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Journal of Child and Family Studies

, Volume 17, Issue 3, pp 402–426 | Cite as

Quality of Life in Pediatric Cancer Patients: The Relationships Among Parents’ Characteristics, Children’s Characteristics, and Informant Concordance

  • Angela Roddenberry
  • Kimberly Renk
Original Paper

Abstract

As advancements in the treatment of childhood cancer have resulted in increasing survival rates, the psychosocial functioning of child patients has become an increasingly important issue. In this pilot study, we investigate the relationships among parents’ characteristics, children’s characteristics, and the quality of life experienced by children who are diagnosed with cancer. Forty-seven mothers, sixteen fathers, and nineteen children completed measures about their own psychological functioning as well as measures about the children’s quality of life. Mothers’ ratings of their children’s quality of life were correlated positively with the ratings provided by both fathers and the children themselves. In addition, significant relationships were found between mothers’ depression and parenting stress and children’s quality of life as well as between mothers’ and fathers’ anxiety and children’s quality of life. Finally, using regression analyses, mothers’, fathers’, and children’s ratings of their own characteristics predicted significantly their ratings of the children’s quality of life. The importance of examining the psychological characteristics of family members when assessing the quality of life of children who are diagnosed with cancer is discussed.

Keywords

Cancer Quality of Life Psychological Symptoms Parents Children 

Notes

Acknowledgements

Special thanks to Dr. Hajjar, Dr. Selsky, Amy Bayles, and Angela Tyykkila, as well as to Dr. Barbosa, Trilby McGann, and the other professionals in Dr. Barbosa’s office. Also, thanks to Jenny Klein and Angela Rojas-Vilches for assisting with data collection and to Jack McGuire, Ph.D., and Stacey Tantleff-Dunn, Ph.D., for reviewing previous versions of this manuscript. This work was funded by the Florida Hospital Gala Endowed Program for Oncologic Research (Award Years: 2002 and 2003).

