title: Psychosocial problems in families of children with cancer.
abstract: OBJECTIVE
  The aim of this study is to assess the effect of diagnosis of cancer on the parents, to study the coping response adopted by the child and the family and to evolve counseling strategies.
  
  
  METHODS
  Prospective questionnaire based. Thirty-four parents of children suffering from cancer were included, of which 15 belonged to joint families and 19 to nuclear families.
  
  
  RESULTS
  The family support played an important role in giving emotional sustenance, besides shared care of the child, the sibling and the household. Emotional and psychological impact was maximum on the mothers. Siblings of the cancer child were also affected both by way of behaviour problems and school performance. Behaviour problems in the cancer child included temper tantrums, as also verbal and physical abuse of mothers. Group therapy was useful for sharing emotional trauma and exchanging day to day problems of childcare. Positive outlook helped in better care of the cancer child.
  
  
  CONCLUSIONS
  The family structure was the foundation for emotional and psychological security. Psychological support by professional tumour support group would enhance this.
authors: Department of Hematology, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India. saralarajajee@yahoo.com
authors: Sarala
authors: S
authors: Rajajee
authors: S
authors: S
authors: Ezhilarasi
authors: D
authors: D
authors: Indumathi
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005190:Family / Q000523:psychology*; D005192:Family Health; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D011446:Prospective Studies; D013315:Stress, Psychological / Q000209:etiology; D011795:Surveys and Questionnaires