Quality of life in pediatric cancer survivors: Contributions of parental distress and psychosocial family risk
Open accessAbstract
Background: Pediatric survivors of childhood cancer are at increased risk of poor quality of life and social-emotional outcomes following treatment. The relationship between parent psychological distress and child adjustment in pediatric cancer survivors has been well established. However, limited research has examined the factors that may buffer this association. The current study examined the associations between psychosocial family risk factors, parental psychological distress, and health-related quality of life (HRQL) in pediatric cancer survivors. Methods: Fifty-two pediatric cancer survivors (34 males, 18 females, mean age = 11.92) and their parents were recruited from a long-term cancer survivor clinic. Children and their parents who consented to participate completed the Pediatric Quality of Life Inventory 4.0. Parents completed a demographic information form, the Psychosocial Assessment Tool (PAT 2.0) and the Brief Symptom Inventory (BSI). The Intensity of Treatment Rating (itr-3) was evaluated by the research team. Results: Multiple regression analyses revealed that parental psychological distress negatively predicted parent-reported hrql, while treatment intensity, gender, and psychosocial risk negatively predicted parent and child-reported hrql. Psychosocial risk moderated the association between parent psychological distress and parent-reported child hrql (p = 0.03), whereby parents with high psychological distress but low levels of psychosocial risk reported their children to have higher HRQL. Conclusion: Low levels of family psychosocial risk buffer the impact of parent psychological distress on child HRQL in pediatric cancer survivors. The findings highlight the importance of identifying parents and families with at-risk psychological distress and psychosocial risk in order to provide targeted support interventions to mitigate the impact on HRQL.
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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 [17]
The Introduction (page unavailable) describes impaired emotional support and less sensitive, more hostile, or withdrawn parenting as hypothesized pathways linking parental distress to distress in pediatric cancer survivors. It does not establish that these pathways exacerbate anxiety, depression, or behavioral problems in survivors and siblings; sibling problems are listed as a component of family risk, not as an outcome of parental distress. The Discussion (page unavailable) also reports an association with parent-reported, but not child-reported, survivor quality of life. (LLM, conf=0.86)
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Cites
Stress, social support, and the buffering hypothesis
Cohen, S., & Wills, T. A. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.98.2.310 · Cited by 18,093 · see citing works
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650 · see citing works
Missing data analysis: making it work in the real world
Graham, J. W. (2009) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085530 · Cited by 6,163 · see citing works
The PedsQL™: Measurement Model for the Pediatric Quality of Life Inventory
Varni, J. W., Seid, M., & Rode, C. A. (1999) · Medical Care · doi:10.1097/00005650-199902000-00003 · Cited by 3,291 · see citing works
The PedsQL™ in pediatric cancer
Varni, J. W., Burwinkle, T. M., Katz, E. R., Meeske, K., & Dickinson, P. E. (2002) · Cancer · doi:10.1002/cncr.10428 · Cited by 1,444 · see citing works
Can parents rate their child's health-related quality of life? Results of a systematic review
Eiser, C., & Morse, R. (2001) · Quality of Life Research · doi:10.1023/a:1012253723272 · Cited by 1,179 · see citing works
Hudson, M. M. (2003) · JAMA · doi:10.1001/jama.290.12.1583 · Cited by 809 · see citing works
Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-5-2 · Cited by 731 · see citing works
Survivors of Childhood Cancer in the United States: Prevalence and Burden of Morbidity
Phillips, S. M., Padgett, L. S., Leisenring, W. M., Stratton, K. K., Bishop, K., Krull, K. R., Alfano, C. M., Gibson, T. M., de Moor, J. S., Blanch‐Hartigan, D., et al. (2015) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-14-1418 · Cited by 558 · see citing works
Psychosocial Functioning in Pediatric Cancer
Patenaude, A. F., & Kupst, M. J. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsi012 · Cited by 411 · see citing works
Assessment of Parental Psychological Stress in Pediatric Cancer: A Review
Jantien Vrijmoet-Wiersma, C. M., van Klink, J. M. M., Kolk, A. M., Koopman, H. M., Ball, L. M., & Maarten Egeler, R. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn007 · Cited by 389 · see citing works
Family adjustment to childhood cancer: a systematic review.
