臺灣博碩士論文加值系統

研究目的：本研究旨在了解子女罹癌之母親的親職壓力，並探討母親的成人依附、親子親密情感與親職壓力之間的關係。
研究方法：本研究採橫斷式調查法，以立意取樣，於中部兩間醫學中心之兒童血液腫瘤科招募癌症患者之母親為研究對象，納入條件為子女確診癌症時年齡小於18歲者、與罹癌子女同住負擔養育照顧之責、能獨立閱讀填寫問卷；排除條件為有嚴重精神疾病或認知障礙者、非本國籍、罹癌子女患有癌症之外的慢性疾病。以結構式自填問卷收集資料，內容包含：罹癌子女及母親的人口學資料、子女疾病史、社經背景與家庭支持等；中文版成人依附量表修訂版，包含焦慮、逃避分量表；親子關係量表之恩情依附分量表；親職壓力量表，包含父母困擾、親子失功能互動、困難兒童分量表。總計發出158份問卷，回收131份有效問卷，回收率為82.91%。所得資料以統計套裝軟體進行分析，統計方法包括獨立樣本t檢定、單因子變異數分析、皮爾森積差相關、階層迴歸分析。
研究結果：
(一) 子女罹癌之母親的親職壓力量表總分及其父母困擾、親子失功能互動、困難兒童三個分量表分數，對照健康者常模均屬正常壓力範圍。
(二) 子女罹癌之母親的親子親密情感與成人依附、親職壓力量表及其父母困擾程度、親子失功能互動、困難兒童三個分量表分數均無相關；母親的焦慮與逃避依附傾向越高，整體親職壓力、父母困擾、親子失功能互動分數越高。
(三) 子女罹癌年數在親職壓力量表總分、親子失功能互動分量表分數、困難兒童分量表分數呈顯著差異；罹癌年數越高，母親的親職壓力量表總分、親子失功能互動分量表分數、困難兒童分數均較低。
(四) 罹癌子女年齡與治療類型，在父母困擾分量表分數呈顯著差異；罹癌子女年紀越大，母親的父母困擾較低，採取門診追蹤之治療類型者，其母親的父母困擾較低。
(五) 罹癌子女之母親的職業在親子失功能互動分量表上呈顯著差異；母親職業為家管者，其親子失功能互動的親職壓力較高。
(六) 階層迴歸分析結果顯示：控制罹癌子女年齡、罹癌年數、父親支持度等背景變項後，焦慮依附可預測親職壓力量表總分，且達顯著水準；控制發病年齡之背景變項後，焦慮依附可預測父母困擾分量表分數，且達顯著水準；控制罹癌年數、母親年齡、父親支持度等背景變項後，焦慮依附可預測親子失功能互動分量表分數；而逃避依附、親子親密情感對於親職壓力總分及其分量表均無顯著解釋力。
結論：子女罹癌之母親的焦慮依附傾向影響其親職壓力，包括擔任母職的困擾、親子失功能互動與困難兒童。本研究結果可作為臨床照護專業人員提供子女罹癌之母親在心理協助與親職諮詢之參考。

Purpose: This study aimed to explore the parenting stress of mothers whose children were suffering from cancer, and the relationships among mother's adult attachment, parent-child intimacy, and parenting stress.
Method: This study adopted a cross-sectional survey method, with purposive sampling, and recruited mothers of cancer patients in the Children's Hematology-Oncology Department of two medical centers in Taichung City. Inclusion conditions were those who were younger than 18 when the child was diagnosed with cancer, live with the child with cancer and bear the responsibility of nurturing and care, and can read and fill out the questionnaire independently; exclusion conditions were those with severe mental illness or cognitive impairment, non-nationality, children with cancer suffering from chronic diseases other than cancer. Use structured self-reported questionnaires to collect data, including demographic data of children with cancer and mothers, children's disease history, socioeconomic background, and family support, etc; a Chinese version of revised adult attachment scale, including anxiety and avoidance subscales; The parent-child relationship scale has a subscale attached to the graciousness dependency scale; The parenting stress index includes a subscale for parental distress, parent-child dysfunction interaction, and difficult child. A total of 158 questionnaires were sent out and 131 valid questionnaires were retrieved, with a response rate of 82.91%. A statistical package software were used. The statistical methods included independent sample t-test, analysis of variance, Pearson product-moment correlation coefficient, and hierarchical regression analysis.
