{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T01:29:10Z","timestamp":1771032550086,"version":"3.50.1"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2010,6,18]],"date-time":"2010-06-18T00:00:00Z","timestamp":1276819200000},"content-version":"unspecified","delay-in-days":17,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective:<\/jats:italic> This study qualitatively assesses the coping strategies of parents who care for a child with cancer.<\/jats:p><jats:p><jats:italic>Method:<\/jats:italic> Semi-structured interviews were conducted with 28 French and English families who had had a child diagnosed with cancer in the last ten years in two Eastern Canadian provinces. Interviews were transcribed verbatim and coded with a focus on parental coping strategies.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> Using coping behaviors as described and categorized in the Family Adjustment and Adaptation Response (FAAR) model as a foundation, we found that families used a variety of appraisal-, emotion-, and problem-focused coping. Appraisal-focused coping strategies involved trying to stay \u201cpositive\u201d and \u201cmaking positive comparisons.\u201d Problem-focused coping involved behaviors such as being an advocate for the child and seeking information. The majority of parents, however, described using emotion-focused coping behaviors such as trying to avoid \u201cfeeling too much\u201d by hiding difficult emotions and \u201cescaping\u201d from problems. Others used more positive emotion-focused coping behaviors such as humor, seeking support (informal or formal), or writing diaries. A small group of parents used ineffective coping strategies (alcohol abuse, misdirected anger) that added to family stress. These ineffective strategies have led to a modification of the FAAR model indicating that not all coping behaviors are beneficial to family adjustment in crisis. Overall, many parents felt that their coping strategies were effective; however, a few described having a complete \u201ccoping breakdown\u201d.<\/jats:p><jats:p><jats:italic>Significance of results:<\/jats:italic> Parents used a range of coping strategies of which emotion-focused coping was the most prominent. We have enhanced the FAAR model by including additional coping behaviors as well as a description of how some coping behaviors add to the daily stressors for parents dealing with a child's illness. Professional health care providers need to understand the variability of the coping behaviors in order to appropriately assist parents to avoid coping breakdowns.<\/jats:p>","DOI":"10.1017\/s1478951510000015","type":"journal-article","created":{"date-parts":[[2010,6,18]],"date-time":"2010-06-18T05:36:20Z","timestamp":1276839380000},"page":"197-206","source":"Crossref","is-referenced-by-count":24,"title":["\u201cYou can only take so much, and it took everything out of me\u201d: Coping strategies used by parents of children with cancer"],"prefix":"10.1017","volume":"8","author":[{"given":"Baukje","family":"Miedema","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierrette","family":"Fortin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Easley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Matthews","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2010,6,18]]},"reference":[{"key":"S1478951510000015_ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1996.tb01446.x"},{"key":"S1478951510000015_ref17","doi-asserted-by":"publisher","DOI":"10.1037\/h0089739"},{"key":"S1478951510000015_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S147895150707006X"},{"key":"S1478951510000015_ref14","doi-asserted-by":"publisher","DOI":"10.15288\/jsas.1993.s11.96"},{"key":"S1478951510000015_ref13","volume-title":"Stress, Appraisal, and Coping","author":"Lazarus","year":"1984"},{"key":"S1478951510000015_ref12","volume-title":"Ten Needles","author":"Latulippe","year":"2007"},{"key":"S1478951510000015_ref10","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2000.18.24.4060"},{"key":"S1478951510000015_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(96)00181-4"},{"key":"S1478951510000015_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsm057"},{"key":"S1478951510000015_ref6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2003.00138.x"},{"key":"S1478951510000015_ref5","volume-title":"Qualitative Inquiry and Research Design: Choosing among Five Traditions","author":"Creswell","year":"1997"},{"key":"S1478951510000015_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0882-5963(97)80059-0"},{"key":"S1478951510000015_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0882-5963(97)80045-0"},{"key":"S1478951510000015_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/104345429301000405"},{"key":"S1478951510000015_ref2","unstructured":"Centre for Chronic Disease Prevention and Control. (2007). The Canadian Childhood Cancer Surveillance and Control Program (CCCSCP) Facts and Figures. Retrieved November 1, 2007, from http:\/\/www.phac-aspc.gc.ca\/ccdpc-cpcmc\/program\/cccscp-pcslce\/facts_e.html"},{"key":"S1478951510000015_ref1","unstructured":"Canadian Cancer Society (2007). Special Topic: Childhood Cancer (ages 0\u201314). Retrieved June 19, 2008, from http:\/\/www.cancer.ca\/ccs\/internet\/standard\/0,3182,3172_14279_371283_langId-en,00.html"},{"key":"S1478951510000015_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(02)00629-9"},{"key":"S1478951510000015_ref7","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.46.4.839"},{"key":"S1478951510000015_ref20","doi-asserted-by":"publisher","DOI":"10.1136\/ebn.3.3.68"},{"key":"S1478951510000015_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/pon.761"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951510000015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T15:43:29Z","timestamp":1556466209000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951510000015\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["S1478951510000015"],"URL":"https:\/\/doi.org\/10.1017\/s1478951510000015","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]}}}