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Related Experiment Videos

Avoidant coping in children with cancer

S Phipps1, D Fairclough, R K Mulhern

  • 1Division of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee 38101-0318, USA.

Journal of Pediatric Psychology
|April 1, 1995
PubMed
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Children with cancer utilize avoidant coping styles, known as blunting, more than healthy children. This increased blunting is a reactive phenomenon, potentially linked to cancer treatment and diagnosis timelines.

Area of Science:

  • Psychology
  • Pediatric Oncology
  • Child Development

Background:

  • Coping mechanisms in children facing chronic illness are crucial for adaptation.
  • Previous research suggests increased psychological defense in pediatric cancer patients.
  • A validated instrument is needed to comprehensively assess children's coping styles.

Purpose of the Study:

  • To compare coping styles between children with cancer and healthy controls.
  • To introduce and validate a new conceptual model of coping styles in children.
  • To investigate the relationship between coping styles and cancer diagnosis duration.

Main Methods:

  • Utilized the newly developed Children's Behavioral Style Scale (CBSS) for assessment.
  • Compared coping styles in 66 children with cancer against 414 healthy children.

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  • Employed a conceptual model categorizing children into Monitors, Blunters, Active, or Passive copers.

    • Main Results:

    • Children with cancer demonstrated significantly higher use of blunting (avoidant coping) compared to controls.
    • The proportion of Active and Passive copers was similar across both groups.
    • A positive correlation was found between blunting scores and time since cancer diagnosis within the oncology group.

    Conclusions:

    • Children with cancer exhibit a greater tendency towards avoidant coping (blunting).
    • The increased blunting appears to be a reactive response to cancer and its treatment.
    • Findings offer a new perspective on psychological responses, potentially explaining observed defensiveness in pediatric cancer patients.