Assessment of Depression and Death Anxiety among Adolescents and Husbands of Palestinian Women with Cancer
DOI:
https://doi.org/10.59994/pau.2023.1.134Abstract
Assessment of Depression and Death Anxiety among Adolescents and Husbands of Palestinian Women with Cancer This study aimed to assess the prevalence of death anxiety and depression among adolescent children and husbands of women with cancer in Palestine. The study involved 285 participants, including 200 adolescents aged 12 to 20 years and 85 husbands of women with cancer who were treated at two major cancer centers in Palestine. The participants completed a self-reported questionnaire to assess death anxiety using the Templer Death Anxiety Scale (DAS) and depression using the Beck Depression Inventory (BDI). The results showed that depression and death anxiety were prevalent among family members of women with cancer, with a significantly higher mean depression score in adolescents than in husbands. The worst depression and highest anxiety mean scores were observed in daughters. In total, up to 20% of the sample had scores indicating clinical depression. The anxiety analysis revealed that 39.9% of all participants had concerns or serious concerns about death, with daughters having the highest percentage. The study found that coping and work were significant predictors of depression among sons of women with cancer while coping, mothers’ education, residence, and monthly income of the family significantly predicted sons’ death anxiety. Age, coping, type and duration of treatment, and care provider were significant predictors of depression among daughters, while age, care provider, monthly income, and mothers’ stage of cancer significantly predicted daughters’ death anxiety. Coping was also a significant predictor for depression and death anxiety in husbands, in addition to work. The study highlights the need for national policy initiation and counseling programs implementation for families with cancer patients, especially for adolescent daughters, and to assess mental disorders, such as depression and death anxiety, among those families.
Keywords:
Depression, Death Anxiety, Adolescents, Women with Cancer, PalestineReferences
Abdel-Khalek, A. (1998). Death, Anxiety, and Depression in Lebanese Undergraduates. OMEGA - Journal of Death and Dying, 37(4), 289–302. https://doi.org/10.2190/CN5K-XF4C-2NPG-17E0
Alacacioglu, A., Ulger, E., Varol, U., Yildiz, I., Salman, T., Bayoglu, V., Dirican, A., Demir, L., Akyol, M., Yildiz, Y., Kucukzeybek, Y., Ataman, G., Can, H., Alacacioglu, I., & Tarhan, M. O. (2014). Depression, anxiety and sexual satisfaction in breast cancer patients and their partners-Izmir oncology group study. Asian Pacific Journal of Cancer Prevention : APJCP, 15(24), 10631–10636. https://doi.org/10.7314/apjcp.2014.15.24.10631
Barnes, J., Kroll, L., Burke, O., Lee, J., Jones, A., & Stein, A. (2000). Qualitative interview study of communication between parents and children about maternal breast cancer. Bmj, 321(7259), 479-482.
Brown, R. T., Fuemmeler, B., Anderson, D., Jamieson, S., Simonian, S., Hall, R. K., & Brescia, F. (2007). Adjustment of children and their mothers with breast cancer. Journal of pediatric psychology, 32(3), 297-308.
Clemmens, D. (2009). The significance of motherhood for adolescents whose mothers have breast cancer. Oncology Nursing Forum, 36 (5), 571–577. http://dx.doi.org/10.1188/09. ONF.571-577
Dakin, S. (2016). The effect of parental cancer on children. New Zealand Medical Student Journal, (23).
Al-Zaben, F., Al-Amoudi, S. M., El-deek, B. S., & Koenig, H. G. (2014). Impact of maternal breast cancer on school-aged children in Saudi Arabia. BMC Research Notes, 7, 1-5.
Gazendam-Donofrio, S. M., Hoekstra, H. J., van der Graaf, W. T., van de Wiel, H. B., Visser, A., Huizinga, G. A., & Hoekstra-Weebers, J. E. (2011). Adolescents’ emotional reactions to parental cancer: effect on emotional and behavioral problems. Journal of pediatric psychology, 36(3), 346-359.
