Evidence map›Paper›PMID 35303090›Full record

ArticleJournal of pediatric psychology2022

CNS-Directed Cancer Treatment and Child Adjustment: Moderating Effects of Maternal Parenting.

Adrien M Winning, Katianne Howard Sharp, Amanda C Ferrante, Jessica Ralph, Leandra Desjardins, Debra L Friedman, Tammi K Young-Saleme, Kathryn Vannatta, Bruce E Compas, Cynthia A Gerhardt

Abstract read
In one paragraph

Article in Journal of pediatric psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Adrien M WinningThe Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.
Katianne Howard SharpThe Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.ORCID 0000-0002-4823-9702
Amanda C FerranteThe Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.
Jessica RalphThe Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.
Leandra DesjardinsVanderbilt University, USA.ORCID 0000-0002-0455-169X
Debra L FriedmanVanderbilt Ingram Cancer Center, USA.
Tammi K Young-SalemeNationwide Children's Hospital, USA.
Kathryn VannattaThe Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.
Bruce E CompasVanderbilt University, USA.
Cynthia A GerhardtThe Abigail Wexner Research Institute at Nationwide Children's Hospital, USA.

Funding

Parent-Child Communication About CancerR01CA118332 · NCI · VANDERBILT UNIVERSITY · PI COMPAS, BRUCE E · 2007 to 2017
$4.4M
NCI NIH HHS R01 CA118332
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine whether maternal parenting behaviors (i.e., warmth, behavioral/psychological control) moderate the association between central nervous system (CNS)-directed treatment and adjustment among pediatric cancer survivors at 3 years post-diagnosis or relapse.

methodsThree years after their child's cancer diagnosis or relapse, mothers (N = 84) reported on their child's academic and social competence, as well as their internalizing and externalizing problems. Children (N = 84; Mage = 13.21 years, 52.4% male) reported on maternal parenting behaviors. Using medical chart data, children were separated into CNS (i.e., received cranial radiation, intrathecal chemotherapy, and/or neurosurgery; N = 45) or non-CNS-directed treatment (N = 39) groups. Twelve moderation models were tested when examining two-way interactions between CNS treatment group and maternal parenting behaviors.

resultsChildren in the CNS-directed treatment group demonstrated significantly worse academic and social competence. Moderation analyses revealed four significant two-way interactions between CNS treatment group and maternal parenting behaviors when predicting children's adjustment. High levels of maternal behavioral control buffered the negative impact of CNS-directed treatment on children's social competence. In addition, maternal warmth had a contrasting effect, as CNS-directed treatment was associated with worse academic competence at high levels of warmth. Analyses with psychological control revealed that low levels of this parenting style were not protective against internalizing or externalizing problems among those with CNS-directed treatment.

conclusionsChildren who receive CNS-directed treatment may benefit from a different pattern of parenting during early cancer survivorship. Findings highlight the importance of considering the broader family context when conceptualizing the impact of illness-related factors on adjustment among pediatric cancer survivors.

Indexed as

NeoplasmsParentingChildChild BehaviorFemaleHumansMaleMaternal BehaviorMothersRecurrenceacademic competenceoncologyparentingpsychosocial functioning

Identifiers

PMID35303090
PMCPMC9372750

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.