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Systematic Review: Family Resilience After Pediatric Cancer Diagnosis
Marieke Van Schoors1, Line Caes2, Lesley L Verhofstadt3
1Department of Experimental Clinical and Health Psychology, Ghent University, marieke.vanschoors@ugent.be.
Insights
Most families show resilience after a pediatric cancer diagnosis, adapting well. However, research limitations hinder a full understanding of factors influencing this family resilience.
Area of Science:
- Pediatric Oncology
- Family Psychology
- Systematic Review Methodology
Background:
- Pediatric cancer presents a significant risk to family functioning.
- Family resilience is defined as competent functioning despite adversity.
- Understanding family resilience is crucial for supporting affected families.
Purpose of the Study:
- To systematically review family resilience in pediatric cancer.
- To identify theoretical, methodological, and statistical issues in existing research.
- To inform clinical practice through improved research.
Main Methods:
- Systematic review adhering to established guidelines.
- Comprehensive literature search across major scientific databases (Web of Science, PubMed, Cochrane, PsycInfo, Embase).
- Screening of 5,563 articles, with 85 included for detailed review.
Main Results:
- The majority of families demonstrate resilience following a pediatric cancer diagnosis.
- A notable subset of families continues to face challenges.
- Methodological limitations in current studies impede definitive conclusions.
Conclusions:
- Future research should prioritize family resilience and its predictors, grounded in theory.
- Attention to measurement units and statistical analyses is essential for robust findings.
- Enhanced research quality is necessary to effectively guide family-centered clinical interventions.
Objectives:
A systematic review was conducted to (1) investigate family resilience in the context of pediatric cancer, and (2) examine theoretical, methodological, and statistical issues in this literature. Family resilience was operationalized as competent family functioning after exposure to a significant risk.
Methods:
Following guidelines for systematic reviews, searches were performed using Web of Science, Pubmed, Cochrane, PsycInfo, and Embase. After screening 5,563 articles, 85 fulfilled inclusion criteria and were extracted for review.
Results:
Findings indicated that most families are resilient, adapting well to the crisis of cancer diagnosis. However, a subset still experiences difficulties. Methodological issues in the current literature hamper strong nuanced conclusions.
Conclusions:
We suggest future research with a greater focus on family resilience and factors predicting it, based on available theory, and conducted with attention toward unit of measurement and use of appropriate statistical analyses. Improvements in research are needed to best inform family-based clinical efforts.
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