Abstract
The current study reports longitudinal coping responses among parents of children diagnosed with an embryonal brain tumor. Patients (n = 219) were enrolled on a treatment protocol for a pediatric embryonal brain tumor. Their parents (n = 251) completed the Coping Response Inventory at time of their child’s diagnosis and yearly thereafter, resulting in 502 observations. Outcomes were examined with patient and parent age at diagnosis, patient risk, parent gender and education as covariates. At the time of diagnosis, the highest observed coping method was seeking guidance with well above average scores (T = 61.6). Over time, younger parents were found to seek guidance at a significantly higher rate than older parents (P = .016) and the use of acceptance resignation and seeking alternative results by all parents significantly increased (P = .011 and P < .0001 respectively). The use of emotional discharge was also observed above average at time of diagnosis (T = 55.4) with younger fathers being more likely to exhibit emotional discharge than older fathers (P = .002). Differences in coping according to age of the patient and parent education level are also discussed. Results show a high need for guidance, and above average emotional discharge, especially among younger parents. It is imperative for the healthcare team to lead with accurate information so that these parents may make informed decisions about the care of their child. This need remains high years after diagnosis. Therefore it is critical to continue a consistent level of effective communication and support, even following treatment.
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References
Vrijmoet-Wiersma CM, van Klink JM, Kolk AM et al (2008) Assessment of parental psychological stress in pediatric cancer: a review. J Pediatr Psychol 33:694–706
Greening L, Stoppelbein L (2007) Brief report: pediatric cancer, parental coping style, and risk for depressive, posttraumatic stress, and anxiety symptoms. J Pediatr Psychol 32:1272–1277
Gajjar A, Chintagumpala M, Ashley D et al (2006) Risk-adapted craniospinal radiotherapy followed by high-dose chemotherapy and stem-cell rescue in children with newly diagnosed medulloblastoma (St Jude Medulloblastoma-96): long-term results from a prospective, multicentre trial. Lancet Oncol 7:813–820
Sloper P (2000) Predictors of distress in parents of children with cancer: a prospective study. J Pediatr Psychol 25:79–91
Goldbeck L (2006) The impact of newly diagnosed chronic paediatric conditions on parental quality of life. Qual Life Res 15:1121–1131
Norberg AL, Steneby S (2009) Experiences of parents of children surviving brain tumour: a happy ending and a rough beginning. Eur J Cancer Care (Engl) 18:371–380
Mulhern RK, Palmer SL, Merchant TE et al (2005) Neurocognitive consequences of risk-adapted therapy for childhood medulloblastoma. J Clin Oncol 23:5511–5519
Palmer SL, Leigh L (2009) Survivors of pediatric posterior fossa tumors: cognitive outcome, intervention, and risk-based care. Eur J Oncol Nurs 13:171–178
Bonner MJ, Hardy KK, Guill AB et al (2006) Development and validation of the parent experience of child illness. J Pediatr Psychol 31:310–321
Patterson JM, Holm KE, Gurney JG (2004) The impact of childhood cancer on the family: a qualitative analysis of strains, resources, and coping behaviors. Psychooncology 13:390–407
Lazarus RS (1993) Coping theory and research: past, present, and future. Psychosom Med 55:234–247
Moose RH (1993) Coping responses inventory professional manual. Psychological Assessment Resources, Inc., Lutz
Miedema B, Hamilton R, Fortin P et al (2010) “You can only take so much, and it took everything out of me”: coping strategies used by parents of children with cancer. Palliat Support Care 8:197–206
Moos RH (1993) Coping response inventory. Psychological Assessment Resources, Inc., Lutz
Zeger SL, Liang KY (1986) Longitudinal data analysis for discrete and continuous outcomes. Biometrics 42:121–130
Beltrao MR, Vasconcelos MG, Pontes CM et al (2007) Childhood cancer: maternal perceptions and strategies for coping with diagnosis. J Pediatr (Rio J) 83:6–562
Wong MY, Chan SW (2005) The coping experience of Chinese parents of children diagnosed with cancer. J Clin Nurs 14:648–649
Schneider MA, Mannell RC (2006) Beacon in the storm: an exploration of the spirituality and faith of parents whose children have cancer. Issues Compr Pediatr Nurs 29:3–24
Sahler OJ, Fairclough DL, Phipps S et al (2005) Using problem-solving skills training to reduce negative affectivity in mothers of children with newly diagnosed cancer: report of a multisite randomized trial. J Consult Clin Psychol 73:272–283
Norberg AL, Lindblad F, Boman KK (2005) Coping strategies in parents of children with cancer. Soc Sci Med 60:965–975
Acknowledgments
This work was supported in part by the National Cancer Institute through a Cancer Center Support (CORE) grant (P30-CA21765), the Noyes Brain Tumor Foundation, Musicians Against Childhood Cancer (MACC) and by the American Lebanese Syrian Associated Charities (ALSAC).
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Palmer, S.L., Lesh, S., Wallace, D. et al. How parents cope with their child’s diagnosis and treatment of an embryonal tumor: results of a prospective and longitudinal study. J Neurooncol 105, 253–259 (2011). https://doi.org/10.1007/s11060-011-0574-9
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DOI: https://doi.org/10.1007/s11060-011-0574-9