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Journal of Pediatric Psychology Advance Access originally published online on November 3, 2006
Journal of Pediatric Psychology 2007 32(4):400-410; doi:10.1093/jpepsy/jsl038
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Parent and Family Factors Associated with Child Adjustment to Pediatric Cancer

Kristen E. Robinson, BS1, Cynthia A. Gerhardt, PhD1, Kathryn Vannatta, PhD1 and Robert B. Noll, PhD2

1Center for Biobehavioral Health, Columbus Children 's Research Institute and The Ohio State University and 2Child Development Unit, Children 's Hospital of Pittsburgh

All correspondence concerning this article should be addressed to Cynthia A. Gerhardt, PHD, Columbus Children 's Research Institute, Center for Biobehavioral Health, Rm. G362, 700 Children 's Drive, Columbus, Ohio 43205-2696, USA. E-mail: gerhardc{at}ccri.net.


  Abstract

Objective To identify factors that influence the association between parent and child distress among families of children with cancer and comparison peers. Methods Parent and child distress, social support, and family environment were assessed among families of 95 children with cancer (94 mothers, 67 fathers) and 98 comparison peers (97 mothers, 77 fathers). Results Significant associations were found between parent and child distress. For models examining the impact of fathers’ distress on children, several moderators were identified (i.e., family environment, child age and gender, a cancer diagnosis, and treatment severity). Family environment also partially mediated father and child distress. Conclusions Children whose parents were distressed were more likely to be distressed themselves. Subgroups of children were particularly vulnerable, indicating a need to identify further mechanisms of risk and resilience and to develop family-based interventions. Support was found for including fathers as independent sources of information in pediatric psychology research and clinical practice.

Key words: adjustment; cancer; families; family environment; social support.

Received March 10, 2006; revision received June 19, 2006; revision received September 14, 2006; accepted September 24, 2006


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