Comparison of the anxiety levels in children with Acute Lymphoblastic Leukemia and their well siblings using the child drawing: Hospital manual.
- Author:
Efraim P. Culminas
;
Angie Sievert-Fernandez
;
Michael M. Resurreccion
- Publication Type:Journal Article
- Keywords:
Acute Lymphoblastic Leukemia;
Siblings;
Children;
Chronic Illness;
Drawing: Hospital Manual
- MeSH:
Human;
Anxiety;
Precursor Cell Lymphoblastic Leukemia-lymphoma
- From:
Journal of the Philippine Medical Association
2018;97(1):1-14
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVES:The study aims to determine and compare the anxiety of children with acute lymphoblastic leukemia
and their well siblings based on Child drawing: Hospital manual and to identify factors associated with the level
of anxiety.
METHODS:A prospective cross-sectional study was done in the hematology-oncology outpatient clinic and
private clinics of hema-oncology specialist in tertiary pediatric hospitals. The study included children five to
eleven years old diagnosed with Acute Lymphoblastic Leukemia (ALL) and their well siblings.
RESULTS:A total of forty dyads of participants were included in the study. ALL patients presented higher anxiety
scores than their siblings. However, this was not statistically significant. There is a weak direct correlation
between overall anxiety scores of ALL patients and their siblings (p = 0.017). There is insufficient evidence to
demonstrate an association between select clinical factors with anxiety scores. The linear regression model
showed 49.77% in the variation of the anxiety scores.
CONCLUSIONS:There is a direct correlation between overall anxiety scores of ALL patients and their siblings.
There is a positive association with larger family size and child’s response to sibling’s illness. A larger families
are likely to have a healthier environment. The study showed low to average anxiety levels among participants
which may be related to quality of care and support given by the institution and inherent resiliency of the family.
RECOMMENDATIONS:Future research should aim to develop psychological, emotional and behavioral programs in
partnerships with families and other social support groups. Future studies should examine other possible
cultural and psychodynamic factors prevalent in Filipino Family.
- Full text:Comparison of the anxiety levels.pdf
