“…Sources of stress may include altered physical appearance, lack of social relationships, and conflicts with parents and siblings (Charron-Prochownik, 2002;DiGirolamo, Quittner, Ackerman, & Stevens, 1997). Furthermore, extensive treatment demands often affect aspects of daily life, including recreation time, family interactions, and peer relationships (Quittner & DiGirolamo, 1998;Quittner, Tolbert, Orenstein, Hollingsworth, & Eigen, 1996). To manage these situations, children and adolescents must develop effective coping strategies.…”