This research was supported by the Andre and Bella Meyer Foundation (DR, DC), the Leukemia Society of America (JSO, LML), and National Cancer Institute Training Grant #CA09461 (LML). Portions of this manuscript were presented at the Tenth Annual Meeting of the Society of Behavioral Medicine, San Francisco CA, March, 1989. We gratefully acknowledge the assistance of Drs. Norma Wollner, Paul Meyers, Peter Steinherz, and Lois Murphy; Mary Sullivan, R.N., and Noreen McGowan, R.N.; and all members of the Department of Pediatrics at the Memorial Sloan-Kettering Cancer Center. Request for reprints should be sent to Jamie S. Ostroff, Ph.D., Psychiatry Service, Department of Neurology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York NY 10021.
Lives in a Balance: Perceived Family Functioning and the Psychosocial Adjustment of Adolescent Cancer Survivors†
Version of Record online: 30 JUL 2004
Volume 31, Issue 4, pages 383–397, December 1992
How to Cite
RAIT, D. S., OSTROFF, J. S., SMITH, K., CELLA, D. F., TAN, C. and LESKO, L. M. (1992), Lives in a Balance: Perceived Family Functioning and the Psychosocial Adjustment of Adolescent Cancer Survivors. Family Process, 31: 383–397. doi: 10.1111/j.1545-5300.1992.00383.x
- Issue online: 30 JUL 2004
- Version of Record online: 30 JUL 2004
- Manuscript received May 29, 1990; Revisions submitted March 25, 1992; Accepted June 1, 1992
Childhood cancer patients have a greater likelihood of long-term survival than ever before. This study examined both the perceived family functioning of adolescents who had successfully completed treatment for pediatric cancer and the relationship between family functioning and post-treatment adjustment. Eighty-eight adolescent survivors of hematologic malignancies were assessed regarding their family functioning, mental health, self-esteem, global competence, and problem behaviors. Contrary to expectations about the influence of cancer on these families, adolescent cancer survivors reported lower levels of family cohesion than the normative sample of healthy adolescents and their families. While current age, gender, age at diagnosis, and time since treatment completion were generally not associated with adolescents' adjustment, perceived family cohesion and adaptability were strongly related to post-treatment psychological adjustment.