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The well-being of children impacted by a parent with cancer: an integrative review

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An Erratum to this article was published on 07 May 2016

Abstract

Purpose

This paper reviewed the peer-reviewed scientific literature on well-being of children impacted by a parent with cancer.

Method

An integrative review of peer-reviewed literature between 2000 and 2015 regarding parental cancer and its impact on families was conducted by searching relevant databases using predefined key search terms. A thematic analysis was undertaken on literature that met inclusion criteria.

Results

Forty-nine studies met the criteria for this review, and five major themes were established: impact of cancer, communication, coping strategies, parenting factors mediating impact, and support services. There was considerable variability in study design, methodological approaches, and findings. In the majority of studies, children were significantly impacted by the parent’s cancer diagnosis and exhibited distress. Daughters appeared to experience worsened mental health, and sons experienced a greater totality of internalizing and externalizing problems. Children of all ages were impacted by their parent’s cancer diagnosis and initiated a number of coping strategies in response. Despite this, a significant number of studies revealed that parents underestimated the impact that their cancer had on their children. Family functioning, as well as the ill parents’ gender, coping strategies, cancer severity, and mental and physical health mediated their children’s well-being. Parent-child communication was a key element in supporting children.

Conclusion

Parental cancer may impact children’s long-term well-being. Further investigations are needed in this area. Additionally, review of support programs and interventions are warranted in terms of their uptake and impact on families affected by a parent’s cancer.

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References

  1. Semple CJ, McCaughan E (2013) Family life when a parent is diagnosed with cancer: impact of a psychosocial intervention for young children. Eur J Cancer Care 22(2):219–231

    Article  CAS  Google Scholar 

  2. Ying-hwa S, Ryan-Wenger NA (2007) Children’s adjustment to parental cancer: a theoretical model development. Cancer Nurs September/October 30(5):362–381

    Article  Google Scholar 

  3. Lewis FM (2007) Parental cancer and dependent children: selected issues for future research. Psycho-Oncology 16(2):97–98

    Article  PubMed  Google Scholar 

  4. Grabiak BR, Bender CM, Puskar KR (2007) The impact of parental cancer on the adolescent: an analysis of the literature. Psycho-Oncology 16(2):127–137

    Article  PubMed  Google Scholar 

  5. Harris CA, Zakowski SG (2003) Comparisons of distress in adolescents of cancer patients and controls. Psycho-Oncology 12(2):173–182

    Article  PubMed  Google Scholar 

  6. Krattenmacher T et al. (2012) Parental cancer: factors associated with children’s psychosocial adjustment—a systematic review. J Psychosom Res 72(5):344–356

    Article  PubMed  Google Scholar 

  7. Krauel K et al. (2012) When a parent has cancer: challenges to patients, their families and health providers. Expert Rev Pharmacoeconomics Outcome Res 12:795 +

    Article  Google Scholar 

  8. Möller B et al. (2014) Children of cancer patients: prevalence and predictors of emotional and behavioral problems. Cancer 120(15):2361–2370

    Article  PubMed  Google Scholar 

  9. Sieh DS et al. (2010) Problem behavior in children of chronically ill parents: a Meta-analysis. Clin Child Fam Psychol Rev 13(4):384–397

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Osborn T (2007) The psychosocial impact of parental cancer on children and adolescents: a systematic review. Psycho-Oncology 16(2):101–126

    Article  PubMed  Google Scholar 

  11. Compas BE et al. (1994) When mom or dad has cancer: markers of psychological distress in cancer patients, spouses, and children. Health Psychol 13(6):507–515

    Article  CAS  PubMed  Google Scholar 

  12. Cherith JS, McCance T (2010) Parents’ experience of cancer who have young children: a literature review. Cancer Nurs 33(2):110–118

    Article  Google Scholar 

  13. Gazendam-Donofrio SM et al. (2008) Quality of life of parents with children living at home: when one parent has cancer. Support Care Cancer 16(2):133–141

