Manifestations of psychological distress in mothers of adolescents with acute lymphoblastic leukemia in remission
Abstract
The quality of children life is affected not only by the complications and consequences of their antitumor treatment, but also by the psychological support of their parents. Parents, more often mothers, are the most important emotional resources for the child. Parents with severe distress may have problems in caring for their sick children. Study purpose: to study the main manifestations of psychological distress in mothers of adolescents with acute lymphoblastic leukemia in remission. The study included 21 women aged from 30 to 45 years (average age – 38.5 ± 5.46). The age of their children with acute lymphoblastic leukemia at the time of the study ranged from 12 to 17 years (average age – 14.76 ± 2.39). The duration of clinical and hematological remission of acute lymphoblastic leukemia was from 1 to 2 years. Children were under dispensary observation, living in 61.9% of cases in a family with both parents and in 38.1 % of cases with a single mother. In half of the cases (42.9 %), а child was the only one in the family, in 38.1 % of the cases the second child was born in the family after completing the treatment of the eldest child. The study of the mental state of mothers was carried out using the Questionnaire to assess the severity of psychopathologic symptoms and signs (Symptom Check List – SCL–90–R).
The mental state of mothers according to the questionnaire for assessing the severity of psychopathological symptoms (Symptom Check List – SCL–90–R) significantly and statistically relevant (p < 0.05) differed from standard indicators based on the somatization scale. However, the differences which are statistically insignificantly (p > 0.05), an increase in values on the scales of «interpersonal sensitivity», «anxiety» and «depression» were obtained compared with standard data.
In mothers of adolescents in clinical and hematological remission of acute lymphoblastic leukemia, psychological distress was revealed, of the total manifestations of which somatic manifestations differed most significantly and statistically significantly from the standard indicators. Obtaining such data makes it necessary and justified to carry out mandatory not only psychological, but also therapeutic correction for mothers of adolescents.
About the Authors
G. A. Tkachenko
Central Clinical Hospital of Department of Presidential Affairs of Russia
Russian Federation
Russian Federation
Galina Andreevna Tkachenko – PhD Psychol. Sci., clinical psychologist
Marshal Timoshenko Str, 15, Moscow, 121459
E. N. Sukhanovskaya
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation
Russian Federation
Elena Nikolaevna Sukhanovskaya – medical psychologist
Kashirskoye shosse, 23, Moscow, 115478
T. I. Grushina
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
Russian Federation
Russian Federation
Tatiana Ivanovna Grushina – Dr. Med. Sci., Chief Researcher, State autonomic institution
Zemljanoj Val, 53, Moscow, 105120
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Review
For citations:
Tkachenko G.A., Sukhanovskaya E.N., Grushina T.I. Manifestations of psychological distress in mothers of adolescents with acute lymphoblastic leukemia in remission. Bulletin of psychotherapy. 2021;1(78):52-63. (In Russ.)
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