TY  - JOUR
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Führer, Daniel
A1  - Beierlein, Volker
A1  - Brähler, Elmar
A1  - Resch, Franz
A1  - Klitzing, Kai V.
A1  - Flechtner, Hans-Henning
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Coping skills and mental health status in adolescents when a parent has cancer: a multicenter and multi-perspective study
JF  - Journal of psychosomatic research
N2  - OBJECTIVE Parental cancer increases the risk of psychosocial problems in adolescents. We investigated the frequency and efficacy of adolescents' coping strategies and relationships between those strategies and mental health status. Age and gender differences regarding coping and mental health were also investigated. METHODS In total, 214 adolescents from 167 families participated in a cross-sectional, multicenter study. All participants were recruited from standard oncological care. Among the participants, 52% utilized a child-centered intervention program. Adolescents' coping skills were measured using KIDCOPE. Mental health status was rated by adolescents and parents by the SDQ for symptomatology and the KIDSCREEN for well-being. RESULTS We found that 29% of the adolescents showed emotional and behavioral problems. We found gender differences in mental health status but not in coping. Adolescents used a broad spectrum of coping strategies. Active problem-solving, distraction, acceptance, wishful thinking and seeking social support were the most frequently used coping strategies. The utilization of certain coping skills was mediated by their perceived efficacy. Problem-focused or approach-oriented coping strategies generally are associated with better mental health, while avoidance-oriented coping are associated with worse mental health. Emotion-focused coping was associated with both lower and higher mental health. CONCLUSION The strategies used by adolescents to cope with parental cancer are associated with their mental health. Problem-solving and approach-oriented coping strategies should be facilitated by psychological interventions regardless of age and gender. Age and gender differences in adolescents' mental health should be further investigated because these differences are not explained by differences in coping strategies.
KW  - Adaptation
KW  - Psychological/classification/physiology
KW  - Adolescent
KW  - Adult
KW  - Age Factors
KW  - Aged
KW  - Child
KW  - Cross-Sectional Studies
KW  - Female
KW  - Humans
KW  - Male
KW  - Mental Disorders/epidemiology/etiology
KW  - Middle Aged
KW  - Neoplasms/psychology
KW  - Parents
KW  - Psychiatric Status Rating Scales
Y1  - 2013
U6  - http://dx.doi.org/10.1016/j.jpsychores.2012.10.003
VL  - 74
SP  - 252
EP  - 259
ER  - 
TY  - JOUR
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Führer, Daniel
A1  - Ernst, Johanna
A1  - Brähler, Elmar
A1  - Herzog, Wolfgang
A1  - Klitzing, Kai
A1  - Flechtner, Hans-Henning
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Kinder krebskranker Eltern - elterliches Coping, familiäres Funktionsniveau und psychosoziale Anpassung der Kinder
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - Children exposed to parental cancer have an increased risk of mental health problems. However, the parental illness itself and its features do not predict children's psychological adjustment. Parent- and family-related factors are more predictive for children's well-being and the incidence of psychopathological symptoms, respectively. This study focuses on parental ways of coping with illness from both, the ill and healthy parent's perspective, and the relationship with family functioning and children's adjustment. Results show a significant impact of parental coping styles on children's health-related quality of life and psychopathological symptoms and, furthermore, that this relationship is mediated by aspects of family functioning. This study support the importance of family systems approaches. Implications for further studies and practical issues are discussed.
KW  - Adaptation
KW  - Psychological
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Child of Impaired Parents/psychology
KW  - Preschool
KW  - Family Relations
KW  - Female
KW  - Germany
KW  - Humans
KW  - Male
KW  - Neoplasms/psychology
KW  - Parents/psychology
KW  - Quality of Life/psychology
KW  - Social Adjustment
KW  - Surveys and Questionnaires
Y1  - 2012
U6  - http://dx.doi.org/10.13109/prkk.2012.61.6.447
SN  - 0032-7034
VL  - 61
SP  - 447
EP  - 462
ER  -