scholarly journals The specifics of family losses in pediatric oncology and the dynamics of grief during analytical psychotherapy in pediatric oncology patients who lost one or both parents

Author(s):  
M. A. Guseva ◽  
G. Ya. Tseitlin ◽  
E. V. Zhukovskaya ◽  
O. L. Lebed ◽  
A. G. Rumyantsev

Relevance. The experience of loss by a child receiving antitumor treatment is a factor in the development of psychopathologies.Purpose to study is to study the specifics of family losses in pediatric oncology; to trace the dynamics of grief during analytical psychotherapy in children who have lost one or both parents.Materials and methods. The study of the specifics of family losses was carried out by the method of retrospective analysis of the dynamics of family relations in 1298 families. To study the dynamics of grief in the process of psychotherapy, 13 children aged 3 to 13 years who lost one or both parents were selected.Results. Antitumor treatment of the child is accompanied by prolonged separation from one, less often both parents, and, in 13.3 %, the loss of a mother or father as a result of a divorce/death. Burning in all the examined children was complicated with the appearance of a number of somatic, emotional-behavioral, mental symptoms that worsen their physical condition and psycho-emotional status. As a result of psychotherapy, the child can react to suppressed negative emotions, which leads to the disappearance of symptoms of grief.Conclusion. The interaction of pediatricians, clinical psychologists, social work specialists is productive in order to provide timely psychotherapeutic assistance to the child before the manifestation of symptoms of complicated grief manifestation.

Author(s):  
Katarzyna Kuchalska ◽  
Monika Barełkowska ◽  
Katarzyna Derwich ◽  
Katarzyna Jończyk-Potoczna ◽  
Anna Gotz-Więckowska

Abstract Purpose Horner syndrome (HS) manifests in unilateral ptosis, miosis, enophthalmos, and anhedonia. It is most commonly caused by trauma or surgical procedures, but can also occur in pediatric patients as a result of tumors, especially neuroblastoma (NBL). The objective of this study was to analyze the incidence of HS in patients diagnosed with NBL. Methods A retrospective analysis of data collected at the Department of Pediatric Oncology, Hematology, and Transplantology from 2004 to 2019 was performed. The study group included 119 patients younger than 18 years old, with 62 girls and 57 boys. All of them were diagnosed with a neuroblastic tumor. Results Among the 119 patients, eight children (6.72%) were diagnosed with HS associated with NBL. Three of these patients presented to the clinic with HS, whereas HS developed after the surgical procedure to remove the tumor in four patients. The adrenal gland was the most frequent localization of the tumor. However, HS occurred more frequently in patients with mediastinum tumors. As a presenting symptom, HS occurred in 2 of 11 cases (18.18%) with mediastinum localization. All of the patients with HS were younger than 2 years old. Conclusion Investigation of the cause of isolated HS is crucial because it can be the first symptom of NBL. However, the surgical procedure itself increases the risk of HS as a complication of NBL treatment.


2012 ◽  
Vol 12 (S1) ◽  
Author(s):  
A Laengler ◽  
R Seiler ◽  
T Zuzak ◽  
T Ostermann ◽  
G Kameda ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaoxiao Sun ◽  
Fei Xie ◽  
Beijing Chen ◽  
Peixia Shi ◽  
Sitong Shen ◽  
...  

Objective: The outbreak of coronavirus disease 2019 (COVID-19), declared as a major public health emergency, has had profound effects on public mental health especially emotional status. Due to professional requirements, medical staff are at a higher risk of infection, which might induce stronger negative emotions. This study aims to reveal the emotional status of Chinese frontline medical staff in the early epidemic period to better maintain their mental health, and provide adequate psychological support for them.Methods: A national online survey was carried out in China at the early stage of the COVID-19 epidemic. In total, 3025 Chinese frontline medical staff took part in this investigation which utilized a general information questionnaire, the Emotion Regulation Questionnaire (ERQ), and the Berkeley Expressivity Questionnaire (BEQ).Results: At the early stage of COVID-19, anxiety was the most common negative emotion of Chinese medical staff, followed by sadness, fear, and anger, mainly at a mild degree, which declined gradually over time. Nurses had the highest level of negative emotions compared with doctors and other healthcare workers. Women experienced more fear than men, younger and unmarried medical staff had more anxiety and fear compared with elders and married ones. Risk perception and emotional expressivity increased negative emotions, cognitive reappraisal reduced negative emotions, while negative emotions led to more avoidant behavior and more physical health disturbances, in which negative emotions mediated the effect of risk perception on avoidant behavior tendency in the model test.Conclusion: Chinese frontline medical staff experienced a mild level of negative emotions at the early stage of COVID-19, which decreased gradually over time. The findings suggest that during the epidemic, nurses' mental health should be extensively attended to, as well as women, younger, and unmarried medical staff. To better ensure their mental health, reducing risk perception and improving cognitive reappraisal might be important, which are potentially valuable to form targeted psychological interventions and emotional guidance under crisis in the future.


2017 ◽  
Vol 6 (3) ◽  
pp. e149-e151 ◽  
Author(s):  
Sherry Mathew ◽  
Michelle L Kussin ◽  
Dazhi Liu ◽  
Melissa Pozotrigo ◽  
Brian Seyboth ◽  
...  

2018 ◽  
Vol 26 (8) ◽  
pp. 2707-2715 ◽  
Author(s):  
Michael Rost ◽  
Elaine Acheson ◽  
Thomas Kühne ◽  
Marc Ansari ◽  
Nadia Pacurari ◽  
...  

1995 ◽  
Vol 20 (3) ◽  
pp. 39-43 ◽  
Author(s):  
Joe Tucci

Suzanne Jenkins has had over fourteen years experience in the field of child abuse and perpetrator work. She was employed as Senior Therapist at the Gracewell Clinic in Birmingham, England. The Gracewell Clinic had a world-wide reputation for its successful and innovative approach to working with paedophiles and other perpetrators of sexual violence. Since the clinic's closure in late 1993, Suzanne has developed her own therapeutic and training model for working with sexual abuse based on an integrated approach.The interview was conducted whilst I was on a study tour of Britain supported by a Creswick Foundation Fellowship in Family Relations and Child Development and the Department of Social Work, Monash University.The interview took place during Suzanne's time with the Gracewell Clinic. In the interview, Suzanne discusses ideas that she has found useful in her experience of working with perpetrators of sexual abuse.


2016 ◽  
Vol 55 (1) ◽  
pp. 12-27 ◽  
Author(s):  
Andrew Tomita ◽  
Jonathan K. Burns ◽  
Howard King ◽  
Joy Noel Baumgartner ◽  
Glen P. Davis ◽  
...  

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