Result:
(1) The total scores of the parenting stress index for mothers with children with cancer and the three subscales scores of parental distress, parent-child dysfunction interaction, and difficult child, compared with the normal norm of healthy people were within the normal pressure range.
(2) There was no correlation between the parent-child intimacy, adult attachment, parenting stress index, and three subscales of parental distress, parent-child dysfunction interaction, and difficult child; The higher the mother's anxiety and avoidance tendency, the higher the parenting stress index, parental distress, and parent-child disability interaction scores.
(3) There was a significant difference in the total scores of the parenting stress index, the parent-child dysfunction interaction subscale, and the difficult child subscale for the number of years of children with cancer; the higher the number of years of cancer, the total parenting stress index, parent-child dysfunction interaction, and difficult child were lower.
(4) The age and treatment type of children with cancer showed significant differences in the scores of the parental distress subscale; the older the children with cancer, the lower the parental distress, and those who adopted the outpatient follow-up treatment type had lower parental distress.
(5) The occupation of the mother of a child suffering from cancer had a significant difference in the degree of parent-child dysfunction interactions subscale; the mother's occupation was a household manager, and the parent-child dysfunction interaction was higher.
(6) The results of the hierarchical regression analysis showed that after controlling for background variables such as the age of children with cancer, the number of years of cancer, and the degree of support of the father, anxiety dependence could predict the total score of the parental stress scale, and reached a significant level; After controlling for background variables such as the age of onset, anxiety attachment could predict parent-child disability subscale scores and reached a significant level; After controlling for background variables such as cancer years, mother's age, and father support, anxiety attachment could predict parent-child dysfunction interaction subscale scores and reached a significant level; However, avoidance of attachment and parent-child intimacy had no significant explanatory power for the total score of parenting stress index and its subscales.
