Multiple losses in families of children with cancer: A retrospective sociological analysis

BACKGROUND: Current advances in medicine determine the higher survival rate of children with various nosological forms malignant tumors, which shifts focus attention specialists from development treatment protocols to study early and long-term effects antitumor therapy their families. One urgent problems psychological social rehabilitation pediatric oncology is analysis psycho-traumatic factors medical consequences for childs family when developing a strategy effective support this observation group at stage.
 OBJECTIVE: We aimed specifics living losses families raising child oncopathology features re-adaptation resocialization after overcoming an oncological disease (at remission stage).
 MATERIALS AND METHODS: A retrospective data obtained course sociological parents (n=1298) whose completed tumors presented. The study, carried out by questionnaire survey mothers (n=1131) fathers (n=167) 78 regions Russia, made it possible qualify members cancer terms multiple loss grief substantiate assistance group.
 RESULTS: During establishment diagnosis treatment, experiences some traumatic events associated drastic changes lives. According findings deterioration normal life concerns health (in total, third respondents: 12.9% noted general 15.2% women, serious reproductive disorders); work (leaving dismissal affected 25.3% 2% fathers, 11.4% 9.6% were forced change job or place work); drop level income (the proportion low-income sample was significantly than Russian population as whole 41.8 31.4%, respectively, benefits pensions accounted significant share 57.3% female respondents 26.3% men, there prospects due graduation, relocation, divorce, severance relations relatives friends). Each these perceived stress/loss triggers grieving process (primarily parents) that requires professional help clinical psychologist. In general, range triggering much wider, but quality volume care domestic hospitals are still extremely low.
 CONCLUSION: dynamics need develop strategies methods sick stage, taking into account therapy.