Long, K. A., & Marsland, A. L. (2011) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-010-0082-z · Cited by 377 · see citing works
Standards of psychosocial care for parents of children with cancer
Kearney, J. A., Salley, C. G., & Muriel, A. C. (2015) · Pediatric Blood & Cancer · doi:10.1002/pbc.25761 · Cited by 356 · see citing works
Schultz, K. A. P., Ness, K. K., Whitton, J. A., Recklitis, C. J., Zebrack, B., Robison, L. L., Zeltzer, L. K., & Mertens, A. C. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.09.2486 · Cited by 343 · see citing works
Pai, A. L. H., Patiño‐Fernández, A. M., McSherry, M., Beele, D., Alderfer, M. A., Reilly, A. T., Hwang, W., & Kazak, A. E. (2007) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsm053 · Cited by 270 · see citing works
Ljungman, L., Cernvall, M., Grönqvist, H., Ljótsson, B., Ljungman, G., & von Essen, L. (2014) · PLoS ONE · doi:10.1371/journal.pone.0103340 · Cited by 234 · see citing works
Kazak, A. E., Hocking, M. C., Ittenbach, R. F., Meadows, A. T., Hobbie, W. L., DeRosa, B. W., Leahey, A., Kersun, L. S., & Reilly, A. F. (2011) · Pediatric Blood & Cancer · doi:10.1002/pbc.23320 · Cited by 226 · see citing works
Kazak, A. E., Schneider, S. J., DiDonato, S., & Pai, A. L. H. (2015) · Acta Oncologica · doi:10.3109/0284186x.2014.995774 · Cited by 154 · see citing works
Health-related quality of life in children with newly diagnosed cancer: a one year follow-up study
Landolt, M. A., Vollrath, M. E., Niggli, F. K., Gnehm, H. E., & Sennhauser, F. H. (2006) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-4-63 · Cited by 153 · see citing works
Health-Related Quality of Life Among Child and Adolescent Survivors of Childhood Cancer
Speechley, K. N., Barrera, M. E., Shaw, A. K., MORRISON, H. I., & Maunsell, E. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2005.03.9628 · Cited by 149 · see citing works
Psychosocial Follow‐Up in Survivorship as a Standard of Care in Pediatric Oncology
Lown, E. A., Phillips, F., Schwartz, L. A., Rosenberg, A. R., & Jones, B. L. (2015) · Pediatric Blood & Cancer · doi:10.1002/pbc.25783 · Cited by 141 · see citing works
Quality of Life and Symptoms in Pediatric Brain Tumor Survivors
Macartney, G. M., Harrison, M. B., VanDenKerkhof, E. G., Stacey, D., & McCarthy, P. (2014) · Journal of Pediatric Oncology Nursing · doi:10.1177/1043454213520191 · Cited by 124 · see citing works
Anderson, F. S., & Kunin‐Batson, A. (2008) · Pediatric Blood & Cancer · doi:10.1002/pbc.21700 · Cited by 115 · see citing works
Family psychosocial risk, distress, and service utilization in pediatric cancer
Alderfer, M. A., Mougianis, I. D., Barakat, L. P., Beele, D., DiTaranto, S., Hwang, W., Reilly, A. T., & Kazak, A. E. (2009) · Cancer · doi:10.1002/cncr.24587 · Cited by 107 · see citing works
Lund, L. W., Schmiegelow, K., Rechnitzer, C., & Johansen, C. (2010) · Pediatric Blood & Cancer · doi:10.1002/pbc.22883 · Cited by 92 · see citing works
Quality of life of adolescents with cancer: family risks and resources
Barakat, L. P., Marmer, P. L., & Schwartz, L. A. (2010) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-8-63 · Cited by 87 · see citing works
Pierce, L., Hocking, M. C., Schwartz, L. A., Alderfer, M. A., Kazak, A. E., & Barakat, L. P. (2016) · Psycho-Oncology · doi:10.1002/pon.4171 · Cited by 85 · see citing works
Schulte, F., Wurz, A. J., Reynolds, K. A., Strother, D. R., & Dewey, D. (2016) · Pediatric Blood & Cancer · doi:10.1002/pbc.25868 · Cited by 67 · see citing works
Health-related Quality of Life in Pediatric Cancer Survivors
