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Erschienen in: Quality of Life Research 8/2011

01.10.2011

Quality of life among parents of children with cancer or brain tumors: the impact of child characteristics and parental psychosocial factors

verfasst von: Kristin Litzelman, Kris Catrine, Ronald Gangnon, Whitney P. Witt

Erschienen in: Quality of Life Research | Ausgabe 8/2011

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Abstract

Purpose

Understanding the impact of childhood cancer on the family is increasingly important. This study aimed to (1) examine the relationship between child clinical characteristics and health-related quality of life (QOL) among parents of children with cancer or brain tumors, and (2) determine how parental psychosocial factors impact this relationship.

Methods

Using a within-group approach, this study examined 75 children with cancer or brain tumors and their parent. In-person interviewer-assisted surveys assessed sociodemographics, psychosocial factors, and QOL. Child clinical characteristics were obtained through medical record abstraction. Regressions were performed to determine factors related to parental QOL.

Results

Children’s activity limitation and active treatment status were associated with worse parental mental QOL (5.4 and 4.4 points lower, respectively; P < 0.05). Adding parental psychosocial characteristics to the model eliminated the relationship between child clinical characteristics and parental mental QOL (P > 0.05 for all child characteristics).

Conclusions

While child clinical characteristics appear to be related to poor parental QOL, this relationship was mediated by caregiver burden and stress. Interventions to reduce burden and stress may mitigate the deleterious effects of caregiving. Systematic screening of parents’ mental and physical health may facilitate interventions and improve the health and well-being of parents and children.
Literatur
1.
Zurück zum Zitat Jemal, A., Siegel, R., Xu, J., & Ward, E. (2010). Cancer statistics, 2010. CA: A Cancer Journal for Clinicians. Jemal, A., Siegel, R., Xu, J., & Ward, E. (2010). Cancer statistics, 2010. CA: A Cancer Journal for Clinicians.
2.
Zurück zum Zitat Horner, M. J., Ries, L. A. G., Krapcho, M., Neyman, N., Aminou, R., Howlader, N., et al. (2009). SEER cancer statistics review, 1975–2006. Bethesda, MD: National Cancer Institute. Horner, M. J., Ries, L. A. G., Krapcho, M., Neyman, N., Aminou, R., Howlader, N., et al. (2009). SEER cancer statistics review, 1975–2006. Bethesda, MD: National Cancer Institute.
3.
Zurück zum Zitat American Cancer Society. (2009). Cancer facts and figures 2009. Atlanta: American Cancer Society. American Cancer Society. (2009). Cancer facts and figures 2009. Atlanta: American Cancer Society.
4.
Zurück zum Zitat Robison, L. L., Green, D. M., Hudson, M., Meadows, A. T., Mertens, A. C., Packer, R. J., et al. (2005). Long-term outcomes of adult survivors of childhood cancer. Cancer, 104(11 Suppl), 2557–2564.PubMedCrossRef Robison, L. L., Green, D. M., Hudson, M., Meadows, A. T., Mertens, A. C., Packer, R. J., et al. (2005). Long-term outcomes of adult survivors of childhood cancer. Cancer, 104(11 Suppl), 2557–2564.PubMedCrossRef
5.
Zurück zum Zitat Oeffinger, K. C., & Hudson, M. M. (2004). Long-term complications following childhood and adolescent cancer: Foundations for providing risk-based health care for survivors. CA: A Cancer Journal for Clinicians, 54(4), 208–236.CrossRef Oeffinger, K. C., & Hudson, M. M. (2004). Long-term complications following childhood and adolescent cancer: Foundations for providing risk-based health care for survivors. CA: A Cancer Journal for Clinicians, 54(4), 208–236.CrossRef
