Psychosocial Interventions to Relieve Traumatic Stress Symptoms in Family Caregivers of Children With Cancer: A Scoping Review.

IF 3.5 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-07-01 DOI:10.1002/pon.70230

Stephanie M Nanos, Argin Malakian, Laura Foran, Elizaveta Klekovkina, Kyle P Fitzgibbon, Ally Yu, Angela Mathews, Gary Rodin, Lindsay A Jibb

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Abstract

Background: Traumatic stress symptoms are common, severe, and persistent in family caregivers of children with cancer, but the benefits of therapeutic interventions to relieve them are not well established.

Aim: To review, describe, and appraise the available research on psychosocial interventions aimed at alleviating traumatic stress symptoms in family caregivers of children with cancer.

Methods: Systematic searches of APA PsycInfo, CINAHL, MEDLINE, and Embase were conducted to identify randomized controlled trials (RCTs) and nonrandomized studies of psychosocial interventions (NRSIs) for families affected by pediatric cancer in which traumatic stress symptoms were reported as a primary or secondary outcome. Results were screened by independent reviewers in duplicate. 18 articles were included. All were evaluated for risk of bias and data on study design, intervention format, delivery, and impact, and were abstracted for narrative synthesis.

Results: Study samples (8-430 participants) were primarily comprised of mothers of children with acute leukemia. Most interventions (1 day-15 weeks) involved an interventionist (n = 17; 94%) and used cognitive-behavioral techniques (n = 14; 78%). Eight RCTs (n = 10; 80%) and seven NRSIs (n = 8; 87.5%) found a significant reduction in traumatic stress symptoms following intervention delivery, with small to large effect sizes (Cohen's d = 0.28-1.30). However, only three RCTs confirmed having adequate power to comment on effectiveness. Risk of bias ranged from low to moderate.

Conclusions: The prevalence and problematic nature of traumatic stress symptoms in this population is well documented in the observational literature. However, the evidence remains unclear as to the effectiveness of psychosocial interventions to alleviate them due to methodological limitations in current interventional research. High quality RCTs that include a diverse group of family caregivers are needed to demonstrate their effectiveness and to inform clinical care practices aimed at improving family wellbeing.

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缓解癌症儿童家庭照顾者创伤应激症状的心理社会干预：范围综述

背景：创伤性应激症状在癌症儿童的家庭照顾者中是常见的、严重的和持续的，但治疗干预的益处尚未得到很好的证实。目的：回顾、描述和评价旨在减轻癌症儿童家庭照顾者创伤应激症状的心理社会干预的现有研究。方法：系统检索APA PsycInfo、CINAHL、MEDLINE和Embase，以确定创伤应激症状被报道为主要或次要结局的儿童癌症家庭的心理社会干预（NRSIs）的随机对照试验（rct）和非随机研究。结果由独立审稿人一式两份进行筛选。共纳入18篇文章。对所有研究的偏倚风险和研究设计、干预形式、交付和影响的数据进行了评估，并对其进行了摘要，以进行叙事综合。结果：研究样本（8-430名参与者）主要由急性白血病患儿的母亲组成。大多数干预（1天-15周）涉及一名干预师(n = 17；94%)并使用认知行为技术(n = 14；78%)。8项随机对照试验(n = 10；80%)和7例nrsi (n = 8；87.5%)发现干预后创伤应激症状显著减少，效果大小不等（Cohen’s d = 0.28-1.30）。然而，只有三个随机对照试验证实有足够的权力对有效性进行评论。偏倚风险从低到中等。结论：观察性文献很好地记录了这一人群中创伤应激症状的普遍性和问题性。然而，由于目前的干预研究方法的局限性，关于社会心理干预缓解这些症状的有效性的证据仍然不清楚。需要高质量的随机对照试验，包括不同的家庭照顾者，以证明其有效性，并为旨在改善家庭福祉的临床护理实践提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.