Risk factors in the adjustment of siblings of children with cancer
adolescent; Child; Female; Humans; Male; Parent-Child Relations; Self Concept; social support; Adaptation; Neoplasms/psychology; sibling bereavement; Leukemia/psychology; Personality Assessment; Central Nervous System Neoplasms/psychology; Lymphoma/psychology; Child Behavior Disorders/psychology; Child Behavior Disorders/diagnosis; Psychological; Sibling Relations; Sick Role
The study investigated the psychological adjustment of 99 siblings of children with cancer. At 6 months post-diagnosis, 24 siblings had scores in the borderline or clinical range on parent- and teacher-completed measures of behavioural adjustment and were reported to have shown negative changes in behaviour since diagnosis. The results of logistic regression analysis indicated that problems in adjustment were related to the degree of disruption of family life occasioned by the illness, the resources available to the family to cope with the effects of such disruption on siblings and siblings' perceptions of negative interpersonal effects on their lives.;
1996-07
Sloper P; While D
Journal Of Child Psychology And Psychiatry, And Allied Disciplines
1996
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
Health-related quality of life among child and adolescent survivors of childhood cancer.
Child; Female; Humans; Male; Canada; Health Status; Longitudinal Studies; Survivors; Case-Control Studies; quality of life; adolescent; Neoplasms/psychology/therapy; Leukemia/psychology; Central Nervous System Neoplasms/psychology; Cranial Irradiation/adverse effects; Lymphoma/psychology
PURPOSE: The main objective was to compare parent-reported health-related quality of life (HRQL) of child and adolescent survivors of childhood cancer to that of controls who had no history of cancer. METHODS: We assessed HRQL of 800 child and adolescent survivors younger than 16 years and 923 randomly selected, age- and sex-matched controls from the general population in a national multicenter retrospective cohort study using the Child Health Questionnaire parent report. Participation was 69% among survivors and 57% among controls. RESULTS: Survivors had means that were consistently lower than controls on the HRQL physical summary (PH; 49.9 v 55.3; P <.005), psychosocial summary (PS; 49.4 v 52.6; P < .005), and all but one of the eight subscale scores. Clinically important survivor-control differences in means on PH were found for survivors of CNS tumors, bone tumors, lymphoma, leukemia, soft tissue sarcoma and Wilms' tumor (differences: -8.7, -7.0, -6.3, -5.4, -4.4, -3.8/100, respectively); on PS, survivors of CNS tumors were most compromised (-6.1/100). Survivor-control differences in both PH and PS were also large for survivors treated with radiation only (-5.8 and -11.9/100, respectively), or radiation combined with surgery (-6.6 and -5.9/100, respectively), or radiation combined with both surgery and chemotherapy (-7.8 and -5.1/100, respectively). Cranial radiation was associated with the most compromised HRQL. CONCLUSION: According to parents, HRQL for survivors was somewhat poorer, overall, than for controls. Survivors of CNS tumors, lymphoma, and leukemia and those patients treated with cranial radiation were reported to have poorest HRQL. These findings support development of guidelines for levels of follow-up care for particular groups of survivors.
2006
Speechley KN; Barrera M; Shaw AK; Morrison HI; Maunsell E
Journal Of Clinical Oncology
2006
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1200/jco.2005.03.9628" target="_blank" rel="noreferrer">10.1200/jco.2005.03.9628</a>