Sibling Adaptation to Childhood Cancer Collaborative Study

Dolgin, Michael J.; Blumensohn, Rachel; Mulhern, Raymond K.; Orbach, Judith; Sahler, Olle Jane Z.; Roghmann, Klaus J.; Carpenter, Paul J.; Barbarin, Oscar A.; Sargent, Janice R.; Zeltzer, Lonnie K.; Copeland, Donna R.

doi:10.1300/j077v15n01_01

Cited by 36 publications

(31 citation statements)

References 16 publications

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“…Although this could lower the Total Problem score, these items are unlikely to apply to children in this study, so that any effects will be minimal. The CBCL is widely used and has good psychometric properties and prior application in an oncology setting (Carpentieri et al, 1993;Dolgin et al, 1997;Noll et al, 1997).…”

Section: Child Emotional and Behavioural Problemsmentioning

confidence: 99%

Factors associated with emotional and behavioural problems among school age children of breast cancer patients

et al. 2005

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To identify factors linked with emotional and behavioural problems in school age (6-to 17-year-old) children of women with breast cancer. Reports of children's emotional and behavioural problems were obtained from patient mothers, their healthy partners, the children's teacher and adolescents using the Child Behaviour Checklist and Mental Health subscale of the Child Health Questionnaire. Parents reported on their own level of depression and, for patients only, their quality of life. Family functioning was assessed using the Family Assessment Device and Cohesion subscale of the Family Environment Scale. Using a cross-sectional within groups design, assessments were obtained (N ¼ 107 families) where the patients were 3 -36 months postdiagnosis. Risk of problems in children were linked with low levels of family cohesion, low affective responsiveness and parental over-involvement as reported by both child and mother. Adolescents reported family communication issues, which were associated with externalising behaviour problems. Maternal depression was related to child internalising problems, particularly in girls. Whether the mother was currently on or off chemotherapy was not associated with child problems nor was time since cancer diagnosis. These findings held across child age. Where mothers have early stage breast cancer, a substantial minority of their school-aged children have emotional and behavioural problems. Such cases are characterised by the existence of maternal depression and poor family communication, rather than by the mother's treatment status or time since diagnosis. Targeted treatments, which focus on maternal depression and family communication may benefit the children and, through improved relationships, enhance the patients' quality of life.

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Section: Child Emotional and Behavioural Problemsmentioning

confidence: 99%

Factors associated with emotional and behavioural problems among school age children of breast cancer patients

et al. 2005

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“…Taxonomy of behavioral coping (self-focusing; distraction; exclusion) and cognitive coping (intrapsychic; interpersonal; intellectual). Barbarin et al (1995) [3], (b) Dolgin et al (1997) [1414], (c) Sahler et al (1997) [41], (d) Sahler et al (1994) [40], (e) [42], (f) Zeltzer et al (1996) [55] (a) Parental retrospective evaluation of siblings' pre-and postdiagnosis adjustment to childhood cancer; (b) cross-cultural aspects of sibling adaptation to childhood cancer and the relative contribution of family variables; (c) the association of siblings' behavioral/emotional adaptation with maternal well-being; (d) the frequency and intensity of emotional/behavioral distress in siblings; (e) siblings' feelings and thoughts in interviews; f) the overall health status, health care utilization, somatization and health-risk behaviors of siblings, compared to normative data or matched controls. Sibling semi-structured Interview: SPQ (see [9]: (e, f).…”

Section: Measurementmentioning

confidence: 99%

“…Risk factors: Presence of problems before diagnosis for problems p.d. Younger boys (4-11) and older girls (12)(13)(14)(15)(16)(17) are at risk. (e) Distress of disruptions in family, separation from parents, lack of attention.…”

Section: Measurementmentioning

confidence: 99%

“…Several researchers found a positive relationship between the level of satisfaction with social support reported by parents and good sibling adjustment [13,40,41,45]. In a study by Dolgin et al [14], the support subscale of the Family Relations Scale (FRS) was the predominant contributor to the variance in the siblings' adjustment: the more parents rely on interpersonal support, the better siblings are able to adapt to the illness situation. Sloper and While [45] found no direct effect of parents' social support on sibling adjustment.…”

