Individual and Dyadic Coping and Fear of Progression in Mothers and Fathers of Children with Hematologic Cancer |
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Authors: | Katharina Clever Florian Schepper Stephan Maier Holger Christiansen Julia Martini |
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Affiliation: | 1. Department of Pediatric Oncology, Hematology and Hemostaseology, Leipzig University, Leipzig, Germany;2. Rehabilitation Clinic Katharinenhöhe, Schönwald, Germany;3. Department of Psychiatry and Psychotherapy, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany |
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Abstract: | This study investigated the association of individual and dyadic coping strategies with fear of progression (FoP) in mothers and fathers of children with hematologic cancer. Parental couples (N = 44) whose children had been diagnosed with hematologic cancer were recruited at a university hospital and a rehabilitation clinic in Germany between 03/2017 and 08/2017. Data included parents' self-report on FoP (Fear of Progression Questionnaire—parent version, FoP-Q-SF/PR), individual coping (Coping Health Inventory for Parents, CHIP-D), and dyadic coping (Dyadic Coping Inventory, DCI). Statistical analyses were carried out for mothers and fathers individually as well as for parental couples using dyadic data analyses (e.g., actor-partner interdependence model, APIM). Individual and dyadic coping strategies were significantly correlated with FoP in mothers, but not in fathers. Fathers' evaluation of the couple's dyadic coping significantly predicted mothers' FoP. The more frequent use of familial integration (CHIP-D FAM) and maintaining social support (CHIP-D SUP) as well as a better evaluation of their partners' dyadic coping was significantly associated with lower FoP in mothers. Differences in individual and dyadic coping in parental couples were not associated with FoP. Individual and dyadic coping strategies should be addressed in the psychosocial care of mothers and fathers of children with hematologic cancer. Study results support the benefits of involving fathers in psychosocial interventions, for example, in couple-based interventions that acknowledge interpersonal effects of coping on FoP. Future research should further explore coping strategies applied by fathers of children with hematologic cancer for the regulation of FoP. |
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Keywords: | Dyadic Coping Parents Pediatric Hematologic Cancer Fear of Progression Recurrence miedo a la progresión afrontamiento diádico cáncer hematológico padres pediatría recurrencia 对病情变化的恐惧 二元应对策略 血液科癌症 家长 儿科 复现 |
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