Susana Santos1, Carla Crespo2, M Cristina Canavarro1, Anne E Kazak3,4. 1. Faculty of Psychology and Education Sciences, University of Coimbra, Portugal. 2. Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal. 3. Center for Healthcare Delivery Science, Nemours Children’s Health System, Philadelphia, PA, USA. 4. Department of Pediatrics, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Abstract
Objective: Family functioning is associated with adaptation in pediatric illness. This study examines the role of parents’ relationships (specifically romantic attachment) as a predictor of family ritual meaning and family cohesion for parents and their children with cancer. Methods: The dyads, 58 partnered Portuguese parents and their children in treatment, reported on family ritual meaning and family cohesion at Time 1 (T1) and after 6 months (T2). Parents also completed the questionnaire assessing romantic attachment at T1. Results: Parents’ avoidant attachment, but not anxious attachment, predicted lower family ritual meaning and family cohesion after 6 months. T2 family ritual meaning mediated the relationship between T1 avoidant attachment and T2 family cohesion. Conclusions: Parents’ avoidant attachment may have a negative effect on family functioning in parents and children. Clinical intervention to address avoidant attachment or/and to promote family ritual meaning may help strengthen family ties.
Objective: Family functioning is associated with adaptation in pediatric illness. This study examines the role of parents’ relationships (specifically romantic attachment) as a predictor of family ritual meaning and family cohesion for parents and their children with cancer. Methods: The dyads, 58 partnered Portuguese parents and their children in treatment, reported on family ritual meaning and family cohesion at Time 1 (T1) and after 6 months (T2). Parents also completed the questionnaire assessing romantic attachment at T1. Results: Parents’ avoidant attachment, but not anxious attachment, predicted lower family ritual meaning and family cohesion after 6 months. T2 family ritual meaning mediated the relationship between T1 avoidant attachment and T2 family cohesion. Conclusions: Parents’ avoidant attachment may have a negative effect on family functioning in parents and children. Clinical intervention to address avoidant attachment or/and to promote family ritual meaning may help strengthen family ties.
Entities:
Keywords:
family cohesion; family rituals; parents; pediatric cancer; romantic attachment
Authors: Anne E Kazak; C Alexandra Boeving; Melissa A Alderfer; Wei-Ting Hwang; Anne Reilly Journal: J Clin Oncol Date: 2005-09-12 Impact factor: 44.544
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