    Article  PubMed  PubMed Central  Google Scholar 

  14. Torraco RJ (2005) Writing integrative literature reviews: guidelines and examples. Hum Resour Dev Rev 4(3):356–367

    Article  Google Scholar 

  15. Mills AJ, Durepos G, Wiebe E (2009) Encyclopedia of Case Study Research. Encyclopedia of Case Study Research. SAGE Publications, Inc. In: Thousand oaks. SAGE Publications, Inc., CA

    Google Scholar 

  16. Barnes J et al. (2000) Qualitative interview study of communication between parents and children about maternal breast cancer. BMJ 321(7259):479–482

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Pfeffer CR et al. (2000) Child survivors of parental death from cancer or suicide: depressive and behavioral outcomes. Psycho-Oncology 9(1):1–10

    Article  CAS  PubMed  Google Scholar 

  18. Nelson E, While D (2002) Children’s adjustment during the first year of a parent’s cancer diagnosis. J Psychosoc Oncol 20(1):15–36

    Article  Google Scholar 

  19. Barnes J et al. (2002) Factors predicting communication about the diagnosis of maternal breast cancer to children. J Psychosom Res 52(4):209–214

    Article  PubMed  Google Scholar 

  20. Davey MPAJK (2003) Parent and adolescent responses to non-terminal parental cancer: a retrospective multiple-case pilot study. Fam, Syst Health: J Collab Family Health Care 21(3):245

    Article  Google Scholar 

  21. Helseth S, Ulfsaet N (2003) Having a parent with cancer: coping and quality of life of children during serious illness in the family. Cancer Nurs 26(5):355–362

    Article  PubMed  Google Scholar 

  22. Huizinga GA et al. (2003) Psychosocial consequences for children of a parent with cancer: a pilot study. Cancer Nurs 26(3):195–202

    Article  PubMed  Google Scholar 

  23. Helseth S, Ulfsæt N (2005) Parenting experiences during cancer. J Adv Nurs 52(1):38–46

    Article  PubMed  Google Scholar 

  24. Visser A et al. (2005) Emotional and behavioural functioning of children of a parent diagnosed with cancer: a cross-informant perspective. Psycho-Oncology 14(9):746–758

    Article  PubMed  Google Scholar 

  25. Watson M et al. (2006) Factors associated with emotional and behavioural problems among school age children of breast cancer patients. Br J Cancer 94(1):43–50

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Forrest G et al. (2006) Breast cancer in the family—children’s perceptions of their mother’s cancer and its initial treatment: qualitative study. BMJ 332(7548):998–1003

    Article  PubMed  PubMed Central  Google Scholar 

  27. Thastum M et al. (2006) Evaluation of a focused short-term preventive Counselling project for families with a parent with cancer. Clin Child Psychol Psychiatry 11(4):529–542

    Article  PubMed  Google Scholar 

  28. Visser A et al. (2006) Parental cancer. Cancer 106(5):1178–1187

    Article  PubMed  Google Scholar 

  29. Visser A et al. (2007) Emotional and behavioral problems in children of parents recently diagnosed with cancer: a longitudinal study. Acta Oncol 46(1):67–76

    Article  PubMed  Google Scholar 

  30. Gazendam-Donofrio SM et al. (2007) Family functioning and adolescents’ emotional and behavioral problems: when a parent has cancer. Ann Oncol 18(12):1951–1956

    Article  CAS  PubMed  Google Scholar 

  31. Lindqvist B et al. (2007) Factors associated with the mental health of adolescents when a parent has cancer. Scand J Psychol 48(4):345–351

    Article  CAS  PubMed  Google Scholar 

  32. Visser A et al. (2007) Temperament as a predictor of internalising and externalising problems in adolescent children of parents diagnosed with cancer. Support Care Cancer 15(4):395–403

    Article  PubMed  PubMed Central  Google Scholar 

  33. Schmitt F et al. (2008) Cancer families with children: factors associated with family functioning—a comparative study in Finland. Psychooncology 17(4):363–372

    Article  CAS  PubMed  Google Scholar 

  34. Edwards L et al. (2008) Adolescent’s stress responses and psychological functioning when a parent has early breast cancer. Psycho-Oncology 17(10):1039–1047

