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The role of depression and emotion regulation on parenting stress in a sample of mothers with cancer

  • Alessandra BaboreEmail author
  • Sonia M. Bramanti
  • Lucia Lombardi
  • Liborio Stuppia
  • Carmen Trumello
  • Ivana Antonucci
  • Alessandra Cavallo
Original Article
  • 34 Downloads

Abstract

Purpose

The aim of the current study was to investigate if and to what extent depression and emotional regulation strategies (namely, cognitive reappraisal and expressive suppression) might lead to parenting stress in a sample of mothers with cancer and in a sample of healthy mothers.

Methods

A sample of mothers with cancer (clinical group; n = 64) and a sample of healthy mothers (control group; n = 80) were administered self-report questionnaires investigating parenting stress (the parenting stress index), depressive symptoms (the Zung depression self-rating scale) and emotion regulation strategies (the emotion regulation questionnaire).

Results

Depressive levels represented the most significant predictor of maternal parenting stress in both groups (p < .001). In addition, cognitive reappraisal (p < .05) but not expressive suppression significantly predicted parenting stress exclusively in the group of mothers with cancer. Finally, cognitive reappraisal was negatively and significantly associated with time since cancer diagnosis to survey.

Conclusions

This study highlights that depressive levels and cognitive reappraisal may play a significant role in parenting stress. The systematic assessment of these variables in women with an oncological diagnosis might help mental health professionals to identify those mothers at risk of developing higher levels of parenting stress ensuring adequate support and preventing negative effects on the parent–child relationship.

Keywords

Cancer Oncology Parenting stress Depression Emotion regulation Cognitive reappraisal 

