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Featured Article: Caregiver Perceptions of Stress and Sibling Conflict During Pediatric Cancer Treatment

Kaitlyn Fladeboe1, Kevin King1, Joy Kawamura2

  • 1Department of Psychology, University of Washington.

Journal of Pediatric Psychology
|February 24, 2018
PubMed

Insights

Family stress during pediatric cancer treatment can increase sibling conflict. Higher cancer-related, general life, and financial stress were linked to more sibling conflict in the first year.

Area of Science:

  • Pediatric oncology
  • Family psychology
  • Childhood cancer survivorship

Background:

  • Pediatric cancer treatment introduces significant stressors for families.
  • Sibling relationships can be affected by the demands of cancer care.

Purpose of the Study:

  • To examine the impact of various stressors on sibling conflict during the initial year of pediatric cancer treatment.
  • To differentiate between within-family and between-family effects of stress on sibling conflict.

Main Methods:

  • A longitudinal study involving 103 families with a child diagnosed with cancer (aged 2-17) and a sibling under 5.
  • Primary caregivers completed monthly questionnaires assessing five types of stress and sibling conflict levels.
  • Multilevel modeling was used to analyze the relationship between stressors and conflict.

Main Results:

  • Increased cancer-related, general life, and financial stress were associated with higher sibling conflict between families.
  • No significant association was found between perceived treatment intensity or life threat and sibling conflict.
  • Stressors did not predict sibling conflict within families at the individual level.

Conclusions:

  • Certain stressors associated with pediatric cancer can negatively impact family dynamics, leading to increased sibling conflict.
  • Findings highlight the importance of addressing family-level stressors to support sibling relationships during treatment.
Abstract

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