Conclusion: The anxiety style of adult attachment of mothers whose children suffer from cancer affected their parenting stress, included the troubles of motherhood, parent-child disability interaction, and difficult children. The results of this study might help clinical professionals to provide mothering counseling and counsult for mothers with children with cancer.

摘要 i
ABSTRACT iii
目錄 v
表目錄 vii
圖目錄 vii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 5
第三節 本研究之重要性 5
第四節 名詞定義 6
第二章 文獻探討 9
第一節　兒童癌症及母親 9
第二節　成人依附 12
第三節　親子關係 19
第四節　親職壓力 23
第五節　母親的成人依附、親子親密情感及親職壓力之關聯 30
第三章 研究方法 33
第一節　研究設計 33
第二節　研究參與者 34
第三節　研究工具 35
第四節　研究程序 38
第五節　資料分析 39
第六節　研究倫理 41
第四章 研究結果 43
第一節　罹癌子女與其父母之之人口學資料描述 43
第二節　母親在成人依附、親子親密情感及親職壓力之得分情形 51
第三節　母親的成人依附、親子親密情感及親職壓力之相關分析 65
第四節　母親的成人依附、親子親密情感對親職壓力的影響 66
第五章 討論 73
第一節　罹癌子女與其母親之人口學資料 73
第二節　母親的成人依附傾向 74
第三節　母親的親子親密情感 75
第四節　母親的親職壓力 77
第五節　母親的成人依附、親子親密情感對於親職壓力的影響 80
第六章 結論與建議 83
第一節　結論 83
第二節　實務應用 85
第三節　限制與建議 86
參考文獻 89
中文部分 89
英文部分 91
附錄 102
附錄一　成人依附量表使用同意書 102
附錄二　親子親密情感使用同意函 103
附錄三　親職壓力量表使用同意書 104
附錄四　A醫院－基本資料表 105
附錄五　B醫院－基本資料表 107
附錄六　成人依附量表 109
附錄七　親子親密情感 110
附錄八　人體研究倫理審查委員會研究計畫許可書（一） 111
附錄九　人體研究倫理審查委員會研究計畫許可書（二） 112
附錄十　人體研究倫理審查委員會　受試者同意書（一） 113
附錄十一　人體研究倫理審查委員會　受試者同意書（二） 116

中文部分
中華民國兒童癌症基金會（2020）。2019年度報告。取自https://www.ccfroc.org.tw/sites/default/files/inline-files/%E5%85%92%E7%99%8C2019%E5%B9%B4%E5%A0%B1%E9%9B%BB%E5%AD%90%E7%89%88%281%29.pdf。
方恩真（2011）。東南亞籍新移民母親照顧癌症子女之生活經驗（未出版之碩士論文）。國立台北護理健康大學護理系，台北市。
任文香（1995）。幼兒母親親職壓力、因應策略與親子關係滿意之關係研究（未出版之碩士論文）。國立台灣師範大學家政教育研究所，台北市。
李美枝（1998）。中國人親子關係的內涵與功能：以大學生為例。本土心理學研究，（9），3-52。
李惠珍（2008）。雙薪家庭親子關係與親職壓力之研究（未出版之碩士論文）。國立高雄師範大學教育學系，高雄市。
李文意（2012）。臺中市學齡前幼兒母親親職壓力與親子關係之相關研究（未出版之碩士論文）。國立台中教育大學幼兒教育學系碩士班，台中市。
吳欣璇、金瑞芝 （2011）。華人家庭文化脈絡下新住民母親的親子關係：以一越南出生與柬埔寨長大的新住民母親為例。應用心理研究，51，111-148。
吳佳玲（2008）。台灣親職壓力相關研究之回顧與分析。台南科技大學通識教育學刊，7，63-89。
林雅莉（2010）。影響親子關係因素之探討－以出生於嬰兒潮世代的父母為例（未出版之碩士論文）。國立臺灣師範大學人類發展與家庭學系，台北市。
洪榮正（2004）。職業婦女親職壓力與因應方式之研究（未出版之碩士論文）。 國立嘉義大學家庭教育研究所，嘉義市。
洪毓鈴、陳季員（2010）。探討癌症病童母親健康的相關因素。護理雜誌， 57（6），42-50。
翁毓秀（1998）。單親母親親職壓力團體諮商方案效果研究—Meichenbaum的理論應用（未出版之博士論文）。國立彰化師範大學輔導學系，彰化。
翁毓秀（2019）。親職壓力量表第四版簡式中文版：指導手冊。台北：心理出版社。
修慧蘭（2011）。何謂糾結／疏離關係－本土大學生親子界限之研究。諮商輔導學報：高師輔導所刊，23，1-18。
陳思穎（2002）。已婚國中女教師親職壓力與因應策略之研究（未出版碩士論文）。國立嘉義大學家庭教育研究所，嘉義市。
陳富美、利翠珊（2004）。夫妻的育兒經驗：親職分工與共親職的探討。中華心理衛生學刊，17(4)，1-28。
陳惠茹（2015）。教養嬰幼兒親職壓力之研究：以家庭壓力理論分析。幼兒教保研究，14，19-39。
陳靜慧（2006）。癌症兒童主要照顧者的不確定感及其相關因素之探討（未出版之碩士論文）。高雄醫學大學護理學系，高雄市。
陳玲婉（2005）。國小學童母親人格特質與親職壓力、幸福感之相關研究（未出版之碩士論文）。國立高雄師範大學教育學系研究所，高雄市。
黃玉蓮、陳淑惠（2011）。成人依戀量表台灣修訂版的心理計量特性與預測心理適應之探討。中華心理學刊，53，209-227。
黃淑滿、周麗端、葉明芬（2008）。依附與其相關因素之後設分析-台灣近二十年文獻的研究。教育心理學報，40(1)，39-62。
潘淑滿（2005）。台灣母職圖像。女學學誌：婦女與性別研究，(20)，41-91。
潘韻如、王湉妮（2015）。親子關係雙向模式之介紹與實務應用。臺灣職能治療研究與實務雜誌，11（2），100-108。
蘇偉蕾（2012）。父母在癌症病童疾病治療階段的不確定感及其相關因素探討（未出版之碩士論文）。臺灣大學護理學系，台北市。
楊瑞月（2008）。 新診斷癌症病童父母不確定感、因應行為及生活品質之性別差異（未出版之碩士論文）。長庚大學護理學研究所學位論文，高雄市。
