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  - Kühne, Franziska
A1  - Krattenmacher, Thomas
A1  - Bergelt, Corinna
A1  - Bierbaum, Anna-Lena
A1  - Christine Ernst, Johanna
A1  - Flechtner, Hans-Henning
A1  - Keller, Monika
A1  - Klitzing, Kai V.
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Elternschaft und Krebserkrankung: Dyadische Analyse von psychosozialer Belastung und gesundheitsbezogener Lebensqualität von krebskranken Eltern minderjähriger Kinder
JF  - Psychotherapie, Psychosomatik, medizinische Psychologie
N2  - 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.
KW  - Adult
KW  - Child
KW  - Preschool
KW  - Cross-Sectional Studies
KW  - Employment
KW  - Family
KW  - Female
KW  - Humans
KW  - Infant
KW  - Linear Models
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/complications/psychology
KW  - Neuropsychological Tests
KW  - Palliative Care
KW  - Parents/psychology
KW  - Psychiatric Status Rating Scales
KW  - Quality of Life
KW  - Stress
KW  - Psychological/etiology/psychology
Y1  - 2013
U6  - http://dx.doi.org/10.1055/s-0033-1341454
VL  - 63
SP  - 473
EP  - 481
ER  -