Emotional and behavioural functioning of children of a parent diagnosed with cancer: a cross-informant perspective

Psychooncology. 2005 Sep;14(9):746-58. doi: 10.1002/pon.902.

Abstract

This study investigates emotional and behavioural problems in children of parents diagnosed with cancer and examines the relationship with demographic and illness-related variables. Furthermore, agreement and differences between informants regarding child's functioning were examined. Members of 186 families in which a parent had been diagnosed with cancer participated. More emotional problems were reported for latency-aged sons (ill parents) and adolescent daughters (ill parents; self-reports), whereas also better functioning was reported in adolescent children (spouses), compared to the norm group. Age and gender-effects were found: latency-aged sons were perceived as having more emotional problems than adolescent sons (ill parents); adolescent daughters as having more emotional and behavioural problems than adolescent sons (ill parents; self-reports). Results indicated a higher prevalence of problems when the father was ill than when the mother was (spouses and self-reports). The treatment intensity affected adolescent daughter's functioning (spouses), whereas adolescent son's functioning was affected by relapsed disease (self-reports). Adolescents and mothers perceived comparable levels of problems, but fathers perceived problems in children to be less prevalent. Findings suggest that adolescent daughters and latency-aged sons are at risk for emotional problems following the diagnosis of cancer in a parent. The perception of child's functioning and potential influencing variables varied according to informant.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Affective Symptoms / diagnosis*
  • Affective Symptoms / psychology
  • Age Factors
  • Child
  • Child Behavior Disorders / diagnosis*
  • Child Behavior Disorders / psychology
  • Child Reactive Disorders / diagnosis*
  • Child Reactive Disorders / psychology
  • Child of Impaired Parents / psychology*
  • Child, Preschool
  • Female
  • Humans
  • Internal-External Control
  • Male
  • Neoplasms / diagnosis
  • Neoplasms / psychology*
  • Netherlands
  • Observer Variation
  • Parents / psychology*
  • Personality Assessment / statistics & numerical data
  • Psychometrics
  • Sex Factors