Family Functioning and Therapeutic Interventions When a Parent Has Cancer

  • Chapter
  • First Online:
Quality of Life Among Cancer Survivors

Abstract

A cancer diagnosis reverberates throughout the family system. Health professionals have identified the need to understand what happens within the family system when a parent has been diagnosed with cancer and there are children at home. This was sparked by concern regarding family member response at the individual, couple, and family system level. Researchers have conducted qualitative and quantitative studies to obtain the family members’ perspectives of their family’s functioning. The mother was initially the reporter of what was happening in the family, but over the last 20 years, the perspective of the ill parent as well as other family members, including the children, has been included. Although most studies have been cross-sectional, there are longitudinal studies that have examined whether perspectives change over time. As a consequence, some patterns of response have been noted across studies, which have also been supported when the father has been the ill parent. Decreased family functioning and a mother experiencing depressive symptoms are important risk factors for potential child and adolescent psychological problems. This chapter will present evidence of family functioning when a parent has cancer and its relationship to child and adolescent emotional responses. Strategies for intervention are suggested to address the information and psychological health needs of parents and their children. Implications for healthcare professionals and future research are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Anderson, S. A., & Sabatelli, R. M. (2011). Family interaction: A multigenerational developmental perspective (5th ed.). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Barnes, J., Kroll, L., Burke, O., Lee, J., Jones, A., & Stein, A. (2000). Qualitative interview study of communication between parents and their children about maternal breast cancer. British Medical Journal, 321, 479–482.

    Article  Google Scholar 

  • Buchbinder, M. A., Longhofer, J., & McCue, K. (2009). Family routines and rituals when a parent has cancer. Families, Systems, & Health, 27, 213–227.

    Article  Google Scholar 

  • Bultz, B. D., Groff, S. L., Fitch, M., et al. (2011). Implementing screening for distress, the 6th vital sign: A Canadian strategy for changing practice. Psycho-Oncology, 20, 463–469.

    Article  Google Scholar 

  • Cancer Journey Portfolio. (2012). Screening for distress, the 6th vital sign: A guide to implementing best practice in person-centered care. www.cancerview.ca

  • Cohn, D. V. (2013, 10 July). In Canada most babies now born to women 30 and older. PEW Research Center, July 10, 2013. Washington, DC. http://www.pewresearch.org/fact-tank/2013/07/10/in-canada-most-babies-now-born-to-women-30-and-older/

  • Compas, B. E., Worsham, N. L., Ep**-Jordan, J. E., Grant, K. E., Mireault, G., Howell, D. C., & Malcarne, V. L. (1994). When mom or dad has cancer: Markers of psychological distress in cancer patients, spouses, and children. Health Psychology, 13, 507–515.

    Article  Google Scholar 

  • Edwards, L., Watson, M., St. James-Roberts, I., Ashley, S., Tilney, C., Brougham, B., … Romer, G. (2008). Adolescent’s stress responses and the psychological functioning when a parent has early breast cancer. Psycho-Oncology, 17, 1039–1047.

    Article  Google Scholar 

  • Ellis, S. J., Wakefield, C. E., Antill, G., Burns, M., & Patterson, P. (2017). Supporting children facing a parent’s cancer diagnosis: A systematic review of children’s psychosocial needs and existing interventions. European Journal of Cancer Care, 26, e12432. https://doi.org/10.1111/ecc.12432

    Article  Google Scholar 

  • Fasciano, K. M., Berman, H., Moore, C., DeFrino, B., Jameson, R., Kennedy, V., & Golant, M. (2007). When a parent has cancer: A community based program for school personnel. Psycho-Oncology, 16, 158–167.

    Article  Google Scholar 

  • Fitch, M., Gray, R. E., & Franssen, E. (2000). Perspectives on living with ovarian cancer: Young women’s views. Canadian Oncology Nursing Journal, 10(3), 101–108.

    Article  Google Scholar 

  • Friedman, L. C., Baer, P. E., Nelson, D. V., Lane, M., Smith, F. E., & Dworkin, R. J. (1988). Women with breast cancer: Perception of family functioning and adjustment to illness. Psychosomatic Medicine, 50, 529–540.

