title: [Parental Distress Caused by Child's Cancer Diagnosis].
abstract: BACKGROUND
  Considering that parental well-being influences the healing process of a child significantly, the relevance of psychosocial care of parents with children with cancer is obvious. Since the parental distress has hardly been studied in Germany, this study examines the burdens of parents of children with cancer. In addition, it provides a diagnostic tool that is used to standardize and facilitate the whole patient management.
  
  
  METHODS
  n=213 parents have participated in the survey scheduled from September 2013 to September 2014 in pediatric oncology centers. The examination of parental distress was based on five burdens (namely "depression", "anxiety", "somatization", "posttraumatic stress disorder (PTSD)" and "obsessive-compulsive"). Moreover, confirmatory factor analyzes were calculated which form the basis of the tools.
  
  
  RESULTS
  42% of parents show above-average depression scores (z>1), 56,7% above-average anxiety scores, 30,6% above-average obsessive-compulsive scores, 17,4% above-average PTSD scores and 25,9% above-average somatization scores. The confirmatory factor analyzes provide evidence for a dimensional factor model and a second-order factor model.
  
  
  CONCLUSIONS
  The results show that parents of children with cancer in Germany represent a risk group in terms of developing their own mental health problems.
authors.affiliation: Department of Pediatric Hematology and Oncology, Saarland University Medical Center, Homburg (Saar).
authors.forename: K
authors.initials: K
authors.lastname: Dietrich
authors.affiliation: Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
authors.forename: U
authors.initials: U
authors.lastname: Leiss
authors.affiliation: Department of Pediatric Hematology and Oncology, Medical University of Frankfurt, Frankfurt.
authors.forename: B
authors.initials: B
authors.lastname: Griessmeier
authors.affiliation: Pediatric and Adolescent Medicine - Pediatric Hematology and Oncology, University Hospital of Muenster, Muenster.
authors.forename: A
authors.initials: A
authors.lastname: Wiener
authors.affiliation: Department of Pediatrics, Division of Oncology and Hematology, Charité - Medical University Berlin, Berlin.
authors.forename: A-C
authors.initials: AC
authors.lastname: Minetzke-Gruner
authors.affiliation: Department of Pediatric Hematology and Oncology. Medical University of Hamburg, Hamburg.
authors.forename: D
authors.initials: D
authors.lastname: Linhart
authors.affiliation: Paediatrics 5 - Oncology, Hematology and Immunology, Olgahospital Stuttgart, Stuttgart.
authors.forename: R
authors.initials: R
authors.lastname: Braungart
authors.affiliation: Department of Pediatric Hematology and Oncology, Saarland University Medical Center, Homburg (Saar).
authors.forename: N
authors.initials: N
authors.lastname: Graf
authors.affiliation: Department of Pediatric Hematology and Oncology, Saarland University Medical Center, Homburg (Saar).
authors.forename: G
authors.initials: G
authors.lastname: Wevers-Donauer
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D000066498:Emotional Adjustment; D005260:Female; D005858:Germany; D006785:Hospitals, University; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology*; D008875:Middle Aged; D008960:Models, Psychological; D009369:Neoplasms / Q000175:diagnosis* / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D010346:Patient Care Management; D011594:Psychometrics / Q000706:statistics & numerical data; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications* / Q000175:diagnosis / Q000523:psychology*; D011795:Surveys and Questionnaires