Patterns of posttraumatic stress symptoms in parents of childhood cancer survivors
Abstract
Posttraumatic stress (PTS) symptoms have been reported in mothers and fathers of childhood cancer survivors; however, little is known about patterns of PTS in these families. Cluster analysis was applied to the Posttraumatic Stress Disorder (PTSD) Reaction Index scores of 98 couples parenting adolescent childhood cancer survivors to describe patterns of PTS in families, yielding the following 5 clusters: Minimal PTS, Mothers Elevated, Disengaged, Fathers Elevated, and Elevated PTS. The clusters were validated using data from a structured psychiatric interview, an additional self-report measure of PTS, and an index of family functioning. These clinically meaningful patterns reveal that a majority of families had at least one parent with moderate to severe PTS, which supports development of family-based interventions for this population.
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Many participating parents actually reported good HRQL and low depression/anxiety at baseline and may have had a low need for further help, limiting the relative improvement that could be achieved.
“Aligning with parents in other studies [23,72,73,74], many of our participating parents actually reported good HRQL and low depression/anxiety at baseline (Q1) and may have had a low need for further help, limiting the relative improvement that could be achieved.”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [73]
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- Authors
- Alderfer, M. A., Cnaan, A., Annunziato, R. A., & Kazak, A. E.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Venue
- Journal of Family Psychology
- Published
- 2005-09
- Volume
- 19
- Issue
- 3
- Pages
- 430-440
- ISSN
- 0893-3200 (ISSN-L)
- 1939-1293
- OpenAlex
- W2071671156
- Cited by
- 64
- References
- 52
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 5
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Family Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (CA-15488, R01CA063930, CA63930, R01CA088828, U10CA015488)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- posttraumatic stress symptoms, childhood cancer survivors, parents of cancer survivors, mothers, fathers, couples, family functioning, family intervention, adolescent cancer survivors
- MeSH terms
- Adolescent, Adult, Child, Family, Family Relations, Female, Humans, Interview, Psychological, Male, Middle Aged, Neoplasms, Parents, Self Disclosure, Stress Disorders, Post-Traumatic, Reproducibility of Results, Cluster Analysis, Survivors
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