Cited by 290Childhood Cancer Survivors' Quality of LifeCancer survivorship and careFamily Support in Illness

Posttraumatic Stress Symptoms During Treatment in Parents of Children With Cancer

Kazak, Anne E., Boeving, C. Alexandra, Alderfer, Melissa A., Hwang, Wei-Ting, Reilly, Anne·2005·Journal of Clinical Oncology

Abstract

Purpose: The conceptualization of childhood cancer and its treatment as traumatic has gained increasing support in the growing literature on medically related posttraumatic stress. Posttraumatic stress symptoms (PTSS) such as intrusive thoughts, physiologic arousal, and avoidance have been documented in mothers and fathers of childhood cancer survivors. In this study we investigated the presence of PTSS in parents of children currently in treatment and their association with treatment intensity and length of time since diagnosis. Methods: Mothers (N = 119) and fathers (N = 52) of children currently in treatment for a childhood malignancy completed questionnaire measures of PTSS. Outcomes on these measures were compared with a sample of parents of childhood cancer survivors from our hospital. Oncologist ratings of treatment intensity were obtained based on diagnosis, treatment modalities, and protocol number. Results: All but one parent reported PTSS. Mean scores indicated moderate PTSS for both mothers and fathers. In families with two participating parents, nearly 80% had at least one parent with moderate-to-severe PTSS. There were minimal associations between PTSS and length of time since diagnosis. Conclusion: PTSS are common among parents of children currently undergoing cancer treatment. Trauma-informed psychosocial interventions can be used to help patients and families, including normalizing the experience as potentially traumatic and using evidence-based interventions that are emerging to facilitate long-term well-being.

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Crossref · 10.1200/jco.2005.09.110

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Authors
Kazak, A. E., Boeving, C. A., Alderfer, M. A., Hwang, W.-T., & Reilly, A.
Affiliations
  • Children's Hospital of Philadelphia (US)
  • From the Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA
Venue
Journal of Clinical Oncology
Published
2005-10-20
Volume
23
Issue
30
Pages
7405-7410
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2101801207
Cited by
290
References
30
Citations by year
2026: 8 · 2025: 8 · 2024: 9 · 2023: 12 · 2022: 12 · 2021: 8 · 2020: 17 · 2019: 8 · 2018: 21 · 2017: 15 · 2016: 19 · 2015: 24 · 2014: 13 · 2013: 18 · 2012: 24
FWCI
10.17
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (CA 88828, R01CA088828)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords
posttraumatic stress symptoms, childhood cancer, parents of children with cancer, treatment intensity, time since diagnosis, parents, trauma-informed interventions, psychosocial well-being, family caregivers
MeSH terms
Adolescent, Adult, Child, Child, Preschool, Diagnosis, Differential, Family, Family Health, Female, Humans, Infant, Male, Neoplasms, Stress Disorders, Post-Traumatic, Prevalence, Disease-Free Survival

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