6.
Zurück zum Zitat Witt, W. P., Litzelman, K., Wisk, L. E., Spear, H. A., Catrine, K., Levin, N., et al. (2010). Stress-mediated quality of life outcomes in parents of childhood cancer and brain tumor survivors: A case–control study. Quality of Life Research, 19(7), 995–1005.PubMedCrossRef Witt, W. P., Litzelman, K., Wisk, L. E., Spear, H. A., Catrine, K., Levin, N., et al. (2010). Stress-mediated quality of life outcomes in parents of childhood cancer and brain tumor survivors: A case–control study. Quality of Life Research, 19(7), 995–1005.PubMedCrossRef
7.
Zurück zum Zitat Klassen, A. F., Klaassen, R., Dix, D., Pritchard, S., Yanofsky, R., O’Donnell, M., et al. (2008). Impact of caring for a child with cancer on parents’ health-related quality of life. Journal of Clinical Oncology, 26(36), 5884–5889.PubMedCrossRef Klassen, A. F., Klaassen, R., Dix, D., Pritchard, S., Yanofsky, R., O’Donnell, M., et al. (2008). Impact of caring for a child with cancer on parents’ health-related quality of life. Journal of Clinical Oncology, 26(36), 5884–5889.PubMedCrossRef
8.
Zurück zum Zitat Robinson, K. E., Gerhardt, C. A., Vannatta, K., & Noll, R. B. (2009). Survivors of childhood cancer and comparison peers: The influence of early family factors on distress in emerging adulthood. Journal of Family Psychology, 23(1), 23–31.PubMedCrossRef Robinson, K. E., Gerhardt, C. A., Vannatta, K., & Noll, R. B. (2009). Survivors of childhood cancer and comparison peers: The influence of early family factors on distress in emerging adulthood. Journal of Family Psychology, 23(1), 23–31.PubMedCrossRef
9.
Zurück zum Zitat Schultz, K. A., Ness, K. K., Whitton, J., Recklitis, C., Zebrack, B., Robison, L. L., et al. (2007). Behavioral and social outcomes in adolescent survivors of childhood cancer: A report from the childhood cancer survivor study. Journal of Clinical Oncology, 25(24), 3649–3656.PubMedCrossRef Schultz, K. A., Ness, K. K., Whitton, J., Recklitis, C., Zebrack, B., Robison, L. L., et al. (2007). Behavioral and social outcomes in adolescent survivors of childhood cancer: A report from the childhood cancer survivor study. Journal of Clinical Oncology, 25(24), 3649–3656.PubMedCrossRef
10.
Zurück zum Zitat Zebrack, B. (2008). Information and service needs for young adult cancer patients. Supportive Care in Cancer, 16(12), 1353–1360.PubMedCrossRef Zebrack, B. (2008). Information and service needs for young adult cancer patients. Supportive Care in Cancer, 16(12), 1353–1360.PubMedCrossRef
11.
Zurück zum Zitat Zebrack, B. J., Zeltzer, L. K., Whitton, J., Mertens, A. C., Odom, L., Berkow, R., et al. (2002). Psychological outcomes in long-term survivors of childhood leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphoma: A report from the Childhood Cancer Survivor Study. Pediatrics, 110(1 Pt 1), 42–52.PubMedCrossRef Zebrack, B. J., Zeltzer, L. K., Whitton, J., Mertens, A. C., Odom, L., Berkow, R., et al. (2002). Psychological outcomes in long-term survivors of childhood leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphoma: A report from the Childhood Cancer Survivor Study. Pediatrics, 110(1 Pt 1), 42–52.PubMedCrossRef
12.
Zurück zum Zitat Goldbeck, L. (2001). Parental coping with the diagnosis of childhood cancer: Gender effects, dissimilarity within couples, and quality of life. Psychooncology, 10(4), 325–335.PubMedCrossRef Goldbeck, L. (2001). Parental coping with the diagnosis of childhood cancer: Gender effects, dissimilarity within couples, and quality of life. Psychooncology, 10(4), 325–335.PubMedCrossRef
13.
