Background: Parents of children with cancer face numerous physical, social and economic problems during the care process. Their family, marital, occupational and social life is negatively affected by the process of caring children with cancer which in turn leads to reduced quality of life. The present study examines the effectiveness of eye movement desensitization and reprocessing (EMDR) on quality of life in parents of children with cancer.
Methods: This is a quasi-experimental study based on pretest-posttest and follow-up design with a control group. Accordingly, 30 mothers of children with cancer were selected based on targeted sampling method and divided into control and experiment groups. Both groups were pre-tested using the quality of life questionnaire (QoL) (SF=36). Then the experiment group was treated for EMDR for 8 sessions while the control group received no treatment. Following, both groups were post tested and collected data were analyzed using one-way ANOVA on SPSS21.
Results: Findings of the study showed that the scores of mothers in experiment group on quality of life increased compared to the control group and maintained at follow-up. The highest increase was on general health, vitality, emotional health, social function while more reduction was on emotional problems of the experiment group (P< 0.01).
Conclusion: Regarding the fact that illness of children affects all aspects of parents’ life, and also results of the present study indicating the effectiveness of EMDR on increasing the quality of life in parents of children with cancer, it is suggested to consider psychological training and treatment as the top priority for children with cancer to improve the family function.
Dockerty JD, Skegg DC, Williams SM. Economic effects of childhood cancer on families.Journal of paediatrics and child health. 2013; 39(4): 254-8.
Franck LS, Callery P. Re-thinking family-centred care across the continuum of children’s healthcare. Child: Care, Health & Development. 2014; 30(3): 265-77.
Wells DK, James K, Stewart JL, Moore IM, Kelly KP, Moore B, et al. The care of my child with cancer: a new instrument to measure caregiving demand in parents of children with cancer. Journal of pediatric nursing. 2012; 17(3): 201-10.
Borneman T, Chu DZ, Wagman L, Ferrell B, Juarez G, McCahill LE, et al. Concerns of family caregivers of patients with cancer facing palliative surgery for advanced malignancies. Oncology nursing forum. 2013; 30(6): 997-1005.
Morımoto T, Schreıner AS, Asano H. Caregiver burden and health-related quality of life among Japanese stroke caregivers. Age Ageing. 2003; 32(2): 218-23.
Ross JA. Olshan AF. Pediatric cancer in the United States: the children's oncology group epidemiology research.
Patistea E. Description and adequacy of parental coping behaviors in childhood leukemia. International Journal of Nursing Studies. 2005; 42(3):283-96.
Hoekstra-Weebers JE, Jaspers JP, Kamps WA, Klip EC. Risk factors for psychological maladjustment of parents of children with cancer. Journal of the American Academy of Child and Adolescent Psychiatry. 1999; 38(12): 1526-35.
Hoekstra-Weebers JE, Jaspers JP, Kamps WA, Klip EC. Psychological adaptation and social support of parents of pediatric cancer patients: a prospective longitudinal study. Journal of pediatric psychology. 2001; 26(4): 225-35.
Papastavrou A, Charalambous A, Tsangari H. How do informal caregivers of patients with cancer cope: A descriptive study of the coping strategies employed. European Journal of
Oncology Nursing. 2012; 16(3): 258-63.
Lu L, Wang L, Yang X, Feng Q. Zarit Caregiver Burden Interview: development, reliability and validity of the Chinese version. Psychiatry and clinical neurosciences. 2009; 63(6): 730-4.
Forti A. Mindfulness and quality of life among breast cancer survivors: the mediating role of eslf- kindess and alexithymia. Carolina: Harvard Health Publications; 2011.
Shapiro F, (ed). E.M.D.R. manuals. Dhaka: Bangladesh, 1998.
Happer. M. . General Anxiety Disorder. J clin Psychiatry. 2011;67:58–73. Becker CB, Zayfert C, Anderson E. A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD. Behav Res Ther. 2004;42(3):277–92.
Attachment and Trauma Center of Nebraska. (2011). EMDR integrative team treatment for attachment trauma in children: Treatment manual. Omaha, NE: Author.
Ironson G, Freund B, Strauss JL, Williams J. Comparison of two treatments for traumatic stress: a
community-based study of EMDR and prolonged exposure. J Clin Psychol 2002; 58: 113-28.
Carlson JG, Chemtob CM, Rusnak K, Hedlund NL, Muraoka MY. Eye movement desensitization and reprocessing (EDMR) treatment for combat-related posttraumatic stress disorder. J Trauma Stress 1998; 11: 3-24.
Vatankhah H. [Evaluation and comparison of treatment methods Desensitization and Reprocessing through eye movements, medication and cognitive therapy on reducing anxiety of male and female clients referred to Tehran counseling and psychotherapy centers]. Iran: Iran Islamic Azad University Tehran Markaz Unit; 2008.
Ahmadi M, Karami R, Vatankhah H, et al. . The comparison of Eye Movement Desensitization Reprocessing Intervention and group cognitive therapy Efficacy on reducing depression symptoms
in depressed war veterans. Iran J Mil psychology. 2012;2(7):19.
Ware JE, Kosinski M, Dewey JE. How to score version 2 of the SF-36 health survey (standard & acute forms): QualityMetric Incorporated; 2000. 21. Eiser C, Eiser JR, Stride CB. Quality of life in children newly diagnosed with cancer and their mothers. Health and quality of life outcomes. 2005; 3: 29.
Taft C, Karlsson J, Sullivan M. Performance of the Swedish SF-36 version 2.0. Quality of Life Research. 2004;13(1):251-6.
Sales E. Family burden and quality of life. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2003; 12 Suppl 1: 33-41.
Wysocki T, Gavin L. Psychometric properties of a new measure of fathers' involvement in the management of pediatric chronic diseases. Journal of Pediatric Psychology. 2004; 29(3):
Rose KE. Perceptions related to time in a qualitative study of informal carers of terminally ill cancer patients. Journal of clinical nursing. 1998; 7(4): 343-50.
Carlson L, Specs M, Patel K, Goodey E. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer out patients .Psychosom Med.2003; 65: 571-81.
Cantrell MA, Conte T. Enhancing hope among early female survivors of childhood cancer via the internet: a feasibility study. Cancer Nurs. 2008; 31(5): 370-9.