蔣宜倩、葉昭幸、張碧真（2003）。癌症患童父母身心反應之長期追蹤研究。腫瘤護理雜誌，3（1），1-15。
賴秀澤（2010）。認識兒童癌症與預防之道。聲洋防癌之聲，(131)，22-25。
羅國英（2000）。母親教養期望與親職壓力及青少年親子關係知覺的關聯—兼談學業成就於其中的角色。東吳社會工作學報，6，35-72。
衛生福利部統計處（2020）。109年全國主要死亡原因統計。取自https://dep.mohw.gov.tw/DOS/cp-4927-54467-113.html

英文部分
Abidin, R. R.(1990). Introduction to the special issue: The stresses of parenting. Journal of Clinical Child Psychology, 19(4), 298-301.
Abidin, R. R. (1995). Manual for the parenting stress index. Odessa, FL: Psychological Assessment Resources.
Abidin, R. R.(2012). Parenting stress index (4th ed.). Lutz, FL:PAR.
Ainsworth, M. D. S. (1989). Attachments beyond infancy. American Psychologist, 44, 709-716.
Ainsworth, M. D. S.(1991). Attachments and other affectional bonds across the life cycle. In Attachment Across the Life Cycle, 5, 122-164.
Ainsworth, M. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Oxford, UK: Lawrence Erlbaum.
An, K.J., Song, M.S., Sung, K.W. & Joung, Y.S. (2011). Health-related quality of life, activities of daily living and parenting stress in children with brain tumors. Psychiatry Investigation, 8, 250–255.
Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226-244.
Bell, R. Q. (2017). A reinterpretation of the direction of effects in studies of socialization. Interpersonal Development, 93-107.
Bennett, E., English, M.W., Rennoldson, M. & Starza-Smith, A. (2013). Predicting parenting stress in caregivers of children with brain tumours. Psycho-Oncology, 22, 629–636.
Boss, P. (2001). Family stress management. Newbury Park, CA: Sage.
Bowlby, J. (1969). Attachment and loss: Vol. 1. attachment. Middlesex: Penguin Books.
Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York: Basic Books.
Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46-76). New York: Guilford Press.
Berry, J. O., & Jones, W. H. (1995). The parental stress scale: Initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463-472.
Carter, M.C. & Miles, M.S. (1982). Parental stressor scale: Pediatric ICU. Nursing Research, 31, 121.
Cheung, S. K. (2000). Psychometric properties of the Chinese version of the Parental Stress Scale. Psychologia, 43(4), 253–261.
Clarke, N. E., McCarthy, M. C., Downie, P., Ashley, D. M., & Anderson, V. A. (2009). Gender differences in the psychosocial experience of parents of children with cancer: A review of the literature. Psycho-Oncology, 18(9), 907–915. doi:10.1002/pon.1515.
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Lawrence Erlbaum Associates Publishers.
Collins, N. L. (1996). Working models of attachment: Implications for explanation, emotion, and behavior. Journal of Personality and Social Psychology, 71, 810-832.