Zurück zum Zitat Hoven, E., Anclair, M., Samuelsson, U., Kogner, P., & Boman, K. K. (2008). The influence of pediatric cancer diagnosis and illness complication factors on parental distress. Journal of Pediatric Hematology/oncology, 30(11), 807–814.PubMedCrossRef Hoven, E., Anclair, M., Samuelsson, U., Kogner, P., & Boman, K. K. (2008). The influence of pediatric cancer diagnosis and illness complication factors on parental distress. Journal of Pediatric Hematology/oncology, 30(11), 807–814.PubMedCrossRef
14.
Zurück zum Zitat Sloper, P. (2000). Predictors of distress in parents of children with cancer: A prospective study. Journal of Pediatric Psychology, 25(2), 79–91.PubMedCrossRef Sloper, P. (2000). Predictors of distress in parents of children with cancer: A prospective study. Journal of Pediatric Psychology, 25(2), 79–91.PubMedCrossRef
15.
Zurück zum Zitat Boman, K., Lindahl, A., & Bjork, O. (2003). Disease-related distress in parents of children with cancer at various stages after the time of diagnosis. Acta Oncologica, 42(2), 137–146.PubMedCrossRef Boman, K., Lindahl, A., & Bjork, O. (2003). Disease-related distress in parents of children with cancer at various stages after the time of diagnosis. Acta Oncologica, 42(2), 137–146.PubMedCrossRef
16.
Zurück zum Zitat Kazak, A. E. (1998). Posttraumatic distress in childhood cancer survivors and their parents. Medical and Pediatric Oncology 30(Suppl 1), 60–68. Kazak, A. E. (1998). Posttraumatic distress in childhood cancer survivors and their parents. Medical and Pediatric Oncology 30(Suppl 1), 60–68.
17.
Zurück zum Zitat Van Dongen-Melman, J. E., Pruyn, J. F., De Groot, A., Koot, H. M., Hahlen, K., & Verhulst, F. C. (1995). Late psychosocial consequences for parents of children who survived cancer. Journal of Pediatric Psychology, 20(5), 567–586.PubMedCrossRef Van Dongen-Melman, J. E., Pruyn, J. F., De Groot, A., Koot, H. M., Hahlen, K., & Verhulst, F. C. (1995). Late psychosocial consequences for parents of children who survived cancer. Journal of Pediatric Psychology, 20(5), 567–586.PubMedCrossRef
18.
Zurück zum Zitat Wijnberg-Williams, B. J., Kamps, W. A., Klip, E. C., & Hoekstra-Weebers, J. E. (2006). Psychological adjustment of parents of pediatric cancer patients revisited: Five years later. Psychooncology, 15(1), 1–8.PubMedCrossRef Wijnberg-Williams, B. J., Kamps, W. A., Klip, E. C., & Hoekstra-Weebers, J. E. (2006). Psychological adjustment of parents of pediatric cancer patients revisited: Five years later. Psychooncology, 15(1), 1–8.PubMedCrossRef
19.
Zurück zum Zitat Chien, L. Y., Lo, L. H., Chen, C. J., Chen, Y. C., Chiang, C. C., & Chao, Y. M. Y. (2003). Quality of life among primary caregivers of Taiwanese children with brain tumor. Cancer Nursing, 26(4), 305–311.PubMedCrossRef Chien, L. Y., Lo, L. H., Chen, C. J., Chen, Y. C., Chiang, C. C., & Chao, Y. M. Y. (2003). Quality of life among primary caregivers of Taiwanese children with brain tumor. Cancer Nursing, 26(4), 305–311.PubMedCrossRef
20.
Zurück zum Zitat Dockerty, J. D., Williams, S. M., McGee, R., & Skegg, D. C. (2000). Impact of childhood cancer on the mental health of parents. Medical and Pediatric Oncology, 35(5), 475–483.PubMedCrossRef Dockerty, J. D., Williams, S. M., McGee, R., & Skegg, D. C. (2000). Impact of childhood cancer on the mental health of parents. Medical and Pediatric Oncology, 35(5), 475–483.PubMedCrossRef
21.
Zurück zum Zitat Grootenhuis, M. A., & Last, B. F. (1997). Predictors of parental emotional adjustment to childhood cancer. Psychooncology, 6(2), 115–128.PubMedCrossRef Grootenhuis, M. A., & Last, B. F. (1997). Predictors of parental emotional adjustment to childhood cancer. Psychooncology, 6(2), 115–128.PubMedCrossRef
22.