Yağcı‐Küpeli, B., Akyüz, C., Küpeli, S., & Büyükpamukçu, M. (2012) · Journal of Pediatric Hematology/Oncology · doi:10.1097/mph.0b013e3182467f5f · Cited by 54 · see citing works
Okado, Y., Long, A. M., & Phipps, S. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu058 · Cited by 53 · see citing works
Maurice‐Stam, H., Oort, F. J., Last, B. F., Brons, P., Caron, H. N., & Grootenhuis, M. A. (2007) · Pediatric Blood & Cancer · doi:10.1002/pbc.21374 · Cited by 52 · see citing works
Okado, Y., Tillery, R., Sharp, K. M. H., Long, A. M., & Phipps, S. (2015) · Children s Health Care · doi:10.1080/02739615.2014.996883 · Cited by 45 · see citing works
Health‐related quality of life of adolescent and young adult survivors of childhood brain tumors
Barakat, L. P., Li, Y., Hobbie, W. L., Ogle, S. K., Hardie, T., Volpe, E. M., Szabo, M. M., Reilly, M., & Deatrick, J. A. (2014) · Psycho-Oncology · doi:10.1002/pon.3649 · Cited by 40 · see citing works
Penn, A., Lowis, S. P., Hunt, L. P., Shortman, R. I., Stevens, M. C. G., McCarter, R. J., Curran, A., & Sharples, P. (2007) · European Journal of Cancer · doi:10.1016/j.ejca.2007.09.015 · Cited by 36 · see citing works
Momani, T. G., Hathaway, D., & Mandrell, B. N. (2015) · Journal of Pediatric Oncology Nursing · doi:10.1177/1043454215609585 · Cited by 34 · see citing works
Emotional distress in parents of long-term survivors of childhood acute lymphoblastic leukemia
Malpert, A. V., Kimberg, C., Luxton, J., Mullins, L. L., Pui, C., Hudson, M. M., Krull, K. R., & Brinkman, T. M. (2014) · Psycho-Oncology · doi:10.1002/pon.3732 · Cited by 30 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Armstrong MI, Birnie-Lefcovitch S, Ungar MT. Pathways between social support, family well-being, quality of parent- ing, and child resilience: what we know. J Child Fam Stud 2005;14(2):269-81.
- Limbers CA, Larson M. A systematic review of psychometric properties of the Pediatric Quality of Life Inventory 4.0 ge- neric core scales: in pediatric cancer patients and survivors. Expert Review of Quality of Life in Cancer Care 2016;(10)145-52.
Cited by
Sorted by citations
Bakula, D. M., Sharkey, C. M., Perez, M. N., Espeleta, H. C., Gamwell, K. L., Baudino, M. N., Delozier, A. M., Chaney, J. M., Alderson, R. M., & Mullins, L. L. (2019) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2019.09.024 · Cited by 129 · see citing works
Adawi, M., Zerbetto, R., Re, T., Bisharat, B., Mahamid, M., Amital, H., Puente, G. D., & Bragazzi, N. L. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s173282 · Cited by 73 · see citing works
Long-term health-related quality of life in young childhood cancer survivors and their parents
Fardell, J. E., Wakefield, C. E., De Abreu Lourenco, R., Signorelli, C., McCarthy, M., McLoone, J., Osborn, M., Gabriel, M., Anazodo, A., Alvaro, F., et al. (2021) · Pediatric Blood & Cancer · doi:10.1002/pbc.29398 · Cited by 61 · see citing works
Wakefield, C. E., Sansom-Daly, U. M., McGill, B. C., Hetherington, K., Ellis, S. J., Robertson, E. G., Donoghoe, M. W., McCarthy, M., Kelada, L., Girgis, A., et al. (2021) · Cancers · doi:10.3390/cancers13225597 · Cited by 28 · see citing works
Psychological Impact of COVID-19 on Parents of Pediatric Cancer Patients
Guido, A., Marconi, E., peruzzi, L., Dinapoli, N., Tamburrini, G., Attinà, G., Balducci, M., Valentini, V., Ruggiero, A., & Chieffo, D. P. R. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.730341 · Cited by 28 · see citing works
Health-Related Quality of Life and Well-Being in Parents of Infants and Toddlers with Cancer
Morhun, J. M., Racine, N. M., Guilcher, G. M. T., Tomfohr‐Madsen, L. M., & Schulte, F. (2020) · Current Oncology · doi:10.3747/co.27.4937 · Cited by 22 · see citing works