Given, B., Given, C., Sherwood, P. (2012). The challenge of quality cancer care for family caregivers. Seminars in Oncology Nursing, 28(4), 205-212. http://dx.doi.org/10.1016/j.soncn.2012.09.002
Grunfeld, E., Coyle, D., Whelan, T., Clinch, J., Reyno, L., Craig, C. (2004). Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ, 170 (12), 1795-1801. DOI: https://doi.org/10.1503/cmaj.1031205
Harding, S. R., Flannelly, K. J., Weaver, A. J., & Costa, K. G. (2005). The influence of religion on death anxiety and death acceptance. Mental Health, Religion & Culture, 8(4), 253-261.
Gorji, M. A., Bouzar, Z., Haghshenas, M., Kasaeeyan, A. A., Sadeghi, M. R., & Ardebil, M. D. (2012). Quality of life and depression in caregivers of patients with breast cancer. BMC research notes, 5(1), 1-3.
Huizinga, G. A., Visser, A., Zelders-Steyn, Y. E., Teule, J. A., Reijneveld, S. A., & Roodbol, P. F. (2011). Psychological impact of having a parent with cancer. European Journal of Cancer, 47, S239-S246.
Katende, G., Nakimera, L. (2017). Prevalence and correlates of anxiety and depression among family carers of cancer patients in a cancer care and treatment facility in Uganda: A cross-sectional study. African Health Sciences, 17(3), 868-876. https://doi.org/10.4314/ahs.v17i3.30
Kühne, F., Krattenmacher, T., Bergelt, C., Ernst, J. C., Flechtner, H. H., Führer, D., ... & Möller, B. (2012). Parental palliative cancer: psychosocial adjustment and health-related quality of life in adolescents participating in a German family counselling service. BMC Palliative Care, 11(1), 1-9.
Miller, A. K., Lee, B. L., & Henderson, C. E. (2012). Death anxiety in persons with HIV/AIDS: A systematic review and meta-analysis. Death studies, 36(7), 640-663.
Ministry of health (MOH). (2022). Palestinian health information center (PHIC), annual health report 2021, Palestine.
Öngider, N., & Özışık Eyüboğlu, S. (2013). Investigation of death anxiety among depressive patients. Journal of Clinical Psychiatry, 16(1), 34-46.
Sharma, S., Alfatah, M., Bari, V. K., Rawal, Y., Paul, S., & Ganesan, K. (2014). Sphingolipid biosynthetic pathway genes FEN1 and SUR4 modulate amphotericin B resistance. Antimicrobial agents and chemotherapy, 58(4), 2409-2414.
Rainville, F., Dumont, S., Simard, S., & Savard, M. H. (2012). Psychological distress among adolescents living with a parent with advanced cancer. Journal of Psychosocial Oncology, 30(5), 519-534.
Rasmussen, C. H., & Johnson, M. E. (1994). Spirituality and religiosity: Relative relationships to death anxiety. OMEGA-Journal of Death and Dying, 29(4), 313-318.
Saggino, A., & Ronco, A. (1997). Depression, state anxiety, trait anxiety and social desirability as predictive variables for death anxiety. Giornale Italiano di Psicologia, 24, 629–638.
Semple, C. J., & McCance, T. (2010). Parents' experience of cancer who have young children a literature review. Cancer Nursing, 33(2), 110-118. doi:10.1097/NCC.0b013e3181c024bb
Shehadah, F., & Ahmead, M. (2016). Death anxiety and coping mechanism among women with breast cancer attending Beit-Jala Governmental hospitals in Bethlehem. Master thesis, AL-Quds University, Palestine.
Soleimani, M., Lehto, R., Negarandeh, R., Bahrami, N., Chan, Y. (2016). Death Anxiety and Quality of Life in Iranian Caregivers of Patients with Cancer. Cancer Nursing, 40(1):E1-E10.
Visser, A., Huizinga, G. A., van der Graaf, W. T., Hoekstra, H. J., & Hoekstra-Weebers, J. E. (2004). The impact of parental cancer on children and the family: a review of the literature. Cancer treatment reviews, 30(8), 683-694.
Visser, A. (2007). Children's functioning following parental cancer (p. 192).
Visser, A. (2007). Children's functioning following parental cancer. Thesis fully internal (DIV), University of Groningen, Netherlands.
Wang, Y. P., & Gorenstein, C. (2013). Psychometric properties of the Beck Depression Inventory-II: a comprehensive review. Brazilian Journal of Psychiatry, 35, 416-431.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Palestine Ahliya University for Research and Studies
This work is licensed under a Creative Commons Attribution 4.0 International License.