Purpose

Parental cancer significantly impacts both parents and children, necessitating psychosocial interventions to enhance family well-being. This systematic review aimed to assess the effectiveness of psychosocial interventions targeting parents with cancer on their mental health, quality of life, their children's well-being, and family functioning.

Methods

A comprehensive search was conducted in Ovid MEDLINE, PubMed, PsycINFO, and Cochrane Central Register of Controlled Trials databases for relevant articles published from 2006 to 2023. The methodological aspects of eleven studies from diverse countries were critically evaluated.

Results

The review included 496 parents, primarily female breast cancer patients, and their children. Narrative synthesis highlighted interventions that aimed to strengthen parent-child connection (Enhancing Connection (EC)), enhance family communication, improve psychological well-being of parents (Struggle for Life Intervention), and address children's mental health (Wonders and Worries (W&W)). Additionally, interventions like Cancer PEPSONE Program (CPP) aimed to expand social networks and support systems. These interventions demonstrated success in reducing depressive and anxiety symptoms, parenting stress, and mitigating children's externalizing and internalizing problems. However, they were not exempt from methodological limitations such as participant selection bias, lack of blinding, and low follow-up rates.

Conclusions

Based on the review, psychological support for parents with cancer is an emerging field, predominantly explored in Western countries with a significant emphasis on maternal experiences. The early stage of this field and inherent methodological limitations warrant cautious interpretation of these findings and further research for comprehensive understanding and application.

中文翻译：

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改善父母癌症家庭心理健康和家庭功能的社会心理干预措施：系统评价

目的

父母癌症对父母和孩子都有显着影响，因此需要进行社会心理干预以增强家庭福祉。这项系统评价旨在评估针对患有癌症的父母的心理社会干预措施对其心理健康、生活质量、孩子的福祉和家庭功能的有效性。

方法

在 Ovid MEDLINE、PubMed、PsycINFO和 Cochrane Central Register of Controlled Trials 数据库中对 2006 年至 2023 年发表的相关文章进行了全面检索。对来自不同国家的 11 项研究的方法学方面进行了严格评估。

结果

该评价包括 496 名家长及其子女，其中主要是女性乳腺癌患者。叙述综合强调了旨在加强亲子联系（增强联系（EC））、加强家庭沟通、改善父母心理健康（生命斗争干预）以及解决儿童心理健康问题（惊奇与担忧（W&W））的干预措施）。此外，癌症 PEPSONE 计划 (CPP) 等干预措施旨在扩大社交网络和支持系统。这些干预措施在减少抑郁和焦虑症状、养育压力以及减轻儿童的外化和内化问题方面取得了成功。然而，他们并没有摆脱方法学的限制，例如参与者选择偏差、缺乏盲法和低随访率。

结论

根据审查，为患有癌症的父母提供心理支持是一个新兴领域，主要在西方国家进行探索，并非常重视母亲的经历。该领域的早期阶段和固有的方法学局限性需要对这些发现进行谨慎解释并进一步研究以实现全面理解和应用。