• Lori Wiener, Adrienne Viola, Julia Kearney, Larry L Mullins, Sandra Sherman-Bien, Sima Zadeh, Andrea Farkas-Patenaude, Maryland Pao, and Lone Parent Study Group.
• Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA wienerl@nih.gov.
• J Pediatr Oncol Nurs. 2016 Sep 1; 33 (5): 378-86.

AbstractCaregiving stress has been associated with changes in the psychological and physical health of parents of children with cancer, including both partnered and single parents. While parents who indicate "single" on a demographic checklist are typically designated as single parents, a parent can be legally single and still have considerable support caring for an ill child. Correspondingly, an individual can be married/partnered and feel alone when caring for a child with serious illness. In the current study, we report the results from our exploratory analyses of parent self-reports of behavior changes during their child's treatment. Parents (N = 263) of children diagnosed with cancer were enrolled at 10 cancer centers. Parents reported significant worsening of all their own health behaviors surveyed, including poorer diet and nutrition, decreased physical activity, and less time spent engaged in enjoyable activities 6 to 18 months following their child's diagnosis. More partnered parents found support from friends increased or stayed the same since their child's diagnosis, whereas a higher proportion of lone parents reported relationships with friends getting worse. More lone parents reported that the quality of their relationship with the ill child's siblings had gotten worse since their child's diagnosis. Spiritual faith increased for all parents.© 2015 by Association of Pediatric Hematology/Oncology Nurses.

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