Abbreviations

PS

parenting stress

PSI/SF

Parenting Stress Index Short Form

Notes

Acknowledgments

The authors thank Dr. Di Silvestre of the Santo Spirito Hospital (Pescara, Italy), Dr. Caloro of the Antonio Perrino Hospital (Brindisi, Italy) and Dr. Carapezza of the Garibaldi-Nesima Hospital (Catania, Italy) and all the mothers who agreed to participate to the study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    World Health Organization (2016) Cancer Retrieved from: http://www.who.int/mediacentre/factsheets/fs297/en/
  2. 2.
    Hagedoorn M, Sanderman R, Bolks HN, Tuinstra J, Coyne JC (2008) Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol Bull 134:1–30CrossRefGoogle Scholar
  3. 3.
    Chochinov H (2001) Depression in cancer patients. Lancet Oncol 2:499–505CrossRefGoogle Scholar
  4. 4.
    Helseth S, Ulfseat N (2003) Having a parent with cancer: coping and quality of life of children during serious illness in the family. Cancer Nurs 26(5):355–362CrossRefGoogle Scholar
  5. 5.
    Vyas A, Babcock Z, Kogut S (2017) Impact of depression treatment on health-related quality of life among adults with cancer and depression: a population-level analysis. J Cancer Surviv 11(5):624–633CrossRefGoogle Scholar
  6. 6.
    Banks E, Byles JE, Gibson RE, Rodgers B, Latz IK, Robinson IA, Williamson AB, Jorm LR (2010) Is psychological distress in people living with cancer related to the fact of diagnosis, current treatment or level of disability? Findings from a large Australian study. Med J Aust 193(5 SUPPL):S62–S67PubMedGoogle Scholar
  7. 7.
    Akechi T, Uchida M, Nakaguchi T, Okuyama T, Sakamoto N, Toyama T, Yamashita H (2015) Difference of patient’s perceived need in breast cancer patients after diagnosis. Jap J Clin Oncol 45(1):75–80CrossRefGoogle Scholar
  8. 8.
    Henry M, Huang LN, Sproule BJ, Cardonick EH (2012) The psychological impact of a cancer diagnosed during pregnancy: determinants of long-term distress. Psychooncology 21(4):444–450CrossRefGoogle Scholar
  9. 9.
    Fiszer C, Dolbeault S, Sultan S, Brédart A (2014) Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: a systematic review. Psychooncology 23(4):361–374CrossRefGoogle Scholar
  10. 10.
    Semple CJ, McCance T (2010) Parents’ experience of cancer who have young children: a literature review. Cancer Nurs 33(2):110–118CrossRefGoogle Scholar
  11. 11.
    Thastum M, Munch-Hansen A, Romer G (2006) Evaluation of a focused short-term preventive counselling project for families with a parent with cancer. Clin Child Psychol Psychiatry 11(4):529–542CrossRefGoogle Scholar
  12. 12.
    Park EM, Deal AM, Check DK, Hanson LC, Reeder-Hayes KE, Mayer DK, Yopp JM, Song MK, Muriel AC, Rosenstein DL (2016) Parenting concerns, quality of life and psychological distress in patients with advanced cancer. Psychooncology 25(8):942–948CrossRefGoogle Scholar
  13. 13.
    Misri S, Kendrick K, Oberlander TF, Norris S, Tomfohr L, Zhang H, Grunau RE (2010) Antenatal depression and anxiety affect post-partum parenting stress: a longitudinal prospective study. Can J Psychiatr 55:222–228CrossRefGoogle Scholar
  14. 14.
    Creasey G, Reese M (1996) Mothers’ and fathers’ perceptions of parenting hassles: associations with psychological symptoms, non-parenting hassles, and child behavior problems. J Appl Dev Psychol 17:393–406CrossRefGoogle Scholar
  15. 15.
    Abidin RR (1995) Parenting stress index. In: professional manual, third edn. Psychological Assessment Resources, Inc, OdessaGoogle Scholar
  16. 16.
    Deater-Deckard K (1998) Parenting stress and child adjustment: some old hypotheses and new questions. Clin Psychol Sci Pract 5:314–332CrossRefGoogle Scholar
  17. 17.
    Morgan J, Robinson D, Aldridge J (2002) Parenting stress and externalizing child behaviour. Child Fam Soc Work 7:219–225CrossRefGoogle Scholar
  18. 18.
    Peh CX, Liu J, Bishop GD, Chan HY, Chua SM, Kua EH, Mahendran R (2017) Emotion regulation and emotional distress: the mediating role of hope on reappraisal and anxiety/depression in newly diagnosed cancer patients. Psychooncology 26:1191–1197CrossRefGoogle Scholar
  19. 19.
    Adler NE, Page AE (2008) Cancer care for the whole patient: meeting psychosocial health needs. the National Academies Press, Washington DCGoogle Scholar
  20. 20.
    Wang Y, Yi J, He J, Chen G, Li L, Yang Y, Zhu X (2014) Cognitive emotion regulation strategies as predictors of depressive symptoms in women newly diagnosed with breast cancer. Psychooncology 23:93–99CrossRefGoogle Scholar
