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Family adjustment when facing pediatric cancer : the role of parental psychological flexibility, dyadic coping, and network support

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Abstract
Objectives Pediatric cancer is a life-threatening disease that poses significant challenges to the life of all family members (diagnosed child, parents, and siblings) and the family as a whole. To date, limited research has investigated family adjustment when facing pediatric cancer. The aim of the current study was to explore the role of protective factors at the individual (parental psychological flexibility), intrafamilial (dyadic coping) and contextual level (network support) in explaining family adjustment as perceived by parents of children with leukemia or non-Hodgkin lymphoma. In addition, we were interested to see whether these protective factors could be predictive for family adjustment at a later time point. Method Participants were 70 mothers and 53 fathers (80 families) of children with leukemia or non-Hodgkin lymphoma. Mean time since diagnosis was 5.26 (T1) and 18.86 (T2) months post-diagnosis. Parents completed the Acceptance and Action Questionnaire II (to assess psychological flexibility), Dyadic Coping Inventory, a network support questionnaire, Impact on Family Scale and the Family Adjustment Scale. Both concurrent and prospective association models were tested. Results Psychological flexibility, dyadic coping and network support proved to be cross-sectionally and positively related to parents' perception of family adjustment post-diagnosis; psychological flexibility and dyadic coping proved to predict better family adjustment over time. Conclusion Our findings led to the conclusion that protective factors at all three levels (individual, intrafamilial and contextual) are important for explaining family adjustment as perceived by parents facing a diagnosis of cancer in their child. Interventions targeting the individual, couple, as well as family level are warranted to enhance family adjustment.
Keywords
General Psychology, pediatric cancer, family, parents, psychological flexibility, dyadic coping, network support, CHILDHOOD-CANCER, SOCIAL SUPPORT, ADOLESCENT SURVIVORS, CHILDREN, DISTRESS, ACCEPTANCE, STRESS, LIFE, DIAGNOSIS, SIBLINGS

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MLA
Van Schoors, Marieke, et al. “Family Adjustment When Facing Pediatric Cancer : The Role of Parental Psychological Flexibility, Dyadic Coping, and Network Support.” FRONTIERS IN PSYCHOLOGY, vol. 10, 2019.
APA
Van Schoors, M., De Paepe, A., Lemiere, J., Morez, A., Norga, K., Lambrecht, K., … Verhofstadt, L. (2019). Family adjustment when facing pediatric cancer : the role of parental psychological flexibility, dyadic coping, and network support. FRONTIERS IN PSYCHOLOGY, 10.
Chicago author-date
Van Schoors, Marieke, Annick De Paepe, Jurgen Lemiere, Ann Morez, Koenraad Norga, Karolien Lambrecht, Liesbet Goubert, and Lesley Verhofstadt. 2019. “Family Adjustment When Facing Pediatric Cancer : The Role of Parental Psychological Flexibility, Dyadic Coping, and Network Support.” FRONTIERS IN PSYCHOLOGY 10.
Chicago author-date (all authors)
Van Schoors, Marieke, Annick De Paepe, Jurgen Lemiere, Ann Morez, Koenraad Norga, Karolien Lambrecht, Liesbet Goubert, and Lesley Verhofstadt. 2019. “Family Adjustment When Facing Pediatric Cancer : The Role of Parental Psychological Flexibility, Dyadic Coping, and Network Support.” FRONTIERS IN PSYCHOLOGY 10.
Vancouver
1.
Van Schoors M, De Paepe A, Lemiere J, Morez A, Norga K, Lambrecht K, et al. Family adjustment when facing pediatric cancer : the role of parental psychological flexibility, dyadic coping, and network support. FRONTIERS IN PSYCHOLOGY. 2019;10.
IEEE
[1]
M. Van Schoors et al., “Family adjustment when facing pediatric cancer : the role of parental psychological flexibility, dyadic coping, and network support,” FRONTIERS IN PSYCHOLOGY, vol. 10, 2019.
@article{8638527,
  abstract     = {Objectives Pediatric cancer is a life-threatening disease that poses significant challenges to the life of all family members (diagnosed child, parents, and siblings) and the family as a whole. To date, limited research has investigated family adjustment when facing pediatric cancer. The aim of the current study was to explore the role of protective factors at the individual (parental psychological flexibility), intrafamilial (dyadic coping) and contextual level (network support) in explaining family adjustment as perceived by parents of children with leukemia or non-Hodgkin lymphoma. In addition, we were interested to see whether these protective factors could be predictive for family adjustment at a later time point. Method Participants were 70 mothers and 53 fathers (80 families) of children with leukemia or non-Hodgkin lymphoma. Mean time since diagnosis was 5.26 (T1) and 18.86 (T2) months post-diagnosis. Parents completed the Acceptance and Action Questionnaire II (to assess psychological flexibility), Dyadic Coping Inventory, a network support questionnaire, Impact on Family Scale and the Family Adjustment Scale. Both concurrent and prospective association models were tested. Results Psychological flexibility, dyadic coping and network support proved to be cross-sectionally and positively related to parents' perception of family adjustment post-diagnosis; psychological flexibility and dyadic coping proved to predict better family adjustment over time. Conclusion Our findings led to the conclusion that protective factors at all three levels (individual, intrafamilial and contextual) are important for explaining family adjustment as perceived by parents facing a diagnosis of cancer in their child. Interventions targeting the individual, couple, as well as family level are warranted to enhance family adjustment.},
  articleno    = {2740},
  author       = {Van Schoors, Marieke and De Paepe, Annick and Lemiere, Jurgen and Morez, Ann and Norga, Koenraad and Lambrecht, Karolien and Goubert, Liesbet and Verhofstadt, Lesley},
  issn         = {1664-1078},
  journal      = {FRONTIERS IN PSYCHOLOGY},
  keywords     = {General Psychology,pediatric cancer,family,parents,psychological flexibility,dyadic coping,network support,CHILDHOOD-CANCER,SOCIAL SUPPORT,ADOLESCENT SURVIVORS,CHILDREN,DISTRESS,ACCEPTANCE,STRESS,LIFE,DIAGNOSIS,SIBLINGS},
  language     = {eng},
  pages        = {12},
  title        = {Family adjustment when facing pediatric cancer : the role of parental psychological flexibility, dyadic coping, and network support},
  url          = {http://dx.doi.org/10.3389/fpsyg.2019.02740},
  volume       = {10},
  year         = {2019},
}

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