Psychological and Social Problems of Mothers of Children in Need of Palliative Care
Abstract
Background. Pediatric palliative care is provided comprehensively to the whole family having its main purpose to improve the quality of life of the patient and his family. Identifying the actual needs of the family and the child is necessary, as this can help improving the quality of care provided. Current problems, difficulties, and needs should be analyzed taking into account the family's place of residence, standard of living, and other socio-demographic characteristics.
Objectives. The study is aimed to identify the current needs of mothers of children in need of pediatric palliative care living in the Leningrad region.
Study Participants. The study involved 102 women (mean age 39.7 ± 6.365) raising children aged 1 to 18 years in need of palliative care (total number of 104 children, mean age 10.10 ± 4.698). Currently, families receive pediatric palliative care and live in the Leningrad region. The child's disease was detected during infancy.
Methods. The study was conducted using the author's socio-demographic questionnaire designed to identify the current needs of mothers of children in need of palliative care. Spearman's rank correlation criterion was used to perform correlation analysis.
Results. Based on the obtained socio-demographic data, the analysis allowed to identify three groups of urgent needs of mothers of children in need of palliative care: 1) material; 2) social; 3) physical and psychological.
Conclusions. The results made it possible to identify social and psychological targets, such as providing "social respite", support from charitable organizations, psychological support to reduce the intensity of negative experiences, and building social contacts.
References
Andrienko, O.Yu. (2007). Family life changes with the arrival of a disabled child. Vlast i upravlenie na Vostoke Rossii = Power and Governance in the East of Russia, (4), 220–228. (In Russ.)
Azanbekova, G.T., Tazhinova, G.A., Alpysbayeva, N.S. (2023). Psychological and pedagogical support of the family of children with special educational needs. Materialy Ivanovskikh chtenii = Materials of the Ivanovo Readings, 1(40), 9–14. (In Russ.)
Bant'eva, M.N., Manoshkina, E.M., Sokolovskaya, T.A., Matveev, E.N. (2019). Morbidity trends and dynamics of pathology chronization in children aged 0–14 years in the Russian Federation. Sotsial'nye aspekty zdorov'ya naseleniya = Social Aspects of Public Health, 65(5). (In Russ.). https://doi.org/10.21045/2071-5021-2019-65-5-10
Brazgun, T.N., Tkacheva, V.V. (2023). Psychological counseling as a tool for identifying the specifics of parent-child relationships in families of children with disabilities. Sistemnaya psikhologiya i sotsiologiya = Systems Psychology and Sociology, 3(47), 20–31. (In Russ.). https://doi.org/10.25688/2223-6872.2023.47.3.2
Donovan, L.A., Slater, P.J., Delaney, A.M., Baggio, S.J., Herbert, A.R. (2022). Building capability in pediatric palliative care and enhancing education through the voice of parents: the Quality-of-Care Collaborative Australia. Palliative Care and Social Practice, (16), 1–14. https://doi.org/10.1177/26323524221128835
Frankl, V. (2020). The doctor and the soul: Logotherapy and existential analysis. Moscow: Al'pina non-Fikshn Publ. (In Russ.)
Fundamentals of palliative care. (2020). R. Twycross, E. Wilcock, (eds.). Moscow: Vera Hospice Charity Foundation Publ. (In Russ.)
Garanina, M.M., Pirogov, D.G. (2023). Organization of palliative care in a Children's hospice in the Leningrad region. Pediatr = Pediatrician, 14(2), 147–153. (In Russ.). https://doi.org/10.17816/PED142147-153
Guryleva, M.E., Zhuravleva, M.V., Aleeva, G.N. (2006). Quality of life criteria in medicine and cardiology. Russkii meditsinskii zhurnal = Russian Medical Journal, 14(10), 761–763. (In Russ.)
Il'in, E.P. (2011). Motivation and motives. Saint-Petersburg: Piter Publ. (In Russ.)
Il'inskii, S.V. (2017). Factors of psychological well-being of the family. Vestnik Samarskoi gumanitarnoi akademii = Bulletin of the Samara Humanitarian Academy. Series "Psychology", 1(21), 76–92. (In Russ.)
Kolomiets, E.A., Tkach, E.N. (2024). Studying the quality of life of families raising children with disabilities: a review of modern foreign research. Sovremennaya nauka: aktual'nye problemy teorii i praktiki. Seriya: Poznanie = Modern science: actual problems of theory and practice. Series: Cognition, (3), 34–39. (In Russ.). https://doi.org/10.37882/2500-3682.2024.03.05
Mazurova, N.V. (2013). Family and child's illness: issues of psychological adaptation. Lichnost', sem'ya i obshchestvo: voprosy pedagogiki i psikhologii = Personality, Family and Society: Issues of Pedagogy and Psychology, (31), 110–120. (In Russ.)
