{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:43:26Z","timestamp":1791495806266,"version":"4.3.4"},"reference-count":45,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T00:00:00Z","timestamp":1684800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"institutional Southern California Clinical and Translation Science Institute (SC CTSI)","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}]},{"name":"institutional Southern California Clinical and Translation Science Institute (SC CTSI)","award":["UL1TR000130"],"award-info":[{"award-number":["UL1TR000130"]}]},{"name":"institutional Southern California Clinical and Translation Science Institute (SC CTSI)","award":["5T32CA009492-34"],"award-info":[{"award-number":["5T32CA009492-34"]}]},{"name":"institutional Southern California Clinical and Translation Science Institute (SC CTSI)","award":["K00CA264294"],"award-info":[{"award-number":["K00CA264294"]}]},{"name":"National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}]},{"name":"National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health","award":["UL1TR000130"],"award-info":[{"award-number":["UL1TR000130"]}]},{"name":"National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health","award":["5T32CA009492-34"],"award-info":[{"award-number":["5T32CA009492-34"]}]},{"name":"National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health","award":["K00CA264294"],"award-info":[{"award-number":["K00CA264294"]}]},{"name":"National Institutes of Health, National Cancer Institute","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}]},{"name":"National Institutes of Health, National Cancer Institute","award":["UL1TR000130"],"award-info":[{"award-number":["UL1TR000130"]}]},{"name":"National Institutes of Health, National Cancer Institute","award":["5T32CA009492-34"],"award-info":[{"award-number":["5T32CA009492-34"]}]},{"name":"National Institutes of Health, National Cancer Institute","award":["K00CA264294"],"award-info":[{"award-number":["K00CA264294"]}]},{"name":"National Cancer Institute of the National Institutes of Health","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}]},{"name":"National Cancer Institute of the National Institutes of Health","award":["UL1TR000130"],"award-info":[{"award-number":["UL1TR000130"]}]},{"name":"National Cancer Institute of the National Institutes of Health","award":["5T32CA009492-34"],"award-info":[{"award-number":["5T32CA009492-34"]}]},{"name":"National Cancer Institute of the National Institutes of Health","award":["K00CA264294"],"award-info":[{"award-number":["K00CA264294"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Throughout the cancer trajectory, parents of childhood cancer survivors (CCSs) may experience mental and social challenges requiring continual adaptation to cancer-induced stress. Using Lazarus and Folkman\u2019s Transactional Model of Stress and Coping framework, this qualitative study aimed to describe Hispanic parents\u2019 psychological health and explore their coping strategies. Purposive sampling was used to recruit 15 Hispanic caregivers from a safety-net hospital in Los Angeles County. To be eligible, participants had to be: the primary caregiver of a CCS who had completed active treatment, the primary caregiver or child self-identified as Hispanic, and proficient in English or Spanish. The interviews lasted approximately 60 min, were audio-recorded (in English and Spanish), and professionally transcribed. Data were analyzed following a thematic content analysis with deductive and inductive approaches on Dedoose. Participants described high levels of stress and fear when their child was diagnosed with cancer. They also shared experiencing symptoms of social anxiety, post-traumatic stress disorder, and depression. Participants\u2019 coping strategies were encompassed by three major themes: problem-focused, emotion-focused, and avoidant coping strategies. Problem-focused coping strategies included self-efficacy, behavioral change, and social support. Emotion-focused coping strategies included religious practices and positive reframing. Avoidant coping strategies included denial and self-distraction. Despite the evident disparities in psychological health for Hispanic parents of CCSs, gaps remain in designing a culturally tailored program to help alleviate the caregiver burden. This study provides insights regarding coping strategies that Hispanic caregivers use to deal with the psychological impact of their child\u2019s cancer diagnosis. Our findings also delve into the contextual and cultural factors that impact psychological adjustment.<\/jats:p>","DOI":"10.3390\/ijerph20115928","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T10:51:56Z","timestamp":1684839116000},"page":"5928","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Psychological Impact and Coping Strategies of Hispanic Parents of Children with Cancer: A Qualitative Study"],"prefix":"10.3390","volume":"20","author":[{"given":"Carol Y.","family":"Ochoa-Dominguez","sequence":"first","affiliation":[{"name":"Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA 92037, USA"},{"name":"Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"},{"name":"Center for Health Equity Education and Research, University of California San Diego, La Jolla, CA 92037, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA"},{"name":"Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew P.","family":"Banegas","sequence":"additional","affiliation":[{"name":"Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA 92037, USA"},{"name":"Center for Health Equity Education and Research, University of California San Diego, La Jolla, CA 92037, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Sabater-Minarim","sequence":"additional","affiliation":[{"name":"Center for Health Equity Education and Research, University of California San Diego, La Jolla, CA 92037, USA"},{"name":"Department of Biological Sciences, University of California San Diego, San Diego, CA 92161, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall Y.