    Article  Google Scholar 

  • Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family nursing: Research, theory, and practice (5th ed.). Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Gazendam-Donofrio, S., Hoekstra, H., van der Graaf, W., van der Wiel, H., Visser, A., Huizinga, G., & Hoekstra-Weebers, J. (2009). Parent-child communication patterns during first year after a parent’s cancer diagnosis: The effect on parent functioning. Cancer, 115, 4227–4237.

    Article  Google Scholar 

  • Grabiak, B. R., Bender, C. M., & Puskar, K. R. (2007). The impact of parental cancer on the adolescent: An analysis of the literature. Psycho-Oncology, 16, 127–137.

    Article  Google Scholar 

  • Hauken, M. A., Senneseth, M., Dyrogrov, A., & Dyregrov, K. (2015). Optimizing social network support to families living with parental cancer: Research protocol for the Cancer PEPSONE Study. JIMR Research Protocols, 4(4), e142. https://doi.org/10.2196/resprot.4055

    Article  Google Scholar 

  • Hilton, B. A. (1993a). Issues, problems, and challenges for families co** with breast cancer. Seminars in Oncology Nursing, 9, 88–100.

    Article  Google Scholar 

  • Hilton, B. A. (1993b). A study of couple communication patterns when co** with early stage breast cancer. Canadian Oncology Nursing Journal, 3(4), 159–166.

    Article  Google Scholar 

  • Hilton, B. A. (1994). Family communication patterns in co** with early breast cancer. Western Journal in Nursing Research, 16, 366–391.

    Article  Google Scholar 

  • Hilton, B. A., & Elfert, H. (1996). Children’s experiences with mothers’ early breast cancer. Cancer Practice, 4, 96–104.

    PubMed  Google Scholar 

  • Hilton, B. A., & Gustavason, K. (2002). Shielding and being shielded: Children’s perspectives on co** with their mother’s cancer and chemotherapy. Canadian Oncology Nursing Journal, 12(4), 198–206.

    Article  Google Scholar 

  • Huizinga, G. A., Visser, A., Van der Graaf, W. T. A., Hoekstra, H. J., Stewart, R. E., & Hoekstra-Weebers, J. E. H. M. (2011). Family-oriented multilevel study on the psychological functioning of adolescents children having a mother with cancer. Psycho-Oncology, 20, 730–737.

    Article  Google Scholar 

  • Irvine, D. M. (1996). A critical review and meta-analysis of the literature investigating psychosocial adjustment in breast cancer. Ottawa, ON: Health Canada, Minister of Supply and Services Canada.

    Google Scholar 

  • Issel, L. M., Ersek, M., & Lewis, F. M. (1990). How children cope with mother’s breast cancer. Oncology Nursing Forum, 17, 5–12.

    PubMed  Google Scholar 

  • Kennedy, V. L., & Lloyd-Williams, M. (2009). How children cope when a parent has advanced cancer. Psycho-Oncology, 18, 886–892.

    Article  Google Scholar 

  • Kobayashi, M., Heiney, S. P., Osawa, K., Ozaw, M., & Matsushima, E. (2017). Effect of a group intervention for children and their parents who have cancer. Palliative and Supportive Care. https://doi.org/10.1017/S1478951516001115

  • Krauel, K., Simon, A., Krause-Hebecker, N., Czimbalmos, A., Bottomley, A., & Flechtner, H. (2012). When a parent has cancer: Challenges to patients, their families and health providers. Expert Reviews Pharmacoecon: Outcomes Research, 12, 795–808.

    Article  Google Scholar 

  • Kühne, F., Krattenmacher, T., Bergelt, C., Beierlein, V., Herzog, W. V., Klitzing, K., … Möller, B. (2013). There is still so much ahead of us – Family functioning in families of palliative cancer patients. Families, Systems, & Health, 31, 181–193.

    Article  Google Scholar 

  • Lewis, F. M. (2004). Family-focused oncology nursing research. Oncology Nursing Forum, 31, 288–292.

    Article  Google Scholar 

  • Lewis, F. M. (2007). Parental cancer and dependent children: Selected issues for future research. Psycho-Oncology, 16, 97–98.