    Article  CAS  PubMed  Google Scholar 

  35. Thastum M et al. (2008) Coping, social relations, and communication: a qualitative exploratory study of children of parents with cancer. Clin Child Psychol Psychiatry 13(1):123–138

    Article  PubMed  Google Scholar 

  36. Vannatta K et al. (2008) Impact of maternal breast cancer on the peer interactions of children at school. Psycho-Oncology 17(3):252–259

    Article  PubMed  Google Scholar 

  37. Buchbinder M, Longhofer J, McCue K (2009) Family routines and rituals when a parent has cancer. Fam Syst Health 27(3):213–227

    Article  PubMed  Google Scholar 

  38. Bugge KE, Helseth S, Darbyshire P (2009) Parents’ experiences of a family support program when a parent has incurable cancer. J Clin Nurs 18(24):3480–3488

    Article  PubMed  Google Scholar 

  39. Gazendam-Donofrio S et al. (2009) Parent-child communication patterns during the first year after a parent’s cancer diagnosis. Cancer 115(18):4227–4237

    Article  PubMed  Google Scholar 

  40. Kennedy VL, Lloyd-Williams M (2009) How children cope when a parent has advanced cancer. Psycho-Oncology 18(8):886–892

    Article  PubMed  Google Scholar 

  41. Thastum M et al. (2009) Prevalence and predictors of emotional and behavioural functioning of children where a parent has cancer. Cancer 115(17):4030–4039

    Article  PubMed  Google Scholar 

  42. Davey, M., et al., “It has been a good growing experience for me”: growth experiences among African American youth coping with parental cancer. Families, Systems & Health, 2010. 28: 274 + .

  43. Flahault C, Sultan S (2010) On being a child of an ill parent: a Rorschach investigation of adaptation to parental cancer compared to other illnesses. Rorschachiana 31(1):43–69

    Article  Google Scholar 

  44. Huizinga GA et al. (2011) Family-oriented multilevel study on the psychological functioning of adolescent children having a mother with cancer. Psycho-Oncology 20(7):730–737

    Article  PubMed  Google Scholar 

  45. Gazendam-Donofrio SM et al. (2011) Adolescents’ emotional reactions to parental cancer: effect on emotional and behavioral problems. J Pediatr Psychol 36(3):346–359

    Article  PubMed  Google Scholar 

  46. Sheehan DK, Draucker CB (2011) Interaction patterns between parents with advanced cancer and their adolescent children. Psycho-Oncology 20(10):1108–1115

    Article  PubMed  Google Scholar 

  47. Rainville F et al. (2012) Psychological distress among adolescents living with a parent with advanced cancer. J Psychosoc Oncol 30(5):519–534

    Article  PubMed  Google Scholar 

  48. Foran-Tuller K et al. (2012) Posttraumatic stress symptoms in children of mothers diagnosed with breast cancer. J Psychosoc Oncol 30(1):41–56

    Article  PubMed  Google Scholar 

  49. Costas-Muniz R (2012) Hispanic adolescents coping with parental cancer. Support Care Cancer 20(2):413–417

    Article  PubMed  PubMed Central  Google Scholar 

  50. Bekteshi V, Kayser K (2013) When a mother has cancer: pathways to relational growth for mothers and daughters coping with cancer. Psychooncology 22(10):2379–2385

    PubMed  Google Scholar 

  51. Campbell-Enns HJ, Woodgate RL (2013) Decision making for mothers with cancer: maintaining the mother–child bond. Eur J Oncol Nurs 17(3):261–268

    Article  PubMed  Google Scholar 

  52. Davey M et al. (2013) A culturally adapted family intervention for African American families coping with parental cancer: outcomes of a pilot study. Psycho-Oncology 22(7):1572–1580

    Article  PubMed  Google Scholar 

  53. Inbar C et al. (2013) The mental health of breast cancer survivors and their adolescent daughters. Psycho-Oncology 22(6):1236–1241

    Article  PubMed  Google Scholar 

  54. John K, Becker K, Mattejat F (2013) Impact of family-oriented rehabilitation and prevention: an inpatient program for mothers with breast cancer and their children. Psycho-Oncology 22(12):2684–2692