Zurück zum Zitat Warren, C. E., Allen, M., & Haefner, J. W. (1979). Conceptual frameworks and the philosophical foundations of general living systems theory. Behavioral Science, 24(5), 296–310.PubMedCrossRef Warren, C. E., Allen, M., & Haefner, J. W. (1979). Conceptual frameworks and the philosophical foundations of general living systems theory. Behavioral Science, 24(5), 296–310.PubMedCrossRef
23.
24.
Zurück zum Zitat Meir, A. Z. (1969). General system theory. Developments and perspectives for medicine and psychiatry. Archives of General Psychiatry, 21(3), 302–310.PubMed Meir, A. Z. (1969). General system theory. Developments and perspectives for medicine and psychiatry. Archives of General Psychiatry, 21(3), 302–310.PubMed
25.
Zurück zum Zitat Von Bertalanffy, L., & Rapoport, A. (1957). General systems: Yearbook of the society for the advancement of general systems theory (Vol. 1, p. vii, 162). Ann Arbor, MI: Braun-Brumfeld. Von Bertalanffy, L., & Rapoport, A. (1957). General systems: Yearbook of the society for the advancement of general systems theory (Vol. 1, p. vii, 162). Ann Arbor, MI: Braun-Brumfeld.
26.
Zurück zum Zitat Pless, I. B., & Pinkerton, P. (1975). Chronic childhood disorder: Promoting patterns of adjustment. H. Kimpton. Pless, I. B., & Pinkerton, P. (1975). Chronic childhood disorder: Promoting patterns of adjustment. H. Kimpton.
27.
Zurück zum Zitat Moos, R. H. (1977). Coping with physical illness (p. xii, 440). New York, NY: Plenum. Moos, R. H. (1977). Coping with physical illness (p. xii, 440). New York, NY: Plenum.
28.
Zurück zum Zitat Major, D. A. (2003). Utilizing role theory to help employed parents cope with children’s chronic illness. Health Education Research, 18(1), 45–57.PubMedCrossRef Major, D. A. (2003). Utilizing role theory to help employed parents cope with children’s chronic illness. Health Education Research, 18(1), 45–57.PubMedCrossRef
29.
Zurück zum Zitat Caplan, R. D., Cobb, S., & French, J. R., Jr. (1975). Relationships of cessation of smoking with job stress, personality, and social support. Journal of Applied Psychology, 60(2), 211–219.PubMedCrossRef Caplan, R. D., Cobb, S., & French, J. R., Jr. (1975). Relationships of cessation of smoking with job stress, personality, and social support. Journal of Applied Psychology, 60(2), 211–219.PubMedCrossRef
30.
Zurück zum Zitat House, J. S. (1974). Occupational stress and coronary heart disease: A review and theoretical integration. Journal of Health and Social Behavior, 15(1), 12–27.PubMedCrossRef House, J. S. (1974). Occupational stress and coronary heart disease: A review and theoretical integration. Journal of Health and Social Behavior, 15(1), 12–27.PubMedCrossRef
31.
Zurück zum Zitat Witt, W., & DeLeire, T. (2009). A family perspective on population health: The case of child health and the family. Wisconsin Medical Journal, 108(5), 240–245.PubMed Witt, W., & DeLeire, T. (2009). A family perspective on population health: The case of child health and the family. Wisconsin Medical Journal, 108(5), 240–245.PubMed
32.
33.
Zurück zum Zitat Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef
35.
Zurück zum Zitat Bird, H. R., Shaffer, D., Fisher, P., Gould, M. S., Staghezza, B., Chen, J. Y., et al. (1993). The Columbia Impairment Scale (CIS): Pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167–176. Bird, H. R., Shaffer, D., Fisher, P., Gould, M. S., Staghezza, B., Chen, J. Y., et al. (1993). The Columbia Impairment Scale (CIS): Pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167–176.
36.