    Article  Google Scholar 

  • Lewis, F. M., & Hammond, M. A. (1992). Psychosocial adjustment of the family to breast cancer: A longitudinal analysis. Journal of the American Medical Women’s Association, 47, 194–200.

    PubMed  Google Scholar 

  • Lewis, F. M., Hammond, M. A., & Woods, N. F. (1993). The family’s functioning with newly diagnosed breast cancer in the mother: The development of an explanatory model. Journal of Behavioral Medicine, 16, 351–370.

    Article  Google Scholar 

  • Lewis, F. M., Woods, N. F., Hough, E. E., & Bensley, L. S. (1989). The family's functioning with chronic illness in the mother: The spouse's perspective. Social Science & Medicine, 29, 1261–1269.

    Article  Google Scholar 

  • Lewis, F. M., Zahlis, E. H., Shands, M. E., Sinsheimer, J. A., & Hammond, M. A. (1996). The functioning of single women with breast cancer and their school-aged children. Cancer Practice, 4, 15–24.

    PubMed  Google Scholar 

  • Lichtman, R. R., Taylor, S. E., Wood, J. V., Bluming, A. Z., Dosik, G. M., & Leibowitz, R. L. (1984). Relations with children after breast cancer. The mother-daughter relationship at risk. Journal of Psychosocial Oncology, 2(3/4), 1–19.

    Google Scholar 

  • Lindqvist, B., Schmitt, F., Santalahti, P., Romer, G., & Piha, J. (2007). Factors associated with the mental health of adolescents when a parent has cancer. Scandinavian Journal of Psychology, 48, 345–351.

    Article  Google Scholar 

  • Maguire, P. (1981). Repercussions of mastectomy on the family. International Journal of Family Psychiatry, 1, 485–503.

    Google Scholar 

  • Mathews, T. J., & Hamilton, B. E. (2016, January). Mean age of mothers is on the rise: United States, 2000–2014 NCHS Data Brief, No. 232. Hyattsville, MD: National Center for Health Statistics. 2016. www.cdc.gov/nchs/data/databriefs/db232.pdf

  • Muriel, A. C., Moore, C. W., Baer, L., Park, E. R., Kornnblith, A. B., Pirl, W., … Rauch, P. K. (2012). Measuring psychosocial distress and parenting concerns among adults with cancer. Cancer, 118, 5671–5678.

    Article  Google Scholar 

  • Northouse, L. (1990). A longitudinal study of the adjustment of patients and husbands to breast cancer. Oncology Nursing Forum, 17((3 Suppl.)), 39–45.

    Google Scholar 

  • Northouse, L. L., Cracchiolo-Caraway, A., & Appel, C. P. (1993). Psychologic consequences of breast cancer on partner and family. Seminars in Oncology Nursing, 7, 216–223.

    Article  Google Scholar 

  • Northouse, L. L., & Swain, M. A. (1987). Adjustment of patients and husbands to the initial impact of breast cancer. Nursing Research, 36, 221–225.

    Article  Google Scholar 

  • O’Neill, C., McCaughan, E., Semple, C., & Ryan, A. (2013). Fatherhood and cancer: A commentary on the literature. European Journal of Cancer Care, 22, 161–168.

    Article  Google Scholar 

  • Oktay, J. S., & Walter, C. A. (1991). Breast cancer in the life course. New York, NY: Springer.

    Google Scholar 

  • Osborn, T. (2007). The psychosocial impact of parental cancer on children and adolescents: A systematic review. Psycho-Oncology, 16, 101–126.

    Article  Google Scholar 

  • Pederson, L. M., & Valanis, B. G. (1988). The effects of breast cancer on the family: A review of the literature. Journal of Psychosocial Oncology, 6, 95–118.

    Article  Google Scholar 

  • Phillips, F. (2014). Adolescent living with a parent with advanced cancer: A review of the literature. Psycho-Oncology, 23, 1323–1339.

    Article  Google Scholar 

  • Phillips, F., & Lewis, F. M. (2015). The adolescent’s experience when a parent has advanced cancer: A qualitative inquiry. Palliative Medicine, 29, 851–858.

