Emotional and Behavioral Disorders in Pediatric Cancer Patients
Iranian Journal of Child Neurology,
Vol. 14 No. 1 (2020),
1 January 2020
,
Page 113-121
https://doi.org/10.22037/ijcn.v14i1.22845
Abstract
Abstract
Objectives
Childhood malignancies raise a range of medical, psychological and social concerns. Identifying psychiatric disorders along with providing mental health services to prevent the emergence and aggravation of mental health problems in children seems necessary in pediatric hospitals. We aimed to find out the frequency of probable emotional and behavioral disorders among children and adolescents with malignancy.
Materials & Methods
This was a cross sectional study conducted at Hematology-Oncology Ward of Mofid Hospital, Tehran, Iran in 2017-2018. Emotional and behavioral disorders was assessed in 399 pediatric patients with malignancy, aged 5 to 12 years, using the Parent Checklist of CSI-4. All data analyses performed using the Stata 14 at 95% sig-value.
Results: In all, 89.2% of sample met diagnostic criteria for at least one disorder. The most prevalent psychiatric disorders were special phobia (57%) enuresis (41.9%) Obsessive-Compulsive disorder (45.6%) and Separation Anxiety disorder (30.3%). Our results did not show significant gender and disease type differences in prevalence of psychiatric disorders.
Conclusion: Prevalence of emotional and behavioral disorders in pediatric patients with malignancy admitted in the children’s hospital is common. These disorders affect on the treatment and quality of life of pediatric patients. Therefore, these findings may guide parents, nurses and clinicians to become more careful about identification and management of them.
- psychiatric disorders
- pediatric patients
- malignancies
- Emotional & behavioral disorders
How to Cite
References
Steliarova-Foucher E, Colombet M, Ries LA, Moreno F, Dolya A, Bray F, et al. International incidence of childhood cancer, 2001–10: a population-based registry study. The Lancet Oncology. 2017;18(6):719-31.
Isaevska E, Manasievska M, Alessi D, Mosso ML, Magnani C, Sacerdote C, et al. Cancer incidence rates and trends among children and adolescents in Piedmont, 1967–2011. PloS one. 2017;12(7):e0181805.
Mullick MS, Algin S. Emotional and Behavioural Disorders in Children and Adolescents with Neoplasm. Bangabandhu Sheikh Mujib Medical University Journal. 2011;3(2):86-90.
Kaatsch P. Epidemiology of childhood cancer. Cancer treatment reviews. 2010;36(4):277-85.
Lewis M, Vitulano L. Biopsychosocial issues and risk factors in the family when the child has a chronic illness. Child and adolescent psychiatric clinics of North America. 2003;12(3):389.
Cadman D, Boyle M, Szatmari P, Offord DR. Chronic illness, disability, and mental and social well-being: findings of the Ontario Child Health Study. Pediatrics. 1987;79(5):805-13.
Goodwin RD, Messineo K, Bregante A, Hoven CW, Kairam R. Prevalence of probable mental disorders among pediatric asthma patients in an inner-city clinic. Journal of Asthma. 2005;42(8):643-7.
Knook LM, Konijnenberg AY, van der Hoeven J, Kimpen JL, Buitelaar JK, van Engeland H, et al. Psychiatric disorders in children and adolescents presenting with unexplained chronic pain: what is the prevalence and clinical relevancy? European child & adolescent psychiatry. 2011;20(1):39-48.
Evans DL, Charney DS, Lewis L, Golden RN, Gorman JM, Krishnan KRR, et al. Mood disorders in the medically ill: scientific review and recommendations. Biological psychiatry. 2005;58(3):175-89.
Barnes C, Bandak A, Beardslee C. Content analysis of 186 descriptive case studies of hospitalized children. Maternal-child nursing journal. 1990;19(4):281-96.
Bossert E. Stress appraisals of hospitalized school-age children. Children's Health Care. 1994;23(1):33-49.
McClowry SG. A review of the literature pertaining to the psychosocial responses of school-aged children to hospitalization. Journal of Pediatric Nursing. 1988;3(5):296-311.
Coyne I. Children's experiences of hospitalization. Journal of child health care. 2006;10(4):326-36.
Caplan R, Siddarth P, Gurbani S, Hanson R, Sankar R, Shields WD. Depression and anxiety disorders in pediatric epilepsy. Epilepsia. 2005;46(5):720-30.
Gredler GR. Rutter, M., Graham, P., & Yule, W. A neuropsychiatric study in childhood. Philadelphia: JB Lippincott, 1970, 272 pp., $17.00. Psychology in the Schools. 1980;17(1):140-1.
Jones JE, Watson R, Sheth R, Caplan R, Koehn M, Seidenberg M, et al. Psychiatric comorbidity in children with new onset epilepsy. Developmental Medicine & Child Neurology. 2007;49(7):493-7.
Brauner CB, Stephens CB. Estimating the prevalence of early childhood serious emotional/behavioral disorders: challenges and recommendations. Public health reports. 2006;121(3):303-10.
Sharan P, Mehta M, Chaudhry V. Psychiatric morbidity in children suffering from acute lymphoblastic leukemia. Pediatric hematology and oncology. 1999;16(1):49-54.
Gadow KD, Sprafkin JN. Child symptom inventory 4: Screening and norms manual: Checkmate Plus; 2002.
Sprafkin J, Gadow K. Early childhood inventories manual. Stony Brook, NY: Checkmate Plus. 1996.
Sprafkin J, Gadow KD, Salisbury H, Schneider J, Loney J. Further evidence of reliability and validity of the Child Symptom Inventory-4: Parent checklist in clinically referred boys. Journal of Clinical Child and Adolescent Psychology. 2002;31(4):513-24.
Gadow KD, Sprafkin J, Salisbury H, Schneider J, Loney J. Further Validity Evidence for the Teacher Version of the Child Symptom lnventory-4. School Psychology Quarterly. 2004;19(1):50.
E Mohammad Esmaeel. Adaptation and standardization of child symptom inventory-4 (CSI-4). Journal of Exceptional Children. 2007;7(1):79-96.
Mullick MSI, Goodman R. The prevalence of psychiatric disorders among 5–10 year olds in rural, urban and slum areas in Bangladesh. Social psychiatry and psychiatric epidemiology. 2005;40(8):663-71.
Mongini F, Rota E, Deregibus A, Ferrero L, Migliaretti G, Cavallo F, et al. Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients. Journal of psychosomatic research. 2006;61(4):447-51.
Zahed G, Shakiba M, Seifi K. The Prevalence of Psychological Disorders among Children with Diabetes Aged 5-12 Years Old Referred to the Endocrinology Clinic of Mofid Hospital, Tehran, Iran in 2014-2015. Iranian journal of child neurology. 2018;12(3):101-112.
Rao GP, Malhotra S, Marwaha R. Psychosocial study of lekemic children and their parents. Indian pediatrics. 1992;29(8):985-90.
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