijmoet-Wiersma, C.M.; Hoekstra-Weebers, J.E.; Margreet de Peinder, W.M.; Koopman, H.M.; Tissing, W.J.; Treffers, P.D.; Bierings, M.B.; Jansen, N.C.; Grootenhuis, M.A.; Egeler, R.M. Psychometric qualities of the Dutch version of the Pediatric Inventory for Parents (PIP): A multi-center study. Psychooncology 2009. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Wiener, L.; Kazak, A.E.; Noll, R.B.; Patenaude, A.F.; Kupst, M.J. Standards for the psychosocial care of children with cancer and their families: An introduction to the special issue. Pediatric Blood Cancer 2015, 62, S419–S424. [Google Scholar] [CrossRef] [Green Version]
- Linley, P.A.; Joseph, S. Positive change following trauma and adversity: A review. J. Traum. Stress 2004, 17, 11–21. [Google Scholar] [CrossRef] [PubMed]
- Park, C.L.; Helgeson, V.S. Introduction to the special section: Growth following highly stressful life events—Current status and future directions. J. Consul. Clinic. Psychol. 2006, 74, 791–796. [Google Scholar] [CrossRef]
- Frankl, V.E. Man’s Search for Meaning; Pocket Books: New York, NY, USA, 1963. [Google Scholar]
- Calhoun, L.G.; Tedeschi, R.G. Perceiving benefits in traumatic events: Some issues for practicing psychologists. J. Train. Pract. Profess. Psychol. 1991, 5, 45–52. [Google Scholar]
- Calhoun, L.G.; Tedeschi, R.G. Beyond recovery from trauma: Implications for clinical practice and research. J. Soc. Issues 1998, 54, 357–371. [Google Scholar] [CrossRef]
- Tedeschi, R.G.; Calhoun, L.G. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychol. Inq. 2004, 15, 1–18. [Google Scholar] [CrossRef]
- Tedeschi, R.G.; Calhoun, L.G. Handbook of Posttraumatic Growth: Research and Practice; Lawrence Erlbaum Associates: Mahwah, NJ, USA, 2006. [Google Scholar]
- Shaw, A.; Joseph, S.; Linley, P.A. Religion, spirituality, and posttraumatic growth: A systematic review. Ment. Health Relig. Cult. 2005, 8, 1–11. [Google Scholar] [CrossRef]
- Lepore, S.J.; Revenson, T.A. Resilience and PosttraumaticGrowth: Recovery, Resistance, and Reconfiguration. In Handbook of PosttraumaticGrowth: Research & Practice; Calhoun, L.G., Tedeschi, R.G., Eds.; Lawrence Erlbaum Associates Publishers: Mahwah, NJ, USA, 2006; pp. 24–46. [Google Scholar]
- Barakat, L.P.; Alderfer, M.A.; Kazak, A.E. Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers. J. Pediatr. Psychol. 2006, 31, 413–419. [Google Scholar] [CrossRef] [PubMed]
- Hungerbuehler, I.; Vollrath, M.E.; Landolt, M.A. Posttraumatic growth in mothers and fathers of children with severe illnesses. J. Health Psychol. 2011, 16, 1259–1267. [Google Scholar] [CrossRef] [PubMed]
- Prati, G.; Pietrantoni, L. Optimism, Social Support and Coping Strategies as Factors Contributing to Posttraumatic Growth: A Meta-Analysis. J. Loss Trauma 2009, 14, 364–388. [Google Scholar] [CrossRef] [Green Version]
- Bussell, V.A.; Naus, M.J. A longitudinal investigation of coping and posttraumatic growth in breast cancer survivors. J. Psychosoc. Oncol. 2010, 28, 61–78. [Google Scholar] [CrossRef]
- Cadell, S.; Regehr, C.; Hemsworth, D. Factors contributing to posttraumatic growth: A proposed structural equation model. Am. J. Orthopsych. 2003, 73, 279–287. [Google Scholar] [CrossRef] [PubMed]
- Burkhardt, M.A.; Nagai-Jacobson, M.G. Spirituality: Living Our Connectedness; Thomson Learning: Albany, NY, USA, 2002. [Google Scholar]
- Pargament, K.I.; Mahoney, A. Spirituality: The search for the sacred. In Oxford Handbook of Positive Psychology; Lopez, S.J., Snyder, C.R., Eds.; Oxford University Press: New York, NY, USA, 2009; pp. 611–619. [Google Scholar]
- Shahabi, L.; Powell, L.H.; Musick, M.A.; Pargament, K.I.; Thoresen, C.E.; Williams, D.; Ory, M.A. Correlates of self-perceptions of spirituality in American adults. Ann. Behav. Med. 2002, 24, 59–68. [Google Scholar] [CrossRef] [PubMed]