    Article  PubMed  Google Scholar 

  55. Krattenmacher T et al. (2013) Coping skills and mental health status in adolescents when a parent has cancer: a multicenter and multi-perspective study. J Psychosom Res 74(3):252–259

    Article  PubMed  Google Scholar 

  56. Küçükoğlu S, Çelebioğlu A (2013) Identification of psychological symptoms and associated factors in adolescents who have a parent with cancer in Turkey. Eur J Oncol Nurs 17(1):75–80

    Article  PubMed  Google Scholar 

  57. Maynard A et al. (2013) What is helpful to adolescents who have a parent diagnosed with cancer? J Psychosoc Oncol 31(6):675–697

    Article  PubMed  Google Scholar 

  58. Torp S et al. (2013) Financial and social effects on children and adolescents when a parent is diagnosed with cancer. Child Adolesc Soc Work J 30(4):293–310

    Article  Google Scholar 

  59. Bultmann JC et al. (2014) Parental cancer: health-related quality of life and current psychosocial support needs of cancer survivors and their children. Int J Cancer 135(11):2668–2677

    Article  CAS  PubMed  Google Scholar 

  60. Gotze H et al. (2015) Predictors of quality of life of cancer patients, their children, and partners. Psychooncology 24(7):787–795

    Article  PubMed  Google Scholar 

  61. Phillips F, Lewis FM (2015) The adolescent’s experience when a parent has advanced cancer: a qualitative inquiry. Palliat Med 29(9):851–858

    Article  PubMed  Google Scholar 

  62. Visser A et al. (2004) The impact of parental cancer on children and the family: a review of the literature. Cancer Treat Rev 8:683–694

    Article  Google Scholar 

  63. Kucukoglu S, Celebioglu A (2013) Identification of psychological symptoms and associated factors in adolescents who have a parent with cancer in Turkey. Eur J Oncol Nurs 17(1):75–80

    Article  PubMed  Google Scholar 

  64. Krattenmacher T et al. (2014) A comparison of the emotional and behavioral problems of children of patients with cancer or a mental disorder and their association with parental quality of life. J Psychosom Res 76(3):213–220

    Article  PubMed  Google Scholar 

  65. Niemelä M, Hakko H, Räsänen S (2010) A systematic narrative review of the studies on structured child-centred interventions for families with a parent with cancer. Psycho-Oncology 19(5):451–461

    Article  PubMed  Google Scholar 

  66. Jantzer V et al. (2013) Risk behaviors and externalizing behaviors in adolescents dealing with parental cancer—a controlled longitudinal study. Psycho-Oncology 22(11):2611–2616

    Article  PubMed  Google Scholar 

  67. Phillips F (2015) The experience of adolescents who have a parent with advanced cancer: a phenomenological inquiry. Palliat Support Care 13(04):1057–1069

    Article  PubMed  Google Scholar 

  68. Levesque JV, Maybery D (2012) Parental cancer: catalyst for positive growth and change. Qual Health Res 22(3):397–408

    Article  PubMed  Google Scholar 

  69. Lewis FM et al. (1996) The functioning of single women with breast cancer and their school-aged children. Cancer Pract 4(1):15–24

    CAS  PubMed  Google Scholar 

  70. Cho O-H, Yoo Y-S, Hwang K-H (2015) Comparison of parent–child communication patterns and parental role satisfaction among mothers with and without breast cancer. Appl Nurs Res 28(2):163–168

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Centre for Health Services Research, School of Population Health, The University of Western Australia, 35 Stirling Hwy, Crawley, WA, 6009, Australia

    Julia N. Morris, Angelita Martini & David Preen

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  1. Julia N. Morris
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  2. Angelita Martini
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  3. David Preen
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Correspondence to Julia N. Morris.

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Morris, J.N., Martini, A. & Preen, D. The well-being of children impacted by a parent with cancer: an integrative review. Support Care Cancer 24, 3235–3251 (2016). https://doi.org/10.1007/s00520-016-3214-2

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  • DOI: https://doi.org/10.1007/s00520-016-3214-2

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