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Journal of Pediatric Psychology 9(2) pp. 149-163, 1984
© 1984 Society of Pediatric Psychology


research-article

Coping with Pediatric Leukemia: A Two-Year Follow-Up1

Mary Jo Kupst2, Jerome L. Schulman, Helen Maurer, George Honig, Elaine Morgan and Dianne Fochtman

The Children's Memorial Hospital and the Northwestern University Medical School Chicago

2All correspondence should be addressed to Mary Jo Kupst, Department of Child Psychiatry, Children's Memorial Hospital, 2300 Children's Plaza, Chicago, Illinois 60614.

Sixty families of children with acute leukemia who participated in a prospective study of family coping were assessed at 2 years postdiagnosis. A wide variety of coping behaviors was found. According to ratings made by physicians, nurses, psychosocial staff, and themselves, most of the families were coping well. Parents' scores on the Summed Coping Scale of the CPI were generally within the normal range. Variables which correlated significantly with coping at 2 years postdiagnosis were quality of the marital and family relationship, previous coping with the illness, coping of other family members, adequacy of support system, lack of additional stresses, open communication within the family, and an attitude of living in the present. Although it had been effective for mothers in earlier phases of the illness, psychosocial intervention was not significantly related to coping at this time, when most of the children were in remission and doing well medically.

Key words: childhood cancer; leukemia; coping behaviors; California Psychological-Inventory (CPI).


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