Odintsova, M.A., Lubovsky, D.V., Ivanova, P.A., Gusarova, E.S. (2022). Special characteristics of the resilience of Russian families in the face of modern challenges (a preliminary study). Psychology in Russia: State of the Art, 15(3), 56–74. https://doi.org/10.11621/pir.2022.0304
Orel, V.I., Gavshchuk, M.V., Lisovskii, O.V. (2024). Prospects for the development of inpatient palliative care in Saint-Petersburg. Meditsina i organizatsiya zdravookhraneniya = Medicine and Healthcare Organization, 9(3), 44–48. (In Russ.). https://doi.org/10.56871/MHCO.2024.23.54.005
Perel'man, N.L. (2019). The history and methodological foundations of ideas about the quality of life. Byulleten' fiziologii i patologii dykhaniya = Bulletin of Physiology and Pathology of Respiration, (72), 112–119. (In Russ.). https://doi.org/10.12737/artide_5d0ad216a56793.6456mi
Poston, D., Turnbull, A., Park, J., Mannan, H., Marquis, J., Wang, M. (2003). Family quality of life: a qualitative inquiry. Mental Retardation, 41(5), 313–328. https://doi.org/10.1352/0047-6765(2003)41<313:FQOLAQ>2.0.CO;2
Potemina, T.E., Kuznetsova, S.V., Pereshein, A.V., Samoilova, O.Yu., Yanushanets, O.I. (2018). Quality of life in healthcare: criteria, goals, prospects. Rossiiskii osteopaticheskii zhurnal = Russian Osteopathic Journal, (3–4), 98–106. (In Russ.). https://doi.org/10.32885/2220-0975-2018-3-4-98-106
Rassam, R.S., Huijer, H.A., Noureddine, S., Smith, E.M.L., Wolfe, J., Fares, S., Abboud, M.R. (2024). Parents providing palliative care for children with cancer. Ecancermedicalscience, 18(1724). https://doi.org/10.3332/ecancer.2024.1724
Rudnova, N.A., Kornienko, D.S., Gavrilova, M.N., Shvedchikova, Yu.S. (2024). Parental beliefs as a factor in the cognitive and socio-emotional development of the child. New Ideas in Child and Educational Psychology, 4(1–2), 3–15. https://doi.org/10.11621/nicep.2024.0401
Sheveleva, D.E. (2021). Preschool education for children with cerebral palsy: current views and content in different countries. Sovremennoe doshkol'noe obrazovanie = Modern Preschool Education, 2(104), 45–55. (In Russ.). https://doi.org/10.24411/1997-9657-2021-10098
Shcherbakova, A.M., Vasilkova, E.A. (2021). Ways of forming a joint productive activity of a parent and a child with developmental disabilities. Voprosy psihicheskogo zdorov'ya detej i podrostkov = Mental Health Issues of Children and Adolescents, 21(3), 27–35. (In Russ.)
Shukshina, L.V., Mizonova, O.V., Firsov, A.A. (2022). The dependence of students' resilience on the socio-psychological climate in the family. Psikhologiya. Istoriko-kriticheskie obzory i sovremennye issledovaniya = Psychology. Historical and Critical Reviews and Modern Research, 11(5А), 122–129. (In Russ.). https://doi.org/10.34670/AR.2022.43.25.016
Sirotina, T.V., Chukanova, T.V., Antonovich, I.V., Kalinina, Yu.A., Mazailova, T.A. (2022). Respite as a technology of social care for families with children with severe and multiple developmental disabilities. Sotsiodinamika = Sociodynamics, (5), 28–37. (In Russ.). https://doi.org/10.25136/2409-7144.2022.5.37997
Sobkin, V.S., Veraksa, A.N., Bukhalenkova, D.A., Fedotova, A.V., Khalutina, Yu.A., Yakupova, V.A. (2017). The role of socio-demographic factors and parental position in the development of a preschool child. Psikhologicheskaya nauka i obrazovanie = Psychological Science and Education, 22(2), 5–16. (In Russ.). https://doi.org/10.17759/pse.2017220201
Tkacheva, V.V. (2023). The needs of parents of people with disabilities in psychocorrective and psychological-pedagogical assistance: as a result of insufficient family resources and stressful effects. In: Fifth All-Russian Scientific and Practical Conference "The family of a special child" (October 23, 2023). (pp. 27–37). Moscow: FSBSI "ICP" Publ. (In Russ.)
Valitova, I.E. (2021). Typology of interaction between a mother and a young child with developmental abnormalities. National Psychological Journal, 1(41), 91–102. (In Russ.). https://doi.org/10.11621/npj.2021.0108
Received: 11/25/2024
Revised: 04/01/2025
Accepted: 05/12/2025
Keywords: palliative care; children; psychological support; quality of life; family; family needs; resources
DOI: https://doi.org/10.11621/TEP-25-14
Available in the on-line version with: 23.06.2025
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