title: Parental grieving after a child dies from cancer: is stress from stem cell transplant a factor?
abstract: OBJECTIVE
  to investigate psychological distress, family functioning and complicated grieving in parents whose child had died from cancer, and as a function of whether: (a) the deceased child had also received stem cell transplant (SCT) any time during curative treatment; and (b) the place of the child's death (home or hospital).
  
  
  METHODS
  a cross-sectional case-match design.
  
  
  METHODS
  Fifty-six Australian bereaved parents in two groups: 28 whose child had also received SCT, matched with 28 (on deceased patient variables) whose child had not received SCT.
  
  
  RESULTS
  parents in the 'SCT group' (n = 28) reported relatively higher levels of depression, anxiety and stress, and - for those whose child had also died in hospital - a greater likelihood of meeting the criteria for traumatic grief than those parents whose deceased child had not received SCT. There were no significant group differences in family functioning.
  
  
  CONCLUSIONS
  routine psychosocial screening, especially for families undergoing SCT, may contribute usefully to a proactive model of palliative care in identifying parents at risk for complicated bereavement outcomes.
authors: Centre for Children's Cancer and Blood Disorders, Sydney Children's Hospital, Randwick, New South Wales, Australia.
authors: Donna
authors: D
authors: Drew
authors: Belinda
authors: B
authors: Goodenough
authors: Lucy
authors: L
authors: Maurice
authors: Tali
authors: T
authors: Foreman
authors: Liane
authors: L
authors: Willis
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000523:psychology; D001293:Attitude to Death; D001294:Attitude to Health; D016022:Case-Control Studies; D002648:Child; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005260:Female; D006117:Grief; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008403:Mass Screening; D009369:Neoplasms / Q000523:psychology / Q000628:therapy*; D009517:New South Wales; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D010290:Parents / Q000523:psychology*; D018570:Risk Assessment; D012307:Risk Factors; D033581:Stem Cell Transplantation / Q000523:psychology*; D013315:Stress, Psychological / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*; D011795:Surveys and Questionnaires