Child symptoms, parent behaviors, and family strain in long-term survivors of childhood acute lymphoblastic leukemia

Psycho-oncology
I-Chan HuangKevin R Krull

Abstract

How family environment and parental factors affect health status and symptoms in childhood cancer survivors is understudied. We examined the influence of family cohesion, parent distress, and overprotection on child symptom burden and health-related quality of life (HRQOL) and family strain in survivors of childhood acute lymphoblastic leukemia. Parents of 213 children treated with chemotherapy only completed a survey when survivors were at least 5-year postdiagnosis. Family Environment Scale, Brief Symptom Inventory-18, Parent Protection Scale, Pediatric Quality of Life Inventory, and Impact on Family were used to assess family cohesion, parental distress, overprotection, child symptom burden and HRQOL, and family strain, respectively. Path analysis was conducted to quantify effects of family cohesion on family strain through parental distress, overprotection, child symptoms, and HRQOL. Lower family cohesion (β = 0.06, 95% CI, 0.01-0.13), higher parental distress (β = 0.35, 95% CI, 0.20-0.45), and overprotection (β = 0.17, 95% CI, 0.01-0.32) were associated with more child symptom burden. More symptom burden were associated with poorer child HRQOL (β = 0.66, 95% CI, 0.57-0.75), which in turn was associated with more family str...Continue Reading

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Citations

Feb 27, 2021·Frontiers in Neurology·Haojun YangLi Feng
Apr 4, 2021·International Journal of Environmental Research and Public Health·Genevieve LambertDahlia Kairy
Apr 14, 2021·Medicine, Health Care, and Philosophy·Michael Rost, Emilian Mihailov
Aug 28, 2021·International Journal of Environmental Research and Public Health·Hye Chong HongSungkyoung Choi

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