Applying Principles of Cognitive Behavioral Therapy to Support Caregivers of Children With Cancer

• Published in: Cognitive and behavioral practice Vol. 31; no. 3; pp. 413 - 422
• Main Authors: Salley, Christina G., McDonnell, Glynnis A., Parris, Kendra R.
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.08.2024
• Subjects: caregiver; cognitive behavioral therapy; parent; pediatric cancer; cognitive behavioral therapy; parent; caregiver; pediatric cancer
• ISSN: 1077-7229; 1878-187X
• DOI: 10.1016/j.cbpra.2024.01.004

•Cognitive Behavioral Therapy (CBT) can address concerns of caregivers of children with cancer.•Manualized treatments for caregivers have used cognitive and behavioral techniques.•CBT with caregivers requires flexibility.•Identifying where CBT can help is a task of the therapist. Caregivers of children with cancer face a myriad of stressors related to caring for their child that can place them at risk for mental health concerns above and beyond that of the average adult. Additionally, they grapple with the existential distress caused by the possibility that they may outlive their child. Caregiver distress is not only problematic for their own emotional, spiritual, social, and physical well-being, but also affects the family unit and can interfere with aspects of the child’s treatment. Clinicians trained in cognitive behavioral therapy (CBT) are well suited to support caregivers. Moreover, there is a strong evidence base for using interventions that incorporate cognitive and behavioral approaches with caregivers of children with cancer. We describe CBT’s application to this population through several case examples and also highlight important special considerations.