Systematic Review: Associations Between Family Functioning and Child Adjustment After Pediatric Cancer Diagnosis: A Meta-Analysis

Citation

Van Schoors M, Caes L, Knoble NB, Goubert L, Verhofstadt LL & Alderfer MA (2017) Systematic Review: Associations Between Family Functioning and Child Adjustment After Pediatric Cancer Diagnosis: A Meta-Analysis. Journal of Pediatric Psychology, 42 (1), pp. 6-18. https://doi.org/10.1093/jpepsy/jsw070

Abstract
Objectives A systematic review and meta-analysis was conducted to investigate associations between family functioning and child adjustment (patient/siblings) after pediatric cancer diagnosis. Methods Database searches were performed using Web of Science, Pubmed, Cochrane, PsycInfo, and Embase. After screening 5,563 articles, 35 were identified regarding this topic; 30 contributed data for meta-analyses. Pearson’srcorrelations were the effect of interest. Omnibus and family functioning domain-specific random-effects meta-analyses were conducted. Data are depicted in forest plots. Results A statistically significant association was found between family functioning and child adjustment (patient/siblings) after cancer diagnosis (r = 0.19; 95% CI: 0.13–0.24). Greater family cohesion, expressiveness, and support and less family conflict were each associated with better child adjustment outcomes. Conclusions Family functioning is associated with patient and sibling adjustment after pediatric cancer diagnosis. Limitations in the existing literature preclude strong conclusions about the size of these effects and potential moderators.

Keywords
adaptation; childhood cancer; family; meta-analysis; systematic review

Journal
Journal of Pediatric Psychology: Volume 42, Issue 1

• Van Schoors et al_Family_Functioning_and_Child_Adjustment (1).pdf