Children's experiences of being diagnosed with cancer at the early stages of treatment; an interpretive phenomenological analysis

Clin Child Psychol Psychiatry. 2019 Jan;24(1):3-18. doi: 10.1177/1359104518788400. Epub 2018 Aug 26.

Abstract

Being given a diagnosis of cancer is a significant and highly distressing event for both children and their families, but little research has been done to explore and understand children's feelings. This study aims to understand from the child's perspective what it feels like to be told you have cancer, with the hope that increased understanding can lead to improved communication and support for children and families. The study uses qualitative methodology. Six children aged 8-12 years with a new diagnosis of cancer took part in two semi-structured interviews at least one week apart. The interviews were conducted using the draw and write technique. The results were analysed using interpretative phenomenological analysis. The report describes the five super-ordinate themes that were identified; initially I felt shocked and scared, chemo is an awful thing, please talk to me; the more I know the better I feel, I will accept treatment and quickly get used to it because I know I will get better and, finally, my family are vital. Implications for clinical practice are discussed. The report highlights the research limitations and areas for future studies.

Keywords: Oncology; cancer; children; communication; diagnosis; experiences; interpretative phenomenological analysis.

MeSH terms

  • Child
  • Female
  • Humans
  • Male
  • Neoplasms / diagnosis
  • Neoplasms / psychology*
  • Neoplasms / therapy
  • Qualitative Research