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Psychological health in siblings who lost a brother or sister to cancer 2 to 9 years earlier
Division of Women's and Child's Health, Childhood Cancer Research Unit, Karolinska Institutet, Stockholm, Sweden; Sophiahemmet University College, Stockholm, Sweden; Division of Oncology–Pathology, Department of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-6133-8975
Division of Oncology, Department of Clinical Cancer Epidemiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Division of Oncology–Pathology, Department of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden .
Division of Oncology–Pathology, Department of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden.
Division of Women's and Child's Health, Childhood Cancer Research Unit, Karolinska Institutet, Stockholm, Sweden; Sophiahemmet University College, Stockholm, Sweden; Division of Oncology–Pathology, Department of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden.
2013 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 22, no 3, p. 683-691Article in journal (Refereed) Published
Abstract [en]

Background: The objective of this study was to assess long-term psychological distress in siblings who lost a brother or sister to cancer 2 to 9 years earlier, as compared with a control group of non-bereaved siblings from the general population.

Methods: During 2009, we conducted a nationwide follow-up study in Sweden by using an anonymous study-specific questionnaire. Siblings who had lost a brother or sister to cancer between the years 2000 and 2007 and also a control group of non-bereaved siblings from the general population were invited to participate. The Hospital Anxiety and Depression Scale (HADS) was used to measure psychological distress, and to test for differences in the ordinal outcome responses between the groups, we used Wilcoxon-Mann-Whitney rank-sum test.

Results: Among the bereaved siblings, 174/240 (73%) participated and 219/293 (75%) among the non-bereaved. Self-assessed low self-esteem (p = 0.002), difficulties falling asleep (p = 0.005), and low level of personal maturity (p = 0.007) at follow-up were more prevalent among bereaved siblings. However, anxiety (p = 0.298) and depression (p = 0.946), according to HADS, were similar.

Conclusion: Bereaved siblings are at increased risk of low self-esteem, low level of personal maturity and difficulties falling asleep as compared with non-bereaved peers. Yet, the bereaved were not more likely to report anxiety or depression.

Place, publisher, year, edition, pages
John Wiley & Sons, 2013. Vol. 22, no 3, p. 683-691
Keywords [en]
bereavement, siblings, childhood cancer, oncology, psychology
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:oru:diva-90897DOI: 10.1002/pon.3053ISI: 000315652500025PubMedID: 22351568Scopus ID: 2-s2.0-84874724620OAI: oai:DiVA.org:oru-90897DiVA, id: diva2:1542626
Conference
Nordic Society of Pediatric Oncology Nurses (NOBOS), Uppsala, Sweden, May 20-22, 2012; The 6th Biennial Cancer Survivorship Research Conference, Arlington, Virginia, USA, June 14-16, 2012.
Funder
Swedish Research CouncilSwedish Cancer SocietySwedish Childhood Cancer FoundationThe Karolinska Institutet's Research Foundation
Note

Funding:

Sophiahemmet University College 

Available from: 2021-04-08 Created: 2021-04-08 Last updated: 2021-11-30Bibliographically approved

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Eilegård Wallin, Alexandra

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