Zurück zum Zitat Bird, H. R., Andrews, H., Schwab-Stone, M., Goodman, S., Dulcan, M., Richters, J., et al. (1996). Global measure of impairment for epidemiologic and clinical use with children and adolescents. Journal of Methods in Psychiatric Research, 6, 295–307.CrossRef Bird, H. R., Andrews, H., Schwab-Stone, M., Goodman, S., Dulcan, M., Richters, J., et al. (1996). Global measure of impairment for epidemiologic and clinical use with children and adolescents. Journal of Methods in Psychiatric Research, 6, 295–307.CrossRef
37.
Zurück zum Zitat Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., et al. (1993). A children’s global assessment scale (C-GAS). Archives of General Psychiatry, 40, 1228–1231. Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., et al. (1993). A children’s global assessment scale (C-GAS). Archives of General Psychiatry, 40, 1228–1231.
38.
Zurück zum Zitat Carlson, L. E., & Thomas, B. C. (2007). Development of the calgary symptoms of stress inventory (c-sosi). International Journal of Behavioral Medicine, 14(4), 249–256.PubMedCrossRef Carlson, L. E., & Thomas, B. C. (2007). Development of the calgary symptoms of stress inventory (c-sosi). International Journal of Behavioral Medicine, 14(4), 249–256.PubMedCrossRef
39.
Zurück zum Zitat Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.PubMedCrossRef Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.PubMedCrossRef
40.
Zurück zum Zitat Williams, E. S., Konrad, T. R., Linzer, M., McMurray, J., Pathman, D. E., Gerrity, M., et al. (1999). Refining the measurement of physician job satisfaction: Results from the Physician Worklife Survey. SGIM Career Satisfaction Study Group. Society of General Internal Medicine. Medical Care, 37(11), 1140–1154.PubMedCrossRef Williams, E. S., Konrad, T. R., Linzer, M., McMurray, J., Pathman, D. E., Gerrity, M., et al. (1999). Refining the measurement of physician job satisfaction: Results from the Physician Worklife Survey. SGIM Career Satisfaction Study Group. Society of General Internal Medicine. Medical Care, 37(11), 1140–1154.PubMedCrossRef
41.
Zurück zum Zitat Given, C. W., Given, B., Stommel, M., Collins, C., King, S., & Franklin, S. (1992). The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Research in Nursing and Health, 15(4), 271–283.PubMedCrossRef Given, C. W., Given, B., Stommel, M., Collins, C., King, S., & Franklin, S. (1992). The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Research in Nursing and Health, 15(4), 271–283.PubMedCrossRef
42.
Zurück zum Zitat Schaufeli, W., & van Dierendonck, D. (1993). The construct validity of two burnout measures. Journal of Organizational Behavior, 14, 631–647.CrossRef Schaufeli, W., & van Dierendonck, D. (1993). The construct validity of two burnout measures. Journal of Organizational Behavior, 14, 631–647.CrossRef
43.
Zurück zum Zitat George, L. K., & Gwyther, L. P. (1986). Caregiver well-being: A multidimensional examination of family caregivers of demented adults. Gerontologist, 26(3), 253–259.PubMedCrossRef George, L. K., & Gwyther, L. P. (1986). Caregiver well-being: A multidimensional examination of family caregivers of demented adults. Gerontologist, 26(3), 253–259.PubMedCrossRef
44.
Zurück zum Zitat Bouma, J., Ranchor, A., Sanderman, R., & Van Sonderen, E. (1995). Assessment of symptoms of depression by means of the CES-D: A manual. Groningen: Northern Centre for Healthcare Research, University of Groningen. Bouma, J., Ranchor, A., Sanderman, R., & Van Sonderen, E. (1995). Assessment of symptoms of depression by means of the CES-D: A manual. Groningen: Northern Centre for Healthcare Research, University of Groningen.
45.