Abadie, A., Massoubre, C., Casagranda, L., Protière, A., Buisson-Papet, G., Trombert‐Paviot, B., Freyçon, C., Isfan, F., Faure‐Conter, C., & Berger, C. (2019) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2019.0056 · Cited by 19 · see citing works
Sand, P. K., Kleiberg, A. N., Kljajić, M., & Lannering, B. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-02387-0 · Cited by 17 · see citing works
Ghriwati, N. A., Stevens, E. M., Velázquez‐Martin, B., Hocking, M. C., Schwartz, L. A., & Barakat, L. P. (2020) · Psycho-Oncology · doi:10.1002/pon.5592 · Cited by 17 · see citing works
Quast, L. F., Lewis, R. W., Lee, J. L., Blount, R. L., & Marchak, J. G. (2021) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsab061 · Cited by 15 · see citing works
Płotka, A., Chęcińska, A., Zając‐Spychała, O., Więckowska, B., Kramer, L., Szymańska, P., Adamczewska-Wawrzynowicz, K., Barełkowska, M., Wachowiak, J., & Derwich, K. (2020) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2020.0086 · Cited by 15 · see citing works
Implementation of Electronic Psychosocial Screening Among Caregivers in Pediatric Oncology
Manikowski, A., Lewis, R. W., Bennett, T., Miller, H., Mertens, A. C., Wasilewski‐Masker, K. J., Escoffery, C., & Marchak, J. G. (2022) · JCO Oncology Practice · doi:10.1200/op.21.00836 · Cited by 11 · see citing works
Koutná, V., & Blatný, M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.554325 · Cited by 10 · see citing works
Hong, H. C., Kim, Y. M., & Min, A. (2021) · Research in Nursing & Health · doi:10.1002/nur.22170 · Cited by 9 · see citing works
O’Mahony, J., Banwell, B., Laporte, A., Brown, A. D., Bolongaita, L., Bar‐Or, A., Yeh, E. A., & Marrie, R. A. (2022) · Multiple Sclerosis Journal · doi:10.1177/13524585211061521 · Cited by 8 · see citing works
Steff, K., Grasemann, M., Ostermann, K., Goretzki, S. C., Rath, P., Reinhardt, D., & Schündeln, M. M. (2024) · World Journal of Pediatrics · doi:10.1007/s12519-024-00829-8 · Cited by 6 · see citing works
Khanjari, S., Tehrani, F. J., Shariatpanahi, S., & Saidee, A. (2021) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_842_20 · Cited by 6 · see citing works
Keller, M. C., Ayr-Volta, L., Marconi, E., Needham, A., Foy, K., Hart, L., Holden, E., Anuar, A., Engelke, K., & Hinderer, K. A. (2024) · Journal of Pediatric Hematology/Oncology Nursing · doi:10.1177/27527530241245636 · Cited by 5 · see citing works
Multilevel Social Determinants of Patient-Reported Outcomes in Young Survivors of Childhood Cancer
Sim, J.-A., Horan, M. R., Choi, J., Srivastava, D. K., Armstrong, G. T., Ness, K. K., Hudson, M. M., & Huang, I. (2024) · Cancers · doi:10.3390/cancers16091661 · Cited by 4 · see citing works
Aksoy, B., Doğan, M. D., Edanur, T. A. R., & İnci, T. (2025) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.70045 · Cited by 4 · see citing works
Vlachos, I. I., Ktena, Y. P., Athanasiadou, A., Charmandari, E., & Moschovi, M. A. (2023) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2022.2160943 · Cited by 3 · see citing works
Psychological Experiences of Parents of Pediatric Cancer Patients during and after COVID-19 Pandemic
Guido, A., Marconi, E., Peruzzi, L., Dinapoli, N., Tamburrini, G., Attinà, G., Romano, A., Maurizi, P., Mastrangelo, S., Chiesa, S., et al. (2024) · Cancers · doi:10.3390/cancers16050891 · Cited by 2 · see citing works
Bovim, L. P., Rotevatn, E. Ø., Kvidaland, H. K., Bogen, B. E., Halvorsen, T., & Engan, M. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-025-01682-w · Cited by 2 · see citing works
