Mader, Luzius; Frederiksen, Line Elmerdahl; Bidstrup, Pernille Envold; Hargreave, Marie; Kjær, Susanne K; Kuehni, Claudia E; Nielsen, Thomas Tjørnelund; Krøyer, Anja; Winther, Jeanette Falck; Erdmann, Friederike (2021). Hospital Contacts for Psychiatric Disorders in Parents of Children with Cancer in Denmark. JNCI Cancer Spectrum, 5(3), pkab036. Oxford University Press 10.1093/jncics/pkab036
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Background
Having a child diagnosed with cancer is a devastating experience that may affect parentś mental health. We aimed to assess the risk of hospital contacts for psychiatric disorders in parents of children with cancer.
Methods
We conducted a nationwide population-based cohort study using Danish registry data. Parents of children diagnosed with cancer between 1982-2014 (n = 6,689 mothers, n = 5,509 fathers) were matched with comparison parents of cancer-free children (n = 67,544 mothers, n = 55,756 fathers). We used Cox proportional hazards models to estimate the risk of hospital contacts for any psychiatric disorder and specific disorders. Cox models were also used to investigate socio-demographic and cancer-related risk factors for psychiatric disorders.
Results
Incidence rates of hospital contacts for any psychiatric disorder were 426 per 100,000 person-years in mothers of children with cancer and 345 per 100,000 person-years in comparison mothers. For fathers the respective incidence rates were 260 and 262 cases per 100,000 person-years. Compared to parents of cancer-free children, mothers of children with cancer were at an increased risk of hospital contacts for any psychiatric disorder (HR = 1.23, 95%-CI = 1.12-1.36), while no elevated risk was seen in fathers (HR = 0.99, 95%-CI = 0.87-1.13). Among mothers, risks were particularly elevated for affective and stress-related disorders. Parents of deceased children and children diagnosed at a younger age were at particular risk of hospital contacts for psychiatric disorders.
Conclusion
Hospital contacts for psychiatric disorders were overall rare. Healthcare professionals should draw attention to subgroups of vulnerable parents to meet their needs of support and adequate treatment.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Haematology/Oncology 04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) |
UniBE Contributor: |
Mader, Luzius Adrian, Kühni, Claudia |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
2515-5091 |
Publisher: |
Oxford University Press |
Funders: |
[4] Swiss National Science Foundation |
Language: |
English |
Submitter: |
Anette van Dorland |
Date Deposited: |
07 May 2021 15:22 |
Last Modified: |
05 Dec 2022 15:51 |
Publisher DOI: |
10.1093/jncics/pkab036 |
PubMed ID: |
34085001 |
BORIS DOI: |
10.48350/156251 |
URI: |
https://boris.unibe.ch/id/eprint/156251 |
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