  21. 21.
    Gillanders S, Wild M, Deighan C, Gillanders D (2008) Emotion regulation, affect, psychosocial functioning, and well-being in hemodialysis patients. Am J Kidney Dis 51:651–662CrossRefGoogle Scholar
  22. 22.
    Gross JJ, John OP (2003) Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 85:348–362CrossRefGoogle Scholar
  23. 23.
    Zung WW (1965) A self-rating depression scale. Arch Gen Psychiatry 12:63–70CrossRefGoogle Scholar
  24. 24.
    Marcoulides GA, Hershberger SL (1997) Multivariate statistical methods. A first course. Erlbaum, MahwahGoogle Scholar
  25. 25.
    Tambelli R, Cerniglia L, Cimino S, Ballarotto G (2015) Parent-infant interactions in families with women diagnosed with postnatal depression: a longitudinal study on the effects of a psychodynamic treatment. Front Psychol 6:1210.  https://doi.org/10.3389/fpsyg.2015.01210
  26. 26.
    Cohn JF, Campbell SB, Mathias R, Hopkins J (1990) Face-to-face interaction of postpartum depressed and non-depressed mother-infant pairs at 2 months. Dev Psychol 26(1):15–23CrossRefGoogle Scholar
  27. 27.
    Murray L (1988) Effects of postnatal depression on early infant development: direct studies of early mother-infant interactions. In: Kumar R, Brockington IF (eds) Motherhood and mental illness. Butterworth, London, pp 159–190Google Scholar
  28. 28.
    Gray HP, Edwards DM, O'Callaghan MJ, Cuskelly J, Gibbsons K (2013) Parenting stress in mothers of very preterm infants - influence of development, temperament and maternal depression. Early Hum Dev 89(9):625–629CrossRefGoogle Scholar
  29. 29.
    Pritchard MA, Colditz PB, Cartwright D, Gray PH, Tudehope D, Beller E (2012) Six-week postnatal depression predicts parenting stress profiles in mothers of preterm children. J Reprod Infant Psychol 30(3):303–311CrossRefGoogle Scholar
  30. 30.
    Riva Crugnola C, Ierardi E, Ferro V, Gallucci M, Parodi C, Astengo M (2016) Mother-infant emotion regulation at three months: the role of maternal anxiety, depression and parenting stress. Psychopathology 49:285–294CrossRefGoogle Scholar
  31. 31.
    Salloum A, Stover CS, Swaidan VR, Storch EA (2015) Parent and child PTSD and parent depression in relation to parenting stress among trauma-exposed children. J Child Fam Stud 24:1203–1212CrossRefGoogle Scholar
  32. 32.
    Fernandes C, Muller R, Rodin G (2012) Predictors of parenting stress in patients with haematological cancer. J Psychosoc Oncol 30(1):81–96CrossRefGoogle Scholar
  33. 33.
    McRae K (2016) Cognitive emotion regulation: a review of theory and scientific findings. Curr Opin Behav Sci 10:119–124CrossRefGoogle Scholar
  34. 34.
    Trumello C, Babore A, Candelori C, Morelli M, Bianchi D (2018) Relationship with parents, emotion regulation, and callous-unemotional traits in adolescents’ Internet addiction. Biomed Res Int 2018:7914261CrossRefGoogle Scholar
  35. 35.
    Long KA, Marsland AL (2011) Family adjustment to childhood cancer: a systematic review. Clin Child Fam Psychol Rev 14:57–88CrossRefGoogle Scholar
  36. 36.
    Choi EK, Yoon SJ, Kim JH, Park HJ, Kim JY, Yu ES (2016) Depression and distress in caregivers of children with brain tumors undergoing treatment: psychosocial factors as moderators. Psychooncology 25:544–550CrossRefGoogle Scholar
  37. 37.
    Romer G (2007) Children of somatically ill parents: psychological stressors, ways of coping and perspectives of mental health prevention. Prax Kinderpsychol Kinderpsychiatr 56(10):870–890CrossRefGoogle Scholar
  38. 38.
    Lewis FM, Brandt PA, Cochrane et al (2015) The enhancing connections program: a six-state randomized clinical trial of a cancer parenting program. J Consult Clin Psychol 83(1):12–23CrossRefGoogle Scholar
  39. 39.
    Tavares R, Brandão T, Matos PM (2018) Mothers with breast cancer: a mixed-method systematic review on the impact on the parent-child relationship. Psychooncology 27:367–375CrossRefGoogle Scholar
  40. 40.
    Deater-Deckard K (2005) Parenting stress and children’s development: introduction to the special issue. Infant Child Dev 14:111–115CrossRefGoogle Scholar
  41. 41.
    Moore CW, Rauch PK, Baer L, Pirl WF, Muriel AC (2015) Parenting changes in adults with cancer. Cancer 121(19):3551–3557CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Psychological, Health and Territory Sciences, School of Medicine and Health SciencesUniversity «G. d’Annunzio»ChietiItaly

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