Psychological interventions for enhancing resilience in parents of children with cancer: A systematic review and meta-analysis
Abstract
Purpose Caring for children with cancer is considerably stressful for parents and may negatively affect their physical and psychological well-being. Resilience plays a pivotal role in maintaining psychological well-being in the face of stress and adversity. The aim of this systematic review was to evaluate the effectiveness of psychological interventions in promoting resilience among parents of children with cancer.Methods Five English databases and two Chinese databases were subjected to a systematic search from inception to March 2020. The methodological quality of the included randomised controlled trials was evaluated using the Cochrane risk of bias tool (RoB 2.0). Meta-analyses and descriptive analyses were used. Subgroup analyses of the intervention modes and time since diagnosis were also conducted.Results Five studies involving 308 participants were included. The systematic review identified three types of psychological intervention, namely resilience training, self-disclosure and peer support, which had different essential components and characteristics. The meta-analyses of three randomised controlled trials revealed that the psychological interventions enhanced parents' resilience with a large effect size (Hedges' adjusted g 0.92; 95% CI 0.22, 1.62; p = .01).Conclusion Evidence supports the effectiveness of psychological interventions for enhancing resilience in the parents of children with cancer. Healthcare professionals can incorporate evidence-based psychological interventions to enhance resilience to help these parents better navigate adversity, adapt to their children's situations and improve their psychological well-being.
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With the exception of the eSCCIP, most interventions are implemented face-to-face, limiting benefits to rural-remote families.
“With the exception of the eSCCIP [23], most interventions are also implemented face-to-face, limiting benefits to rural-remote families [7,25,27,33].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [27]
Many interventions have not been evaluated with rigorous research designs in pediatric oncology.
“However, few interventions have implemented evidence-based treatments [31,32] and many have not been evaluated with rigorous research designs in pediatric oncology [7,24,25,27].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [27]
Psychological interventions can be effective for parents of children with cancer and other serious illnesses, yielding small-moderate improvements in QOL, anxiety, and other outcomes.
“Psychological interventions can be effective for parents of children with cancer and other serious illnesses [22,23], yielding small–moderate improvements in QOL, anxiety, and other outcomes [23,24,25,26,27,28,29].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [27]
It may have been more feasible to improve other outcomes that map more closely to the content of Cascade, such as perceived peer-support, emotion regulation, or resilience.
“Nonetheless, it may have been more feasible to improve other outcomes that map more closely to the content of Cascade, such as perceived peer-support, emotion regulation, or resilience [27,28].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [27]
A recent meta-analysis of psychological interventions for parents of children with cancer reported that group programs were less effective than individual programs, possibly because participants in individual programs have more opportunities for communication and they can receive more personalized feedback.
“A recent meta-analysis of psychological interventions for parents of children with cancer reported that group programs were less effective than individual programs, possibly because participants in individual programs have more opportunities for communication and they can receive more personalized feedback [27].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [27]
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- Authors
- Luo, Y.-H., Xia, W., He, X.-L., Zhang, J.-P., & Li, H. C. W.
- Affiliations
- Sun Yat-sen University (CN)
- Venue
- Supportive Care in Cancer
- Published
- 2021-06-15
- Volume
- 29
- Issue
- 11
- Pages
- 7101-7110
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W3169727307
- Cited by
- 44
- References
- 37
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 13 · 2023: 8 · 2022: 4 · 2021: 2
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- parental resilience, childhood cancer, psychological intervention, resilience training, self-disclosure, peer support, parental psychological well-being, caregiver stress
- MeSH terms
- Psychosocial Intervention, Child, Humans, Neoplasms, Parents
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