Section: Parental Coping Behaviormentioning

confidence: 99%

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Adjustment of siblings to childhood cancer: a literature review

Houtzager¹,

Grootenhuis²,

Last³

1999

Supportive Care in Cancer

121

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Studies concerning sibling adjustment to childhood cancer and published since 1980 were reviewed. Sibling distress was described in terms of emotional, socio-behavioral, academic, physical and positive reactions. Secondly, characteristics and coping resources of siblings that are related to adjustment were summarized. Thirdly, the families' functioning, parental coping resources and family events that relate to adjustment were described. Finally, relevant aspects of the illness that may influence adjustment were described. Results of the 35 studies reviewed are summarized in a table containing general descriptors, methods and results. There are salient difficulties in comparison of the findings owing to variations in design, heterogeneity of the groups of siblings, diversity in sample size, and differences in conceptualizations of adjustment and coping. The lack of longitudinal studies, the precarious definitions and confounding of coping and adaptation, and the marginal role of siblings' coping efforts were identified as the most striking deficiencies in current research.

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“…1,6,7 Although many parents demonstrate emotional resilience, others are at risk for developing symptoms of anxiety and depression, compromising their ability to meet these multiple demands. 2,8 It is known that family functioning and social support are important predictors of adjustment [9][10][11] and that better-adjusted parents can buffer their children from the deleterious effects of stressful experiences. [12][13][14][15][16] For example, we previously reported that mothers of children with cancer have reduced well-being, which is directly related to the behavioral/emotional adjustment in their healthy children.…”

Section: Introductionmentioning

confidence: 99%

Specificity of Problem-Solving Skills Training in Mothers of Children Newly Diagnosed With Cancer: Results of a Multisite Randomized Clinical Trial

Sahler

Dolgin

Phipps

et al. 2013

JCO

Self Cite

170

216

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A B S T R A C T PurposeDiagnosis of cancer in a child can be extremely stressful for parents. Bright IDEAS, a problemsolving skills training (PSST) intervention, has been shown to decrease negative affectivity (anxiety, depression, post-traumatic stress symptoms) in mothers of newly diagnosed patients. This study was designed to determine the specificity of PSST by examining its direct and indirect (eg, social support) effects compared with a nondirective support (NDS) intervention. Patients and MethodsThis randomized clinical trial included 309 English-or Spanish-speaking mothers of children diagnosed 2 to 16 weeks before recruitment. Participants completed assessments prerandomization (T1), immediately postintervention (T2), and at 3-month follow-up (T3). Both PSST and NDS consisted of eight weekly 1-hour individual sessions. Outcomes included measures of problemsolving skill and negative affectivity. ResultsThere were no significant between-group differences at baseline (T1). Except for level of problem-solving skill, which was directly taught in the PSST arm, outcome measures improved equally in both groups immediately postintervention (T2). However, at the 3-month follow-up (T3), mothers in the PSST group continued to show significant improvements in mood, anxiety, and post-traumatic stress; mothers in the NDS group showed no further significant gains. ConclusionPSST is an effective and specific intervention whose beneficial effects continue to grow after the intervention ends. In contrast, NDS is an effective intervention while it is being administered, but its benefits plateau when active support is removed. Therefore, teaching coping skills at diagnosis has the potential to facilitate family resilience over the entire course of treatment.

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Sibling Adaptation to Childhood Cancer Collaborative Study

Cited by 36 publications

References 16 publications

Factors associated with emotional and behavioural problems among school age children of breast cancer patients

Factors associated with emotional and behavioural problems among school age children of breast cancer patients

Adjustment of siblings to childhood cancer: a literature review

Specificity of Problem-Solving Skills Training in Mothers of Children Newly Diagnosed With Cancer: Results of a Multisite Randomized Clinical Trial

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