{"title":"在法国大陆治疗的法属西印度群岛和圭亚那儿童癌症根治研究：一项定性研究。","authors":"Chloe Vanlaer, Claire Dichamp, Narcisse Elenga, Frederique Delion, Graziella Raimondo, Sylvie Fasola, Sandrine Haghiri, Katell Michaux, Yves Hatchuel, Benjamin Faivre, Etienne Seigneur, Marie Simbozel, Quentin Neven, Céline Khouri, Arthur Felix, Anais Ogrizek","doi":"10.1002/pon.70242","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A diagnosis of childhood cancer has a profound impact on families, especially when treatment requires relocation. Children from the French West Indies (FWI) and French Guiana (FG) are often treated in specialized centers in mainland France, resulting in physical and cultural uprooting that poses unique psychosocial challenges.</p><p><strong>Aims: </strong>This study explores the impact of uprooting on the dynamics and well-being of these families.</p><p><strong>Methods: </strong>This qualitative observational study used semi-structured interviews with parents of pediatric cancer patients from the FWI and FG. Eligible participants were French-speaking primary caregivers with parental authority who accompanied their children for treatment in mainland France. Interviews were conducted between November 2023 and February 2024, recorded, transcribed, and analyzed using Interpretative Phenomenological Analysis with NVivo software.</p><p><strong>Results: </strong>Among the 10 families interviewed, uprooting significantly disrupted family dynamics and required complex adjustments. Parents reported challenges in accessing resources to manage the stress of their child's diagnosis and treatment, but expressed overall satisfaction with the healthcare received. Psychological support was essential, with many finding comfort in religious practices. Financial and social difficulties were common. Children generally adapted better than expected but struggled with separation from their familiar environment, while siblings often felt abandoned.</p><p><strong>Conclusion: </strong>This study is the first to examine the impact of uprooting on childhood cancer treatment for families from this region. Providing care closer to home may reduce psychological and financial burdens. Recommendations include establishing regional pediatric oncology units and increased support from social services. Future research should focus on non-accompanying parents, siblings, and schooling to understand the long-term effects on survivors and develop targeted psychological and social interventions.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70242"},"PeriodicalIF":3.5000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306847/pdf/","citationCount":"0","resultStr":"{\"title\":\"Study of Uprooting in Pediatric Cancer Care for Children From the French West Indies and Guiana Treated in Mainland France: A Qualitative Study.\",\"authors\":\"Chloe Vanlaer, Claire Dichamp, Narcisse Elenga, Frederique Delion, Graziella Raimondo, Sylvie Fasola, Sandrine Haghiri, Katell Michaux, Yves Hatchuel, Benjamin Faivre, Etienne Seigneur, Marie Simbozel, Quentin Neven, Céline Khouri, Arthur Felix, Anais Ogrizek\",\"doi\":\"10.1002/pon.70242\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A diagnosis of childhood cancer has a profound impact on families, especially when treatment requires relocation. Children from the French West Indies (FWI) and French Guiana (FG) are often treated in specialized centers in mainland France, resulting in physical and cultural uprooting that poses unique psychosocial challenges.</p><p><strong>Aims: </strong>This study explores the impact of uprooting on the dynamics and well-being of these families.</p><p><strong>Methods: </strong>This qualitative observational study used semi-structured interviews with parents of pediatric cancer patients from the FWI and FG. Eligible participants were French-speaking primary caregivers with parental authority who accompanied their children for treatment in mainland France. Interviews were conducted between November 2023 and February 2024, recorded, transcribed, and analyzed using Interpretative Phenomenological Analysis with NVivo software.</p><p><strong>Results: </strong>Among the 10 families interviewed, uprooting significantly disrupted family dynamics and required complex adjustments. Parents reported challenges in accessing resources to manage the stress of their child's diagnosis and treatment, but expressed overall satisfaction with the healthcare received. Psychological support was essential, with many finding comfort in religious practices. Financial and social difficulties were common. Children generally adapted better than expected but struggled with separation from their familiar environment, while siblings often felt abandoned.</p><p><strong>Conclusion: </strong>This study is the first to examine the impact of uprooting on childhood cancer treatment for families from this region. Providing care closer to home may reduce psychological and financial burdens. Recommendations include establishing regional pediatric oncology units and increased support from social services. Future research should focus on non-accompanying parents, siblings, and schooling to understand the long-term effects on survivors and develop targeted psychological and social interventions.</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 8\",\"pages\":\"e70242\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306847/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70242\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70242","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Study of Uprooting in Pediatric Cancer Care for Children From the French West Indies and Guiana Treated in Mainland France: A Qualitative Study.
Background: A diagnosis of childhood cancer has a profound impact on families, especially when treatment requires relocation. Children from the French West Indies (FWI) and French Guiana (FG) are often treated in specialized centers in mainland France, resulting in physical and cultural uprooting that poses unique psychosocial challenges.
Aims: This study explores the impact of uprooting on the dynamics and well-being of these families.
Methods: This qualitative observational study used semi-structured interviews with parents of pediatric cancer patients from the FWI and FG. Eligible participants were French-speaking primary caregivers with parental authority who accompanied their children for treatment in mainland France. Interviews were conducted between November 2023 and February 2024, recorded, transcribed, and analyzed using Interpretative Phenomenological Analysis with NVivo software.
Results: Among the 10 families interviewed, uprooting significantly disrupted family dynamics and required complex adjustments. Parents reported challenges in accessing resources to manage the stress of their child's diagnosis and treatment, but expressed overall satisfaction with the healthcare received. Psychological support was essential, with many finding comfort in religious practices. Financial and social difficulties were common. Children generally adapted better than expected but struggled with separation from their familiar environment, while siblings often felt abandoned.
Conclusion: This study is the first to examine the impact of uprooting on childhood cancer treatment for families from this region. Providing care closer to home may reduce psychological and financial burdens. Recommendations include establishing regional pediatric oncology units and increased support from social services. Future research should focus on non-accompanying parents, siblings, and schooling to understand the long-term effects on survivors and develop targeted psychological and social interventions.
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.
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