title: Predictors of distress in parents of children with cancer: a prospective study.
abstract: OBJECTIVE
  To investigate levels of psychological distress in parents of children with cancer and relationships between distress and measures of illness variables, appraisal, psychosocial resources and coping strategies.
  
  
  METHODS
  Questionnaires were completed by 68 mothers and 58 fathers at 6 (Time 1) and 18 (Time 2) months post-diagnosis.
  
  
  RESULTS
  High levels of distress for 51% of mothers and around 40% of fathers were apparent at both time points, with little change over time. For mothers, their appraisal of the strain of the illness, and their own ability to deal with it, and family cohesion were predictive of distress, both concurrently and prospectively, and, at Time 1, greater use of self-directed coping strategies was related to higher levels of distress. For fathers, risk factors of employment problems (Time 1) and the number of the child's hospital admissions (Time 2) were significant, along with appraisal and family cohesion.
  
  
  CONCLUSIONS
  Continuation of high levels of distress over time points to the importance of identification of those at risk at an early stage and provision of ongoing support. Implications for such support are discussed.
authors.affiliation: Social Policy Research Unit, University of York, United Kingdom.
authors.forename: P
authors.initials: P
authors.lastname: Sloper
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D017281:Cost of Illness; D003863:Depression / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009369:Neoplasms; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011446:Prospective Studies; D012917:Social Adjustment; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires