CC BY 4.0 · Indian J Med Paediatr Oncol 2024; 45(03): 202-209
DOI: 10.1055/s-0044-1786967
Review Article

The Crucial Role of Psychosocial Research for Patients and Caregivers: A Narrative Review of Pediatric Psycho-Oncology Research in India

1   Department of Liberal Arts, Indian Institute of Technology Hyderabad, Sangareddy, Telangana, India
› Author Affiliations
Funding The author is supported by the Ministry of Education, Government of India (Doctoral research fellowship).

Abstract

The focus of pediatric cancer research in India has largely been medical and clinical, with little focus on psycho-oncological aspects. Receiving a cancer diagnosis can be life altering for both the patients as well as their families and points to a need for psycho-oncological research. The present narrative review examined original articles on pediatric psycho-oncology research conducted in India particularly in the past two decades. There is promising research in various domains such as survivorship and quality of life, patient needs and psychosocial concerns, communication between health care providers, patients, and caregivers, parent and caregiver needs including psychosocial support and information, as well as some intervention-based studies. With much of the research being conducted within clinical setups through surveys and retrospective data, psychosocial issues faced by patients and their families are discussed along with physical, logistical, and financial concerns, while forays into intervention-based research are still in primary phases but show potential in terms of outcomes and feasibility. There is need for more methodologically rigorous research rooted in strong theoretical foundations, culturally sound models, and with evidence-based examination of all stages and stakeholders involved in providing and receiving care in pediatric cancer.



