Identification of Psycho-Social Needs and Coping Strategies in Children with Cancer

Abstract

Background: Studies have shown that cancer creates a variety of problems and issues for children with cancer. It creates unique challenges for both the patients and their families. Despite the severe stress associated with these problems, most children are able to adequately cope with and adapt to cancer. However, some of the patients experience more severe or prolonged problems that require psychological support. The present study investigated the needs and coping strategies of Iranian children aged 9 to 13 with cancer. The goal was to determine the needs, concerns and coping strategies in children after being diagnosed with cancer. Methods: For this purpose, 12 children aged 9-13 with cancer as well as their mothers were selected from among children admitted to Mofid hospital. Patient selection was conducted in a purposeful sampling method. Data was collected in an in-depth semi-structured interview with the child and their mother and then analyzed using content analysis method. Results: The content analysis of individual interviews with the child and mother showed that the main concerns of these children were related to the hospital space, support, society, family and educational needs, which were responded to by five distinct types of coping. These coping methods include spiritual coping, admission of support and assistance, visiting relatives (on a regular basis) in a positive manner and negative behaviors such as active and passive aggression and avoiding presence in the community and society. The findings of this study indicate that Iranian children with cancer have special needs some of which have mental and emotional aspects, including worry about being a burden on their families, and they use different coping strategies to cope with their condition. One of the most important means of coping with cancer are family and relatives. Conclusion: Treatment centers should address these factors in order to improve the mental and physical health of their patients.