- Sheridan, M.J. Predicting the use of spiritually-derived interventions in social work practice: A survey of practitioners. J. Relig. Spirit. Soc. Work Soc. Thought 2004, 23, 5–25. [Google Scholar] [CrossRef]
- Thoresen, C.E.; Harris, A.H. Spirituality and health: What’s the evidence and what’s needed? Ann. Behav. Med. 2002, 24, 3–13. [Google Scholar] [CrossRef] [PubMed]
- Vis, J.A.; Boynton, H.M. Spirituality and transcendent meaning making: Possibilities for enhancing posttraumatic growth. J. Relig. Spirit. Soc. Work Soc. Thought 2008, 27, 69–86. [Google Scholar] [CrossRef]
- Ogińska-Bulik, N. Personal resources and posttraumatic growth of parents struggling with cancer disease of their child. Psychoonkologia 2017, 21, 9–16. [Google Scholar] [CrossRef] [Green Version]
- Tedeschi, R.; Calhoun, L. The Posttraumatic Growth Inventory: Measuring the Positive Legacy of Trauma. J. Traum. Stress 1996, 9, 455–471. [Google Scholar] [CrossRef]
- Metlak, A. Self-Report Questionnaire for Measuring Spirituality. Master’s Thesis, University of Silesia, Katowice, Poland, 2002. unpublish work. [Google Scholar]
- Ogińska-Bulik, N.; Juczyński, Z. Rozwójpotraumatyczny—Charakterystykaipomiar. Psychiatria 2010, 7, 129–142. [Google Scholar]
- Ogińska-Bulik, N.; Ciechomska, M. Posttraumatic growth of parents struggling with cancer disease of their child–the role of rumination. Postępy Psych. Neuro 2016, 25, 99–110. [Google Scholar] [CrossRef]
- Park, C.L.; Currier, J.M.; Harris, J.I.; Slattery, J.M. Trauma, meaning, and spirituality: Translating research into clinical practice. Am. Psychol. Assoc. 2017. [Google Scholar] [CrossRef]
- Rowe, M.M.; Allen, R.G. Spirituality as a means of coping with chronic illness. Am. J. Health Stud. 2004, 19, 62–67. [Google Scholar]
- Ahmad, F.; Binti Muhammad, M.; Abdullah, A.A. Religion and spirituality in coping with advanced breast cancer: Perspectives from Malaysian Muslim women. J. Relig. Health 2011, 50, 36–45. [Google Scholar] [CrossRef]
- Oxhandler, H.K.; Pargament, K.I. Social work practitioners’ integration of clients’ religion and spirituality in practice: A literature review. Soc. Work 2014, 59, 271–279. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Aftyka, A.; Rozalska-Walaszek, I.; Celej-Szuster, J.; Rzońca, P. Rozwójpotraumatyczny u rodzicówdziecihospitalizowanych w oddzialeintensywnejterapiinoworodkadoniesieniawstępne. Hyg. Public Health 2014, 49, 602–608. [Google Scholar]
- Turner-Sack, A.M.; Menna, R.; Setchell, S.R.; Maan, C.; Cataudella, D. Psychological Functioning, Post-Traumatic Growth, and Coping in Parents and Siblings of Adolescent Cancer Survivors. Oncol. Nurs. Forum 2016, 43, 48–56. [Google Scholar] [CrossRef] [PubMed]
- Kucharska, J. Religiosity and the psychologicaloutcomes of trauma: A systematicreview of quantitativestudies. J. Clin. 2020, 76, 40–58. [Google Scholar]
- Dekel, S.; Ein-Dor, T.; Solomon, Z. Posttraumatic growth and posttraumatic distress: A longitudinal study. Psychol. Trauma Theory Res. Prac. Policy 2012, 4, 94. [Google Scholar] [CrossRef] [Green Version]
- Nenova, M.; DuHamel, K.; Zemon, V.; Rini, C.; Redd, W.H. Posttraumatic growth, social support, and social constraint in hematopoietic stem cell transplant survivors. Psycho-oncology 2013, 22, 195–202. [Google Scholar] [CrossRef] [Green Version]
M | SD | Min | Max | |
---|---|---|---|---|
Mother’s age | 36.16 | 6.19 | 23.00 | 55.00 |
Child’s age * | 6.43 | 4.61 | 0.60 | 17.00 |
N | % | |||
Education | ||||
Primary | 0 | 0 | ||
Vocational | 11 | 27.27 | ||
Secondary | 15 | 20.00 | ||
Higher | 29 | 52.73 | ||
Place of residence | ||||
Village | 19 | 34.55 | ||
Town | 36 | 65.45 | ||
Marital status | ||||
Single | 4 | 7.27 | ||
Nonmarital cohabitation | 5 | 9.09 | ||
Married | 41 | 74.55 | ||
Divorced | 5 | 9.09 | ||
Time since diagnosis ** | ||||