Zurück zum Zitat Nijboer, C., Triemstra, M., Tempelaar, R., Sanderman, R., & van den Bos, G. A. M. (1999). Measuring both negative and positive reactions to giving care to cancer patients: Psychometric qualities of the Caregiver Reaction Assessment (CRA). Social Science and Medicine, 48(9), 1259–1269.PubMedCrossRef Nijboer, C., Triemstra, M., Tempelaar, R., Sanderman, R., & van den Bos, G. A. M. (1999). Measuring both negative and positive reactions to giving care to cancer patients: Psychometric qualities of the Caregiver Reaction Assessment (CRA). Social Science and Medicine, 48(9), 1259–1269.PubMedCrossRef
46.
Zurück zum Zitat Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.PubMedCrossRef Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.PubMedCrossRef
47.
Zurück zum Zitat Beck, S. L., Schwartz, A. L., Towsley, G., Dudley, W., & Barsevick, A. (2004). Psychometric evaluation of the Pittsburgh sleep quality index in cancer patients. Journal of Pain and Symptom Management, 27(2), 140–148.PubMedCrossRef Beck, S. L., Schwartz, A. L., Towsley, G., Dudley, W., & Barsevick, A. (2004). Psychometric evaluation of the Pittsburgh sleep quality index in cancer patients. Journal of Pain and Symptom Management, 27(2), 140–148.PubMedCrossRef
48.
Zurück zum Zitat Carpenter, J. S., & Andrykowski, M. A. (1998). Psychometric evaluation of the Pittsburgh Sleep Quality Index. Journal of Psychosomatic Research, 45(1 Spec No), 5–13.PubMedCrossRef Carpenter, J. S., & Andrykowski, M. A. (1998). Psychometric evaluation of the Pittsburgh Sleep Quality Index. Journal of Psychosomatic Research, 45(1 Spec No), 5–13.PubMedCrossRef
49.
Zurück zum Zitat Carter, P. A., & Chang, B. L. (2000). Sleep and depression in cancer caregivers. Cancer Nursing, 23(6), 410–415.PubMedCrossRef Carter, P. A., & Chang, B. L. (2000). Sleep and depression in cancer caregivers. Cancer Nursing, 23(6), 410–415.PubMedCrossRef
50.
Zurück zum Zitat Wilcox, S., & King, A. C. (1999). Sleep complaints in older women who are family caregivers. The Journals of Gerontology: Series B: Psychological Sciences Social Sciences, 54(3), P189–P198.CrossRef Wilcox, S., & King, A. C. (1999). Sleep complaints in older women who are family caregivers. The Journals of Gerontology: Series B: Psychological Sciences Social Sciences, 54(3), P189–P198.CrossRef
51.
Zurück zum Zitat Liang, K. Y., & Zeger, S. L. (1993). Regression analysis for correlated data. Annual Review of Public Health, 14, 43–68.PubMedCrossRef Liang, K. Y., & Zeger, S. L. (1993). Regression analysis for correlated data. Annual Review of Public Health, 14, 43–68.PubMedCrossRef
52.
Zurück zum Zitat Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121–130.PubMedCrossRef Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121–130.PubMedCrossRef
53.
Zurück zum Zitat Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMedCrossRef
54.
Zurück zum Zitat Canning, R. D., Harris, E. S., & Kelleher, K. J. (1996). Factors predicting distress among caregivers to children with chronic medical conditions. Journal of Pediatric Psychology, 21(5), 735–749.PubMedCrossRef Canning, R. D., Harris, E. S., & Kelleher, K. J. (1996). Factors predicting distress among caregivers to children with chronic medical conditions. Journal of Pediatric Psychology, 21(5), 735–749.PubMedCrossRef
55.
Zurück zum Zitat Ozono, S., Saeki, T., Mantani, T., Ogata, A., Okamura, H., & Yamawaki, S. (2007). Factors related to posttraumatic stress in adolescent survivors of childhood cancer and their parents. Supportive Care in Cancer, 15(3), 309–317.PubMedCrossRef Ozono, S., Saeki, T., Mantani, T., Ogata, A., Okamura, H., & Yamawaki, S. (2007). Factors related to posttraumatic stress in adolescent survivors of childhood cancer and their parents. Supportive Care in Cancer, 15(3), 309–317.PubMedCrossRef
56.
