Self-injury in youths who lost a parent to cancer: nationwide study of the impact of family-related and health-care-related factors
(2014) In Psycho-Oncology 23(9). p.989-997- Abstract
- 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... (More)
- 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 (C) 2014 John Wiley & Sons, Ltd. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4720088
- author
- Grenklo, Tove Bylund ; Kreicbergs, Ulrika ; Valdimarsdottir, Unnur A. ; Nyberg, Tommy ; Steineck, Gunnar and Fürst, Carl Johan LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Psycho-Oncology
- volume
- 23
- issue
- 9
- pages
- 989 - 997
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- wos:000341193100004
- scopus:84906940743
- pmid:24706480
- ISSN
- 1099-1611
- DOI
- 10.1002/pon.3515
- language
- English
- LU publication?
- yes
- id
- 7090347f-b1a9-497f-ac8e-8e99df8e9830 (old id 4720088)
- date added to LUP
- 2016-04-01 10:43:20
- date last changed
- 2022-02-02 20:21:57
@article{7090347f-b1a9-497f-ac8e-8e99df8e9830,
abstract = {{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 (C) 2014 John Wiley & Sons, Ltd.}},
author = {{Grenklo, Tove Bylund and Kreicbergs, Ulrika and Valdimarsdottir, Unnur A. and Nyberg, Tommy and Steineck, Gunnar and Fürst, Carl Johan}},
issn = {{1099-1611}},
language = {{eng}},
number = {{9}},
pages = {{989--997}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Psycho-Oncology}},
title = {{Self-injury in youths who lost a parent to cancer: nationwide study of the impact of family-related and health-care-related factors}},
url = {{http://dx.doi.org/10.1002/pon.3515}},
doi = {{10.1002/pon.3515}},
volume = {{23}},
year = {{2014}},
}