Psychological distress, role, and identity changes in mothers following a diagnosis of cancer: A systematic review

Objective To systematically review findings of the impact of cancer diagnosis and treatment on mothers' psychological well‐being, roles, and identity and to explore the psychosocial factors that contribute to mothers' psychological well‐being. Methods Six databases were searched for resear...

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Vydané v:	Psycho-oncology (Chichester, England) Ročník 27; číslo 12; s. 2700 - 2708
Hlavní autori:	Kuswanto, Carissa Nadia, Stafford, Lesley, Sharp, Jessica, Schofield, Penelope
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England Wiley Subscription Services, Inc 01.12.2018
Predmet:	Adaptation, Psychological Adolescent mothers Age Anxiety Cancer Caregivers - psychology Change agents Changes depression Efficacy Evidence-based medicine Fear & phobias Female Health psychology Humans Identity Intrusiveness maternal identity Meaning Medical diagnosis Medical treatment Mental depression Metastasis Mixed methods research Mother-child relations Mother-Child Relations - psychology Mothers Mothers - psychology mother‐child relationship Neoplasms - psychology oncology Parent-child relations parenting Parenting - psychology Parents & parenting Psychological distress Psychosocial factors Psychosocial support Qualitative research Quality of Life - psychology Recovery Recurrence Rehabilitation role Roles Stress, Psychological - psychology Systematic review Well being Womens health Young mothers anxiety role mothers mother-child relationship cancer depression systematic review oncology parenting maternal identity
ISSN:	1057-9249, 1099-1611, 1099-1611
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Popis
Shrnutí:	Objective To systematically review findings of the impact of cancer diagnosis and treatment on mothers' psychological well‐being, roles, and identity and to explore the psychosocial factors that contribute to mothers' psychological well‐being. Methods Six databases were searched for research articles and theses exploring the association between the impact of cancer diagnosis and treatment on mothers' psychological well‐being, identity, and role, and the psychosocial factors contributing to mothers' psychological distress regardless of their cancer type and stage. The Mixed‐Method Appraisal Bias Tool was used to assess the selected studies' methodological quality. Results A total of 30 qualitative, quantitative, and mixed‐method studies were deemed eligible for inclusion. Most studies reported that mothers experienced significant psychological distress, changes to or loss of parenting efficacy, maternal identity, and role. Psychosocial factors that contributed to mothers' distress included mothers' young age, presence of metastases, lower parenting efficacy, fear of cancer recurrence, higher illness intrusiveness, and lack of appropriate support. Four main themes emerged from the qualitative studies: psychological impact of cancer on mothers, changes in maternal identity and role, relationship changes and concerns for their children, and meaning‐making in cancer experience. Conclusions Changes in mothers' psychological well‐being, role, and identity occurred across cancer diagnoses, treatment, and recovery trajectories. The evidence suggests that mothers may benefit from continued and tailored psychosocial support to cope with these challenges, even after treatment is completed. Further studies with improved methodological quality are needed to explore these issues in depth.
Bibliografia:	ObjectType-Article-1 ObjectType-Evidence Based Healthcare-3 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Undefined-3
ISSN:	1057-9249 1099-1611 1099-1611
DOI:	10.1002/pon.4904