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Losing a child to a...
Losing a child to adolescent cancer : A register‐based cohort study of psychotropic medication use in bereaved parents
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- Hovén, Emma, 1983- (author)
- Uppsala universitet,Fysioterapi,Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
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- Ljungman, Lisa, 1981- (author)
- Uppsala universitet,Reproduktiv hälsa
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- Sveen, Josefin, Docent, 1976- (author)
- Uppsala universitet,Reproduktiv hälsa,Center for Crisis Psychology, University of Bergen, Bergen, Norway
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- Skoglund, Charlotte (author)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Ljungman, Gustaf, 1958- (author)
- Uppsala universitet,Barnonkologisk forskning - särskilt fokus på komplikationer,Pediatric Oncology, Uppsala University Hospital, Uppsala, Sweden
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- Ljung, Rickard (author)
- Karolinska Institutet
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- Wikman, Anna (author)
- Uppsala universitet,Reproduktiv hälsa
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(creator_code:org_t)
- 2022-10-11
- 2023
- English.
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In: Cancer Medicine. - : John Wiley & Sons. - 2045-7634. ; 12:5, s. 6148-6160
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Abstract
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- PurposeTo investigate the short- and long-term risk of psychotropic medication use in parents who lose a child to cancer diagnosed in adolescence.MethodsThis is a Swedish nationwide register-based study including 184 bereaved mothers and 184 bereaved fathers of 184 children diagnosed with cancer in adolescence. Logistic regression analyses, adjusted for sociodemographic characteristics and history of mental health problems, were performed to estimate risk of a prescription of psychotropic medication (anxiolytics, hypnotics/sedatives, antidepressants) in cancer-bereaved parents from 1 year before to 5 years after the child's death, with a general population sample of non-bereaved parents (n = 3291) as referents.ResultsAt the year of the child's death, 28%–36% of mothers and 11%–20% of fathers had a prescription of anxiolytics, hypnotics/sedatives or antidepressants. The corresponding percentages for non-bereaved mothers and fathers were 7%–12% and 4%–7%, respectively. Compared to non-bereaved mothers, bereaved mothers showed higher odds of prescriptions from 1 year before up to four (anxiolytics) and 5 years (hypnotics/sedatives and antidepressants) after the child's death. Bereaved fathers showed higher odds than non-bereaved fathers of prescriptions from 1 year before up to the year of (anxiolytics and hypnotics/sedatives) and 1 year after (antidepressants) the child's death. No differences in odds between bereaved and non-bereaved fathers were found at 2 years after the child's death. Being unmarried, born outside Sweden, and having a history of mental health problems were associated with higher odds of prescribed medications.ConclusionsIndicative of mental health problems of clinical importance, cancer-bereaved parents had a higher prevalence of use of psychotropic medication. A decrease in medication use was evident with time, but still at 5 years after the child's death mothers displayed a higher use while fathers showed no difference to non-bereaved fathers after 2 years.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- adolescence
- bereavement
- cancer
- parents
- psychotropic medication
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Hovén, Emma, 198 ...
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Ljungman, Lisa, ...
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Sveen, Josefin, ...
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Skoglund, Charlo ...
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Ljungman, Gustaf ...
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Ljung, Rickard
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Wikman, Anna
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
- Articles in the publication
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Cancer Medicine
- By the university
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Uppsala University
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Karolinska Institutet