In good times and in bad: what strengthens or challenges a parental relationship during a child's cancer trajectory?
J Psychosoc Oncol 2018;
36:635-648. [PMID:
30862312 PMCID:
PMC6645386 DOI:
10.1080/07347332.2018.1485813]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Revised: 02/07/2018] [Accepted: 06/04/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVES
To identify events during a child's cancer trajectory when parents perceived their marriage/partnership to be most strengthened and/or challenged.
RESEARCH APPROACH
Using a cross-sectional qualitative design, participants completed a self-administered questionnaire addressing changes in their relationship during their child's cancer trajectory, including events perceived to strengthen/challenge their relationship, and recommendations for other parents.
PARTICIPANTS
192 parents of pediatric oncology patients across three institutions. Data were analyzed using qualitative content analysis.
FINDINGS
Themes included relationship-specific, illness experience-related, and external supports/stressors that impacted the relationship. Dyadic strategies, empathic communication, and supportive behaviors strengthened the couple's relationship, whereas physical and emotional distance most commonly challenged the relationship. Recommendations to other parents included open communication, couple's connectedness, and use of external supports.
INTERPRETATION
Offering psychosocial support and helping parents anticipate when their relationship can be strengthened/challenged can be an important part of ongoing care. Implications for psychosocial providers: Teaching communication and dyadic coping strategies can help parents manage stress and build cohesion.
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