Abstract/Details

Psychosocial predictors of child adjustment and school reintegration outcome in pediatric cancer survivors


2009 2009

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Abstract (summary)

Review of the literature among pediatric cancer survivors reveals mixed results with respect to psychosocial adjustment outcomes. No studies were found that explored school reintegration as an outcome variable. The objective of the current study was to determine the extent to which illness severity, parental stress, and parental perceptions of child vulnerability predict child adjustment (e.g., quality of life, depression, anxiety) and school reintegration outcome among children diagnosed with pediatric cancer. Identified variables were selected from a comprehensive disability-stress-coping model among children with chronic illnesses. Forty-nine parent child dyads were recruited from a large hospital-based cancer facility in a metropolitan city in Texas. Parent (or child caregiver) participants completed self-report measures of parental stress and parental perception of child vulnerability. Child and adolescent participants completed three measures of psychosocial adjustment. Parents (or child caregivers) also provided written consent to obtain school attendance records. Medical personnel provided an assessment of children's illness severity.

Results of standard multiple regression analyses support the predictive capacity of parental stress and severity of illness, with respect to child ratings of anxiety, after controlling for other predictor variables. Additional findings regarding the role of certain demographic variables in child outcomes are discussed. Results support the need to assess parental stress and intervene at the time of children's diagnoses and throughout treatment. Further, results of correlational analyses lend tentative support to the transactional nature of parent-child interactions, namely vulnerable child syndrome. Results also underscore the need to consider pediatric cancer survivors' adaptive coping repertoires upon diagnosis and throughout cancer treatment. Implications for pediatric psychology, in addition to pediatric school psychology, are discussed.

Indexing (details)


Subject
Educational psychology;
Clinical psychology;
Social psychology;
Child psychology;
Pediatrics;
Cancer
Classification
0525: Educational psychology
0622: Clinical psychology
Identifier / keyword
Education; Psychology; Adjustment; Cancer survivors; Cancer survivorship; Child adjustment; Pediatric cancer; Psychosocial outcomes; School reintegration
Title
Psychosocial predictors of child adjustment and school reintegration outcome in pediatric cancer survivors
Author
Harris, Mekel S.
Number of pages
94
Publication year
2009
Degree date
2009
School code
0087
Source
DAI-A 70/08, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9781109340792
University/institution
University of Houston
University location
United States -- Texas
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3373693
ProQuest document ID
304894363
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304894363
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