En metanalyse av effekten av psykologiske intervensjoner i pediatrisk onkologi på psykologisk stress og tilpasning

A meta-analysis of the effects of psychological interventions in pediatric oncology on outcomes of psychological distress and adjustment

Authors
Pai, A. L. Drotar, D. Zebracki, K. Moore, M. Youngstrom, E.
Year
2006
Journal
Journal of Pediatric Psychology
Volume
31
Pages
978-88
OBJECTIVE: To estimate the effectiveness of psychological interventions in pediatric oncology on decreasing psychological distress and increasing psychological adjustment using meta-analytic methods. METHODS: A meta-analysis was conducted on 12 psychological intervention studies in pediatric oncology using a weighted least squares (WLS) approach and random effect models. RESULTS: Effect sizes significantly different from zero were found for parent distress (mean = 0.35, 95% CI = 0.20-0.49, n = 7) and parent adjustment (mean = 0.23, 95% CI = 0.07-0.40, n = 5). Effect sizes for child distress, child adjustment, parent-reported child distress, and parent-reported child adjustment were not significantly different from zero. CONCLUSIONS: Psychological interventions in pediatric oncology show promise in decreasing distress and improving the adjustment of parents of children with cancer but may have minimal effects for child outcomes. Methodological issues of intervention research are discussed.

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Type of intervention

Early Intervention

Treatment and Child Welfare Interventions

Topic

Mental Health Problems and Disorders

Anxiety Problems

Stress

Biological Risk Factors, Diseases and Symptoms

Somatic Disease

Intervention

Psychological Treatments

Cognitive Behavioral Therapy, Behavioral Therapy and Cognitive Therapy

Age group

School Aged Children (6-12 years)

Adolescents (13-18 years)

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