Brief report: Pediatric cancer, parental coping style, and risk for depressive, posttraumatic stress, and anxiety symptoms
Abstract
OBJECTIVE: According to the stress and coping goodness of fit model, parents' risk for psychological symptoms was hypothesized to decrease as a function of using emotional regulation and problem appraisal strategies more frequently, and to increase as a function of using problem-solving and avoidant behaviors more frequently to cope with an uncontrollable stressor--pediatric cancer diagnosis. METHODS: Parents (N = 150) completed measures of depression, PTSD, anxiety, and coping style. RESULTS: Regression analyses revealed that symptoms decreased as a function of using problem appraisal and an emotional regulation strategy (social support) more frequently; and increased as a function of using problem-solving strategies, avoidant coping (substance use), and another emotional regulation strategy (negative self-blame) more frequently. CONCLUSIONS: The findings provide some support for the model but suggest that the method of coping (e.g., social support) might be considered in addition to the focus of the coping strategy (e.g., emotional regulation).
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CBT interventions that increase parents' use of adaptive coping strategies may enhance their parenting skills, reduce parents' risk of depression/anxiety, and in turn benefit the whole family.
“Cognitive behavior therapy (CBT) interventions that increase parents’ use of adaptive coping strategies may also enhance their parenting skills, reduce parents’ risk of depression/anxiety, and in turn benefit the whole family [15,19,30].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [30]
CBT can be helpful for parents.
“Despite strong evidence that CBT can be helpful for parents [15,19,30], it is also possible that CBT was not the ideal therapeutic approach with which to tackle parents’ concerns, with other therapeutic approaches also potentially adding value to parents at this timepoint (e.g., acceptance and commitment therapy [22]).”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [30]
Interventions that increase parents' use of adaptive coping strategies in the face of their child's cancer may reduce their risk of depression and anxiety and enhance their parenting skills.
“Interventions that increase parents’ use of adaptive coping strategies in the face of their child’s cancer may reduce their risk of depression and anxiety [26] and enhance their parenting skills [17].”
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Standards of psychosocial care for parents of children with cancer
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“Despite strong evidence that CBT can be helpful for parents [15,19,30], it is also possible that CBT was not the ideal therapeutic approach with which to tackle parents’ concerns, with other therapeutic approaches also potentially adding value to parents at this timepoint (e.”
BackgroundPenner, L. A., Guevarra, D. A., Harper, F. W. K., Taub, J., Phipps, S., Albrecht, T. L., & Kross, E. (2016) · Clinical Psychological Science · doi:10.1177/2167702615602864 · Cited by 29 · see citing works
- Authors
- Greening, L., & Stoppelbein, L.
- Affiliations
- University of Mississippi Medical Center (US)
- Corresponding author
- Greening, Leilani
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-08-02
- Volume
- 32
- Issue
- 10
- Pages
- 1272-1277
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2158963141
- Cited by
- 112
- References
- 19
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 10 · 2016: 9 · 2015: 14 · 2014: 7 · 2013: 9 · 2012: 7
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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 › Grief, Bereavement, and Mental Health
- Keywords
- childhood cancer, parental coping, depression, post-traumatic stress, anxiety, emotion regulation, problem-solving coping, avoidance coping, social support, substance use, parents of children with cancer
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Child, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Neoplasms, Parents, Problem Solving, Regression Analysis, Social Support, Stress Disorders, Post-Traumatic, United States
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