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,23]]},"reference":[{"key":"ref_1","unstructured":"Childrens\u2019s Cancer Cause (2023, March 14). Childhood Cancer Facts. Available online: https:\/\/www.childrenscancercause.org\/facts."},{"key":"ref_2","unstructured":"American Cancer Society (2020). Cancer Facts & Figures 2020, American Cancer Society."},{"key":"ref_3","unstructured":"National Center for Health Statistics (2021). Deaths: Leading Causes for 2019."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"315","DOI":"10.3322\/caac.21665","article-title":"Recent progress in the treatment of cancer in children","volume":"71","author":"Butler","year":"2021","journal-title":"CA A Cancer J. Clin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e382","DOI":"10.1038\/bcj.2015.110","article-title":"Infectious complications in children with acute myeloid leukemia: Decreased mortality in multicenter trial AML-BFM 2004","volume":"6","author":"Bochennek","year":"2016","journal-title":"Blood Cancer J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2190","DOI":"10.1200\/JCO.2017.76.5552","article-title":"Psychological Symptoms, Social Outcomes, Socioeconomic Attainment, and Health Behaviors Among Survivors of Childhood Cancer: Current State of the Literature","volume":"36","author":"Brinkman","year":"2018","journal-title":"J. Clin. Oncol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s10552-022-01651-1","article-title":"Barriers and facilitators of Hispanic\/Latino parents caregiving for a childhood cancer survivor: A qualitative study","volume":"34","author":"Ochoa","year":"2022","journal-title":"Cancer Causes Control"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1177\/1043454203254984","article-title":"Parental Involvement and Family-Centered Care in the Diagnostic and Treatment Phases of Childhood Cancer: Results from a Qualitative Study","volume":"20","author":"Holm","year":"2003","journal-title":"J. Pediatr. Oncol. Nurs."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Neves, M.C., B\u00e1rtolo, A., Prins, J.B., Sales, C.M.D., and Monteiro, S. (2023). Taking Care of an Adolescent and Young Adult Cancer Survivor: A Systematic Review of the Impact of Cancer on Family Caregivers. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20085488"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1093\/jpepsy\/jsn007","article-title":"Assessment of parental psychological stress in pediatric cancer: A review","volume":"33","author":"Kolk","year":"2008","journal-title":"J. Pediatr. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.cpr.2005.10.002","article-title":"A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents","volume":"26","author":"Bruce","year":"2006","journal-title":"Clin. Psychol. Rev."},{"key":"ref_12","first-page":"438","article-title":"Caregiver burden: A concept analysis","volume":"7","author":"Liu","year":"2020","journal-title":"Int. J. Nurs. Sci."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1177\/1043454211409585","article-title":"Education given to parents of children newly diagnosed with acute lymphoblastic leukemia: A narrative review","volume":"28","author":"Aburn","year":"2011","journal-title":"J. Pediatr. Oncol. Nurs."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1007\/s10826-014-9921-8","article-title":"Parents\u2019 Perceptions About Their Child\u2019s Illness in Pediatric Cancer: Links with Caregiving Burden and Quality of Life","volume":"24","author":"Salvador","year":"2015","journal-title":"J. Child Fam. Stud."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1097\/01.NAJ.0000336406.45248.4c","article-title":"Physical and mental health effects of family caregiving","volume":"108","author":"Schulz","year":"2008","journal-title":"Am. J. Nurs."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1017\/S1478951519000622","article-title":"Impact of informal cancer caregiving across the cancer experience: A systematic literature review of quality of life","volume":"18","author":"Ochoa","year":"2020","journal-title":"Palliat. Support. Care"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.15419\/bmrat.v4i12.392","article-title":"Psychosocial adjustment to cancer and its associated factors in patients undergoing chemotherapy: A cross-sectional study","volume":"4","author":"Taghadosi","year":"2017","journal-title":"Biomed. Res. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2055102918810659","DOI":"10.1177\/2055102918810659","article-title":"Coping and adjustment in caregivers: A systematic review","volume":"5","author":"Hawken","year":"2018","journal-title":"Health Psychol. Open."},{"key":"ref_19","unstructured":"Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer Publishing Company."},{"key":"ref_20","first-page":"40","article-title":"Stress and coping mechanisms among breast cancer patients and family caregivers: A review of literature","volume":"37","author":"Mukwato","year":"2010","journal-title":"Med. J. Zamb."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s10591-021-09592-8","article-title":"The Experience of Distress and Coping Among Young Adults with Cancer and Their Caregivers","volume":"44","author":"Hodgson","year":"2022","journal-title":"Contemp. Fam. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1177\/1049909119893977","article-title":"Resilience in caregivers: A systematic review","volume":"37","author":"Palacio","year":"2020","journal-title":"Am. J. Hosp. Palliat. