The Relationship between Socio-demographic Characteristics, Family Environment, and Caregiver Coping in Families of Children with Cancer
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The factors that influence caregiver coping mechanism preferences after a child’s diagnosis with cancer are not fully understood. This study examines the relationship between caregivers’ socio-demographic characteristics and the coping strategies they use to adapt to childhood cancer. Sixty caregivers of pediatric cancer patients completed a socio-demographic questionnaire, the Family Environment Scale, and the COPE inventory. There were no significant differences in family environment by income or education. Caregiver educational attainment was positively associated with use of planning and active coping styles, while income was not associated with caregiver coping style. Mothers were more likely than fathers to use active coping, instrumental support, religious coping, and emotional support. Men with lower education engaged in greater substance use coping and lower planning. The findings show that educational attainment and caregiver gender influence caregiver coping styles following a pediatric cancer diagnosis and suggest that educational attainment rather than financial resources drive the association between SES and coping. Programs that address educational gaps and teach caregivers planning and active coping skills may be beneficial for parents with lower educational attainment, particularly men.
KeywordsSocioeconomic status Coping Family environment Gender Cancer
This research was supported by the National Institutes of Health, grants R21CA141165, R25CA114101 and R25CA10618. We would like to thank Martin Brecher, Deborah Erwin, Michael Farrell, James Marshall, Debra Street, Robert Wagmiller, Michael Zevon, Gary Morrow, and the anonymous reviewers for their extensive and helpful feedback throughout this project. This research would not have been possible without our dedicated research team, Christina Panagakis, Nikia Clark, Jessica Keaton, Brandee Aquilino, Kristen Fix and all of the families who generously participated in the study.
- Ahnis, A., Riedl, A., Rigura, A., Steinhagen-Thiessen, E., Liebl, M. E., & Klapp, B. F. (2012). Psychological and socio-demographic predictors of premature discontinuation of a 1-year multimodal outpatient weight-reduction program: An attrition analysis. Journal of Patient Preference and Adherence, 6, 165–177.CrossRefGoogle Scholar
- Dasch, K. B., Russell, H. F., Kelly, E. H., Gorzkowski, J. A., & Mulcahey, M. J. (2011). Coping in caregivers of youth with spinal cord injury. Journal of Clinical Psychology in Medical Settings (e-pub ahead of print, August 22, 2011).Google Scholar
- Gold, J. I., Treadwell, M., Weissman, L., & Vichinsky, E. (2011). The mediating effects of family functioning on psychosocial outcomes in healthy siblings of children with sickle cell disease. Pediatric Blood Cancer (Epub ahead of print, February 25 2011).Google Scholar
- Hoekstra-Weebers, J. E. H. M., Jaspers, J. P. C., Kamps, W. A., & Klip, E. C. (1999). Risk factors for psychological maladjustment of parents of children with cancer. Journal of the American Academy of Child Adolescent Psychology, 38, 1526–1535.Google Scholar
- Hoekstra-Weebers, J. E. H. M., Wijnberb-Williams, B. J., Jaspers, J. P. C., Kamps, W. A., & van de Wiel, H. B. M. (2011). Coping and its effect on psychological distress of parents of pediatric cancer patients: a longitudinal prospective study. Psycho-Oncology (Epub ahead of print, May 24, 2011).Google Scholar
- Kupst, M. J., Natta, M. B., Richardson, C. C, Schulman, J. L., Lavigne, J. V., & Das, L. (1995). Family coping with pediatric leukemia: Ten years after treatment. Journal of Pediatric Psychology, 20, 601–617.Google Scholar
- Martin, S., Calabrese, S. K., Wolters, P. L., Walker, K. A., Warren, K., & Hazra, R. (2011). Family functioning and coping styles in families of children with cancer and HIV disease. Clinical Pediatrics (Epub ahead of print August 25, 2011).Google Scholar
- Moos, R., & Moos, B. (1994). Family Environment Scale manual: Development, applications, research (3rd ed.). Palo Alto, CA: Consulting Psychologist Press.Google Scholar
- Paredes, T., Pereira, M., Simoes, M. R., & Canavarro, M. C. (2012). A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables. European Journal of Cancer Care, 21, 41–51.Google Scholar
- Wenninger, K., Helmes, A., Bengel, J., Lauten, M., Volkel, S., & Niemeyer, C. M. (2012). Coping in long-term survivors of childhood cancer: relations to psychological distress. Psycho-Oncology, 28 (Epub ahead of print).Google Scholar