Collins, N. C., & Feeney, B. C. (2004). Working models of attachment shape perceptions of social support: Evidence from experimental and observational studies. Journal of Personality and Social Psychology, 87, 363-383.
Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644-663.
Cousino MK, Hazen RA (2013) Parenting stress among caregivers of children with chronic illness: a systematic review. Journal of Pediatric Psychology, 38(8), 809-828.
Cusinato, M., Calvo, V., Bisogno, G., Viscardi, E., Pillon, M., Opocher, E., … & Montanaro, M. (2017). Attachment orientations and psychological adjustment of parents of children with cancer: A matched-group comparison. Journal of Psychosocial Oncology, 35(6), 726–740. doi:10.1080/07347332.2017.1335365
Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28(1), 1-11.
Fedele, D.A., Mullins, L.L., Wolfe-Christensen, C. & Carpentier, M.Y. (2011). Longitudinal assessment of maternal parenting capacity variables and child adjustment outcomes in pediatric cancer. Journal of Pediatric Hematology/Oncology, 33, 199–202. doi:http://dx.doi. org/10.1097/MPH.0b013e3182025221.
Fraley, R. C., Niedenthal, P. M., Marks, M., Brumbaugh, C., & Vicary, A. (2006). Adult attachment and the perception of emotional expressions: Probing the hyperactivating strategies underlying anxious attachment. Journal of Personality, 74(4), 1163–90. doi:10.1111/j.1467-6494.2006.00406.x
Fernandes, C., Muller, R., & Rodin, G. (2012). Predictors of parenting stress in patients with haematological cancer. Journal of Psychosocial Oncology, 30, 81-96.
Fonseca, A., Nazaré, B., & Canavarro, M. C. (2013). Parental psychological distress and confidence after an infant's birth: The role of attachment representations in parents of infants with congenital anomalies and parents of healthy infants. Journal of Clinical Psychology in Medical Settings, 20(2), 143-55.
Geest, I.M., Heuvel-Eibrink, M.M., Passchier, J., Hoed-Heerschop, C., Pieters, R. & Darlington, A.S.E. (2014). Parenting stress as a mediator of parents’ negative mood state and behavior problems in children with newly diagnosed cancer. Psycho-Oncology, 23, 758–765.
Gibbins, J., Steinhardt, K., & Beinart, H. (2012). A systematic review of qualitative studies exploring the experience of parents whose child is diagnosed and treated for cancer. Journal of Pediatric Oncology Nursing, 29(5), 253-271.
Gilligan, C. (1993). In a different voice: Psychological theory and women's development. Cambridge, MA: Harvard University Press.
Goldbeck, L. (2001). Parental coping with the diagnosis of childhood cancer: gender effects, dissimilarity within couples, and quality of life. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 10(4), 325-335.
Golfenshtein, N., Srulovici, E., & Medoff-Cooper, B. (2015). Investigating parenting stress across pediatric health conditions-a systematic review. Comprehensive Child and Adolescent Nursing, 39(1), 41-79.
Hankin, B. L., Kassel, J. D., & Abela, J. R. (2005). Adult attachment dimensions and specificity of emotional distress symptoms: Prospective investigations of cognitive risk and interpersonal stress generation as mediating mechanisms. Personality and Social Psychology Bulletin, 31(1), 136-151.
Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511-24.
Hung, J. W., Wu, Y. H., & Yeh, C. H. (2004). Comparing stress levels of parents of children with cancer and parents of children with physical disabilities. Psycho-Oncology, 213, 898–903.
Holroyd, J. (1974). The questionnaire on resources and stress: An instrument to measure family response to a handicapped family member. Journal of Community Psychology, 2, 92–94.
Kwako, L. E., Noll, J. G., Putnam, F. W., & Trickett, P. K. (2010). Childhood sexual abuse and attachment: An intergenerational perspective. Clinical Child Psychology and Psychiatry, 15, 407-422.
