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A Three Factor Model of Parental Coping With Childhood Cancer
Oz Hamtzani1,2, Michael J Dolgin2, Talma Kushnir2,3
1The Edmond and Lily Safra Children's Hospital, Sheba Tel-HaShomer, Ramat Gan, Israel.
Psycho-Oncology
|October 7, 2025
Summary
Parents of children with cancer experience distress. Avoiding coping strategies significantly predicts distress, while a broader range of techniques and flexibility may reduce it.
Area of Science:
- Psychology
- Oncology
- Childhood Cancer Research
Background:
- Parental distress, including anxiety, depression, and PTSD, is common in childhood cancer.
- Significant variability exists in parental coping and distress levels.
Purpose of the Study:
- To examine the roles of coping strategy, repertoire, and flexibility in parental distress.
- To understand the interplay of these coping constructs in the context of childhood cancer.
Main Methods:
- Cross-sectional study of 145 parents (88 mothers, 57 fathers) of children with cancer.
- Utilized standardized measures: Brief COPE, Coping Flexibility Scale-Revised, Pediatric Parenting Stress Inventory, Profile of Mood States.
Main Results:
- Avoidance coping, coping repertoire, and flexibility were all linked to parental distress.
- Avoidance-focused coping was the strongest predictor, explaining 29% of distress variance.
- The combined coping model accounted for 37%-43% of distress variance.
Conclusions:
- Clinical interventions should target reducing avoidance coping strategies.
- Enhancing coping repertoire and flexibility may improve distress outcomes.
- Longitudinal studies are needed to confirm causal relationships.
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