Peculiarities of psychological status families with oncological patient at different stages of disease development


  • T. Krivonis National Pirogov Memorial Medical University, Vinnytsya, Ukraine
Keywords: patient's family, cancer patients, psycho-oncology, medical- psychological help.

Abstract

Annotation. Cancer affects not only the patient but also affects the functioning of the whole family. The purpose of the work is to identify the peculiarities of the psychological status of the family with the cancer patient at different stages of the disease. On the base of informed consent, 286 families of cancer patients examined: 174 families with patient-wife and 112 families with patient-husband. Families examined at different stages of the treatment process, namely, at the first episode of the disease — 78 women and 51 men, and after return of the disease or its relapse — 96 women and 63 men. The FACES-3 family adaptation and cohesion scale was used. It is established that in families with cancer patients found changes in family functioning caused by the disease, which expressed in the formation of a specific behaviour patterns, most often by type of excessive care. In patients with continued illness observed changes in behaviour model in form of excessive care or distancing which reflected in levels of cohesion and adaptation. Thus, changes in family functioning in families with a patient suffering from cancer necessitate the development of family-oriented medical-psychological help.

References

1. Zhulkevych, I. V., Smiian, S. I., Havryliuk, M. Ye., Kmita, H. H., Kramar, L. T., & Korchynska, R. Y. (2000). Metodolohichni pidkhody do vyvchennia yakosti zhyttia v hematolohichnykh doslidzhenniakh [Methodological approaches to the study of quality of life in hematological research]. Visnyk naukovykh doslidzhen – Bulletin of Scientific Research, 3, 16–23. Vziato z http://nbuv.gov.ua/UJRN/vndt_2000_3_5.

2. Zhulkevych, I. V., Vybyrana, R. Y., & Barannikov, K. V. (2013). Vikova dynamika zmin stanu mineralnoi shchilnosti kistkovoi tkanyny u khvorykh na khronichnu limfoidnu leikemiiu [Age-related dynamics of changes in bone mineral density in patients with chronic lymphoid leukemia]. Visnyk naukovykh doslidzhen – Bulletin of scientific research, 1, 47–49. ISSN 1681-276X.

3. Markova, M. V., O. V. Piontkovska, & Mukharovska, I. R. (Ukladachi). (2013). Alhorytm povidomlennia diahnozu ta “nespryiatlyvykh” novyn u klinitsi dytiachoi onkolohii: metodychni rekomendatsii [An algorithm for reporting diagnosis and “adverse” news in a pediatric oncology clinic: guidelines]. Kharkiv: [b.v.].

4. Mukharovska, I. R. (2016). Osoblyvosti psykholohichnoho stanu chleniv simi onkolohichnoho khvoroho na riznykh etapakh likuvalnoho protsesu [Features of the psychological state of family members of the cancer patient at different stages of the treatment process]. Scientific Journal “ScienceRise: Medical Science”, 12(8), 21–26. DOI: 10.15587/2519-4798.2016.86538.

5. Drabe, N., Klaghofer, R., Weidt, S., Zwahlen, D., Büchi, S., & Jenewein, J. (2015). Mutual associations between patients’ and partners’ depression and quality of life with respect to relationship quality, physical complaints, and sense of coherence in couples coping with cancer. Psychooncology, 24 (4), 442–450. doi: 10.1002/pon.3662.

6. Faller, H., Weis, J., Koch, U., Brähler, E., Härter, M., Keller, M., … Mehnert, A. (2016). Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer. J. Psychosom. Res., 81, 24–30. doi: 10.1016/j.jpsychores.2015.12.004.

7. Fujinami, R., Sun, V., Zachariah, F., Uman, G., Grant, M., & Ferrell B. (2015). Family caregivers distress levels related to quality of life, burden, and preparedness. Psychooncology, 24 (1), 54–62. doi: 10.1002/pon.3562.

8. Holland, J. C., Breitbart, W. S., Jacobsen, P. B., Loscalzo, M. J., McCorkle, R., & Butow, P. N. (Ed.) (2015). Psycho-Oncology. Oxford University press. ISBN-13: 978-0195367430, ISBN-10: 019536743X.

9. Holm, M., Årestedt, K., Carlander, I., Fürst, C.J., Wengström, Y., Öhlen, J., & Alvariza, A. (2016). Short-term and long-term effects of a psycho-educational group intervention for family caregivers in palliative home care - results from a randomized control trial. Psychooncology, 25 (7), 795–802. doi: 10.1002/pon.4004.

10. Jeong, A., Shin, D. W., Kim, S. Y., Yang, H. K., Shin, J. Y., Park, K.,… & Park, J. H. (2016). The effects on caregivers of cancer patients needs and family hardiness. Psychooncology, 25 (1), 84–90. doi: 10.1002/pon.3878.

11. Jia, M., Li, J., Chen, C., & Cao F. (2015). Post-traumatic stress disorder symptoms in family caregivers of adult patients with acute leukemia from a dyadic perspective. Psychooncology, 24 (12), 1754–1760. doi: 10.1002/pon.3851.

12. Kissane, D. (2006). Family focused grief therapy: A randomized, controlled trial in palliative care and bereavement. Am. J. Psychiatry, 163, 1208–1218. DOI:10.1176/appi.ajp.163.7.1208.

13. Lai, C., Borrelli, B., Ciurluini, P., & Aceto, P. (2017). Sharing information about cancer with one’s family is associated with improved quality of life. Psychooncology, 26 (10), 1569–1575. doi: 10.1002/pon.4334.

14. Lee, K. C., Yiin, J. J., Lin, P. C., & Lu, S. H. (2015). Sleep disturbances and related factors among family caregivers of patients with advanced cancer. Psychooncology, 24 (12), 1632–1638. doi: 10.1002/pon.3816.

15. Leroy, T., Fournier, E., Penel, N., & Christophe, V. (2016). Crossed views of burden and emotional distress of cancer patients and family caregivers during palliative care. Psychooncology, 25 (11), 1278–1285. doi: 10.1002/pon.4056.

16. Lukhmana, S., Bhasin, S. K., Chhabra, P., & Bhatia, M. S. (2015). Family caregivers' burden: A hospital based study in 2010 among cancer patients from Delhi. Indian Journal of Cancer, 52 (1), 146–151. doi: 10.4103/0019-509X.175584.

17. Mukharovska, I. R. (2017). Psychological help for family members of cancer patients at different stages of the treatment. Journal of Education, Health and Sport., 7 (1), 583–590. eISSN 2391-8306. DOI: http://dx.doi.org/10.5281/zenodo.1036778.

18. Nielsen, M. K., Neergaard, M. A., Jensen, A. B., Bro, F., & Guldin, M. B. (2016). Psychological distress, health, and socio-economic factors in caregivers of terminally ill patients: a nationwide population-based cohort study. Support Care Cancer., 24 (7), 3057–3067. doi: 10.1007/s00520-016-3120-7.

19. Nipp, R. D., El-Jawahri, A., Fishbein, J. N., Gallagher, E. R., Stagl, J. M., Park, E. R., … Temel, J. S. (2016). Factors associated with depression and anxiety symptoms in family caregivers of patients with incurable cancer. Annual of Oncology, 27 (8), 1607–1612. doi: 10.1093/annonc/mdw205.
Published
2019-12-30
How to Cite
Krivonis, T. (2019). Peculiarities of psychological status families with oncological patient at different stages of disease development. Reports of Vinnytsia National Medical University, 23(4), 712-716. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2019-23(4)-26
Section
SOCIAL MEDICINE, ORGANIZATION OF HEALTH PROTECTION