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Sökning: onr:"swepub:oai:lup.lub.lu.se:7090347f-b1a9-497f-ac8e-8e99df8e9830" > 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

Bylund Grenklo, Tove (författare)
Kreicbergs, Ulrika, (författare)
Sophiahemmet Högskola
Valdimarsdóttir, Unnur A (författare)
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Nyberg, Tommy (författare)
Steineck, Gunnar (författare)
Fürst, Carl Johan (författare)
Grenklo, TB, (författare)
Karolinska Institutet, Department of Oncology-Pathology
Valdimarsdottir, UA, (författare)
Karolinska Institutet, Department of Medical Epidemiology and Biostatistics
Furst, CJ (författare)
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Sophiahemmet Högskola (creator_code:org_t)
Lunds universitet Onkologi och Patologi, MV. (creator_code:org_t)
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Göteborgs universitet Sahlgrenska akademin. Institutionen för kliniska vetenskaper, sektionen för onkologi, radiofysik, radiologi och urologi, Avdelningen för onkologi. 
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2014
Engelska.
Ingår i: Psycho-Oncology. - John Wiley & Sons. - 1099-1611. ; 23:9, s. 989-997
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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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 (C) 2014 John Wiley & Sons, Ltd.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  (hsv//swe)
MEDICAL AND HEALTH SCIENCES  (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Other Medical Sciences -- Other Medical Sciences not elsewhere specified (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

Cancer
Oncology
Risk factors
Self-injury
Teenage bereavement
cancer;teenage bereavement;self-injury;risk factors;oncology

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