{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T22:33:19Z","timestamp":1789079599913,"version":"build-2803163510"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100013362","name":"Swiss Cancer Research Foundation","doi-asserted-by":"publisher","award":["KFS-4995-02-2020"],"award-info":[{"award-number":["KFS-4995-02-2020"]}],"id":[{"id":"10.13039\/501100013362","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Kinderkrebshilfe Schweiz"},{"name":"Cancer League Central Switzerland"},{"name":"University of Luzern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The death of a child is one of the most devastating experiences for parents, yet some may experience positive changes known as posttraumatic growth (PTG). We aimed to describe PTG in bereaved parents whose child died of cancer, compare it to PTG in parents of childhood cancer survivors, and identify sociodemographic and child-related characteristics associated with PTG in bereaved parents.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This multicenter cross-sectional study included parents who lost a child to cancer (diagnosed\u2009\u2264\u200918\u00a0years and\u2009&gt;\u20091\u00a0year after death). Data from the Swiss Childhood Cancer Survivor Study-Parents were used for comparison. We used the Posttraumatic Growth Inventory (PTGI) assessing five domains (appreciation of life, new possibilities, personal strength, relating to others, and spiritual change) on a 6-point scale.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>We included 103 bereaved parents (mean age\u2009=\u200953.7\u00a0years, SD\u2009=\u20098.3; 66.7% female) of 81 deceased children (mean age at death\u2009=\u20099.5\u00a0years, SD\u2009=\u20095.9; mean time after death\u2009=\u200911.3\u00a0years, range 2\u201324\u00a0years). The PTG sum score was 63.2 (SD\u2009=\u200923.3, range\u2009=\u20094\u2013105), which was higher than in parents of survivors (mean\u2009=\u200951.4; SD\u2009=\u200921.0, <jats:italic>p<\/jats:italic>\u2009=\u20090.002). Bereaved parents reported higher mean domain scores in <jats:italic>appreciation of life<\/jats:italic> (3.53, SD\u2009=\u20091.17 vs. 3.01, SD\u2009=\u20091.17, <jats:italic>p<\/jats:italic>\u2009=\u20090.003), <jats:italic>personal strength<\/jats:italic> (3.42, SD\u2009=\u20091.25 vs. 2.75, SD\u2009=\u20091.17, <jats:italic>p<\/jats:italic>\u2009=\u20090.001), <jats:italic>relating to others<\/jats:italic> (3.09, SD\u2009=\u20091.09 vs. 2.61, SD\u2009=\u20091.04 <jats:italic>p<\/jats:italic> 0.004), and <jats:italic>new possibilities<\/jats:italic> (2.69, SD\u2009=\u20091.26 vs. 1.97, SD\u2009=\u20091.17, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Parents within 10\u00a0years of their child\u2019s death and those practicing religion reported higher PTG.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Our findings reveal that cancer-bereaved parents may experience PTG after their child\u2019s death, embracing unique positive changes according to their circumstances and influencing factors.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00520-025-09892-x","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T11:11:35Z","timestamp":1759317095000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Posttraumatic growth in parents long after their child\u2019s death from cancer\u2014a cross-sectional survey in Switzerland"],"prefix":"10.1007","volume":"33","author":[{"given":"Eddy Carolina","family":"Pedraza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Francis","family":"Raguindin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Katharina","family":"Vokinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"De Clercq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manya Jerina","family":"Hendriks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva Maria","family":"Tinner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Oscar","family":"von Bueren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Scheinemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Bergstr\u00e4sser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisela","family":"Michel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"9892_CR1","doi-asserted-by":"crossref","unstructured":"Polita NB, de Montigny F, Neris RR, Alvarenga WdA, Silva-Rodrigues FM, Leite ACAB, et al. 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The study is compliant with the ethical principles of the Declaration of Helsinki and all relevant Swiss legislations on the studies involving human subjects and data protection. Informed consent was obtained from all participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"896"}}