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Journal of Pediatric Psychology Advance Access published online on August 2, 2007

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm057
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© The Author 2007. 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

Brief Report: Pediatric Cancer, Parental Coping Style, and Risk for Depressive, Posttraumatic Stress, and Anxiety Symptoms

Leilani Greening, PhD and Laura Stoppelbein, PhD

Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center

All correspondence concerning this article should be addressed to Dr Leilani Greening, Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center, 2500 North State Street, Jackson MS 39216. E-mail: greening{at}psychiatry.umsmed.edu.


   Abstract

Objective According to the stress and coping goodness of fit model, parents’ risk for psychological symptoms was hypothesized to decrease as a function of using emotional regulation and problem appraisal strategies more frequently, and to increase as a function of using problem-solving and avoidant behaviors more frequently to cope with an uncontrollable stressor—pediatric cancer diagnosis. Methods Parents (N = 150) completed measures of depression, PTSD, anxiety, and coping style. Results Regression analyses revealed that symptoms decreased as a function of using problem appraisal and an emotional regulation strategy (social support) more frequently; and increased as a function of using problem-solving strategies, avoidant coping (substance use), and another emotional regulation strategy (negative self-blame) more frequently. Conclusions The findings provide some support for the model but suggest that the method of coping (e.g., social support) might be considered in addition to the focus of the coping strategy (e.g., emotional regulation).

Key words: cancer; coping style; parents; pediatric; posttraumatic stress disorder.

Received July 7, 2006; revision received June 10, 2007; accepted June 27, 2007


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