Kor, A., Mikulincer, M., & Pirutinsky, S. (2012). Family functioning among returnees to Orthodox Judaism in Israel. Journal of Family Psychology, 26, 149-158.
Li, H. C. W., Chan, S. S., Mak, Y. W., & Lam, T. H. (2013). Effectiveness of a parental training programme in enhancing the parent–child relationship and reducing harsh parenting practices and parental stress in preparing children for their transition to primary school: a randomised controlled trial. BMC Public Health, 13(1), 1-12.
Ljungman, L., Boger, M., Ander, M., Ljótsson, B., Cernvall, M., von Essen, L., & Hovén, E. (2016). Impressions that last: Particularly negative and positive experiences reported by parents five years after the end of a child’s successful cancer treatment or death. PloS one, 11(6), e0157076. doi:10.1371/journal. pone.0157076.
Ljungman, L., Cernvall, M., Grönqvist, H., Ljótsson, B., Ljungman, G., & von Essen, L. (2014). Long-term positive and negative psychological late effects for parents of childhood cancer survivors: a systematic review. PLoS one, 9(7), e103340. doi:10.1371/journal.pone.0103340.
Jones, J. D., Cassidy, J., & Shaver, P. R. (2015). Parents’ self-reported attachment styles: A review of links with parenting behaviors, emotions, and cognitions. Personality and Social Psychology Review, 19(1), 44-76.
Ma, K. (2006). Attachment theory in adult psychiatry. Part 1: Conceptualizations, measurement and clinical research findings. Advances in Psychiatric Treatment, 12, 440-449.
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood and adulthood: A move to the level of representation. Monographs of the Society for Research in Child Development, 50, 66-104.
Mallinckrodt, B., & Wang, C. C. (2004). Quantitative methods for verifying semantic equivalence of translated research instruments: a Chinese version of the experiences in close relationships scale. Journal of Counseling Psychology, 51(3), 368.
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press.
Moilanen, K. L., Padilla-Walker, L. M., & Blaacker, D. R. (2018). Dimensions of short-term and long-term self-regulation in adolescence: Associations with maternal and paternal parenting and parent-child relationship quality. Journal of Youth and Adolescence, 47(7), 1409-1426.
Muscara, F., McCarthy, M. C., Woolf, C., Hearps, S. J. C., Burke, K., & Anderson, V. A. (2015). Early psychological reactions in parents of children with a life threatening illness within a pediatric hospital setting. European Psychiatry, 30(5), 555-561.
Nicholls, W., Hulbert‐Williams, N., & Bramwell, R. (2014). The role of relationship attachment in psychological adjustment to cancer in patients and caregivers: a systematic review of the literature. Psycho‐Oncology, 23(10), 1083-1095.
Norberg, A. L., Lindblad, F., & Boman, K. K. (2005). Coping strategies in parents of children with cancer. Social Science & Medicine, 60(5), 965-975.
Nygren, M., Carstensen, J., Ludvigsson, J., & Frostell, A. (2012). Adult attachment and parenting stress among parents of toddlers. Journal of Reproductive and Infant Psychology, 30, 289-302.
Pai, H. C., Lee, S., & Tsao, L. T. (2004). An exploration of the mother-children relationship between climacteric mothers and their adolescent daughters. Journal of Nursing Research, 12(4), 267-273.
Patel, S.K., Wong, A.L., Cuevas, M. & Van Horn, H. (2013). Parenting stress and neurocognitive late effects in childhood cancer survivors. Psycho-Oncology, 22, 1774–1782.
Pinquart, M. (2013). Do the parent-child relationship and parenting behaviors differ between families with a child with and without chronic illness? A meta-analysis. Journal of Pediatric Psychology, 38, 708–721. doi:10.1093/jpepsy/jst020.