Publication History

Article published online:
04 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Ganguly S, Kinsey S, Bakhshi S. Childhood cancer in India. Cancer Epidemiol 2021; 71 (Pt B): 101679
  • 2 Satyanarayana L, Asthana S, Labani S P. Childhood cancer incidence in India: a review of population-based cancer registries. Indian Pediatr 2014; 51 (03) 218-220
  • 3 Aziz NM, Oeffinger KC, Brooks S, Turoff AJ. Comprehensive long-term follow-up programs for pediatric cancer survivors. Cancer 2006; 107 (04) 841-848
  • 4 Wiener L, Viola A, Koretski J, Perper ED, Patenaude AF. Pediatric psycho-oncology care: standards, guidelines, and consensus reports. Psychooncology 2015; 24 (02) 204-211
  • 5 Shapiro CL. Cancer survivorship. N Engl J Med 2018; 379 (25) 2438-2450
  • 6 Schepers SA. Commentary: fifty years of development in pediatric psycho-oncology research and practice: how far have we come?. J Pediatr Psychol 2019; 44 (07) 761-763
  • 7 Müller C, Krauth KA, Gerß J, Rosenbaum D. Physical activity and health-related quality of life in pediatric cancer patients following a 4-week inpatient rehabilitation program. Support Care Cancer 2016; 24 (09) 3793-3802
  • 8 Meadows AT. Pediatric cancer survivorship: research and clinical care. J Clin Oncol 2006; 24 (32) 5160-5165
  • 9 Leisenring WM, Mertens AC, Armstrong GT. et al. Pediatric cancer survivorship research: experience of the Childhood Cancer Survivor Study. J Clin Oncol 2009; 27 (14) 2319-2327
  • 10 Duran B. Posttraumatic growth as experienced by childhood cancer survivors and their families: a narrative synthesis of qualitative and quantitative research. J Pediatr Oncol Nurs 2013; 30 (04) 179-197
  • 11 Hendriks MJ, Harju E, Michel G. The unmet needs of childhood cancer survivors in long-term follow-up care: a qualitative study. Psychooncology 2021; 30 (04) 485-492
  • 12 Sadak KT, Gemeda MT, Grafelman M. et al. Identifying metrics of success for transitional care practices in childhood cancer survivorship: a qualitative interview study of survivors. BMC Cancer 2020; 20 (01) 898
  • 13 Bitsko MJ, Cohen D, Dillon R, Harvey J, Krull K, Klosky JL. Psychosocial late effects in pediatric cancer survivors: a report from the Children's Oncology Group. Pediatr Blood Cancer 2016; 63 (02) 337-343
  • 14 Barakat LP, Alderfer MA, Kazak AE. Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers. J Pediatr Psychol 2006; 31 (04) 413-419
  • 15 Aziza YDA, Wang ST, Huang MC. Unmet supportive care needs and psychological distress among parents of children with cancer in Indonesia. Psychooncology 2019; 28 (01) 92-98
  • 16 Jones BL. The Challenge of Quality Care for Family Caregivers in Pediatric Cancer Care. Vol. 28. Elsevier; 2012: 213-220
  • 17 Bober SL, Varela VS. Sexuality in adult cancer survivors: challenges and intervention. J Clin Oncol 2012; 30 (30) 3712-3719
  • 18 Sitorus RS, Moll AC, Suhardjono S. et al. The effect of therapy refusal against medical advice in retinoblastoma patients in a setting where treatment delays are common. Ophthalmic Genet 2009; 30 (01) 31-36
  • 19 Kazak AE, Alderfer M, Rourke MT, Simms S, Streisand R, Grossman JR. Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors. J Pediatr Psychol 2004; 29 (03) 211-219
  • 20 Olteanu C, Dimaras H. Enucleation refusal for retinoblastoma: a global study. Ophthalmic Genet 2016; 37 (02) 137-143
  • 21 Patel CG, Stavas M, Perkins S, Shinohara ET. Central nervous system disease, education, and race impact radiation refusal in pediatric cancer patients. J Pediatr Hematol Oncol 2017; 39 (05) 382-387
  • 22 Datta SS, Saha T, Ojha A. et al. What do you need to learn in paediatric psycho-oncology?. Ecancermedicalscience 2019; 13: 916
  • 23 Mavrides N, Pao M. Updates in paediatric psycho-oncology. Int Rev Psychiatry 2014; 26 (01) 63-73
  • 24 Wiener L, Devine KA, Thompson AL. Advances in pediatric psychooncology. Curr Opin Pediatr 2020; 32 (01) 41-47
  • 25 Arora B, Banavali SD. Pediatric oncology in India: past, present and future. Indian J Med Paediatr Oncol 2009; 30 (04) 121-123
  • 26 Deodhar J, Goswami SS, Sonkusare LN. A retrospective observational study of problems faced by children and adolescents with cancer: a 5-year experience from a pediatric psycho-oncology service in India. Indian J Med Paediatr Oncol 2021; 42 (06) 533-539
  • 27 Satapathy S, Kaushal T, Bakhshi S, Chadda RK. Non-pharmacological interventions for pediatric cancer patients: a comparative review and emerging needs in India. Indian Pediatr 2018; 55 (03) 225-232
  • 28 Sen S. Parents' knowledge and attitude regarding their child's cancer and effectiveness of initial disease counseling in pediatric oncology patients. J Homepage Httpijmr Net In 2020; 8 (05) 29-36
  • 29 Nair M, Paul LT, Latha PT, Parukkutty K. Parents' knowledge and attitude regarding their child's cancer and effectiveness of initial disease counseling in pediatric oncology patients. Indian J Palliat Care 2017; 23 (04) 393-398
  • 30 Seth T. Communication to pediatric cancer patients and their families: a cultural perspective. Indian J Palliat Care 2010; 16 (01) 26-29
  • 31 Singh RK, Raj A, Paschal S, Hussain S. Role of communication for pediatric cancer patients and their family. Indian J Palliat Care 2015; 21 (03) 338-340
  • 32 Shunmugasundaram C, Veeraiah S. Caregivers' perception of psychosocial issues of pediatric patients with osteosarcoma: an exploratory study. J Psychosoc Oncol Res Pract 2020; 2 (01) e15
  • 33 Gopalakrishnan V, Veeraiah S, Chidambaram S, Sudhakar R, Radhakrishnan V. Caregiver's perspective on psychosocial issues of paediatric cancer patients during COVID 19 pandemic lockdown. Psychooncology 2022; 31 (06) 1050-1053
  • 34 Nair M, Parukkutty K, Kommadath S. Effect of a new social support program by voluntary organization in pediatric oncology department in a developing country. Pediatr Hematol Oncol 2014; 31 (03) 212-216
  • 35 Kaushal T, Satapathy S, Bakhshi S, Sagar R, Chadda RK. A parent-child conjoint psychological intervention for children in maintenance phase of acute lymphoblastic leukemia: feasibility and preliminary outcomes from a randomized control pilot trial. Arch Pediatr 2022; 29 (02) 145-152
  • 36 Chari U, Hirisave U, Appaji L. Exploring play therapy in pediatric oncology: a preliminary endeavour. Indian J Pediatr 2013; 80 (04) 303-308
  • 37 Rao VN, Anantharaman Rajeshwari R, Rajagopal R, Normen M. Inception of a pediatric cancer caregiver support group guided by parental needs. Cancer Rep 2022; 5 (06) e1469
  • 38 Rajajee S, Ezhilarasi S, Indumathi D. Psychosocial problems in families of children with cancer. Indian J Pediatr 2007; 74 (09) 837-839
  • 39 Prasad M, Goswami S, Chinnaswamy G, Banavali SD, Kurkure PA. Long-term outcomes in survivors of childhood cancer: a 30-year experience from India. JCO Glob Oncol 2022; 8: e2200044
  • 40 Bansal M, Sharma KK, Bakhshi S, Vatsa M. Perception of Indian parents on health-related quality of life of children during maintenance therapy of acute lymphoblastic leukemia: a comparison with siblings and healthy children. J Pediatr Hematol Oncol 2014; 36 (01) 30-36
  • 41 Rajendranath R, Veeraiah S, Ramesh A, Sagar TG. Late effects of treatment in survivors of childhood cancer from a tertiary cancer center in South India. South Asian J Cancer 2014; 3 (01) 60-65
  • 42 Bansal M, Sharma KK, Vatsa M, Bakhshi S. Comparison of health-related quality of life of children during maintenance therapy with acute lymphoblastic leukemia versus siblings and healthy children in India. Leuk Lymphoma 2013; 54 (05) 1036-1041
  • 43 Jatia S, Prasad M, Paradkar A. et al. Holistic support coupled with prospective tracking reduces abandonment in childhood cancers: a report from India. Pediatr Blood Cancer 2019; 66 (06) e27716
  • 44 Arora B, Kanwar V. Childhood cancers in India: burden, barriers, and breakthroughs. Indian J Cancer 2009; 46 (04) 257-259
  • 45 Levine DR, Liederbach E, Johnson LM. et al. Are we meeting the informational needs of cancer patients and families? Perception of physician communication in pediatric oncology. Cancer 2019; 125 (09) 1518-1526
  • 46 Amador DD, Marcílio AC, Soares Jdos SS, Marques FRB, Duarte AM, Mandetta MA. The strength of information on retinoblastoma for the family of the child. Acta Paul Enferm 2018; 31: 87-94
  • 47 Cox CL, Zhu L, Ojha RP. et al. The unmet emotional, care/support, and informational needs of adult survivors of pediatric malignancies. J Cancer Surviv 2016; 10 (04) 743-758