<1 year | 40 | 72.73 | ||
1–2 years | 9 | 16.36 | ||
2–5 years | 5 | 9.09 | ||
>5 years | 1 | 1.82 | ||
Child’s diagnosis (type of cancer, detailed data) | ||||
Biphenotypic leukemia | 1 | 1.82 | ||
Lymphoblastic leukemia | 25 | 45.45 | ||
Lymphoma | 1 | 1.82 | ||
Glioblastoma | 1 | 1.82 | ||
Germinal tumor | 1 | 1.82 | ||
Brain tumor | 1 | 1.82 | ||
Wilm’s tumor | 1 | 1.82 | ||
Sarcoma | 1 | 1.82 | ||
Ewing’s sarcoma | 3 | 5.45 | ||
Synovial sarcoma | 1 | 1.82 | ||
Nasopharyngeal sarcoma | 1 | 1.82 | ||
Fetal sarcoma | 1 | 1.82 | ||
Soft tissue sarcoma | 1 | 1.82 | ||
Neuroblastoma | 6 | 10.91 | ||
Acute lymphoblastic leukemia | 4 | 7.27 | ||
Teratoma | 1 | 1.82 | ||
Adrenal cortex cancer | 1 | 1.82 | ||
Rhabdomyosarcoma ofshoulder | 1 | 1.82 | ||
Embryonal rhabdomyosarcoma | 1 | 1.82 | ||
Lymphatic system hyperplasia | 1 | 1.82 | ||
Anaplastic ependymoma | 1 | 1.82 |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | ||
---|---|---|---|---|---|---|---|---|---|---|
Posttraumaticgrowth | 1. Total result | - | ||||||||
2. Changes in self-perception | 0.93 *** | - | ||||||||
3. Changes in relating to others | 0.88 *** | 0.75 *** | - | |||||||
4. Appreciationforlife | 0.45 *** | 0.37 ** | 0.31 * | - | ||||||
5. Spiritual changes | 0.58 *** | 0.41 ** | 0.40 *** | 0.23 | - | |||||
Spirituality | 6. Total result | 0.33 * | 0.2 | 0.31 * | 0.08 | 0.46 ** | - | |||
7. Religiousattitudes | 0.2 | 0.07 | 0.22 | −0.04 | 0.48 *** | 0.89 *** | - | |||
8. Ethicalsensitivity | 0.35 ** | 0.22 | 0.34 * | 0.21 | 0.32 * | 0.81 *** | 0.58 *** | - | ||
9. Harmony | 0.35 ** | 0.34 * | 0.30 * | 0.07 | 0.25 | 0.68 *** | 0.41 ** | 0.47 *** | - |
M | Me | SD | Min | Max | WS-W | p | SKE | K | |
---|---|---|---|---|---|---|---|---|---|
Posttraumatic growth | |||||||||
Total result | 75.69 | 76.00 | 14.63 | 33.00 | 100.00 | 0.97 | 0.289 | −0.47 | 0.17 |
Changes in self-perception | 30.44 | 31.00 | 7.89 | 8.00 | 43.00 | 0.95 | 0.035 | −0.74 | 0.39 |
Changes in relations with others | 26.04 | 27.00 | 5.55 | 11.00 | 35.00 | 0.96 | 0.050 | −0.65 | −0.07 |
Appreciation for life | 12.80 | 13.00 | 1.82 | 7.00 | 15.00 | 0.91 | 0.001 | −0.80 | 0.69 |
Spiritual changes | 6.42 | 7.00 | 2.83 | 0.00 | 10.00 | 0.91 | 0.001 | −0.79 | −0.22 |
Spirituality | |||||||||
Total result | 73.15 | 76.00 | 13.21 | 38.00 | 97.00 | 0.97 | 0.170 | −0.50 | −0.31 |
Religious attitudes | 25.20 | 28.00 | 7.87 | 7.00 | 35.00 | 0.92 | 0.001 | −0.78 | −0.25 |
Ethical sensitivity | 28.55 | 29.00 | 4.13 | 20.00 | 35.00 | 0.96 | 0.059 | −0.41 | −0.65 |
Harmony | 19.42 | 19.00 | 3.90 | 11.00 | 27.00 | 0.97 | 0.200 | −0.30 | −0.34 |
Mothers with High PTG | Mothers with Low/Average PTG | t | p | |||
---|---|---|---|---|---|---|
M | SD | M | SD | |||
Total result | 75.71 | 11.86 | 69.56 | 14.38 | 1.73 | 0.08 |
Religious attitudes | 25.75 | 7.52 | 24.43 | 8.45 | 0.60 | 0.54 |
Ethical sensitivity | 29.50 | 4.11 | 27.21 | 3.83 | 2.08 | 0.04 |
Harmony | 20.5 | 3.36 | 17.91 | 4.16 | 2.54 | 0.01 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Czyżowska, N.; Raszka, M.; Kalus, A.; Czyżowska, D. Posttraumatic Growth and Spirituality in Mothers of Children with Pediatric Cancer. Int. J. Environ. Res. Public Health 2021, 18, 2890. https://doi.org/10.3390/ijerph18062890
Czyżowska N, Raszka M, Kalus A, Czyżowska D. Posttraumatic Growth and Spirituality in Mothers of Children with Pediatric Cancer. International Journal of Environmental Research and Public Health. 2021; 18(6):2890. https://doi.org/10.3390/ijerph18062890
Chicago/Turabian StyleCzyżowska, Natalia, Magdalena Raszka, Alicja Kalus, and Dorota Czyżowska. 2021. "Posttraumatic Growth and Spirituality in Mothers of Children with Pediatric Cancer" International Journal of Environmental Research and Public Health 18, no. 6: 2890. https://doi.org/10.3390/ijerph18062890