Power, N., & Franck, L. (2008). Parent participation in the care of hospitalized children: A systematic review. Journal of Advanced Nursing, 62,622–641.
Rabineau K.M., Mabe P.A. & Vega R.A. (2008) Parenting stress in pediatric oncology populations. Journal of Pediatric Hematology/Oncology, 30(5), 358-365.
Ravitz, P., Maunder, R., Hunter, J., Sthankiya, B., & Lancee, W. (2010). Adult attachment measures: A 25-year review. Journal of Psychosomatic Research, 69, 419-432.
Rodriguez, E. M., Murphy, L., Vannatta, K., Gerhardt, C. A., Young-Saleme, T., Saylor, M., ... & Compas, B. E. (2016). Maternal coping and depressive symptoms as predictors of mother–child communication about a child’s cancer. Journal of Pediatric Psychology, 41(3), 329-339.
Sloper, P. (2000). Predictors of distress in parents of children with cancer: A prospective study. Journal of Pediatric Psychology, 25, 79–92.
Streisand, R., Braniecki, S., Tercyak, K. P., & Kazak, A. E. (2001). Childhood illness-related parenting stress: the pediatric inventory for parents. Journal of Pediatric Psychology, 26(3), 155-162.
Sultan, S., Leclair, T., Rondeau, E., Burns, W., & Abate, C. (2016). A systematic review on factors and consequences of parental distress as related to childhood cancer. European Journal of Cancer Care, 25(4), 616-637.
Schaefer, E. S. (1965). Children's reports of parental behavior: An inventory. Child Development, 413-424.
Schepers, Sasja & Okado, Yuko & Russell, Kathryn & Long, Alanna & Phipps, Sean. (2018). Adjustment in Childhood Cancer Survivors, Healthy Peers, and Their Parents: The Mediating Role of the Parent-Child Relationship. Journal of Pediatric Psychology, 44(2), 186-196.
Trask, P. C., Paterson, A. G., Trask, C. L., Bares, C. B., Birt, J., & Maan, C. (2003). Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family function. Journal of Pediatric Oncology Nursing, 20(1), 36–47.
Tsai, M.H., Hsu, J.F., Chou, W.J., Yang, C.P., Jaing, T.H., Hung, I.J.,. . . Huang, Y.S. (2013). Psychosocial and emotional adjustment for children with pediatric cancer and their primary caregivers and the impact on their health-related quality of life during the first 6 months. Quality of Life Research, 22, 625–634.
Van Dongen-Melman, J., Pruyn, J., De Groot, A., Koot, H., & Verhulst, F. (1995). Psychometric properties of an instrument measuring psychosocial functioning of parents of children who survived cancer. On Surviving Childhood Cancer: Late Psychosocial Consequences for Patients, Parents, and Siblings (Dissertation), 101–120.
Vrijmoet-Wiersma, C. M., van Klink, J. M., Kolk, A. M., Koopman, H. M., Ball, L. M., & Egeler, M. (2008). Assessment of parental psychological stress in pediatric cancer: A review. Journal of Pediatric Psychology, 33, 694–706. doi:10.1093/jpepsy/jsn007
Vrijmoet-Wiersma, C. M. J., Hoekstra-Weebers, J. E. H. M., Margreet de Peinder, W. M. G., Koopman, H. M., Tissing, W. J. E., Treffers, P. D. A., . . . Egeler, R. M. (2010). Psychometric qualities of the Dutch version of the Pediatric Inventory for Parents (PIP): A multi-center study. Psycho-Oncology, 19, 368–375.
Yeh, C. H., Chen, M. L., Li, W., & Chuang, H. L. (2002). The Chinese version of the parenting stress index: A psychometric study. Acta Paediatrica, 90, 1470–1477.
Zebrack, B., Chesler, M., Orbuch, T. L., & Parry, C. (2002). Mothers of survivors of childhood cancer: Their worries and concerns. Journal of Psychosocial Oncology, 20(2), 1-25.