- Volume 23 Issue 2
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Concept Analysis of Stress in Siblings of Patients with Childhood Cancer
소아암 환자 형제자매의 스트레스 개념분석
- Yu, Juyoun (College of Nursing, Seoul National University) ;
- Bang, Kyung-Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
- Received : 2017.02.07
- Accepted : 2017.03.22
- Published : 2017.04.27
Purpose: This study was conducted to define the concept of stress in siblings of childhood cancer patients. Methods: The hybrid model was used to perform the concept analysis of stress in childhood cancer patients' siblings. Through reviews of 16 studies in the theoretical phase and interviews with 20 siblings in the field phase, the derived results were brought together in the integration phase. Results: The concept of stress in siblings of patients with childhood cancer was found to have 6 attributes and 28 indicators in 3 domains. Personal factors included 2 attributes (fear about childhood cancer and immature coping skills), and family factors had 2 attributes (changes in relationships with family and changes in family environment), social factors had 2 attributes (changes in relationships with friends and in the school experience, and insufficient social support). Conclusion: The stress of siblings of childhood cancer patients was defined as a state of tension associated with personal, family, social factors that can be related to their siblings' childhood cancer. The findings in this study provide the base for the development of a tool for measuring siblings' stress and/or the development of nursing programs for these siblings.
- Long KA, Marsland AL, Alderfer MA. Cumulative family risk predicts sibling adjustment to childhood cancer. Cancer. 2013;119(13):2503-2510. http://dx.doi.org/10.1002/cncr.28077. https://doi.org/10.1002/cncr.28077
- Wang R-H, Martinson IM. Behavioral responses of healthy Chinese siblings to the stress of childhood cancer in the family: A longitudinal study. Journal of Pediatric Nursing. 1996;11(6):383-391. http://dx.doi.org/10.1016/S0882-5963(96)80083-2. https://doi.org/10.1016/S0882-5963(96)80083-2
- Alderfer MA, Long KA, Lown EA, Marsland AL, Ostrowski NL, Hock JM, et al. Psychosocial adjustment of siblings of children with cancer: a systematic review. Psycho-Oncology. 2010;19(8):789-805. http://dx.doi.org/10.1002/pon.1638. https://doi.org/10.1002/pon.1638
- Iles JP. Children with cancer: healthy siblings' perceptions during the illness experience. Cancer Nursing. 1979;2(5):371-377.
- Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer Pub. Co.; 1984. p.299-327.
- American Psychiatric Association DSM-5 Task Force, editor. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association publishing; 2013. p. 271-274.
- Alderfer MA, Labay LE, Kazak AE. Brief report: does posttraumatic stress apply to siblings of childhood cancer survivors? Journal of Pediatric Psychology. 2003;28(4):281-286. https://doi.org/10.1093/jpepsy/jsg016. https://doi.org/10.1093/jpepsy/jsg016
- Kaplan LM, Kaal KJ, Bradley L, Alderfer MA. Cancer-related traumatic stress reactions in siblings of children with cancer. Families, Systems & Health. 2013;31(2):205-217. https://doi.org/10.1037/a0032550. https://doi.org/10.1037/a0032550
- Long KA, Alderfer MA, Ewing LJ, Marsland AL. The role of contextual threat in predicting self-reported distress among siblings of children with cancer. Journal of Clinical Psychology in Medical Setting. 2013;20(2):199-208. https://doi.org/10.1007/s10880-012-9321-4. https://doi.org/10.1007/s10880-012-9321-4
- Houtzager BA, Grootenhuis MA, Last BF. Adjustment of siblings to childhood cancer: a literature review. Support Care Cancer. 1999;7(5):302-320. https://doi.org/10.1007/s005200050268. https://doi.org/10.1007/s005200050268
- Cairns NU, Clark GM, Smith SD, Lansky SB. Adaptation of siblings to childhood malignancy. The Journal of Pediatrics.1979;95(3):484-487. http://dx.doi.org/10.1016/S0022-3476(79)80541-7. https://doi.org/10.1016/S0022-3476(79)80541-7
- Sargent JR, Sahler OJZ, Roghmann KJ, Mulhern RK, Barbarian OA, Carpenter PJ, et al. Sibling adaptation to childhood-cancer collaborative study - siblings perceptions of the cancer experience. Journal of Pediatric Psychology. 1995;20(2):151-164. https://doi.org/10.1093/jpepsy/20.2.151. https://doi.org/10.1093/jpepsy/20.2.151
- Sloper P, While D. Risk factors in the adjustment of siblings of children with cancer. Journal of Child Psychology and Psychiatry. 1996;37(5):597-607. https://doi.org/10.1111/j.1469-7610.1996.tb01446.x. https://doi.org/10.1111/j.1469-7610.1996.tb01446.x
- Walker CL. Stress and coping in siblings of childhood-cancer patients. Nursing Research. 1988;37(4):208-212.
