title: Parental coping and posttraumatic stress symptoms among pediatric cancer populations: tests of competing models.
abstract: OBJECTIVE
  The objective of this study is to examine the relation between parental coping style and the risk of parental and child posttraumatic stress symptoms (PTSS) among pediatric cancer survivors.
  
  
  METHODS
  Child survivors of cancer ranging from 6 to 16 years of age (N = 111) completed standardized measures of depression and PTSS, while their parents completed standardized measures of PTSS and coping styles.
  
  
  RESULTS
  Correlational analyses revealed that active and passive coping strategies were positively related to parental PTSS. Although child and parental PTSS were significantly related to each other, only one parental coping strategy-using substances-was significantly related to child PTSS. Regression analyses revealed support for a mediation and not for a moderation model for this relation, thereby suggesting that the relation between parental and child PTSS is mediated by parental substance use.
  
  
  CONCLUSIONS
  Clinical implications including identifying risk factors for PTSS among pediatric cancer survivors are discussed.
authors.affiliation: Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Stoppelbein
authors.forename: Leilani
authors.initials: L
authors.lastname: Greening
authors.forename: Hayley
authors.initials: H
authors.lastname: Wells
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D012044:Regression Analysis; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology; D017741:Survivors / Q000523:psychology*
keywords: cancer; children; coping; oncology; posttraumatic stress