Family rituals and quality of life in children with cancer and their parents: the role of family cohesion and hope
Open accessAbstract
OBJECTIVE: Family rituals are associated with adaptive functioning in pediatric illness, including quality of life (QoL). This article explores the role of family cohesion and hope as mediators of this association in children with cancer and their parents. METHODS: Portuguese children with cancer (N = 389), on- and off-treatment, and one of their parents completed self-report measures. Structural equation modeling was used to examine direct and indirect links between family rituals and QoL. RESULTS: When children and parents reported higher levels of family rituals, they also reported more family cohesion and hope, which were linked to better QoL. At the dyadic level, children's QoL was related to parents' family rituals through the child's family cohesion. This model was valid across child's age-group, treatment status, and socioeconomic status. CONCLUSIONS: Family rituals are important in promoting QoL in pediatric cancer via family cohesion and hope individually and via family cohesion in terms of parent-child interactions.
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Hope is associated with enhanced mental health and quality of life in the general population.
“hope is associated with enhanced mental health and quality of life in the general population [19-21]”
From A digital, coach-assisted intervention to address the psychosocial needs of young adult cancer survivors: Randomized controlled trial protocol and intervention adaptation process (2024) · cites this paper as [20]
The Abstract (p. 1) reports that greater hope was linked to better quality of life among children with cancer and their parents. The discussion of prior research (p. 2) also links hope to adjustment in specific illness-affected groups, but the paper does not establish the claimed association with both mental health and quality of life in the general population. (LLM, conf=0.86)
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- Authors
- Santos, S., Crespo, C., Canavarro, M. C., & Kazak, A. E.
- Affiliations
- University of Coimbra (PT)
- University of Lisbon (PT)
- Thomas Jefferson University (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-03-16
- Volume
- 40
- Issue
- 7
- Pages
- 664-671
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4542831
- OpenAlex
- W2158777935
- Cited by
- 68
- References
- 36
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 3 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 9 · 2018: 9 · 2017: 3 · 2016: 4 · 2015: 1
- FWCI
- 5.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (K05CA128805)
- 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
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- family rituals, quality of life, childhood cancer, parents of children with cancer, family cohesion, hope, parent-child interaction, mediation, dyads
- MeSH terms
- Adolescent, Adult, Aged, Child, Family, Female, Humans, Male, Middle Aged, Neoplasms, Parents, Quality of Life, Young Adult, Hope
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