Zurück zum Zitat Alloway, R., & Bebbington, P. (1987). The buffer theory of social support—a review of the literature. Psychological Medicine, 17(1), 91.PubMedCrossRef Alloway, R., & Bebbington, P. (1987). The buffer theory of social support—a review of the literature. Psychological Medicine, 17(1), 91.PubMedCrossRef
57.
Zurück zum Zitat Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.PubMedCrossRef Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.PubMedCrossRef
58.
Zurück zum Zitat Arora, N., & McHorney, C. (2000). Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38(3), 335.PubMedCrossRef Arora, N., & McHorney, C. (2000). Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38(3), 335.PubMedCrossRef
59.
Zurück zum Zitat Lavigne, J. V., & Faier-Routman, J. (1993). Correlates of psychological adjustment to pediatric physical disorders: A meta-analytic review and comparison with existing models. Journal of Developmental and Behavioral Pediatrics, 14(2), 117–123.PubMedCrossRef Lavigne, J. V., & Faier-Routman, J. (1993). Correlates of psychological adjustment to pediatric physical disorders: A meta-analytic review and comparison with existing models. Journal of Developmental and Behavioral Pediatrics, 14(2), 117–123.PubMedCrossRef
60.
Zurück zum Zitat Wagner, J. L., Chaney, J. M., Hommel, K. A., Page, M. C., Mullins, L. L., White, M. M., et al. (2003). The influence of parental distress on child depressive symptoms in juvenile rheumatic diseases: The moderating effect of illness intrusiveness. Journal of Pediatric Psychology, 28(7), 453–462.PubMedCrossRef Wagner, J. L., Chaney, J. M., Hommel, K. A., Page, M. C., Mullins, L. L., White, M. M., et al. (2003). The influence of parental distress on child depressive symptoms in juvenile rheumatic diseases: The moderating effect of illness intrusiveness. Journal of Pediatric Psychology, 28(7), 453–462.PubMedCrossRef
61.
Zurück zum Zitat Dahlquist, L., Czyzewski, D., & Jones, C. (1996). Parents of children with cancer: A longitudinal study of emotional distress, coping style, and marital adjustment two and twenty months after diagnosis. Journal of Pediatric Psychology, 21(4), 541.PubMedCrossRef Dahlquist, L., Czyzewski, D., & Jones, C. (1996). Parents of children with cancer: A longitudinal study of emotional distress, coping style, and marital adjustment two and twenty months after diagnosis. Journal of Pediatric Psychology, 21(4), 541.PubMedCrossRef
62.
Zurück zum Zitat Felder Puig, R., Formann, A., Mildner, A., Bretschneider, W., Bucher, B., Windhager, R., et al. (1998). Quality of life and psychosocial adjustment of young patients after treatment of bone cancer. Cancer, 83(1), 69–75.PubMedCrossRef Felder Puig, R., Formann, A., Mildner, A., Bretschneider, W., Bucher, B., Windhager, R., et al. (1998). Quality of life and psychosocial adjustment of young patients after treatment of bone cancer. Cancer, 83(1), 69–75.PubMedCrossRef
63.
Zurück zum Zitat Russell, K., Hudson, M., Long, A., & Phipps, S. (2006). Assessment of health related quality of life in children with cancer. Cancer, 106(10), 2267–2274.PubMedCrossRef Russell, K., Hudson, M., Long, A., & Phipps, S. (2006). Assessment of health related quality of life in children with cancer. Cancer, 106(10), 2267–2274.PubMedCrossRef
Metadaten
Titel
Quality of life among parents of children with cancer or brain tumors: the impact of child characteristics and parental psychosocial factors
verfasst von
Kristin Litzelman
Kris Catrine
Ronald Gangnon
Whitney P. Witt
Publikationsdatum
01.10.2011
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 8/2011
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9854-2

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