- Schwartz-Barcoott, D. & Kim, HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA. Editors. Concept development in nursing : foundations, techniques, and applications. 2nd ed. Philadelphia: Saunders; 2000. p. 129-159.
- Downe-Wamboldt B. Content analysis: method, applications, and issues. Health Care for Women International. 1992;13(3):313-321. https://doi.org/10.1080/07399339209516006. https://doi.org/10.1080/07399339209516006
- Oxford English dictionary. Oxford dictionaries [Internet]. England: Oxford dictionary; 2016 [cited 2016 August 20]. Available from: http://oxforddictionaries.com/
- Barrera M, Fleming CF, Khan FS. The role of emotional social support in the psychological adjustment of siblings of children with cancer. Child: Care, Health and Development. 2004;30(2):103-111. https://doi.org/10.1111/j.1365-2214.2003.00396.x
- Bendor SJ. Anxiety and isolation in siblings of pediatric cancer patients. Social Work in Health Care. 1990;14(3):17-35. https://doi.org/10.1300/J010v14n03_02. https://doi.org/10.1300/J010v14n03_02
- Hamama L, Ronen T, Rahav G. Self-control, self-efficacy, role overload, and stress responses among siblings of children with cancer. Health & Social Work. 2008;33(2):121-132. https://doi.org/10.1093/hsw/33.2.121. https://doi.org/10.1093/hsw/33.2.121
- Hamama R, Ronen T, Feigin R. Self-control, anxiety, and loneliness in siblings of children with cancer. Social Work in Health Care. 2000;31(1):63-83. https://doi.org/10.1300/J010v31n01_05. https://doi.org/10.1300/J010v31n01_05
- Wilkins KL, Woodgate RL. A review of qualitative research on the childhood cancer experience from the perspective of siblings: a need to give them a voice. Journal of Pediatric Oncology Nursing. 2005;22(6):305-319. https://doi.org/10.1177/1043454205278035. https://doi.org/10.1177/1043454205278035
- Long KA, Marsland AL, Wright A, Hinds P. Creating a tenuous balance: siblings' experience of a brother's or sister's childhood cancer diagnosis. Journal of Pediatric Oncology Nursing. 2015;32(1):21-31. https://doi.org/10.1177/1043454214555194. https://doi.org/10.1177/1043454214555194
- Cheon NY. The experience of siblings of children with cancer. Korean Journal of Child Health Nursing. 1998;4(2):294-304.
- Wilkins KL, Woodgate RL. Transition: a conceptual analysis in the context of siblings of children with cancer. Journal of Pediatric Nursing. 2006;21(4):256-265. https://doi.org/10.1016/j.pedn.2006.01.090. https://doi.org/10.1016/j.pedn.2006.01.090
- Backer, JH., Bakas, T, & Bennett PK. Stress, coping, and health in children. In: Rice VH. Editor. Handbook of stress, coping, and health : implications for nursing research, theory, and practice. 2nd ed. Thousand Oaks: SAGE Publications; 2012. P. 265-294.
- Kaplan LM, Kaal KJ, Bradley L, Alderfer MA. Cancer-related traumatic stress reactions in siblings of children with cancer. Families, Systems and Health. 2013;31(2):205-217. https://doi.org/10.1037/a0032550. https://doi.org/10.1037/a0032550
- Patterson P, Millar B, Visser A. The development of an instrument to assess the unmet needs of young people who have a sibling with cancer: piloting the sibling cancer needs instrument (SCNI). Journal of Pediatric Oncology Nursing. 2011;28(1):16-26. https://doi.org/10.1177/1043454210377174. https://doi.org/10.1177/1043454210377174
- Kang KA. Experiences of meaning in life among elementary school students: content analysis based on major concepts of logotherapy. Child Health Nursing Research. 2017;23(1):37-47. https://doi.org/10.4094/chnr.2017.23.1.37. https://doi.org/10.4094/chnr.2017.23.1.37
- Tak YR, Yun EH, Chon YS, An JY. Perceived social support as a predictor on adaptation of family who has a child with pediatric cancer. Korean Journal of Child Health Nursing. 2003;9(1):9-17.