A child suffering from cancer can be considerably stressful for parents, exerting a negative impact on their psychological well-being and quality of life. This study explored the relationships between resilience and quality of life in parents of children with cancer. We recruited 146 parents of children with cancer in two tertiary hospitals in mainland China. The results revealed that greater parental resilience was associated with better quality of life. It is essential to develop interventions that can enhance resilience for parents of children with cancer, thereby improving their quality of life.
BakulaDMSharkeyCMPerezMN, et al. (2019) Featured Article: the relationship between parent and child distress in pediatric cancer: A meta-analysis. Journal of Pediatric Psychology44(10): 1121–1136.
2.
BolierLHavermanMWesterhofGJ, et al. (2013) Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health13(1): 119.
3.
BrazierJRobertsJDeverillM (2002) The estimation of a preference-based measure of health from the SF-36. Journal of Health Economics21(2): 271–292.
4.
ChmitorzAKunzlerAHelmreichI, et al. (2018) Intervention studies to foster resilience - A systematic review and proposal for a resilience framework in future intervention studies. Clinical Psychology Review59: 78–100.
5.
CohenJ (1992) A power primer. Psychological Bulletin112(1): 155–159.
6.
ConnorKMDavidsonJR (2003) Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety18(2): 76–82.
7.
FaulFErdfelderELangA-G, et al. (2007) GPower 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods39(2): 175–191.
8.
FedeleDAHullmannSEChaffinM, et al. (2013) Impact of a parent-based interdisciplinary intervention for mothers on adjustment in children newly diagnosed with cancer. Journal of Pediatric Psychology38(5): 531–540.
9.
Jenholt NolbrisMEnskärKHellströmAL (2014) Grief related to the experience of being the sibling of a child with cancer. Cancer Nursing37(5): E1–E7.
10.
KimGMLimJYKimEJ, et al. (2019) Resilience of patients with chronic diseases: A systematic review. Health & Social Care in Community27(4): 797–807.
11.
KirbyJSButtMEsmannS, et al. (2017) Association of resilience with depression and health-related quality of life for patients with hidradenitis suppurativa. JAMA Dermatology153(12): 1263–1269.
12.
KlassenAFKlaassenRDixD, et al. (2008) Impact of caring for a child with cancer on parents’ health-related quality of life. Journal of Clinical Oncology26(36): 5884–5889.
13.
KlassenAFRainaPMcIntoshC, et al. (2011) Parents of children with cancer: Which factors explain differences in health-related quality of life. International Journal of Cancer129(5): 1190–1198.
14.
LamCLBrazierJMcGheeSM (2008) Valuation of the SF-6D health states is feasible, acceptable, reliable, and valid in a Chinese population. Value in Health11(2): 295–303.
15.
LawfordJEiserC (2001) Exploring links between the concepts of quality of life and resilience. Pediatric Rehabilitation4(4): 209–216.
16.
LiHCWChungOKJChiuSY (2010) The impact of cancer on children’s physical, emotional, and psychosocial well-being. Cancer Nursing33(1): 47–54.
17.
LinYKLinCDLinBY, et al. (2019) Medical students’ resilience: A protective role on stress and quality of life in clerkship. BMC Medical Education19(1): 473.
18.
LiuZZhouXZhangW, et al. (2019) Factors associated with quality of life early after ischemic stroke: The role of resilience. Topics in Stroke Rehabilitation26(5): 335–341.
19.
McGheeSMBrazierJLamCL, et al. (2011) Quality-adjusted life years: Population-specific measurement of the quality component. Hong Kong Medical Journal17(S6): S17–S21.
20.
ModanlooSRohaniCShirinabadi FarahaniA, et al. (2019) General family functioning as a predictor of quality of life in parents of children with cancer. Journal of Pediatric Nursing44: e2–e8.
21.
