Evidence map›Paper›PMID 42020608›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Navigating family life in the face of parental cancer: a qualitative study.

Gerdien van der Zwaag, Henriëtta J Bragt-de Jong, Melanie P J Schellekens, Marije L van der Lee

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Gerdien van der ZwaagScientific Research Department, Centre for Psycho-Oncology, Helen Dowling Institute, Professor Bronkhorstlaan 20, Bilthoven, 3723MB, The Netherlands. g.vanderzwaag@tilburguniversity.edu.ORCID http://orcid.org/0009-0000-7962-1640
Henriëtta J Bragt-de JongDepartment of Medical and Clinical Psychology, School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.ORCID http://orcid.org/0000-0002-7484-8085
Melanie P J SchellekensScientific Research Department, Centre for Psycho-Oncology, Helen Dowling Institute, Professor Bronkhorstlaan 20, Bilthoven, 3723MB, The Netherlands.ORCID http://orcid.org/0000-0001-8397-7674
Marije L van der LeeScientific Research Department, Centre for Psycho-Oncology, Helen Dowling Institute, Professor Bronkhorstlaan 20, Bilthoven, 3723MB, The Netherlands.ORCID http://orcid.org/0000-0002-1316-7008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeParental cancer can significantly impact family dynamics, particularly for adolescents and young adults (AYAs), who face the developmental task of balancing autonomy and connectedness. As cancer incidence rises globally, more AYAs are confronted with the challenges of parental illness. While most research focuses on individual psychological outcomes, less is known about how families function as a unit under such stress. This study aimed to gain deeper insight into family functioning, with a specific focus on autonomy, connectedness, and communication, in the face of parental cancer.

methodsWe conducted an exploratory qualitative study using thematic analysis. Semi-structured in-depth interviews were conducted with eight families (13 parents, 14 AYAs) in which one parent had been diagnosed with cancer. The interview design included separate interviews with parent(s), child(ren), and a joint family interview.

resultsThematic analysis yielded three main themes: children's struggle between personal space and family life, barriers and opportunities in family communication, and redefining connectedness. These themes illustrate how families attempt to balance autonomy and connectedness and the role of communication in this.

conclusionFamilies facing parental cancer develop different ways to balance autonomy and connectedness. In some families, strong emotional attunement naturally supported this balance, even in the absence of open communication. Others struggled more with these dynamics. Practical strategies such as maintaining meaningful activities, doing activities that foster open communication, humor, and involving children in the medical process can support family resilience. When emotional attunement does not arise naturally, family-based interventions may help strengthen these processes.

Indexed as

Child of Impaired ParentsFamily RelationsNeoplasmsParentsAdaptation, PsychologicalAdolescentAdultChildCommunicationFemaleHumansInterviews as TopicMaleMiddle AgedParent-Child RelationsPersonal AutonomyAutonomyCommunicationConnectednessFamily functioningParental cancer

Identifiers

PMID42020608
PMCPMC13102880

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Registered trials

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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.