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. 2015 Jul;62(7):1232-6.
doi: 10.1002/pbc.25468. Epub 2015 Mar 8.

Quality of life among pediatric patients with cancer: Contributions of time since diagnosis and parental chronic stress

Taralee Hamner  1 , Robert D Latzman  1 , Natasha E Latzman  2 , T David Elkin  3 , Suvankar Majumdar  3
Affiliations

Quality of life among pediatric patients with cancer: Contributions of time since diagnosis and parental chronic stress

Taralee Hamner et al. Pediatr Blood Cancer. 2015 Jul.

Abstract

Background: Pediatric cancer is associated with a host of negative psychosocial consequences; however, outcomes vary extensively suggesting a need to better understand this variation. Empirical research suggests a positive association between time since diagnosis (TSD) and Quality of Life (QoL). In addition to TSD, family stressors have been found to be particularly important in predicting QoL among children. The current study examined parental chronic stress beyond TSD in explanation of QoL functioning among a sample of pediatric patients with cancer.

Procedure: Participants included 43 pediatric patients aged 5-18 years (M(age) = 10.2 ± 3.6) who were undergoing oncological treatment. Parents reported on TSD, child's QoL, and their own chronic stress.

Results: TSD was associated with greater physical functioning (r = 0.30, P < 0.05). Parental chronic stress was associated with poorer emotional (r = -0.54, P < 0.01), physical (r = -0.41, P < 0.01), and social functioning (r = -0.44, P < 0.01). Further, hierarchal linear regression analyzes indicated parental chronic stress contributed incrementally beyond TSD in the explanation of physical (β = -0.37, t = -2.58, P < 0.01), emotional (β = -0.47, t = -3.51, P < 0.00), and social functioning (β = -0.38, t = -2.67, P < 0.01).

Conclusions: Parental chronic stress is associated with reduced levels of emotional, physical, and social functioning among pediatric patients. Future research is needed to further investigate the process by which chronic stress within the family interferes with adaptive coping among pediatric patients. In addition, clinical services may benefit from increased consideration of family factors, such as parental chronic stress, during oncological treatment.

Keywords: chronic stress; parental stress; pediatric cancer; quality of life; time since diagnosis.

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Conflict of interest statement

Conflict of interest: Nothing to declare.

References

    1. Howlader N, Noone AM, Krapcho M, Garshell J, Miller D, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ. SEER Cancer Statistics Review, 1975–2011. National Cancer Institute; Bethesda, MD: http://seer.cancer.gov/csr/1975_2011/, based on November 2013 SEER data submission, posted to the SEER web site, April 2014.
    1. Eiser C. Practitioner review: Long-term consequences of childhood cancer. J Child Psychol Psychiatry. 1998;39:621. - PubMed
    1. Mitby PA, Robison LL, Whitton JA, Zevon MA, Gibbs IC, Tersak JM, Meadows AT, Stovall M, Zeltzer LK, Mertens AC. Utilization of special education services and educational attainment among long-term survivors of childhood cancer—A report from the Childhood Cancer Survivor Study. Cancer. 2003;97:1115–1126. - PubMed
    1. Hays D, Dolgin M, Steele L, Patenaude A, Hewett K, Ruymann F, Ruccione K, Sallan S, Siegel S. Educational achievement, employment and workplace experience of adult survivors of childhood cancer. Pediatr Hematol Oncol. 1997;4:327–337.
    1. Allen R, Newman SP, Souhami RL. Anxiety and depression in adolescent cancer: Findings in patients and parents at the time of diagnosis. Eur J Cancer. 1997;33:1250–1255. - PubMed