Evaluation of the Effect of Cognitive Behavioral Interventions on the Emotional Reactions of Parents of Children with Retinoblastoma
Background: Retinoblastoma is the most common primary intraocular malignancy in childhood. Diagnosis of the disease and treatment decisions put a lot of stress on the family. Excessive anxiety and stress can lead to serious psychological problems. The cognitive behavioral approach focuses on the individuals’ thoughts, behaviors, and emotions and their interaction. This study aimed to investigate the effect of cognitive behavioral interactions on the emotional reactions of parents of children with retinoblastoma.
Methods: This study was carried out using a quasi-experimental design on 106 parents of children with retinoblastoma referred to the Farabi Eye Hospital, Tehran, Iran, between 2017 and 2018. Cognitive behavioral therapy was performed through eight sessions of 90-minute training for parents. The data collection method was self-responding using the depression, anxiety, and stress scale-21 Items (DASS-21) questionnaire. Pre-and post-intervention test scores were collected for statistical analysis.
Results: The mean anxiety score decreased from 13.65 (moderate anxiety) before the cognitive-behavioral intervention to 10.13 (mild anxiety) after the intervention (p<0.05). The mean depression score decreased from 11.26 (mild depression) before the intervention to 8.32 (no depression) after the intervention (p<0.05). The mean stress score decreased from 10.79 (normal) before the intervention to8.25 (normal) after the intervention (p<0.05).
Conclusion: Our study showed that the occurrence of retinoblastoma in children poses a significant risk to the mental health of their parents. Cognitive-behavioral interventions can be effective in improving the level of parent's anxiety, depression, and stress.
 Espirito E, Gaiva M, Espinosa M, Barbosa D, Belasco A. Taking care of children with cancer: evaluation of the caregivers' burden and quality of life. Rev. Latino-Am. Enfermagem. 2011;19(3):515-22.
 American Academy of Ophthalmology. Ophthalmic Pathology and Intraocular Tumors. Part 4: EB (European Board), 2016.
 Canturk S, Qaddoumi I, Khetan V, Ma Z, Furmanchuk A, Antoneli CBG et al. Survival of retinoblastoma in less-developed countries impact of socio economical and health-related indicators. Br J Ophthalmol. 2010; 94(11): 1432–36.
 Malone CA. Observation on the role of family therapy in child psychiatric training. J Am Acad Child Psychiatry. 1974; 13(3):437-58.
 Hockenberry MJ, Wilson D, Wong DL. Wong's clinical manual of pediatric nursing. Ed. 8, Mosby, 2012.
 Rafei H. Autism: An Evaluation of Dermatology. Publications of Tehran University. 2012.
 Safari G. Let Us Have a Problem. Ed. 6: Tolo Danesh Publications, 2011.
 Corey G. Theory and Practice of Counseling and Psychotherapy. Ed 9: 2013.
 Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation. Ed. 2: 1995.
 Lovibond PF, Lovibond SH. The Structure of Negative Emotional States: Comparison of Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43.
 Brown TA, Chorpita BF, Kortitsch W, Barlow DH. Psychometric Properties of Depression Anxiety Stress Scales (DASS) in Clinical Samples. Behav Res Ther. 1997; 35(1): 79-89.
 Samani S, Jokar B. Validity and Reliability of the Short Depression, Anxiety and Stress Scale. Shiraz University Social and Human Journal. 2007; 26(3):65-77.
 Rostamali S, Adhami Moghadam F, Sahebalzamani M. A study of Life, Self–efficacy and Emotional Reaction in patients undergoing enucleation referring to dependent Hospitals of Tehran University of Medical Sciences. Journal of Research in Medical and Dental Sciences. 2017; 5 (6):79-84.
 Farhangi H, Moharari F, Garahi L, Arman pour P. Evaluation of stress, anxiety and depression in parents of children with leukemia: brief report. Tehran Univ Med J. 2017; 74(10): 741-745.
 Mami S, Amirian K. The effect of cognitive-behavioral group therapy on mental health and irrational beliefs of mothers with autistic children. Woman & Study of Family. 2015; 8(30): 69-82.
 Mami S, Ebrahimian S, Soltani S. Effectiveness of dialectic behavioral therapy on depression, anxiety and stress in anorexia nervosa disorder: four case study. The Journal of Urmia University of Medical Sciences. 2016; 27(5):384-92.
 Oraki M, VazirNasab B, Alipour A. The Effectiveness of Anger-Based Cognitive Behavioral Intervention on the Mental Health of Infertile Women. Urmia Medical Research Journal. 2015; 26(8): 652-662.
 Domingo RED, Toledo MSW, Mante BVL. Psychosocial Factors Influencing Parental Decision to Allow or Refuse Potentially Lifesaving Enucleation in Children with Retinoblastoma. Asia Pac J Oncol Nurs. 2017; 4(3):191-96.
 Hamama Raz Y, Rot I, Buch binder E. The coping experience of parents of a child with retinoblastoma-malignant eye cancer. J Psychosoc Oncol. 2012; 30(1):21-40.
 Farahani H, AfshariAzad S, Sahebalzamani M. Investigation the Effect of Maternal Narrative Writing on Depression, Anxiety and Stress in Pediatric Stem Cell Transplantation. NeuroQuantology. 2017; 15(4):56-62.
 Collins MLZ, Bregman J, Ford JS, Shields CL. Depression, Anxiety, and Stress in Parents of Patients with Retinoblastoma. Am J Ophthalmol. 2019; 207:130-43.
 Willard VW, Qaddoumi I, Zhang H, Huang L, Russell KM, Brennan R, et al. A longitudinal investigation of parenting stress in caregivers of children with retinoblastoma. Pediatr Blood Cancer. 2017; 64(4):10.1002/pbc.26279.
 Gelkopf MJ, Chang TE, Zhang Y, Zhang C, Yi K, Fang V, et al. Parental coping with retinoblastoma diagnosis. J Psychosoc Oncol. 2019;37(3):319-34.
 Beddard N, McGeechan GJ, Taylor J, Swainston K. Childhood eye cancer from a parental perspective: The lived experience of parents with children who have had retinoblastoma. Eur J Cancer Care (Engl). 2020; 29(2):e13209..
|Issue||Vol 7 No 3 (2021): Summer|
|Retinoblastoma Cognitive behavioral Therapy Anxiety Stress Depression|
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