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Psychological health in siblings who lost a brother or sister to cancer 2 to 9 years earlier.
Karolinska Inst, Div Womens & Childs Hlth, Childhood Canc Res Unit, Stockholm, Sweden ; Sophiahemmet Univ Coll, Stockholm, Sweden ; Karolinska Inst, Div Oncol Pathol, Dept Clin Canc Epidemiol, Stockholm, Sweden.ORCID iD: 0000-0002-6133-8975
Univ Gothenburg, Sahlgrenska Acad, Div Oncol, Dept Clin Canc Epidemiol, Gothenburg, Sweden ; Karolinska Inst, Div Oncol Pathol, Dept Clin Canc Epidemiol, Stockholm, Sweden.
Karolinska Inst, Div Oncol Pathol, Dept Clin Canc Epidemiol, Stockholm, Sweden.
Karolinska Inst, Div Womens & Childs Hlth, Childhood Canc Res Unit, Stockholm, Sweden ;Sophiahemmet Univ Coll, Stockholm, Sweden; Karolinska Inst, Div Womens & Childs Hlth, Childhood Canc Res Unit, Stockholm, Sweden.
2013 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 22, no 3, 683-91 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The objective of this study was to assess long-term psychological distress in siblings who lost a brother or sister to cancer 2 to 9 years earlier, as compared with a control group of non-bereaved siblings from the general population.

METHODS: During 2009, we conducted a nationwide follow-up study in Sweden by using an anonymous study-specific questionnaire. Siblings who had lost a brother or sister to cancer between the years 2000 and 2007 and also a control group of non-bereaved siblings from the general population were invited to participate. The Hospital Anxiety and Depression Scale (HADS) was used to measure psychological distress, and to test for differences in the ordinal outcome responses between the groups, we used Wilcoxon-Mann-Whitney rank-sum test.

RESULTS: Among the bereaved siblings, 174/240 (73%) participated and 219/293 (75%) among the non-bereaved. Self-assessed low self-esteem (p = 0.002), difficulties falling asleep (p = 0.005), and low level of personal maturity (p = 0.007) at follow-up were more prevalent among bereaved siblings. However, anxiety (p = 0.298) and depression (p = 0.946), according to HADS, were similar.

CONCLUSION: Bereaved siblings are at increased risk of low self-esteem, low level of personal maturity and difficulties falling asleep as compared with non-bereaved peers. Yet, the bereaved were not more likely to report anxiety or depression.

Place, publisher, year, edition, pages
2013. Vol. 22, no 3, 683-91 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:du-15106DOI: 10.1002/pon.3053ISI: 000315652500025PubMedID: 22351568OAI: oai:DiVA.org:du-15106DiVA: diva2:741770
Available from: 2014-08-29 Created: 2014-08-29 Last updated: 2015-08-20Bibliographically approved

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