{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:54:58Z","timestamp":1790700898030,"version":"4.1.0"},"reference-count":76,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T00:00:00Z","timestamp":1536624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005677","name":"Jos\u00e9 Carreras Leuk\u00e4mie-Stiftung","doi-asserted-by":"publisher","award":["DJCLS R15\/22"],"award-info":[{"award-number":["DJCLS R15\/22"]}],"id":[{"id":"10.13039\/501100005677","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Due to the unique importance of parental and sibling relationships and concurrently existing developmental challenges, the loss of a parent or sibling due to cancer is a highly stressful event for children and adolescents. This is the first systematic review that integrates findings on psychosocial outcomes after parental or sibling cancer bereavement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of Web of Science, PubMed, PsycINFO, and PubPsych was conducted, last in December 2017. Quantitative studies on psychosocial outcomes of children and adolescents who lost a parent or sibling due to cancer were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010four studies (N\u00a0=\u00a010 parental and N\u00a0=\u00a014 sibling bereavement), based on 13 projects, were included. Ten projects had cross\u2010sectional designs. Only 2 projects used large, population\u2010based samples and nonbereaved comparison groups. Outcomes were partially measured by single\u2010item questions. Bereaved children and adolescents showed similar levels of depression and anxiety compared with nonbereaved or norms. Severe behavioral problems were found rarely. However, in 2 large, population\u2010based studies, about half of the bereaved individuals reported unresolved grief. Bereaved adolescents had a higher risk for self\u2010injury compared with the general population in one large, population\u2010based study. Communication with health\u2010care professionals, family, and other people; social support; distress during illness; age; gender; and time because loss were associated with psychosocial bereavement outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results indicate a high level of adjustment in cancer\u2010bereaved children and adolescents. A modifiable risk factor for adverse psychosocial consequences is poor communication. Prospective designs, representative samples, and validated instruments, eg, for prolonged grief, are suggested for future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.4863","type":"journal-article","created":{"date-parts":[[2018,8,18]],"date-time":"2018-08-18T11:14:44Z","timestamp":1534590884000},"page":"2327-2338","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Psychosocial outcomes in cancer\u2010bereaved children and adolescents: A systematic review"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3321-0277","authenticated-orcid":false,"given":"Rahel","family":"Hoffmann","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University of Leipzig  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3443-9762","authenticated-orcid":false,"given":"Julia","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University of Leipzig  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anette","family":"Kersting","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University of Leipzig  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,11]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"2016","volume-title":"Bericht zum Krebsgeschehen in Deutschland 2016","author":"Robert Koch\u2010Institut"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21332"},{"key":"e_1_2_7_4_1","volume-title":"World Cancer Report 2014","author":"Stewart BW","year":"2014"},{"key":"e_1_2_7_5_1","unstructured":"World Health Organization.Cancer[Cited 2017 September 14]. 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