{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:44:02Z","timestamp":1792187042948,"version":"4.4.0"},"reference-count":56,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>Background: A paediatric cancer diagnosis is a profound stressor for the entire family system. Although coping strategies are well-studied, their link to the quality of the parent\u2013child attachment relationship remains less explored. In this study, we investigated whether dyadic attachment dynamics\u2014specifically closeness and conflict between parent and child\u2014are associated with the use of adaptive or maladaptive coping strategies in caregivers of children undergoing active treatment for oncohaematological diseases. Methods: We conducted a multicentre, cross-sectional study across three Italian paediatric oncohaematology centres. A total of 165 caregivers of 91 paediatric patients aged 3\u201317 years completed self-report measures assessing parent\u2013child relationship quality (Child\u2013Parent Relationship Scale-CPRS), coping strategies (COPE-NVI), perceived social support (MSPSS), and resilience (RS-14). We tested whether the quality of the parent\u2013child attachment relationship is associated with caregivers\u2019 coping strategies. We hypothesised that Attachment Closeness would be associated with adaptive coping (Positive Attitude, Social Support, Problem Orientation), whereas Attachment Conflict would be associated with maladaptive coping (Avoidance). We conducted multiple linear regression models, adjusted for key covariates and with robust standard errors clustered at the family level, to test these hypotheses. Results: Higher levels of emotional closeness (CPRS) were significantly associated with greater use of adaptive coping strategies, specifically Positive Attitude (\u03b2 = 0.20, p = 0.049) and Problem Orientation (\u03b2 = 0.26, p = 0.002), even after controlling for sociodemographic factors, social support, and resilience. Conversely, higher levels of relational conflict were significantly associated with greater use of the maladaptive Avoidance strategy (\u03b2 = 0.14, p = 0.015). The hypothesis linking closeness to Social Support seeking was not supported. Conclusions: The findings suggest that the parent\u2013child attachment relationship is a significant correlate of caregiver coping strategies in caregivers of children with cancer. Interventions aimed at supporting the caregiver\u2013child dyad by fostering emotional closeness and reducing conflict may promote more adaptive parental coping mechanisms, thereby enhancing family resilience and psychological adjustment throughout the treatment journey.<\/jats:p>","DOI":"10.3390\/pediatric18020052","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:09:54Z","timestamp":1775138994000},"page":"52","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Secure Base in the Storm: How Parent\u2013Child Bonds Shape Coping in Pediatric Cancer Caregiving"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3916-5163","authenticated-orcid":false,"given":"Damiano","family":"Rizzi","sequence":"first","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"},{"name":"Soleterre ETS, Viale Cassinis 7, 20139 Milan, Italy"},{"name":"Trauma Research Unit, Department of Psychology, Catholic University of the Sacred Heart, Largo Gemelli 1, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4072-8317","authenticated-orcid":false,"given":"Lavinia","family":"Barone","sequence":"additional","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Balestra","sequence":"additional","affiliation":[{"name":"Soleterre ETS, Viale Cassinis 7, 20139 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Montanaro","sequence":"additional","affiliation":[{"name":"Soleterre ETS, Viale Cassinis 7, 20139 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Nichelli","sequence":"additional","affiliation":[{"name":"Fondazione Monza e Brianza per il Bambino e la sua Mamma c\/o Irccs San Gerardo Monza, via Pergolesi 33, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Schivalocchi","sequence":"additional","affiliation":[{"name":"Fondazione Monza e Brianza per il Bambino e la sua Mamma c\/o Irccs San Gerardo Monza, via Pergolesi 33, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2908-2735","authenticated-orcid":false,"given":"Giulia","family":"Rampoldi","sequence":"additional","affiliation":[{"name":"Fondazione Monza e Brianza per il Bambino e la sua Mamma c\/o Irccs San Gerardo Monza, via Pergolesi 33, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Fondazione Irccs San Gerardo dei Tintori, S. C. Pediatria, via Pergolesi 33, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4031-0890","authenticated-orcid":false,"given":"Giulia","family":"Ciuffo","sequence":"additional","affiliation":[{"name":"Trauma Research Unit, Department of Psychology, Catholic University of the Sacred Heart, Largo Gemelli 1, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Letizia Pomponia","family":"Brescia","sequence":"additional","affiliation":[{"name":"SC di Pediatria\/Oncoematologia Pediatrica, Ospedale SS Annunziata, Via Bruno, 1, 74121 Taranto, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerio","family":"Cecinati","sequence":"additional","affiliation":[{"name":"SC di Pediatria\/Oncoematologia Pediatrica, Ospedale SS Annunziata, Via Bruno, 1, 74121 Taranto, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8818-1744","authenticated-orcid":false,"given":"Marco","family":"Zecca","sequence":"additional","affiliation":[{"name":"SC Ematologia 2\u2013Oncoematologia Pediatrica, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Greco","sequence":"additional","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Lionetti","sequence":"additional","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Rotella","sequence":"additional","affiliation":[{"name":"SC Ematologia 2\u2013Oncoematologia Pediatrica, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0795-7972","authenticated-orcid":false,"given":"Giulia","family":"Gambini","sequence":"additional","affiliation":[{"name":"BERD Unit, Direzione Scientifica, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0314-8548","authenticated-orcid":false,"given":"Catherine","family":"Klersy","sequence":"additional","affiliation":[{"name":"BERD Unit, Direzione Scientifica, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0163-3841","authenticated-orcid":false,"given":"Chiara","family":"Ionio","sequence":"additional","affiliation":[{"name":"Trauma Research Unit, Department of Psychology, Catholic University of the Sacred Heart, Largo Gemelli 1, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S419","DOI":"10.1002\/pbc.25675","article-title":"Standards for the psychosocial care of children with cancer and their families: An introduction to the special issue","volume":"62","author":"Wiener","year":"2015","journal-title":"Pediatr. 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