Andriastuti, M., Fathinasari, A. D., Arafah, N. R., Asa, A. A., Salsabila, K., & Primacakti, F. (2024) · Paediatrica Indonesiana · doi:10.14238/pi64.3.2024.250-7 · Cited by 2 · see citing works
Quality of life of children with acute lymphoblastic leukemia
Arifah, S., Pookboonmee, R., Patoomwan, A., Kitidumrongsuk, P., & Andarsini, M. R. (2023) · Paediatrica Indonesiana · doi:10.14238/pi63.5.2023.405-10 · Cited by 2 · see citing works
Anggreini, M. S., & Supit, D. M. (2022) · Sari Pediatri · doi:10.14238/sp24.3.2022.151-6 · Cited by 2 · see citing works
Schuerch, K., Salzmann, S., Steiner, L., Lidzba, K., Klein, A., Roessler, J., & Everts, R. (2024) · Pediatric Research · doi:10.1038/s41390-024-03512-w · Cited by 1 · see citing works
Pschychosocial support for distressed parents of Pediatric cancer patients
Suhag, V., Sunita, B., Vats, P., Lohia, N., Pandya, T., Singh, V., & Tiwari, M. (2019) · Integrative Pediatrics and Child Care · doi:10.18314/ipcc.v2i1.1592
GAMBARAN KESEJAHTERAAN PSIKOLOGIS ORANG TUA DARI ANAK DENGAN KANKER YANG MENDAPAT KEMOTERAPI
Paramita, S. A. A. P., Utami, K. C., & Manangkot, M. V. (2022) · Coping Community of Publishing in Nursing · doi:10.24843/coping.2022.v10.i03.p14
Godoy-Casasbuenas, N., Cadena-Camargo, Y., Rodríguez, N. A., de Vries, E., & Yaron, G. (2024) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2024.2345112
The Parent and Sibling’s Support of Pediatric Cancer
Oresti, S., & Elengoe, A. (2024) · Journal of Health Sciences and Epidemiology · doi:10.62404/jhse.v2i2.41
The Self-Awareness and Social Skills of Pediatric Cancer
Oresti, S., & Elengoe, A. (2025) · Journal of Health Sciences and Epidemiology · doi:10.62404/jhse.v2i3.46
Family Support and Quality of Life of Children with Cancer : A Cross-sectional Study
Gannika, L., Mulyadi, M., & Simanjuntak, S. R. (2025) · Jurnal NERS · doi:10.20473/jn.v20i1.61948
Delgado, M. C., Galbete, A., Mallor, F., Leite, A. C. A. B., & García‐Vivar, C. (2026) · Research Square · doi:10.21203/rs.3.rs-9114413/v1
Pra, S. D., McCarthy, M., Takagi, M., & Luca, C. D. (2026) · Pediatric Blood & Cancer · doi:10.1002/1545-5017.70248
Culp, C., Long, C., Ribieras, A., & Sirrine, E. H. (2026) · Current Oncology · doi:10.3390/curroncol33050252
Son, H., Roberson, P. N. E., Wood, G., Park, Y., West, K., & Ghazal, L. V. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1843357
Wedig, J.-M., Burkhardt, B., Kramm, C. M., Ostermann, K., Goretzki, S. C., Dirksen, U., Kurpiers, N., & Schündeln, M. M. (2026) · Pediatric Blood & Cancer · doi:10.1002/1545-5017.70583
- Authors
- Racine, N. M., Khu, M., Reynolds, K., Guilcher, G. M. T., & Schulte, F. S. M.
- Affiliations
- University of Calgary (CA)
- Alberta Children's Hospital (CA)
- Corresponding author
- Schulte, F.S.M.
- Venue
- Current Oncology
- Publisher
- MDPI AG
- Published
- 2018-02-01
- Volume
- 25
- Issue
- 1
- Pages
- 41-48
- ISSN
- 1198-0052 (ISSN-L)
- 1718-7729
- PMC
- PMC5832275
- OpenAlex
- W2792814104
- Cited by
- 39
- References
- 36
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 5 · 2019: 4
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- creativecommons.org/licenses/by/4.0/ (vor)
- Locations
- Current Oncology (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Children's Hospital Foundation
- Alberta Children's Hospital Foundation
- Alberta Children's Hospital Research Institute
- 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
- childhood cancer survivors, health-related quality of life, parental psychological distress, treatment intensity, child adjustment, moderating effect, long-term cancer survivorship
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