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"4395","DOI":"10.1007\/s00520-020-05983-z","article-title":"Social support and healthcare utilization of caregivers of Latinas with breast cancer","volume":"29","author":"Hebdon","year":"2021","journal-title":"Support. Care Cancer"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1093\/humrep\/dev334","article-title":"Qualitative research methods: When to use them and how to judge them","volume":"31","author":"Hammarberg","year":"2016","journal-title":"Hum. Reprod."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1002\/cncr.29939","article-title":"Caring for caregivers and patients: Research and clinical priorities for informal cancer caregiving","volume":"122","author":"Kent","year":"2016","journal-title":"Cancer"},{"key":"ref_26","unstructured":"SocioCultural Research Consultants Dedoose, a Web Application for Managing, Analyzing, and Presenting Qualitative and Mixed-Method Research Data, Version 9.0.82."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1111\/nhs.12048","article-title":"Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study","volume":"15","author":"Vaismoradi","year":"2013","journal-title":"Nurs. Health Sci."},{"key":"ref_28","first-page":"889","article-title":"Coding and writing analytic memos on qualitative data: A review of Johnny Salda\u00f1a\u2019s the coding manual for qualitative researchers","volume":"23","author":"Rogers","year":"2018","journal-title":"Qual. Rep."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Bisht, J., Rawat, P., Sehar, U., and Reddy, P.H. (2023). Caregivers with Cancer Patients: Focus on Hispanics. Cancers, 15.","DOI":"10.3390\/cancers15030626"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.soncn.2019.06.008","article-title":"Contextual and Cultural Influences on Caregivers of Hispanic Cancer Survivors","volume":"35","author":"Badger","year":"2019","journal-title":"Semin. Oncol. Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"9109","DOI":"10.1007\/s00520-022-07325-7","article-title":"Coping strategies and anxiety in young breast cancer survivors","volume":"30","author":"Krasne","year":"2022","journal-title":"Support. Care Cancer"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"E395","DOI":"10.1097\/NCC.0000000000000865","article-title":"Coping Strategies of Adolescent and Young Adult Survivors of Childhood Cancer: A Qualitative Study","volume":"44","author":"Belpame","year":"2021","journal-title":"Cancer Nurs."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1002\/pon.3730","article-title":"Cancer-related information needs and cancer\u2019s impact on control over life influence health-related quality of life among adolescents and young adults with cancer","volume":"24","author":"DeRouen","year":"2015","journal-title":"Psycho-Oncology"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1080\/07347332.2022.2032530","article-title":"Memories of adult survivors of childhood cancer: Diagnosis, coping, and long-term influence of cancer","volume":"40","author":"Hinton","year":"2022","journal-title":"J. Psychosoc. Oncol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Saarelainen, S.-M. (2020). Meeting the Spiritual Care Needs of Emerging Adults with Cancer. Religions, 11.","DOI":"10.3390\/rel11010016"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1002\/pbc.22725","article-title":"Parental adjustment to the completion of their child\u2019s cancer treatment","volume":"56","author":"Wakefield","year":"2011","journal-title":"Pediatr. Blood Cancer"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1002\/pon.5508","article-title":"Fear of progression in parents of childhood cancer survivors: A dyadic data analysis","volume":"29","author":"Peikert","year":"2020","journal-title":"Psychooncology"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1002\/pon.3114","article-title":"Factors reported to influence fear of recurrence in cancer patients: A systematic review","volume":"22","author":"Crist","year":"2013","journal-title":"Psycho-Oncology"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"625654","DOI":"10.3389\/fpsyg.2021.625654","article-title":"Factors Associated with Fear of Cancer Recurrence in Family Caregivers of Cancer Survivors: A Systematic Review","volume":"12","author":"Fisher","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1370\/afm.26","article-title":"Health care of young adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study","volume":"2","author":"Oeffinger","year":"2004","journal-title":"Ann. Fam. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s10823-019-09390-8","article-title":"Coping Strategies Utilized by Middle-Aged and Older Latino Caregivers of Loved Ones with Alzheimer\u2019s Disease and Related Dementia","volume":"34","author":"Balbim","year":"2019","journal-title":"J. Cross-Cult. Gerontol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1470","DOI":"10.1002\/pbc.24527","article-title":"Mental health disparities between Hispanic and non-Hispanic parents of childhood cancer survivors","volume":"60","author":"Meeske","year":"2013","journal-title":"Pediatr. Blood Cancer"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1300\/J083v17n01_07","article-title":"Coping and Caregiver Well-Being: The Impact of Maladaptive Strategies","volume":"17","author":"Wright","year":"1991","journal-title":"J. Gerontol. Soc. Work."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/1468794104041110","article-title":"Comparing Telephone and Face-to-Face Qualitative Interviewing: A Research Note","volume":"4","author":"Sturges","year":"2004","journal-title":"Qual. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/1473325015585613","article-title":"Conducting qualitative interviews by telephone: Lessons learned from a study of alcohol use among sexual minority and heterosexual women","volume":"15","author":"Drabble","year":"2016","journal-title":"Qual. Soc. 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