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Cited by 207Childhood Cancer Survivors' Quality of LifeFamily Support in IllnessChild and Adolescent Psychosocial and Emotional Development

Parent and family factors associated with child adjustment to pediatric cancer

Robinson, K. E., Gerhardt, C. A., Vannatta, K., Noll, R. B.·2006·Journal of Pediatric Psychology
DOI 10.1093/jpepsy/jsl038
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Abstract

OBJECTIVE: To identify factors that influence the association between parent and child distress among families of children with cancer and comparison peers. METHODS: Parent and child distress, social support, and family environment were assessed among families of 95 children with cancer (94 mothers, 67 fathers) and 98 comparison peers (97 mothers, 77 fathers). RESULTS: Significant associations were found between parent and child distress. For models examining the impact of fathers' distress on children, several moderators were identified (i.e., family environment, child age and gender, a cancer diagnosis, and treatment severity). Family environment also partially mediated father and child distress. CONCLUSIONS: Children whose parents were distressed were more likely to be distressed themselves. Subgroups of children were particularly vulnerable, indicating a need to identify further mechanisms of risk and resilience and to develop family-based interventions. Support was found for including fathers as independent sources of information in pediatric psychology research and clinical practice.

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  • Parents' (particularly mothers') QOL is closely associated with their child's QOL.

    “Some evidence suggests that parents’ (particularly mothers’) QOL is closely associated with their child’s QOL [5,14,15,16].”

    From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [16]

    The Main Effects section reports an association between mothers’ distress and parent-reported child internalizing symptoms, supporting a related parent–child well-being link. It does not establish an association between parents’ and children’s quality of life: parent distress was not associated with child-reported outcomes, and the Discussion describes the observed effects as modest. Page numbers were not available in our copy. (LLM, conf=0.87)

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  • Parents of children with cancer can use more ruminative thinking and defensive coping strategies, both of which can create conflict and poor family cohesion.

    “For example, parents of children with cancer can use more ruminative thinking and defensive coping strategies [13], both of which can create conflict and poor family cohesion [25].”

    From Online parent-targeted cognitive-behavioural therapy intervention to improve quality of life in families of young cancer survivors: study protocol for a randomised controlled trial. (2015) · cites this paper as [25]

    The paper’s discussion of family environment (page unavailable) links parental distress with family difficulties, and the introductory passage notes greater conflict and lower cohesion in families with a distressed parent. It does not say that parents’ ruminative thinking or defensive coping strategies create those conditions; the Discussion instead describes fathers’ distress exacerbating problems in families already characterized by low cohesion and high conflict. (LLM, conf=0.78)

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Authors
Robinson, K. E., Gerhardt, C. A., Vannatta, K., & Noll, R. B.
Affiliations
Children's Hospital of Pittsburgh (US)
ORCID
Venue
Journal of Pediatric Psychology
Publisher
Oxford University Press (OUP)
Published
2006-10-03
Volume
32
Issue
4
Pages
400-410
ISSN
  • 0146-8693 (ISSN-L)
  • 1465-735X
DOI
10.1093/jpepsy/jsl038
OpenAlex
W2111503817
Cited by
207
References
62
Citations by year
2026: 4 · 2025: 8 · 2024: 6 · 2023: 9 · 2022: 6 · 2021: 7 · 2020: 12 · 2019: 12 · 2018: 16 · 2017: 9 · 2016: 10 · 2015: 20 · 2014: 18 · 2013: 16 · 2012: 12
FWCI
6.22
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Pediatric Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
American Cancer Society
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
  • Social Sciences › Sociology and Political Science › Family Support in Illness
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
childhood cancer, child adjustment, parental distress, child distress, family environment, social support, fathers, mothers, peer comparison, treatment severity, child age and gender, family intervention, resilience
MeSH terms
Adaptation, Psychological, Adult, Child, Depression, Family, Family Health, Female, Humans, Male, Neoplasms, Parent-Child Relations, Parents, Surveys and Questionnaires, Social Adjustment, Social Environment, Social Support

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