    Article  Google Scholar 

  • Preto, N. G. (1989). Transformation of the family system in adolescence. In B. Carter & M. McGoldrick (Eds.), The changing family life cycle (pp. 255–283). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Purc-Stephensen, R., & Lyseng, A. (2016). How are the kids holding up? A systematic review and meta-analysis on the psychosocial impact of maternal breast cancer on children. Cancer Treatment Reviews, 49, 45–56.

    Article  Google Scholar 

  • Rauch, P., & Moore, C. (2010). A population-based estimate of cancer survivors residing with minor children. Cancer, 116, Editorial, September 15. https://doi.org/10.1002/cncr.25360

  • Rolland, J. (2005). Cancer and the family: An integrative model. Cancer, 104(11 Suppl), 2584–2595.

    Article  Google Scholar 

  • Rossy Cancer Network (2017, Summer). Innovation: Spreading the word. RCN Update, Montreal, QC: Rossy Cancer Network, p. 7. http://mcgill.ca/rcr-rcn/files/rcr-rcn/rcn_newsletter_summer_2017.pdf.

  • Schmitt, F., Piha, J., Helenius, H., Baldus, C., Kienbacher, C., Steck, B., … Romer, G. (2008). Multinational study of cancer patients and their children: Factors associated with family functioning. Journal of Clinical Oncology, 26, 5877–5883.

    Article  Google Scholar 

  • Semple, C. J., & McCaugan, E. (2013). Family life when a parent is diagnosed with cancer: Impact of a psychosocial intervention for young children. European Journal of Cancer Care, 22, 219–231.

    Article  Google Scholar 

  • Senneseth, M., Hauken, M. A., Matthieeson, S. B., Gjestad, R., & Laberg, J. C. (2017). Facing spousal cancer during child-rearing years. Cancer Nursing, 40(3), E24–E34.

    Article  Google Scholar 

  • Statistics Canada (2017, August). Census of population, 2016. Census in brief: Young adults living with their parents in Canada in 2016. http://www12.statcan.gc.ca/census-recensement/2016/as-sa/98-200-x/2016008/98-200-x2016008-eng.cfm.

  • Syse, A., Aas, G. B., & Loge, J. H. (2012). Children and young adults with parents with cancer: A population-based study. Clinical Epidemiology, 4, 41–52.

    Article  Google Scholar 

  • Taylor-Brown, J., Acheson, A., & Farber, J. (1993). Kids can cope: A group intervention for children whose parents have cancer. Journal of Psychosocial Oncology, 11, 41–53.

    Article  Google Scholar 

  • Thastum, M., Watson, M., Kienbacher, C., Piha, J., Steck, B., Zachariae, R., … Romer, G. (2009). Prevalence and predictors of emotional and behavioural functioning of children where a parent has cancer: A multinational study. Cancer, 115, 4030–4039.

    Article  Google Scholar 

  • Torp, S., Thoresen, L., Grønningsæter, A. B., Grov, E. K., & Gustavsen, K. (2013). Financial and social effects on children and adolescents when a parent is diagnosed with cancer. Child Adolescent Social Work, 30, 293–310.

    Article  Google Scholar 

  • Turner, J., Yates, P., Hargraves, M., & Hausmann, S. (2007). Development of a resource for parents with advanced cancer: What do parents want? Palliative and Supportive Care, 5, 135–145.

    Article  Google Scholar 

  • Walsh, F. (2012). Normal family processes: Growing diversity and complexity (4th ed.). New York, NY: Guilford Press.

    Google Scholar 

  • Weaver, K. E., Rowland, J. H., Alfano, C. M., & McNeel, T. S. (2010). Parental cancer and the family: A population-based estimate of the number of US cancer survivors residing with their minor children. Cancer, 116, 4395–4401.

    Article  Google Scholar 

  • Wellisch, D. K. (1981). Family relationships of the mastectomy patient: Interactions with the spouse and children. Israel Journal of Medical Sciences, 17, 993–996.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andréa Maria Laizner .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Laizner, A.M. (2018). Family Functioning and Therapeutic Interventions When a Parent Has Cancer. In: Fitzpatrick, T. (eds) Quality of Life Among Cancer Survivors . Springer, Cham. https://doi.org/10.1007/978-3-319-75223-5_11

Download citation

Publish with us

Policies and ethics

Navigation