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Erschienen in: Supportive Care in Cancer 6/2019

18.09.2018 | Original Article

Grandparents of children with cancer: a controlled comparison of perceived family functioning

verfasst von: Lauren Kelada, C. E. Wakefield, E. L. Doolan, D. Drew, L. Wiener, G. Michel, R. J. Cohn

Erschienen in: Supportive Care in Cancer | Ausgabe 6/2019

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Abstract

Purpose

Grandparents can be profoundly emotionally affected when a grandchild is diagnosed with cancer. They also often provide invaluable support for the family (e.g., caring for the sick child and/or siblings). Multigenerational family functioning may therefore change. Limited research has assessed grandparents’ perspectives after their grandchild is diagnosed with cancer. In this study, we aimed to (1) assess differences in perceived family functioning among grandparents of a child with cancer and grandparents of healthy children and (2) assess the cancer-specific and demographic factors related to perceived family functioning in grandparents of a grandchild with cancer.

Procedure

Grandparents of a child with cancer (n = 89) and grandparents of healthy children (n = 133) completed the general functioning, communication, and problem-solving scales of the Family Assessment Device. We used multilevel models with a random intercept to detect (1) between-group differences and (2) identify factors related to perceived family functioning among grandparents with a grandchild with cancer.

Results

Grandparents with a grandchild with cancer reported poorer family functioning than grandparents with healthy grandchildren. Among the grandparents with a grandchild with cancer, impairments in family functioning were correlated with fewer years since diagnosis, providing care to their sick grandchild and/or siblings and living far away from the sick grandchild.

Conclusions

The detrimental impact of childhood cancer likely extends beyond the immediate family members. Including grandparents in interventions—beginning at diagnosis—to reduce distress and increase cohesion for families of a child with cancer is warranted, particularly for grandparents who provide care to their sick grandchild or siblings.
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Metadaten
Titel
Grandparents of children with cancer: a controlled comparison of perceived family functioning
verfasst von
Lauren Kelada
C. E. Wakefield
E. L. Doolan
D. Drew
L. Wiener
G. Michel
R. J. Cohn
Publikationsdatum
18.09.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 6/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4468-7

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