Purpose/Objectives: To examine the experiences of being parented when mothers are diagnosed and treated for breast cancer from the perspectives of adolescent daughters.
Research Approach: Empirical phenomenologic.
Setting: Participants were recruited from sites in Indiana and Arizona.
Participants: Eight adolescent daughters whose mothers had been diagnosed with and treated for breast cancer. Ages of the adolescent daughters at the time of diagnosis ranged from 10-15, with an average age of 13.5 years. Ages at the time of the interview ranged from 13-24 years.
Methodologic Approach: An open-ended, audiotaped interview was conducted with each daughter.
Findings: 8 major themes were found: A World Turned Upside Down, Stop the Intrusion—Need to Get Away—Reluctant to Leave, Mom Can't Die, A Hole Where Mom Used to Be, Filling in the Hole Where Mom Used to Be, Being There for Mom—Managing Mom, Managing My Reactions—Being Selfish or Difficult, and Guarded Relief.
Conclusions: The daughters were struggling with changes going on in their lives. They found themselves in reversed roles with their mothers and felt conflicted between meeting their mothers' needs and their own. Daughters required help in communicating their needs to their mothers and others.
Interpretation: Nurses can assist adolescent daughters of mothers with breast cancer to find useful information, discuss effective ways of communicating, and facilitate the use of positive coping mechanisms.
References
American Cancer Society. (2007). Breast cancer facts and figures 2007-2008. Atlanta, GA: Author.
Chalmers, K. I., Kristjanson, L. J., Woodgate, R., Taylor-Brown, J., Nelson, F., Ramserran, S., et al. (2000). Perceptions of the role of the school in providing information and support to adolescent children of women with breast cancer. Journal of Advanced Nursing, 31(6), 1430-1438.
Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential-phenomenological alternatives for psychology (pp. 48-71). New York: Oxford University Press.
Compas, B. E., Worsham, N. L., Ey, S., & Howell, D. C. (1996). When mom or dad has cancer: II. Coping, cognitive appraisals, and psychological distress in children of cancer patients. Health Psychology, 15(3), 167-175.
Cumings, E. M., & Davies, P. T. (2004). Maternal depression and child development. Journal of Child Psychology and Psychiatry, 35(1), 73-112.
Davey, M., Gulish, L., Askew, J., Godette, K., & Childs, N. (2005). Adolescents coping with mom's breast cancer: Developing family intervention programs. Journal of Marital and Family Therapy, 31(2), 247-258.
Elmberger, E., Bolund, C., & Lutzen, K. (2000). Transforming the exhausting to energizing process of being a good parent in the face of cancer. Health Care for Women International, 21(6), 485-499.
Faulkner, R. A., & Davey, M. (2002). Children and adolescents of cancer patients: The impact of cancer of the family. American Journal of Family Therapy, 30(1), 63-72.
Forrest, G., Plumb, C., Ziebland, S., & Stein, A. (2006). Breast cancer in the family—Children's perceptions of their mother's cancer and its initial treatment: Qualitative study. BMJ, 332(7548), 998-1003.
Girogi, A. (1997). The theory, practice and evaluation of the phenomenological methods as a qualitative research procedure. Journal of Phenomenology Psychology, 28(2), 235-260.
Goldberg, J. A., Scott, R. N, Davidson, P. M., Murray, G. D., Stallard, S., George, W. D., et al. (1992). Psychological morbidity in the first year after breast surgery. European Journal of Surgical Oncology, 18(4), 327-331.
Hoke, L. (2001). Psychosocial adjustment in children of mothers with breast cancer. Psycho-Oncology, 10(5), 361-369.
Isel, L. M., Ersek, M. & Lewis, F. M. (1990). How children cope with mother's breast cancer. Oncology Nursing Forum, 17(3, Suppl.), 5-13.
Kliewer, W., Fearnow, M. D., & Miller, P. A. (1996). Coping socialization in middle childhood. Child Development, 67(5), 2339-2357.
Kristjanson, L. J., Chalmers, K., & Woodgate, R. (2004). Information and support needs for adolescent children of women with breast cancer. Oncology Nursing Forum, 31(1), 111-119.
Lewis, F. M., Casey, S. M, Brandt, P. A., Shands, M. E., & Zahlis, E. H. (2006). The Enhancing Connections Program: A pilot evaluation of a cognitive-behavioral intervention for mothers and children affected by breast cancer. Psycho-Oncology, 15(6), 486-497.
Lewis, F. M. & Darby, E. L. (2003). Adolescent adjustment and maternal breast cancer: A test of the "facet hypothesis." Journal of Psychosocial Oncology, 21(4), 81-104.
Lewis, F. M., & Hammond, M. A. (1996). The father's, mother's, and adolescent's functioning with breast cancer. Family Relations, 45(4), 456-465.
Melton, S., & Northouse, L. L. (2001). Family survivorship and quality of life following a cancer diagnosis. Research in Nursing and Health, 24(6), 446-459.
Miereault, G. & Compas, B. (1996). A prospective study of coping and adjustment before and after a parent's death from cancer. Journal of Psychosocial Oncology, 14(4), 1-19.
Oiler, C. (1982). The phenomenological approach in nursing research. Nursing Research, 31(3), 178-181.
Rayson, D. (2001). Adjuvant chemotherapy for women with young children: Our patients as parents. Journal of Clinical Oncology, 19(1), 279-281.
Solvi, H. & Ulfsaet, N. (2003). Having a parent with cancer: Coping and quality of life of children during serious illness in the family. Cancer Nursing, 26(5), 355-362.
Stein, J. A., Riedel, M., Rotheram-Borus, M. J. (1999). Parentification and its impact on adolescent children of parents with AIDS. Family Process, 38(2), 193-208.
Stiffler, D., Haase, J., Hosei, B., & Barada, B. (2008). Parenting experiences with adolescent daughters when mothers have breast cancer. Oncology Nursing Forum, 35(1), 113-120.
Wellish, D. K., Schain, W., Gritz, E. R., & Wang, H. J. (1996). Psychological functioning of daughters of breast cancer patients. Part III: Experiences and perceptions of daughters related to mother's breast cancer. Psycho-Oncology, 5(3), 271-281.
Yates, P. (1999). Family coping: Issues and challenges for cancer nursing. Cancer Nursing, 22(1), 63-71.
