{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:25:55Z","timestamp":1790814355599,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Providing opportunities to communicate about possible cancer recurrence may be adaptive for youth in remission, yet parents may experience difficulty guiding discussions related to fears of cancer recurrence (FCR). This study aimed to characterize mother\u2013child discussions about potential cancer recurrence during post\u2010treatment survivorship and to determine predictors of maternal communication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Families (<jats:italic>N<\/jats:italic>\u00a0=\u00a067) were recruited after the child's initial cancer diagnosis (age 5\u201317 years) and mothers self\u2010reported their distress (post\u2010traumatic stress symptoms; PTSS). During survivorship 3\u20135 years later, mothers were video\u2010recorded discussing cancer with their children. Presence and length of discussion about potential cancer recurrence, triggers for FCR, expressed affect, and conversational reciprocity were examined. Hierarchical regressions were used to assess maternal PTSS near the time of cancer diagnosis and child age as predictors of maternal communication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three\u2010quarters of dyads spontaneously discussed risk for or fears about cancer recurrence; mothers initiated the topic more frequently than their children. Dyads discussed internal (bodily symptoms) and external (medical, social) triggers of FCR. Higher maternal PTSS at diagnosis predicted significantly lower levels of maternal positive affect (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.36, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02) and higher levels of maternal negative affect (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.30, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) during discussion of recurrence 3\u20135 years later. Older child age significantly predicted higher levels of maternal negative affect (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.35, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02). Higher maternal PTSS at diagnosis predicted shorter discussions about recurrence for younger children (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.27, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Understanding predictors and characteristics of mother\u2013child discussions about recurrence can guide family\u2010based FCR interventions, particularly those promoting communication as a supportive tool. Both maternal PTSS and child age are important to consider when developing these interventions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5600","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T05:21:37Z","timestamp":1606195297000},"page":"536-545","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Mother\u2013child communication about possible cancer recurrence during childhood cancer survivorship"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2644-4366","authenticated-orcid":false,"given":"Lexa K.","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Psychology &amp; Human Development Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6013-7402","authenticated-orcid":false,"given":"Lauren C.","family":"Heathcote","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Perioperative, and Pain Medicine Stanford University School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemar V.","family":"Prussien","sequence":"additional","affiliation":[{"name":"Department of Psychology &amp; Human Development Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin M.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson A.","family":"Hewitt","sequence":"additional","affiliation":[{"name":"Department of Psychology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura E.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Memphis  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda C.","family":"Ferrante","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Perioperative, and Pain Medicine Stanford University School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Gerhardt","sequence":"additional","affiliation":[{"name":"The Research Institute at Nationwide Children's Hospital and The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Vannatta","sequence":"additional","affiliation":[{"name":"The Research Institute at Nationwide Children's Hospital and The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce E.","family":"Compas","sequence":"additional","affiliation":[{"name":"Department of Psychology &amp; Human Development Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"e_1_2_10_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-016-0527-6"},{"key":"e_1_2_10_1_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2017.0023"},{"issue":"5","key":"e_1_2_10_1_4_1","first-page":"1479","article-title":"Prevalence and correlates of high fear of cancer recurrence in late adolescents and young adults consulting a specialist adolescent and young adult (AYA) cancer service","volume":"26","author":"Thewes B","year":"2018","journal-title":"Support Care Canc"},{"key":"e_1_2_10_1_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3317-9"},{"key":"e_1_2_10_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078155219883912"},{"key":"e_1_2_10_1_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-018-0714-8"},{"key":"e_1_2_10_1_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5387"},{"key":"e_1_2_10_1_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5013"},{"key":"e_1_2_10_1_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4783"},{"key":"e_1_2_10_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.06.003"},{"key":"e_1_2_10_1_12_1","doi-asserted-by":"crossref","unstructured":"LeporeSJ.A social\u2013cognitive processing model of emotional adjustment to cancer. 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