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Articles

Patient and sibling adjustment to pediatric cancer: the roles of parental relationship adjustment and depressive symptoms

, PhD, , MA, , , PhD, , PhD, , MD & , PhD show all
Pages 613-628 | Published online: 17 Sep 2020
 

Abstract

Purpose

Pediatric cancer may impact parents’ partner relationship and increase patient, parent, and sibling distress. This study examined parents’ reports of their relationship adjustment and depressive symptoms and their association with their ratings of patients’ and siblings’ emotional/behavioral problems in families of recently diagnosed pediatric cancer patients.

Design

Cross-sectional questionnaire study.

Sample

A total of 31 parents (87% female; 71% Latino) of pediatric cancer patients.

Methods

Parents reported on their relationship adjustment, depressive symptoms, and the patients’ and siblings’ emotional/behavioral problems.

Findings

Poorer relationship adjustment was correlated with more parent depressive symptoms and patient emotional/behavioral problems. Parent depressive symptoms were positively correlated with emotional/behavioral problems in patients and siblings. After accounting for child age and parent depressive symptoms, relationship adjustment remained significantly associated with patient, but not sibling, problems.

Conclusions

When parents have poorer relationship adjustment following diagnosis, children with cancer may be at increased risk for emotional/behavioral problems.

Implications for psychosocial providers or policy

Interventions targeting the partner relationship may be relevant to supporting family adjustment following diagnosis.

Acknowledgments

We gratefully acknowledge the families who participated.

Data availability statement

The de-identified data that support the findings of this study are available on request from the corresponding authors. The data are not publicly available due to privacy or ethical restrictions.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This study was supported by funding from a University of Texas at Austin Faculty Research Grant.

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