OBJECTIVE: To determine if maternal distress predicts child adjustment outcomes or if child adjustment outcomes predict maternal distress among children newly diagnosed with cancer, and if a parent-focused intervention has downstream effects on child adjustment. METHODS:Mothers (n = 52) were randomly assigned to a clinic-based, interdisciplinary intervention for parents of children newly diagnosed with cancer. Measures of maternal distress and child adjustment were collected at baseline, posttreatment, and follow-up. RESULTS: A lagged relationship was identified between maternal distress and child internalizing symptoms, but not externalizing symptoms. The parent intervention reduced child internalizing and externalizing symptoms at follow-up. Only the child internalizing symptoms effect was mediated by reduced maternal distress. The child externalizing symptoms effect was mediated by unobserved parent factors. CONCLUSIONS: This study provides support for illness adjustment and coping models that emphasize the role of parent factors in driving child adjustment outcomes and is encouraging for future parent-focused intervention research.
RCT Entities:
OBJECTIVE: To determine if maternal distress predicts child adjustment outcomes or if child adjustment outcomes predict maternal distress among children newly diagnosed with cancer, and if a parent-focused intervention has downstream effects on child adjustment. METHODS: Mothers (n = 52) were randomly assigned to a clinic-based, interdisciplinary intervention for parents of children newly diagnosed with cancer. Measures of maternal distress and child adjustment were collected at baseline, posttreatment, and follow-up. RESULTS: A lagged relationship was identified between maternal distress and child internalizing symptoms, but not externalizing symptoms. The parent intervention reduced child internalizing and externalizing symptoms at follow-up. Only the child internalizing symptoms effect was mediated by reduced maternal distress. The child externalizing symptoms effect was mediated by unobserved parent factors. CONCLUSIONS: This study provides support for illness adjustment and coping models that emphasize the role of parent factors in driving child adjustment outcomes and is encouraging for future parent-focused intervention research.
Entities:
Keywords:
adjustment; cancer and oncology; children; parents
Authors: P S Hinds; A Quargnenti; A J Bush; C Pratt; D Fairclough; G Rissmiller; D Betcher; G S Gilchrist Journal: Eur J Oncol Nurs Date: 2000-03 Impact factor: 2.398
Authors: Larry L Mullins; David A Fedele; Mark Chaffin; Stephanie E Hullmann; Carol Kenner; Angelica R Eddington; Sean Phipps; Rene Y McNall-Knapp Journal: J Pediatr Psychol Date: 2012-09-03
Authors: S Manne; N Nereo; K DuHamel; J Ostroff; S Parsons; R Martini; S Williams; L Mee; S Sexson; J Lewis; S J Vickberg; W H Redd Journal: J Consult Clin Psychol Date: 2001-12
Authors: Meredith Lutz Stehl; Anne E Kazak; Melissa A Alderfer; Alyssa Rodriguez; Wei-Ting Hwang; Ahna L H Pai; Alexandra Boeving; Anne Reilly Journal: J Pediatr Psychol Date: 2008-12-17
Authors: Kathleen A Knafl; Nancy L Havill; Jennifer Leeman; Louise Fleming; Jamie L Crandell; Margarete Sandelowski Journal: West J Nurs Res Date: 2016-09-05 Impact factor: 1.967
Authors: Lauren C Daniel; Colleen M Walsh; Lisa J Meltzer; Lamia P Barakat; Jacqueline D Kloss Journal: Support Care Cancer Date: 2017-10-18 Impact factor: 3.603
Authors: Christina M Sharkey; Sasja A Schepers; Sarah Drake; Ahna L H Pai; Larry L Mullins; Martha A Grootenhuis Journal: J Pediatr Psychol Date: 2020-05-01
Authors: Jennifer D Monti; Adrien Winning; Kelly H Watson; Ellen K Williams; Cynthia A Gerhardt; Bruce E Compas; Kathryn Vannatta Journal: J Child Fam Stud Date: 2017-04-17