References

  1. Abidin, R. R. (1995). Parenting Stress Index-Third edition: Professional manual. Odessa, FL: Psychological Assessment Resources, Inc.Google Scholar
  2. Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.PubMedCrossRefGoogle Scholar
  3. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles. Burlington, VT: Author.Google Scholar
  4. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms & profiles. Burlington, VT: Author.Google Scholar
  5. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Fourth edition-Text revision). Washington, DC: Author.Google Scholar
  6. Armstrong, F. D., & Mulhern R. K. (1999). Acute lymphoblastic leukemia and brain tumors. In R. T. Brown (Eds.), Cognitive aspects of chronic illness (pp. 47–77). New York, NY: Guilford.Google Scholar
  7. Armstrong, F. D., Toledano, S. R., Miloslavich, K., Lackman-Zeman, L., Levy, J. D., Gay, C. L., Schuman, W. B., & Fishkin, P. E. (1999). The Miami pediatric quality of life questionare: Parent scale. International Journal of Cancer, (Suppl. 12), 11–17.Google Scholar
  8. Baider, L., Cooper, C. L., & De-Nour, A. K. (1996). Cancer and the family. Chichester, UK: John Wiley & Sons.Google Scholar
  9. Beck, A. T., & Steer, R. A. (1990). Beck Anxiety Inventory: Manual. San Antonio: The Psychological Corporation.Google Scholar
  10. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II: Manual. San Antonio: The Psychological Corporation.Google Scholar
  11. Boggs, S. R., & Durning, P. (1998). The pediatric oncology quality of life scale: Development and validation of a disease-specific quality of life measure. In D. Drotar (Ed.), Measuring health-related quality of life in children and adolescents (pp. 187–202). Mahwah, NJ: Lawrence Erlbaum.Google Scholar
  12. Brown, R., Kaslow, N., Hazzard, A., Madan-Swain, A., Sexson, S., Lambert, R., & Bladwin, K. (1992). Psychiatric and family functioning in children with leukemia and their parents. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 495–502.PubMedCrossRefGoogle Scholar
  13. Bryant, W. K., & Zick, C. D. (1996). An examination of parent-child shared time. Journal of Marriage and the Family, 58, 227–237.CrossRefGoogle Scholar
  14. Cohen, J. (1977). Statistical power analysis for the behavioral sciences (Rev. ed.). New York: Academic Press.Google Scholar
  15. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.CrossRefPubMedGoogle Scholar
  16. Duhig, A., Renk, K., Epstein, M. K., & Phares, V. (2000). Interparental agreement on internalizing, externalizing, and total behavior problems: A meta-analysis. Clinical Psychology: Science and Practice, 7, 435–453.CrossRefGoogle Scholar
  17. Feeny, D., Furlong, W., Mulhern, R. K., Barr, R. D., & Hudson, M. (1999). A framework for assessing health-related quality of life among children with cancer. International Journal of Cancer, (Suppl. 12), 2–9.Google Scholar
  18. Fergusson, D. M., Lynskey, M. T., & Harwood, L. J. (1993). The effect of maternal depression on maternal ratings of child behavior. Journal of Abnormal Child Psychology, 21, 245–269.PubMedCrossRefGoogle Scholar
  19. Goodwin, D. A. J., Boggs, S. R., & Graham-Pole, J. (1994). Development and validation of the pediatric oncology quality of life scale. Psychological Assessment, 6, 321–328.CrossRefGoogle Scholar
  20. Ivan, T. M., & Glazer, J. P. (1994). Quality of life in pediatric psychiatry. Child and Adolescent Psychiatric Clinics of North America, 3, 599–611.Google Scholar
  21. Kazak, A. E., Meeske, K., Penati, B., Barakat, L. P., Christakis, D., Meadows, A. T., Casey, R., & Stuber, M. (1997). Posttraumatic stress, family functioning, and social support in survivors of childhood leukemia and their mothers and fathers. Journal of Consulting and Clinical Psychology, 65, 120–129.PubMedCrossRefGoogle Scholar
  22. Kovacs, M. (1980). Rating scales to assess depression in school-aged children. Acta Paediatrica, 46, 305–315.Google Scholar
  23. Levi, R. B., & Drotar, D. (1999). Health-related quality of life in childhood cancer: Discrepancy in parent-child reports. International Journal of Cancer, (Suppl. 12), 58–64.Google Scholar
  24. Moretti, M. M., Fine, S., Haley, M. A., & Marriage, K. (1985). Childhood and adolescent depression: Child-report versus parent-report information. Journal of the American Academy of Child and Adolescent Psychiatry, 24, 298–302.CrossRefGoogle Scholar
  25. Najman, J. M., WIlliams, G. M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., Le Brocque, R., & Andersen, M. J. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 592–602.PubMedCrossRefGoogle Scholar
  26. Parsons, S. K., Barlow, S. E., Levy, S. L., Supran, S. E., & Kaplan, S. H. (1999). Health-related quality of life in pediatric bone marrow transplant survivors: According to whom? International Journal of Cancer, (Suppl. 12), 46–51.Google Scholar
  27. Renk, K., Oliveros, A., Roddenberry, A., Klein, J., Sieger, K., Roberts, R., & Phares, V. (2007). The relationship of maternal and paternal psychological symptoms and ratings of adolescent functioning. Journal of Adolescence, 30, 467–485.PubMedCrossRefGoogle Scholar
  28. Renk, K., & Phares, V. (2004). Cross-informant ratings of social competence in children and adolescents. Clinical Psychology Review, 24, 239–254.PubMedCrossRefGoogle Scholar
  29. Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.PubMedCrossRefGoogle Scholar
  30. Sawyer, M., Antoniou, G., Toogood, I., & Rice, M. (1999). A comparison of parent and adolescent reports describing the health-related quality of life of adolescents treated for cancer. International Journal of Cancer, (Suppl. 12), 39–45.Google Scholar
  31. Theunissen, N. C. M., Vogels, T. G. C., Koopman, H. M., Verrips, G. H. W., Zwinderman, S. P., Verloove-Vanhorick, S. P., & Wit, J. M. (1998). The proxy problem: Child report versus parent report in health-related quality of life research. Quality of Life Research, 7, 387–397.PubMedCrossRefGoogle Scholar
  32. U.S. Cancer Statistics Working Group. (2004). United States cancer statistics: 2001 incidence and mortality. Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Central FloridaOrlandoUSA

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