@article{KuehneKrattenmacherBergeltetal.2013,
  author    = {K{\"u}hne, Franziska and Krattenmacher, Thomas and Bergelt, Corinna and Bierbaum, Anna-Lena and Christine Ernst, Johanna and Flechtner, Hans-Henning and Keller, Monika and Klitzing, Kai V. and Romer, Georg and M{\"o}ller, Birgit},
  title     = {Elternschaft und Krebserkrankung: Dyadische Analyse von psychosozialer Belastung und gesundheitsbezogener Lebensqualit{\"a}t von krebskranken Eltern minderj{\"a}hriger Kinder},
  series = {Psychotherapie, Psychosomatik, medizinische Psychologie},
  volume    = {63},
  journal   = {Psychotherapie, Psychosomatik, medizinische Psychologie},
  doi       = {10.1055/s-0033-1341454},
  pages     = {473 -- 481},
  year      = {2013},
  abstract  = {The purpose of this study was the analysis of psychological distress and health-related quality of life (HRQoL) of parents with minor children during curative resp. palliative treatment.Cross-sectional design with a sample of N=89 parent dyads. Dyadic analysis of demographic, illness and family variables via mixed linear models.Patients and healthy partners indicated psychological distress on different subscales. Intradyadic correlations were small-moderate. Most important predictors of psychological distress and HRQoL were treatment stadium, gender, family functioning, and employment status.Dependent on demographic variables, psychooncological support was evident mainly for parents in palliative care and for families with dysfunctional functioning.},
  subject      = {Adult},
  language  = {de}
}
@article{KuehneKrattenmacherBergeltetal.2012,
  author    = {K{\"u}hne, Franziska and Krattenmacher, Thomas and Bergelt, Corinna and Ernst, Johanna C. and Flechtner, Hans-Henning and F{\"u}hrer, Daniel and Herzog, Wolfgang and Klitzing, Kai V. and Romer, Georg and M{\"o}ller, Birgit},
  title     = {Parental palliative cancer: psychosocial adjustment and health-related quality of life in adolescents participating in a German family counselling service},
  series = {BMC palliative care},
  volume    = {11},
  journal   = {BMC palliative care},
  doi       = {10.1186/1472-684X-11-21},
  pages     = {21},
  year      = {2012},
  abstract  = {UNLABELLED BACKGROUND Parental palliative disease is a family affair, however adolescent's well-being and coping are still rarely considered. The objectives of this paper were a) to identify differences in psychosocial adjustment and health-related quality of life (HRQoL) among adolescents and young adults with parents suffering from palliative cancer or cancers in other disease stages, b) to relate psychosocial adjustment and health-related quality of life to adolescent coping, and c) to explore significant mediator and predictor variables. METHODS Cross-sectional data were derived from a multi-site research study of families before child-centered counselling. N=86 adolescents and young adults were included, their mean age 13.78 years (sd 2.45), 56\% being female. Performed analyses included ANCOVA, multiple linear regression, and mediation analysis. RESULTS Adolescents with parents suffering from palliative cancers reported significantly less total psychosocial problems, and better overall HRQoL. There were no significant group differences regarding coping frequency and efficacy. Our set of coping items significantly mediated the effect of parental disease stage on psychosocial problems and HRQoL. Further, parental disease status and general family functioning predicted psychosocial problems (R2adj =.390) and HRQoL (R2adj =.239) best. CONCLUSION The study indicates distress among adolescents throughout the entire parental disease process. Our analysis suggests that counselling services could offer supportive interventions which focus particularly on adolescent coping as well as family functioning.},
  language  = {en}
}