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Table of contents
Search Strategy................................................................................................................................................ iii
1. "You can only take so much, and it took everything out of me": Coping strategies used by parents of
children with cancer......................................................................................................................................... 1
Bibliography...................................................................................................................................................... 3
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Document 1 of 1

"You can only take so much, and it took everything out of me": Coping strategies used by parents of
children with cancer
Author: Miedema, Baukje; Hamilton, Ryan; Fortin, Pierrette; Easley, Julie; Matthews, Maria

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Abstract: Abstract
Objective: This study qualitatively assesses the coping strategies of parents who care for a child with cancer.
Method: Semi-structured interviews were conducted with 28 French and English families who had had a child
diagnosed with cancer in the last ten years in two Eastern Canadian provinces. Interviews were transcribed
verbatim and coded with a focus on parental coping strategies.
Results: Using coping behaviors as described and categorized in the Family Adjustment and Adaptation
Response (FAAR) model as a foundation, we found that families used a variety of appraisal-, emotion-, and
problem-focused coping. Appraisal-focused coping strategies involved trying to stay "positive" and "making
positive comparisons." Problem-focused coping involved behaviors such as being an advocate for the child and
seeking information. The majority of parents, however, described using emotion-focused coping behaviors such
as trying to avoid "feeling too much" by hiding difficult emotions and "escaping" from problems. Others used
more positive emotion-focused coping behaviors such as humor, seeking support (informal or formal), or writing
diaries. A small group of parents used ineffective coping strategies (alcohol abuse, misdirected anger) that
added to family stress. These ineffective strategies have led to a modification of the FAAR model indicating that
not all coping behaviors are beneficial to family adjustment in crisis. Overall, many parents felt that their coping
strategies were effective; however, a few described having a complete "coping breakdown".
Significance of results: Parents used a range of coping strategies of which emotion-focused coping was the
most prominent. We have enhanced the FAAR model by including additional coping behaviors as well as a
description of how some coping behaviors add to the daily stressors for parents dealing with a child's illness.
Professional health care providers need to understand the variability of the coping behaviors in order to
appropriately assist parents to avoid coping breakdowns. [PUBLICATION ABSTRACT]
MeSH: Child, Cost of Illness, Emotions, Female, Health Services Needs & Demand, Humans, Income --
statistics & numerical data, Male, Models, Psychological, New Brunswick, Newfoundland & Labrador, Parents --
education, Problem Solving, Qualitative Research, Questionnaires, Religion & Psychology, Rural Population,
Self Efficacy, Social Support, Travel, Adaptation, Psychological (major), Attitude to Health (major), Neoplasms
(major), Neoplasms (major) -- psychology, Neoplasms (major) -- therapy, Parents -- psychology (major)
Publication title: Palliative & Supportive Care
Volume: 8
Issue: 2
Pages: 197-206
Number of pages: 10
Publication year: 2010
Publication date: Jun 2010
Year: 2010
Publisher: Cambridge University Press
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Place of publication: Cambridge
Country of publication: United Kingdom
Publication subject: Medical Sciences
ISSN: 14789515
Source type: Scholarly Journals
Language of publication: English
Document type: Journal Article
DOI: http://dx.doi.org/10.1017/S1478951510000015
Accession number: 20557667
ProQuest document ID: 503311280
Document URL: http://search.proquest.com/docview/503311280?accountid=15533
Copyright: Copyright Cambridge University Press 2010
Last updated: 2014-03-31
Database: ProQuest Central
26 June 2014 Page 2 of 3 ProQuest
Bibliography
Citation style: APA 6th - American Psychological Association, 6th Edition
Miedema, B., Hamilton, R., Fortin, P., Easley, J., & Matthews, M. (2010). "You can only take so much, and it
took everything out of me": Coping strategies used by parents of children with cancer. Palliative & Supportive
Care, 8(2), 197-206. doi:http://dx.doi.org/10.1017/S1478951510000015

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