Coping and Attachment in Pediatric Oncohematology

NCT ID: NCT06858163

Last Updated: 2025-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-07-12

Study Completion Date

2026-12-31

Brief Summary

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Cancer can be a traumatic and particularly salient experience in a person's history. The ways in which the pediatric patient copes with it depend on the interaction of several factors present in his or her life context, primarily the relationship that is established between parent and child.

Despite the paucity of studies in the literature in this regard, it would seem that parental coping is predictive of child coping. Coping strategies represent the ways in which people try to manage traumatic events or stressful everyday situations.

Currently, the literature identifies two main categories of coping strategies: emotion-oriented and problem-oriented strategies. The former are aimed on reducing stress-induced unpleasant emotions (e.g., problem avoidance, positive reappraisal, etc.); the latter, on the other hand, focus on stress dissolution/alteration (e.g., problem identification and resolution, stress cause research). Some studies, previously conducted in oncology, show that emotion-focused coping strategies are associated with better adaptation immediately after diagnosis, but their positive influence tends to weaken over time; problem-focused coping strategies are more correlated with poor adaptation immediately after diagnosis, but in the later stages of treatment.

The clinical experience with patients in the Pediatric Oncohematology Department brings out the need to develop and structure a psychological assessment model, in order to ensure a more effective care of the family units followed.

The research aims, through a single administration of psychological tests, to investigate the role of attachment and some variables (age, gender, stage of treatment, stage of the disease, social support, resilience, ability to adapt to environmental stimuli, emotional state of of caregivers) on the coping strategies implemented by the parents of patients and the patients themselves, in order to differentiate the types of psychological intervention, to try to reduce psychological distress and increase levels of mental well-being.

Detailed Description

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Conditions

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Pediatric Cancer Coping Behavior Relationship, Parent Child

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Parents cohort

Father and mother of each patient in care at the Pediatric Oncohematology department and enrolled in the study.

The correlation between attachment dynamics and emotional care resources related to coping strategies will be assessed.

Administration of psychological tests will take place one time after the enrollment in the study.

No interventions assigned to this group

Patients cohort

Pediatric patients in care at the Pediatric Oncohematology department. Administration of psychological tests will take place one time after the enrollment in the study.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* parents of both sexes
* age of son/daughter between 8 and 17 years old (included)
* son/daughter being treated at the Pediatric Oncohematology departments involved in the research (Day Hospital and hospitalization)
* good understanding of the Italian language


* age between 8 and 17 years old (included), undergoing treatment at the Pediatric Oncohematology departments (Day Hospital and hospitalization)
* parents enrolled in the study
* good understanding of the Italian language

Exclusion Criteria

● son/daughter in off-therapy


● patients in off-therapy
Minimum Eligible Age

8 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fondazione Soleterre - Strategie di Pace ONLUS

UNKNOWN

Sponsor Role collaborator

Università Pavia - Dipartimento di Scienze del Sistema Nervoso e del Comportamento

UNKNOWN

Sponsor Role collaborator

Università Cattolica Milano - Unità di ricerca sul Trauma, Dipartimento di Psicologia

UNKNOWN

Sponsor Role collaborator

Fondazione IRCCS Policlinico San Matteo di Pavia

OTHER

Sponsor Role lead

Responsible Party

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Marco Zecca

Head of Pediatric Oncohematology department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ospedale San Gerardo, SC Ematologia Pediatrica

Monza, Monza-Brianza, Italy

Site Status RECRUITING

SC Ematologia 2 - Oncoematologia pediatrica

Pavia, Pavia, Italy

Site Status RECRUITING

Struttura Complessa di Pediatria e Oncoematologia Pediatrica, Ospedale SS Annunziata

Taranto, Taranto, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Marco Zecca, MD

Role: CONTACT

+390382501258

Facility Contacts

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Marco Zecca, MD

Role: primary

+390382501258

Maria Montanaro

Role: primary

References

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Lazarus, R. S., and Folkman, S. (1984). Stress, Appraisal and Coping. New York, NY: Springer.

Reference Type BACKGROUND

Sica, C., Magni, C., Ghisi, M., Altoè, G., Sighinolfi, C., Chiri, L. R., & Franceschini, S. (2008). Coping Orientation to Problems Experienced-Nuova Versione Italiana (COPE-NVI): uno strumento per la misura degli stili di coping. Psicoterapia cognitiva e comportamentale, 14(1), 27.

Reference Type BACKGROUND

Monti JD, Winning A, Watson KH, Williams EK, Gerhardt CA, Compas BE, Vannatta K. Maternal and Paternal Influences on Children's Coping with Cancer-Related Stress. J Child Fam Stud. 2017 Jul;26(7):2016-2025. doi: 10.1007/s10826-017-0711-y. Epub 2017 Apr 17.

Reference Type BACKGROUND
PMID: 29056838 (View on PubMed)

Other Identifiers

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CopAt

Identifier Type: -

Identifier Source: org_study_id

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