title: Parent and family factors associated with child adjustment to pediatric cancer.
abstract: OBJECTIVE
  To identify factors that influence the association between parent and child distress among families of children with cancer and comparison peers.
  
  
  METHODS
  Parent and child distress, social support, and family environment were assessed among families of 95 children with cancer (94 mothers, 67 fathers) and 98 comparison peers (97 mothers, 77 fathers).
  
  
  RESULTS
  Significant associations were found between parent and child distress. For models examining the impact of fathers' distress on children, several moderators were identified (i.e., family environment, child age and gender, a cancer diagnosis, and treatment severity). Family environment also partially mediated father and child distress.
  
  
  CONCLUSIONS
  Children whose parents were distressed were more likely to be distressed themselves. Subgroups of children were particularly vulnerable, indicating a need to identify further mechanisms of risk and resilience and to develop family-based interventions. Support was found for including fathers as independent sources of information in pediatric psychology research and clinical practice.
authors.affiliation: Columbus Children's Research Institute, Center for Biobehavioral Health, Columbus, Ohio 43205-2696, USA.
authors.forename: Kristen E
authors.initials: KE
authors.lastname: Robinson
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Gerhardt
authors.forename: Kathryn
authors.initials: K
authors.lastname: Vannatta
authors.forename: Robert B
authors.initials: RB
authors.lastname: Noll
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002648:Child; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D005190:Family / Q000523:psychology*; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D012917:Social Adjustment; D012931:Social Environment; D012944:Social Support; D011795:Surveys and Questionnaires