In 2015, an interdisciplinary group of psychosocial experts developed The Standards of Psychosocial Care for Children with Cancer and Their Families. This paper presents data from a national survey of pediatric oncology social workers and their experiences in delivering psychosocial care to children and families. In total, 107 social workers from 81 cancer institutions participated in a 25-item online survey that mirrored the 15 Standards for Psychosocial Care. Both closed and open-ended questions were included. Social work participants reported that psychosocial support is being provided at most cancer centers surveyed, primarily by social workers and child life specialists, addressing adaptation to the cancer diagnosis, treatment, and transitions into survivorship or end-of-life care and bereavement. While social workers reported offering comprehensive services throughout the cancer trajectory, many of the 2015 Standards are not being systematically implemented. Areas for improvement include funding for psychosocial support staff and programs, incorporation of standardized assessment measures, assessment for financial burden throughout treatment and beyond, consistent access to psychology and psychiatry, integrated care for parents and siblings, and more inclusion of palliative care services from time of diagnosis.

The Covid-19 pandemic has been found to negatively impact the psychological well-being of significant numbers of people globally. Many individuals have been challenged by social distancing mandates and the resultant social isolation. Humans, in our modern world, have rarely been as isolated and socially restricted. Social connectedness and support are critical protective factors for human survival and well-being. Social isolation can lead to loneliness, boredom, and can become a risk factor for physical and mental health issues such as anxiety and depression. The attachments formed with dogs, however, can be as strong or even stronger than human connections, and has been shown to relate to fewer physical health and mental health problems, as well as decrease isolation and loneliness. The purpose of this qualitative research was to examine the thoughts, experiences and concerns of 4105 adults regarding their companion dog during the initial months of Covid-19. Data were collected between March 31st–April 19th, 2020 via online survey and themes were coded by the researchers using directed content analysis. Results highlighted a strong human–animal appreciation, and that dog ownership during this pandemic diminished participants’ sense of isolation and loneliness, as well as supported their mental/physical health.

The initial months of COVID-19 forced people to quickly adapt to dramatic changes to their daily lives. As a result of the inevitable decrease in access to social support available during the lockdown phase of COVID-19, countless individuals relied upon their companion dogs and cats. Given the strong connections people often have with their companion animals, this study hypothesized that companion dogs and cats would positively impact guardians’ mental health. Anonymous, cross-sectional online surveys were used to test this premise. A total of 5061 responses, primarily females (89%) from the United States (84%), were analyzed. Results suggest that companion animals played a critical role in helping reduce feelings of depression, anxiety, isolation, and loneliness for a majority of pet guardians. Companion animals also helped increase guardians’ experiences of self-compassion, ability to maintain a regular schedule, feel a sense of purpose and meaning, and cope with uncertainty. This was most pronounced for women under the age of 40 who were highly bonded to their companion animal. In conclusion, our study suggests that a companion dog or cat can buffer the effects of extreme stress and social isolation as witnessed during the COVID-19 pandemic.

Guilt refers to an unpleasant emotional state associated with one’s behaviors, thoughts, or intentions, and it is based on the possibility that one may be in the wrong or that others may have this perception. Parental guilt is one common subtype and is often associated with work–family conflict (WFC). WFC and related guilt have been found to be associated with depression and anxiety. Through an online anonymous survey, the current study was designed to explore dog owners’ guilt surrounding their dogs. Results suggest that dog owners’ guilt and WFC associated with their dog are at levels similar to those reported in human family studies. Additionally, the relationship between dog owners’ guilt and discrepancy between participants’ actual and ideal self, in regard to the role of a dog owner, also mirrored human-only family research. Because pet-related guilt is unrecognized, acknowledged, or supported, we suggest it is disenfranchised. As people return to work, in this period of post-COVID-19 pandemic time, it is paramount that companies and communities acknowledge pet owner guilt and WFC and help owners find practical, effective solutions.

Purpose: This study was designed to identify and explore the social support needs and preferences of young adult cancer patients during the transition process from active treatment to survivorship care. Methods: Semi-structured qualitative interviews were conducted with study participants ( n = 13, ages 17–25 at the time of cancer diagnosis) within ∼6 months of completion of active treatment and again 3 months later. Participants completed a sociodemographic questionnaire at the first study visit. Applied thematic analysis was used to identify themes from participant interviews. Results: Six key themes and 12 subthemes emerged regarding participant interactions with their support system (“Being there,” “Staying strong,” and “Treat me the same”) and health care team (“Connection and relationship building” and “Seeking knowledge and engaging in advocacy”), as well as treatment effects (“Uncertainty, Loss, & Changes in Identity” and “Ups & Downs of Physical Symptoms”), coping strategies (“Keep busy” and “Keep a positive vibe”), support resources (“Support needs change over time”), and post-treatment experiences (“Trying new things to cope with losses” and “Managing expectations with realities”). Conclusion: Study findings suggest that supportive care needs can change during the transition process from active treatment to survivorship care. Young adult life transitions, such as finding employment and making new friendships, are more stressful when complicated by ongoing physical and psychological treatment effects. Social stressors and potential barriers to participation in supportive care services should be discussed openly with patients and caregivers, especially prior to transitions in care.

Using two different analysis techniques, this study explored differences and similarities in information-seeking discourse and overall breast cancer experiences between posters to a Reddit board an...