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Behavioral side effects of pediatric acute lymphoblastic leukemia treatment: the role of parenting strategies

Williams, Lauren K., Lamb, Karen E. and McCarthy, Maria C. 2014, Behavioral side effects of pediatric acute lymphoblastic leukemia treatment: the role of parenting strategies, Pediatric blood & cancer, vol. 61, no. 11, pp. 2065-2070, doi: 10.1002/pbc.25164.

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Title Behavioral side effects of pediatric acute lymphoblastic leukemia treatment: the role of parenting strategies
Author(s) Williams, Lauren K.
Lamb, Karen E.ORCID iD for Lamb, Karen E. orcid.org/0000-0001-9782-8450
McCarthy, Maria C.
Journal name Pediatric blood & cancer
Volume number 61
Issue number 11
Start page 2065
End page 2070
Total pages 6
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2014-11
ISSN 1545-5009
Keyword(s) cancer
child behavior
parenting
pediatric oncology
psycho-oncology
Summary Background. Behavioral and emotional difficulties are a recognisedside effect of childhood acute lymphoblastic leukemia (ALL)treatment. Modifiable factors, such as parenting strategies, may be anappropriate target for interventions to assist families with managingtheir child’s behavior, potentially leading to improved psychosocialand clinical outcomes. This study examined whether parentingstrategies are associated with child behavioral and emotionalproblems in a pediatric oncology context, with the aim of establishingwhether parenting is a potential modifiable target for psychosocialintervention. Procedure. Participants included 73 parents of childrenaged 2–6 years who were either (i) in the maintenance phase oftreatment for ALL at the Royal Children’s Hospital Children’s CancerCentre, Melbourne (N¼43), or (ii) had no major medical history(healthy control group) (N¼30). Participants completed psychometricallyvalidated questionnaires that assessed parenting strategies andchild emotional and behavioral problems. Results. Results revealedthat the ALL group parents reported higher lax parenting and morespoiling and bribing of their child than the healthy control group.Results from regression models indicated that, after controlling for thesignificant contribution of illness status and child age on childemotional and behavioral difficulties, parental laxness and parentaloverprotection were significantly associated with child emotionaland behavioral difficulties. Conclusions. Supporting parents tominimise sub-optimal parenting strategies, particularly lax parenting,may offer a fruitful avenue for future research directed towardmodifiable factors associated with managing child emotional andbehavioral problems in a pediatric oncology context.
Language eng
DOI 10.1002/pbc.25164
Field of Research 111403 Paediatrics
1112 Oncology And Carcinogenesis
1114 Paediatrics And Reproductive Medicine
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Wiley Periodicals
Persistent URL http://hdl.handle.net/10536/DRO/DU:30074380

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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