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Assessment of Parental Psychological Stress in Pediatric Cancer: A Review
Abstract
OBJECTIVES: We present an overview of the literature between 1997 and 2007 on parental stress reactions following the diagnosis of childhood cancer and we evaluate methodological strengths and weaknesses of the studies. METHODS: PubMed, PsychInfo, and Cinahl databases were used. Sixty-seven were included in the review. RESULTS: The conceptualization of parental stress and timing of assessment varies considerably between the studies, which makes comparison difficult. Most emotional stress reactions are seen around the time of diagnosis, with mothers reporting more symptoms than fathers. As a group, parents seem relatively resilient, although a subset of parents reports continuing stress even up to 5 years or more postdiagnosis. CONCLUSIONS: The authors recommend clear definitions of parental stress, fixed points in time to assess parental stress, and an approach that highlights both parental strengths and weaknesses. Improved assessment can contribute to tailoring psychological care to those parents most in need.
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“Persistent distress can impair a parent’s ability to respond to the demands of their child’s illness [12–14], and result in the utilization of more hospital resources [15].”
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Metadata
- Authors
- Jantien Vrijmoet-Wiersma, C. M., van Klink, J. M. M., Kolk, A. M., Koopman, H. M., Ball, L. M., & Maarten Egeler, R.
- Affiliations
- Leiden University Medical Center (NL)
- ORCID
- Ball, L. M.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-02-23
- Volume
- 33
- Issue
- 7
- Pages
- 694-706
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2101888006
- Cited by
- 389
- References
- 101
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 18 · 2023: 25 · 2022: 27 · 2021: 29 · 2020: 23 · 2019: 26 · 2018: 30 · 2017: 30 · 2016: 29 · 2015: 30 · 2014: 21 · 2013: 19 · 2012: 24
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- parental stress, childhood cancer, parents of children with cancer, gender differences in stress, parental resilience
- MeSH terms
- Adaptation, Psychological, Child, Humans, Neoplasms, Parents, Psychometrics, Research Design, Risk Factors, Sex Factors, Stress, Psychological, Prevalence, Caregivers, Behavioral Research
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