title: Childhood Cancer in Context: Sociodemographic Factors, Stress, and Psychological Distress Among Mothers and Children.
abstract: OBJECTIVE
  To examine associations between sociodemographic factors (single parenthood, family income, education level, race), stress, and psychological distress among pediatric cancer patients and their mothers.
  
  
  METHODS
  Participants completed measures assessing sociodemographic variables, depressive symptoms, posttraumatic stress symptoms, general stress, and cancer-related stress within the first year of the child's (ages 5-17 years) cancer diagnosis or relapse. Mothers (N = 318) provided self-reports and parent report of their children; children aged 10-17 years (N = 151) completed self-reports.
  
  
  RESULTS
  Each sociodemographic variable demonstrated unique associations with mothers' and children's stress and distress in bivariate analyses. A cumulative sociodemographic risk measure was positively correlated with all stress and distress variables. In regression analyses predicting mothers' and children's distress, independent and cumulative sociodemographic measures were no longer significant when accounting for levels of stress.
  
  
  CONCLUSIONS
  Findings highlight the need to consider the ecological context of pediatric cancer, particularly the impact of sociodemographic disadvantage on stress and distress in this population.
authors.affiliation: Vanderbilt University, heather.m.bemis@vanderbilt.edu.
authors.forename: Heather
authors.initials: H
authors.lastname: Bemis
authors.affiliation: Vanderbilt University.
authors.forename: Janet
authors.initials: J
authors.lastname: Yarboi
authors.affiliation: The Research Institute at Nationwide Children's Hospital, and The Ohio State University.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Gerhardt
authors.affiliation: The Research Institute at Nationwide Children's Hospital, and The Ohio State University.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Vannatta
authors.affiliation: Vanderbilt University.
authors.forename: Leandra
authors.initials: L
authors.lastname: Desjardins
authors.affiliation: Vanderbilt University.
authors.forename: Lexa K
authors.initials: LK
authors.lastname: Murphy
authors.affiliation: Vanderbilt University.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Rodriguez
authors.affiliation: Vanderbilt University.
authors.forename: Bruce E
authors.initials: BE
authors.lastname: Compas
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D003866:Depressive Disorder / Q000150:complications* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D009369:Neoplasms / Q000150:complications* / Q000523:psychology*; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000150:complications* / Q000523:psychology; D055815:Young Adult
keywords: cancer and oncology; depression; disparities; posttraumatic stress; stress
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