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The Role of Parental Distress in Children's Health‐Related Quality of Life in Pediatric Acute Lymphoblastic Leukemia.

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Title: The Role of Parental Distress in Children's Health‐Related Quality of Life in Pediatric Acute Lymphoblastic Leukemia.
Authors: Ferraz, Ana (AUTHOR), Faria, Susana (AUTHOR), Jerónimo, Mónica (AUTHOR), Pereira, M. Graça (AUTHOR)
Source: Psycho-Oncology. Jul2025, Vol. 34 Issue 7, p1-12. 12p.
Subjects: Children's health, Quality of life, Lymphoblastic leukemia, Pediatric oncology, Family-centered care, Comorbidity, Post-traumatic stress, Psychological stress
Abstract: Objective: The diagnosis of childhood acute lymphoblastic leukemia (ALL) and the subsequent treatment‐related challenges impact the children's health‐related quality of life (HRQoL) and parental distress (psychological morbidity and traumatic stress symptoms). This study examined the relationship between parental distress and children's HRQoL, focusing on preschool‐aged children and toddlers. The aims were: to assess changes in children's HRQoL over time, compare HRQoL between children with ALL and healthy children, and evaluate the longitudinal association between parental distress and children's HRQoL. Methods: The sample consisted of 46 parents of children with ALL, 58 parents of healthy children, and their children. Assessments were conducted in the first week of three treatment phases, (T0‐Consolidation; T1‐Intensification; T2‐Maintenance). Linear mixed models and Mann‐Whitney U tests were performed. Results revealed significant improvements in children's HRQoL over time, although lower than the healthy group. Parental psychological morbidity was associated with children's HRQoL at T1 but not at T2. Traumatic stress symptoms showed no association with children's HRQoL. Conclusion: These findings underscore the importance of targeting parental psychological morbidity (anxiety and depression symptoms) during more intensive treatment phases. Incorporating family‐centered care strategies that address parents' psychological morbidity can promote better outcomes for both children and parents, supporting adaptation during this challenging period. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: The Role of Parental Distress in Children's Health‐Related Quality of Life in Pediatric Acute Lymphoblastic Leukemia.
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  Data: <searchLink fieldCode="AR" term="%22Ferraz%2C+Ana%22">Ferraz, Ana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Faria%2C+Susana%22">Faria, Susana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jerónimo%2C+Mónica%22">Jerónimo, Mónica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pereira%2C+M%2E+Graça%22">Pereira, M. Graça</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jul2025, Vol. 34 Issue 7, p1-12. 12p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Children's+health%22">Children's health</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Lymphoblastic+leukemia%22">Lymphoblastic leukemia</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatric+oncology%22">Pediatric oncology</searchLink><br /><searchLink fieldCode="DE" term="%22Family-centered+care%22">Family-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress%22">Post-traumatic stress</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: The diagnosis of childhood acute lymphoblastic leukemia (ALL) and the subsequent treatment‐related challenges impact the children's health‐related quality of life (HRQoL) and parental distress (psychological morbidity and traumatic stress symptoms). This study examined the relationship between parental distress and children's HRQoL, focusing on preschool‐aged children and toddlers. The aims were: to assess changes in children's HRQoL over time, compare HRQoL between children with ALL and healthy children, and evaluate the longitudinal association between parental distress and children's HRQoL. Methods: The sample consisted of 46 parents of children with ALL, 58 parents of healthy children, and their children. Assessments were conducted in the first week of three treatment phases, (T0‐Consolidation; T1‐Intensification; T2‐Maintenance). Linear mixed models and Mann‐Whitney U tests were performed. Results revealed significant improvements in children's HRQoL over time, although lower than the healthy group. Parental psychological morbidity was associated with children's HRQoL at T1 but not at T2. Traumatic stress symptoms showed no association with children's HRQoL. Conclusion: These findings underscore the importance of targeting parental psychological morbidity (anxiety and depression symptoms) during more intensive treatment phases. Incorporating family‐centered care strategies that address parents' psychological morbidity can promote better outcomes for both children and parents, supporting adaptation during this challenging period. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.70207
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      – Code: eng
        Text: English
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        PageCount: 12
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      – SubjectFull: Children's health
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Lymphoblastic leukemia
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      – SubjectFull: Pediatric oncology
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      – SubjectFull: Family-centered care
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      – SubjectFull: Post-traumatic stress
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      – SubjectFull: Psychological stress
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      – TitleFull: The Role of Parental Distress in Children's Health‐Related Quality of Life in Pediatric Acute Lymphoblastic Leukemia.
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            NameFull: Ferraz, Ana
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              M: 07
              Text: Jul2025
              Type: published
              Y: 2025
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