The Impact of Childhood Cancer on the Family
Abstract
Although a number of investigators have begun to examine the effects of childhood cancer on the family, the relationship between family adjustment and long-term psychosocial outcome is not well understood. The present study explored the relationship betwecn various facets of adaptation to cancer and psychosocial outcome variables asscssed in survivorhood. For 7- four children and their parents were asscssed two years after the children had completed treatment. Parental reactions to the child's illness were related to a variety of psychosocial variables. Most important, parental coping was associated with the long-term adjustment of both parents and child. Also, the amount of emotional distress that parents ex erienced was related to their ability to establish and maintain socially supportive ties with other people.
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Poor parent mental health may compromise parenting skills and may subsequently exacerbate anxiety, depression, and behavioral problems in survivors and siblings.
“Poor parent mental health may compromise parenting skills and may subsequently exacerbate anxiety, depression,_ENREF_24 and behavioral problems in survivors and siblings [15,17,18,19,20].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [19]
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 [19]
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 [19]
Even after their child has been cured, distressed parents may express more anger toward their surviving child, listen less to their children, and have more negative parent-child interactions.
“Even after their child has been cured, distressed parents may express more anger toward their surviving child [17], listen less to their children [18], and have more negative parent–child interactions [19].”
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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- Authors
- Overholser, J. C., & Fritz, G. K.
- Affiliations
- Case Western Reserve University (US)
- Stanford Medicine (US)
- ORCID
- Overholser, James C.
- Venue
- Journal of Psychosocial Oncology
- Publisher
- Informa UK Limited
- Published
- 1990-10-01
- Volume
- 8
- Issue
- 4
- Pages
- 71-85
- ISSN
- 0734-7332 (ISSN-L)
- 1540-7586
- OpenAlex
- W2004125356
- Cited by
- 64
- References
- 27
- Citations by year
- 2022: 1 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 2 · 2012: 2
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosocial Oncology (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
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- childhood cancer, family adjustment, parental coping, parental emotional distress, social support, psychosocial outcomes, cancer survivors, long-term adjustment, parent-child relationship
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