Journal of Pediatric Psychology Advance Access published online on November 3, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl038
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1 Center for Biobehavioral Health, Columbus Children's Research Institute and The Ohio State University
* To whom correspondence should be addressed. 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.
Received March 10, 2006
Accepted September 24, 2006
Articles
Parent and Family Factors Associated with Child Adjustment to Pediatric Cancer
Kristen E. Robinson BS 1, Cynthia A. Gerhardt PhD 1 *, Kathryn Vannatta PhD 1, and Robert B. Noll PhD 2
2 Child Development Unit, Children's Hospital of Pittsburgh
Cynthia A. Gerhardt, E-mail: gerhardc{at}ccri.net
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