Maternal psychosocial consequences of twins and multiple births following assisted and natural conception: a meta-analysis

The aim of this meta-analysis is to provide new evidence on the effects on maternal health of multiple births due to assisted reproductive technology (ART). A bibliographic search was undertaken using PubMed, PsycINFO, CINAHL and Science Direct. Data extraction was completed using Cochrane Review recommendations, and the review was performed following PRISMA and MOOSE guidelines. Meta-analytic data were analysed using random effects models. Eight papers (2993 mothers) were included. Mothers of ART multiple births were significantly more likely to experience depression (standardized mean difference [SMD] d = 0.198, 95% CI 0.050 − 0.345, z = 2.623, P = 0.009; heterogeneity I2 = 36.47%), and stress (SMD d = 0.177, 95% CI 0.049 − 0.305, P = 0.007; heterogeneity I2 = 0.01%) than mothers of ART singletons. No difference in psychosocial distress (combined stress and depression) (SMD d = 0.371, 95% CI −0.153 − 0.895; I2 = 86.962%, P = 0.001) or depression (d = 0.152, 95% CI −0.179 − 0.483: z = 0.901; I2 = 36.918%) were found between mothers of ART and naturally conceived multiple births. In conclusion, mothers of ART multiple births were significantly more likely to have depression and stress than mothers of ART singletons, but were no different from mothers of naturally conceived multiples

Dimensions of health-related quality of life among short- and long-term breast cancer survivors: a participatory perspective

Dimensions of health-related quality of life among short- and long-term breast cancer survivors: a participatory perspectiv

Using thematic analysis to research the consequences of adolescent cyberbullying

In this case study, we focus on the methodological steps underlying the data collection (sampling, ethical approval, and interviews), the analysis (thematic coding), and the case report

Receiving and breaking bad news: a qualitative study of family carers managing a cancer diagnosis and interactions with healthcare services

Aims: To explore family carer experiences of managing the process of receiving and breaking bad news about cancer. Background: Family carers’ experiences of bad news is underrepresented in the literature. This study involved oncology staff with personal experience of caregiving and carers to develop broader insights into the range of needs and difficulties experienced by family members in the process of managing a cancer diagnosis. This can help facilitate subsequent interactions with healthcare professionals and improve continuity of care. Design: This is a descriptive qualitative study informed by the theory of social constructionism. Data was analysed using template analysis. Methods: Data were collected using semi-structured interviews and focus groups with 4 healthcare professionals and 17 family carers between January and July 2018. A purposive sampling strategy was used. Interviews were transcribed verbatim to explore participant experiences and perspectives on family carers managing a cancer diagnosis. Findings: Three key themes were identified: (1) receiving the bad news; (2) management of bad news and (3) interaction with healthcare and support services. These and associated subthemes are discussed, with recommendations for future research and practice. Conclusions: There was variability in the experiences and needs of carers involved in receiving and breaking the bad news. Impact: Although family members experienced a multitude of difficult emotions when the bad news was shared, they were not often able to discern help from healthcare professionals with sharing the diagnosis with the patient and others. This impacted on access to and use of healthcare and support services. Individualised approaches to communication are needed to enable carers to seek support and provide perspectives on the patient home environment and family structure. This can help tailor breaking the bad news and care plans. Public Contribution: Anonymised results were shared with family carers to validate the congruency of the codes with their experiences.</p

Receiving and breaking bad news: a qualitative study of family carers managing a cancer diagnosis and interactions with healthcare services

Aims: To explore family carer experiences of managing the process of receiving and breaking bad news about cancer. Background: Family carers’ experiences of bad news is underrepresented in the literature. This study involved oncology staff with personal experience of caregiving and carers to develop broader insights into the range of needs and difficulties experienced by family members in the process of managing a cancer diagnosis. This can help facilitate subsequent interactions with healthcare professionals and improve continuity of care. Design: This is a descriptive qualitative study informed by the theory of social constructionism. Data was analysed using template analysis. Methods: Data were collected using semi-structured interviews and focus groups with 4 healthcare professionals and 17 family carers between January and July 2018. A purposive sampling strategy was used. Interviews were transcribed verbatim to explore participant experiences and perspectives on family carers managing a cancer diagnosis. Findings: Three key themes were identified: (1) receiving the bad news; (2) management of bad news and (3) interaction with healthcare and support services. These and associated subthemes are discussed, with recommendations for future research and practice. Conclusions: There was variability in the experiences and needs of carers involved in receiving and breaking the bad news. Impact: Although family members experienced a multitude of difficult emotions when the bad news was shared, they were not often able to discern help from healthcare professionals with sharing the diagnosis with the patient and others. This impacted on access to and use of healthcare and support services. Individualised approaches to communication are needed to enable carers to seek support and provide perspectives on the patient home environment and family structure. This can help tailor breaking the bad news and care plans. Public Contribution: Anonymised results were shared with family carers to validate the congruency of the codes with their experiences.</p

Cancer survivorship, cancer-related PTSD, and positive change: A narrative overview

The Handbook of Stress and Health is a comprehensive and authoritative work that brings together and explores state-of-the-art research on the link between stress and health outcomes