{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:46:20Z","timestamp":1792089980597,"version":"4.4.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Parental cancer can disrupt family dynamics, particularly in families with adolescent and young adult (AYA) children. While strong family functioning supports better psychosocial outcomes, factors that influence this functioning remain underexplored. This study examined correlates and trajectories of family functioning among AYA and their parents following a cancer diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this longitudinal study, quantitative surveys were completed by parents diagnosed with cancer and their AYA offspring at two timepoints: within 12\u00a0months of diagnosis (T1) and 6\u00a0months later (T2). Outcomes included perceived family functioning, family resilience, communication avoidance about cancer, individual distress, parental self-efficacy, and AYA support needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At T1, 55 AYA (aged 12\u201324\u00a0years) and 71 parents (aged 32\u201362\u00a0years), both predominantly female, participated; 31 AYA and 52 parents completed both timepoints. When controlling for age and gender, T1 better family functioning (low scores) was associated with greater family resilience (high scores, AYA:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.57,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001; parents:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.035) and lower communication avoidance about cancer (low scores, AYA:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.29,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.04; parents:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.39,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). T2 family functioning was associated with T1 family functioning (AYA:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.75,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001; parents:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.67,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), with higher T1 AYA distress additionally being associated with poorer AYA family functioning (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.42,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001). Most participants maintained high family functioning over time (parents: 78%; AYA: 71%), while 16\u201319% showed persistent low functioning.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Family resilience and open communication about cancer facilitate adaptation 0\u201312\u00a0months after a parental cancer diagnosis in both parents and their AYA children. While initial T1 parent and AYA perceived family functioning was associated with family functioning 12\u201318\u00a0months post-diagnosis, initial distress was associated with T2 functioning only among AYA. Although most participants show stable, high family functioning post-diagnosis, targeted support is essential for those at risk. Findings underscore the importance of early psychosocial interventions to promote healthy family dynamics in the context of parental cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-11241-5","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:22:25Z","timestamp":1790864545000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Correlates and trajectories of family functioning in parents with cancer and their adolescent and young adult children"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-3260","authenticated-orcid":false,"given":"Xiomara","family":"Skrabal Ross","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Chilton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yining","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Konings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Weeks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4484-4929","authenticated-orcid":false,"given":"Fiona E. 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Approval was granted by the Hunter New England Human Research Ethics Committee (2019\/ETH01100). Governance approvals were obtained from hospital sites: Peter MacCallum Cancer Centre Human Research Ethics Committee (SSA\/17\/PMCC\/167), Hunter New England Human Research Ethics Committee (John Hunter Hospital SSA\/17\/HNE\/565)\u00a0and Campbelltown and Camden Hospital (SSA\/18\/LPOOL\/280).","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from all individual participants included in the study. Additional written informed consent was obtained from the parents of participants 12\u201317 years old.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1038"}}