The interaction of family functioning and disease- and treatment-related factors on quality of life for children after cancer.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-06-03 DOI:10.1080/07347332.2024.2354298

Emily L Moscato, May V Albee, Ashley Anil, Matthew C Hocking

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Abstract

Purpose: Children with cancer experience low quality of life (QOL), yet heterogeneity underscores a need to understand how risk and resilience factors interact. This study evaluated if family functioning relates to QOL differentially depending on diagnosis and treatment intensity.

Methods: Participants included children (ages 8-14) who completed treatment within six months for either brain tumor (BT; n = 42) or non-central nervous system solid tumor (ST; n = 29). Caregivers and children rated QOL and family functioning. Treatment intensity was categorized as low, moderate, or high. Cross-informant moderation models tested hypothesized interactions.

Results: Child-reported family functioning significantly interacted with diagnosis and treatment intensity in models of caregiver-reported QOL. More maladaptive family functioning was associated with reduced QOL for children with BT and moderately-intense treatments.

Conclusions: Children with BT and moderate treatment intensities are sensitive to family functioning, highlighting an at-risk group to target for family-level intervention. Future work should evaluate these associations longitudinally.

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家庭功能与疾病和治疗相关因素对癌症后儿童生活质量的相互作用。

目的：癌症患儿的生活质量（QOL）较低，但其异质性突出表明，有必要了解风险和复原力因素是如何相互作用的。本研究评估了家庭功能与生活质量的关系是否因诊断和治疗强度而异：参与者包括在六个月内完成脑肿瘤（BT，42 人）或非中枢神经系统实体瘤（ST，29 人）治疗的儿童（8-14 岁）。照顾者和儿童对QOL和家庭功能进行评分。治疗强度分为低、中、高。交叉信息调节模型检验了假设的交互作用：结果：在照顾者报告的 QOL 模型中，儿童报告的家庭功能与诊断和治疗强度有明显的交互作用。在接受BT和中等强度治疗的儿童中，更多的不良家庭功能与QOL的降低有关：结论：BT 患儿和中度治疗强度患儿对家庭功能很敏感，这表明家庭干预的目标是高危人群。未来的工作应纵向评估这些关联。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.