Cited by 143Childhood Cancer Survivors' Quality of LifeResilience and Mental HealthFamily Support in Illness

Resilience and psychosocial outcomes in parents of children with cancer

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Rosenberg, Abby R., Wolfe, Joanne, Bradford, Miranda C., Shaffer, Michele L., Yi-Frazier, Joyce P., Curtis, J. Randall, Syrjala, Karen L., Baker, K. Scott·2014·Pediatric Blood & Cancer

Abstract

BACKGROUND: The psychosocial function of parents of children with cancer can impact the well-being of the entire family. Resilience resources are likely related to psychosocial outcomes and may be amenable to intervention. We hypothesized that parents with lower resources would report worse outcomes. METHODS: In the "Understanding Resilience in Parents of Children with Cancer" study, comprehensive surveys were mailed to consecutive, English-speaking parents of children with cancer who were treated at Seattle Children's Hospital and completed therapy between January 1, 2009 and December 31, 2010. Resilience resources were measured by the Connor-Davidson Resilience Scale; outcome measures included psychological distress, health-related behaviors, social and family function, and perceived communication with the medical team. RESULTS: Ninety-six parents (86% of contactable) completed the survey. Compared to population norms, enrolled parents had lower resilience resources, higher psychological distress, and more commonly reported binge drinking. Conversely, they reported higher social support and family adaptability (P < 0.001-0.006). Lower resilience resources were associated with higher distress, lower social support, and lower family function (P < 0.001-0.007). Parents in the lowest quartile of resilience resources had higher odds of frequent sleep difficulties (OR 5.19, 95% CI 1.74,15.45), lower health satisfaction (OR 5.71, 95% CI 2.05,15.92), and decreased ability to express worries to the medical team (OR 4.00, 95% CI 1.43,11.18). CONCLUSIONS: Parents of children with cancer are at risk for poor psychosocial outcomes and those with low resilience resources may be at greater risk. Interventions directed at promoting resilience resources may provide a novel and complimentary approach toward improving outcomes for families facing pediatric cancer.

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Authors
Rosenberg, A. R., Wolfe, J., Bradford, M. C., Shaffer, M. L., Yi-Frazier, J. P., Curtis, J. R., Syrjala, K. L., & Baker, K. S.
Affiliations
  • Seattle Children's Hospital (US)
  • Boston Children's Hospital (US)
  • Seattle Children's Hospital; Seattle Washington
  • University of Washington (US)
Corresponding author
Rosenberg, Abby R.
Venue
Pediatric Blood & Cancer
Publisher
Wiley
Published
2013-11-19
Volume
61
Issue
3
Pages
552-557
ISSN
1545-5009 (ISSN-L)
OpenAlex
W1948412224
Cited by
143
References
36
Citations by year
2026: 2 · 2025: 12 · 2024: 14 · 2023: 10 · 2022: 17 · 2021: 19 · 2020: 15 · 2019: 9 · 2018: 11 · 2017: 9 · 2016: 10 · 2015: 10 · 2014: 5
FWCI
7.78
Type
journal article
Language
en
Open access
Locations
  • Pediatric Blood & Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Conquer Cancer Foundation
  • St. Baldrick's Foundation
  • Javna Agencija za Raziskovalno Dejavnost RS
  • National Cancer Institute (L40 CA170049, R01CA160684, T32CA009351)
  • National Center for Research Resources (UL1RR025014)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords
parental resilience, parents of children with cancer, childhood cancer, psychosocial outcomes, psychological distress, social support, family adaptability, family functioning, sleep disorders, health satisfaction, parent-physician communication, binge drinking, Connor-Davidson Resilience Scale
MeSH terms
Adaptation, Psychological, Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Neoplasms, Parents, Social Support, Resilience, Psychological

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