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Self-injury in yout...
Self-injury in youths who lost a parent to cancer : nationwide study of the impact of family-related and health-care-related factors
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- Bylund-Grenklo, Tove (author)
- Karolinska Institutet,Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden; Research and Development, Stockholm Sjukhem Foundation, Stockholm, Sweden; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
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- Kreicbergs, Ulrika (author)
- Karolinska Institutet,Sophiahemmet Högskola,Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Sophiahemmet University College, Stockholm, Sweden
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- Valdimarsdóttir, Unnur A (author)
- Karolinska Institutet,Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland; Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
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- Nyberg, Tommy (author)
- Karolinska Institutet,Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden
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- Steineck, Gunnar, 1952 (author)
- Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology,Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden; Department of Oncology, Division of Clinical Cancer Epidemiology, The Sahlgrenska Academy, Gothenburg, Sweden
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- Fürst, Carl Johan (author)
- Lund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden; Research and Development, Stockholm Sjukhem Foundation, Stockholm, Sweden; Department of Oncology, Clinical Sciences, Lund University, Lund, Sweden
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(creator_code:org_t)
- 2014-04-04
- 2014
- English.
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In: Psycho-Oncology. - : Wiley. - 1057-9249 .- 1099-1611. ; 23:9, s. 989-997
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Abstract
Subject headings
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- BACKGROUND: Self-injury, a manifestation of severe psychological distress, is increased in cancer-bereaved youths. Little is known about the potential influence on the risk for self-injury of factors that could be clinically relevant to and modifiable by the health-care professionals involved in the care of the dying parent.METHODS: In a nationwide population-based anonymous study, 622 (73.1%) youths (aged 18-26) who, 6 to 9 years earlier at ages 13 to 16, had lost a parent to cancer answered study-specific questions about self-injury and factors related to the family and parental health care.RESULTS: Univariable analyses showed that the risk for self-injury was increased among cancer-bereaved youths who reported poor family cohesion the years before (relative risk [RR], 3.4, 95% confidence interval [CI], 2.5-4.6) and after the loss (RR, 3.3, 95% CI, 2.4-4.4), distrust in the health care provided to the dying parent (RR, 1.7, 95% CI, 1.2-2.4), perceiving poor health-care efforts to cure the parent (RR 1.5, 95% CI, 1.1-2.1) and poor efforts to prevent suffering (RR, 1.6, 95% CI, 1.1-2.4), that at least one of their parents had been depressed or had troubles in life (RR, 1.5, CI, 1.1-2.1) and believing 3 days before the loss that the treatment would probably cure the parent (RR, 1.6, CI, 1.1-2.3). In the total multivariable models, only poor family cohesion before and after the loss remained statistically significantly associated with self-injury.CONCLUSION: Poor family cohesion before and after the loss of a parent to cancer is associated with an increased risk of self-injury in teenage children. Copyright © 2014 John Wiley & Sons, Ltd.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Keyword
- Cancer
- Oncology
- Risk factors
- Self-injury
- Teenage bereavement
- cancer;teenage bereavement;self-injury;risk factors;oncology
Publication and Content Type
- ref (subject category)
- art (subject category)
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