Trajectories of marital, parent-child, and sibling conflict during pediatric cancer treatment.

Katz, Lynn Fainsilber; Fladeboe, Kaitlyn; Lavi, Iris; King, Kevin M.; Kawamura, Joy; Friedman, Debra L.; Compas, Bruce E.; Breiger, David; Lengua, Liliana J.; Gurtovenko, Kyrill; Stettler, Nicole

doi:10.1037/hea0000620

Cited by 31 publications

(26 citation statements)

References 48 publications

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“…These findings seem to indicate that caregiver‐youth dyads behave differently in response to the medical experience but ultimately return to typical patterns as time from diagnosis increases. Either way, the positive relationship pattern demonstrated by the high‐involved group, is congruent with other research, which found caregiver‐youth conflict to be low following diagnosis and treatment …”

Section: Discussionsupporting

confidence: 86%

Impact of the parent‐child relationship on psychological and social resilience in pediatric cancer patients

et al. 2019

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Objectives: The primary objective of this research was to examine patterns of parent-child relationship functioning among pediatric cancer survivors and their caregivers across a variety of relationship indicators (ie, Involvement, Attachment, Communication, Parenting Confidence, and Relational Frustration), and evaluate how these factors relate to psychosocial outcomes in survivors. Methods: Young survivors aged 10 to 18 and their caregivers (N = 165) completed measures related to posttraumatic stress and general distress. Caregivers also completed assessments of parent-child relationship functioning, and survivors completed assessments of social functioning. Latent profile analysis was performed to identify patterns of relationship functioning. Medical, demographic, and parent functioning variables were examined as predictors, and youth's psychological and social functioning were examined as outcomes. Results: A three-class solution was the best fit to the data. The struggling parentchild relationship profile (15%) evidenced below average levels of parent-child relationship functioning across several domains. The normative parent-child relationship (60%), was characterized by average levels of parent-child relationship functioning across all domains. Finally, the high-involved parent-child relationship profile (25%) demonstrated above average levels of parent-child relationship functioning in involved activities, communication, and attachment and normative levels of functioning across all other domains. Medical and parent functioning factors predicted profile membership. In turn, profile membership was associated with survivor psychological and social outcomes. Conclusion: Findings document the importance of extending existing research to examine patterns of parent-child relationship functioning, which may serve as a clinically relevant target to improve psychological and social outcomes in young survivors of childhood cancer. K E Y W O R D S cancer, caregiver-child relationship functioning, oncology, pediatric cancer, survivor emotional adjustment, survivor social adjustment

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Section: Discussionsupporting

confidence: 86%

Impact of the parent‐child relationship on psychological and social resilience in pediatric cancer patients

et al. 2019

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“…The siblings explained that if they articulate their needs, they appear dissatisfied, ungrateful, or even ill mannered. In line with previous research, they changed their behaviour and mode of interacting with their parents, trying to be cooperative and nonconflicting …”

Section: Discussionsupporting

confidence: 76%

“…In line with previous research, they changed their behaviour and mode of interacting with their parents, trying to be cooperative and nonconflicting. 2,5,8,20,[36][37][38] This study demonstrates that the need for intervention is greater when severity of the three variables increases. In relation to this result, the review by Lang et al 20 concluded that siblings request more psychosocial support from services when they experience strong cancer-related emotions.…”

Section: Discussionmentioning

confidence: 64%

Adaption strategies used by siblings to childhood cancer patients

2019

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Objective Siblings of childhood cancer patients experience social challenges. The results presented in this article are part of a larger qualitative study aiming to generate empirical knowledge about social consequences of childhood cancer from the family's perspective. Methods Data were collected through interviews, observational studies, and questionnaires. The study included 68 childhood cancer patients, 39 siblings, and 39 parents from a total of 78 families. Grounded theory informed the data analysis. Results Major life changes caused by childhood cancer entail an emotional hierarchy regarding the accommodation of each family member's need for help. This study identified a dynamic three‐variable, four‐adaption model for adaption strategies among siblings towards their parents, based on the sibling's perspective: (1) receives help without asking; (2) receives help after asking; (3) receives no help despite asking; and (4) receives no help and does not ask. Three variables are elaborative to understand the dynamic in adaption strategies: the patient's prognosis, the course of the disease, and the current situation of the diagnosed child. Even though the adaptions are reported by siblings, both patients and parents are aware of and concerned about the siblings' challenges. Conclusions These results have implications for practice and have the potential to improve social and health care professionals' awareness and ability to offer support and information needed by the families and the siblings. The knowledge presented in this article should be considered basic health care information in line with other information such as treatment protocols.

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“…Nowotwór u dziecka radykalnie zmienia ich sytuację życiową [10]. Diagnoza tej niebezpiecznej choroby zagraża równowadze całego systemu rodzinnego [11]. Sytuacja trudna rodziców jest związana z obawami dotyczącymi zdrowia i życia dziecka, z komunikacją z jego zdrowym rodzeństwem, intensywnością własnych reakcji emocjonalnych rodziców, obawami co do przyszłości dziecka, pogorszeniem sytuacji finansowej, koniecznością porzucenia pracy zawodowej, jakością opieki szpitalnej oraz wieloma aspektami leczenia i jego skutkami ubocznymi [12][13][14][15][16][17][18].…”

Section: Wprowadzenieunclassified

Sense of coherence and coping styles in parents of children with cancer

Dymecka¹

2018

psy

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Wstęp: Sytuacja rozpoznania choroby nowotworowej u dziecka jest jedną z najtrudniejszych w życiu rodziców, nie dziwi więc fakt, że wywołuje ona stres o bardzo dużym nasileniu. O radzeniu sobie z nim można mówić w kategorii procesu, stylu i strategii. Styl radzenia sobie jest trwałą, osobowościową dyspozycją jednostki do określonego sposobu zmagania się z sytuacjami trudnymi. Jednym z najważniejszych zasobów istotnych w procesie radzenia sobie jest poczucie koherencji, czyli globalna orientacja życiowa, na którą składają się wysokie poczucie zrozumiałości, zaradności i sensowności. Cel pracy: Celem badań było określenie związku pomiędzy poczuciem koherencji a stylami radzenia sobie ze stresem rodziców dzieci chorych onkologicznie. Materiał i metody: W badaniach wykorzystano Kwestionariusz orientacji życiowej (SOC-29) Antonovsky'ego oraz kwestionariusz CISS Endlera i Parkera. Badaniami objęto grupę 25 rodziców przebywających w klinice z chorymi dziećmi. Wyniki i wnioski: Wykazano, że rodzice dzieci z chorobą nowotworową charakteryzowali się średnim poziomem poczucia koherencji oraz dominował u nich najbardziej efektywny styl radzenia sobie-skoncentrowany na zadaniu. Stwierdzono również, że poczucie koherencji koreluje ze stylami radzenia sobie ze stresem. Im wyższe poczucie koherencji, tym bardziej charakterystyczny dla rodziców jest styl skoncentrowany na zadaniu, a rzadziej występuje u nich styl skoncentrowany na emocjach, unikaniu i unikowy związany z wykonywaniem czynności zastępczych.

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Trajectories of marital, parent-child, and sibling conflict during pediatric cancer treatment.

Cited by 31 publications

References 48 publications

Impact of the parent‐child relationship on psychological and social resilience in pediatric cancer patients

Impact of the parent‐child relationship on psychological and social resilience in pediatric cancer patients

Adaption strategies used by siblings to childhood cancer patients

Sense of coherence and coping styles in parents of children with cancer

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