MullinsLLCushingCCSuorsaKI, et al. (2016) Parent illness appraisals, parent adjustment, and parent-reported child quality of life in pediatric cancer. Pediatric Hematology and Oncology33(5): 314–326.
22.
PelletierWBonaK (2015) Assessment of financial burden as a standard of care in pediatric oncology. Pediatric Blood & Cancer62(S5): S619–S631.
23.
QiuCShaoDYaoY, et al. (2019) Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China. Quality of Life Research28(9): 2585–2595.
24.
QuastLFTurnerEMMcCurdyMD, et al. (2016) Health-related quality of life in parents of pediatric brain tumor survivors at the end of tumor-directed therapy. Journal of Psychosocical Oncology34(4): 274–290.
25.
RichardsonGE (2002) The metatheory of resilience and resiliency. Journal of Clinical Psychology58(3): 307–321.
26.
RosenbergARBakerKSSyrjalaKL, et al. (2013) Promoting resilience among parents and caregivers of children with cancer. Journal of Palliative Medicine16(6): 645–652.
27.
RosenbergARBradfordMCJunkinsCC, et al. (2019) Effect of the Promoting Resilience in Stress Management Intervention for Parents of Children With Cancer (PRISM-P): A randomized clinical trial. JAMA Network Open2(9): e1911578.
28.
RosenbergARWolfeJBradfordMC, et al. (2014) Resilience and psychosocial outcomes in parents of children with cancer. Pediatric Blood & Cancer61(3): 552–557.
29.
ShiLGaoYZhaoJ, et al. (2017) Prevalence and predictors of posttraumatic stress symptoms in parents of children with ongoing treatment for cancer in South China: A multi-centered cross-sectional study. Supportive Care in Cancer25(4): 1159–1167.
30.
SkevingtonSMBartosMBonicatoS, et al. (2020) Is culture important to the relationship between quality of life and resilience? Global implications for preparing communities for environmental and health disasters. Frontiers in Psychology11: 1492.
31.
Steliarova-FoucherEColombetMRiesLAG, et al. (2017) International incidence of childhood cancer, 2001-10: A population-based registry study. The Lancet Oncology18(6): 719–731.
32.
SultanSLeclairTRondeauE, et al. (2016) A systematic review on factors and consequences of parental distress as related to childhood cancer. European Journal of Cancer Care25(4): 616–637.
33.
Temprado AlbalatMDGarcía MartínezPBallester ArnalR, et al. (2020) The relationship between resilience and quality of life in patients with a drainage enterostomy. Journal of Health Psychology25(10–11): 1483–1497.
34.
TianYZRenXHGuoSH, et al. (2012) The quality of life and its influencing factors of caregivers of children with leukemia [in Chinese]. China Journal of Modern Medicine22(34): 100–103.
35.
TsimicalisAStevensBUngarWJ, et al. (2013) A mixed method approach to describe the out-of-pocket expenses incurred by families of children with cancer. Pediatric Blood & Cancer60(3): 438–445.
36.
Van WarmerdamJZabihVKurdyakP, et al. (2019) Prevalence of anxiety, depression, and posttraumatic stress disorder in parents of children with cancer: A meta-analysis. Pediatric Blood & Cancer66(6): e27677.
WuWWTsaiSYLiangSY, et al. (2015) The mediating role of resilience on quality of life and cancer symptom distress in adolescent patients with cancer. Journal of Pediatric Oncology Nursing32(5): 304–313.
39.
YeZJGuanHJWuLH, et al. (2015) Resilience and psychosocial function among Mainland Chinese parents of children with cancer: A cross-sectional survey. Cancer Nursing38(6): 466–474.
40.
YuXZhangJ (2007) Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with Chinese people. Social Behavior and Personality35(1): 19–30.
41.
ZhengRPengXZengH, et al. (2015) Incidence, mortality and survival of childhood cancer in China during 2000-2010 period: A population-based study. Cancer Letters363(2): 176–180.
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