SavedAdd your journal

Journals / Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi / 2026 / Volume: 12 Issue: 1

Psychosocial Predictors of Resilience in Turkish Parents of Children with Cancer: A Cross-sectional Study

Kanser Tanısıyla İzlenen Çocukların Ebeveynlerinde Dayanıklılığı Etkileyen Psikososyal Faktörlerin İncelenmesi: Kesitsel bir Araştırma

Tuba Arpaci(KARAMANOĞLU MEHMETBEY ÜNİVERSİTESİ)0000-0001-8511-8443
Merve Kurt(Mersin Üniversitesi Hastanesi)0009-0003-6657-6061
Pages
61–69
Publication Date
2025-04-22
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Health care Professionals should develop psychosocial interventions to enhance resilience and integrate into the care of parents of children with cancer.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This cross-sectional study was conducted to identify the predictive effect of hope, uncertainty, and perceived social support on resilience in Turkish parents of children with cancer.
📊
Key Findings & Data:The study was performed between May 2023 and Jan 2024.
💡
Conclusion & Impact:Health care Professionals should develop psychosocial interventions to enhance resilience and integrate into the care of parents of children with cancer.
🔬Design:Araştırma Makalesi
📍Scope:2023 Verileri
⚙️Variables:Çocuklar · ebeveynler · dayanıklılık

Abstract

Aim: This cross-sectional study was conducted to identify the predictive effect of hope, uncertainty, and perceived social support on resilience in Turkish parents of children with cancer. Material and Methods: The sample of the study consisted of parents of children who were followed up with a diagnosis of cancer. The study was performed between May 2023 and Jan 2024. Spearman’s correlation analysis, univariate, and multiple linear regression analysis were used to evaluate the data. Results: The mean age of the parents was 37.19 ± 6.35 years, and 67.7% of participants were mothers. The mean age of the children was 8.73 ± 4.79 years, and the diagnosis of most of them was acute lymphoblastic leukemia (38.7%). Psychological resilience in parents was moderately and positively associated with hope (r = .523 p = <.001). A weak negative correlation was found between resilience and uncertainty (r = .288 p = .023). Hope had a significant positive effect on resilience (β = .463 p = .001). No statistically significant correlation was found between resilience and perceived social support. Conclusions: This study revealed that psychological resilience was positively associated with hope and negatively associated with uncertainty in parents. Health care Professionals should develop psychosocial interventions to enhance resilience and integrate into the care of parents of children with cancer.

Özet

Amaç: Bu kesitsel çalışma kanserli çocuğu olan ebeveynlerde belirsizlik, umut ve algılanan sosyal desteğin dayanıklılık üzerine yordayıcı etkisinin belirlenmesi amacıyla yürütülmüştür. Gereç ve Yöntem: Araştırmanın örneklemini kanser tanısıyla izlenen çocukların ebeveynleri oluşturmuştur (n = 62). Araştırma Mayıs 2023-Ocak 2024 tarihleri arasında yürütülmüştür. Verilerin değerlendirilmesinde Spearman korelasyon analizi, tek değişkenli ve çoklu doğrusal regresyon analizi kullanılmıştır. Bulgular: Ebeveynlerin yaş ortalaması 37.19 ± 6.35 olup, katılımcıların %67.7'si annedir. Çocukların ortalama yaşı 8.73 ± 4.79 yıl olup, çoğunluğunun tanısı akut lenfoblastik lösemi (%38.7)’dir. Ebeveynlerdeki psikolojik dayanıklılık umutla orta düzeyde pozitif yönde (r = 0.523 p = < 0.001). Belirsizlikle zayıf negatif (r = 0.288 p = 0.023) yönde ilişkilidir. Umudun dayanıklılık üzerinde anlamlı ve olumlu bir etkisi olduğu saptanmıştır (p < 0.05). Dayanıklılık ile algılanan sosyal destek arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır. Sonuç: Bu çalışmanın bulguları, psikolojik dayanıklılığın ebeveynlerdeki umutla pozitif, belirsizlikle ise negatif ilişkili olduğunu göstermektedir. Sağlık profesyonelleri dayanıklılığı artırmak için psikososyal müdahaleler geliştirmeli ve kanserli çocukların ebeveynlerine sunulacak bakıma entegre etmelidir.

🔖

Cite This Article

Arpaci, T., Kurt, M. (2025). Psychosocial Predictors of Resilience in Turkish Parents of Children with Cancer: A Cross-sectional Study. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, Volume: 12 Issue: 1, 61–69. https://doi.org/10.31125/hunhemsire.1475890

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (54)

  1. Al Qadire, M., Al-Sheikh, H., Suliman, M., Tawalbeh, L.I., Albashtawy, M., Al-Radwan, M., & Abu Musameh, H. (2018). Predictors of anxiety and depression among parents of children with cancer in Jordan. Psycho-Oncology, 27(4), 1344–46. https://doi.org/10.1002/pon.4634
  2. Al-Saadi, L. S., Chan, M. F., & Al-Azri, M. (2022). Prevalence of anxiety, depression, and post-traumatic stress disorder among children and adolescents with cancer: A systematic review and meta-analysis. Journal of Pediatric Hematology/Oncology Nursing, 39(2), 114–131. https://doi.org/10.1177/27527530211056001
  3. Anderson, K. J., Bradford, N. K., & Clark, J. E. (2018). Through their eyes: Parental perceptions on hospital admissions for febrile neutropenia in children with cancer. Journal of Pediatric Oncology Nursing, 35(5), 342-352. https://doi.org/10.1177/1043454218777719
  4. Aslan, Ö., Sekmen, K., & Kömürcü, S. (2007). Hope in cancer patients. Journal of Cumhuriyet University School of Nursing, 11(2), 18-24.
  5. Atay, E.A., & Işıl, Ö. (2024). Kanserli çocukların ebeveynlerinin psikolojik dayanıklılığı ve etkileyen faktörlerin belirlenmesi: Pilot çalışma. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 17(1), 130–138. https://doi.org/10.26559/mersinsbd.1331363
  6. Borrescio-Higa, F., & Valdés, N. (2022). The psychosocial burden of families with childhood blood cancer. International Journal of Environmental Research and Public Health, 19(1), 599. https://doi.org/10.3390/ijerph19010599
  7. Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
  8. Chung, J.O.K., Li, W.H.C., Cheung, A.T., Ho, L.L.K., & Chan, G.C.F. (2022). Association of resilience with psychological well-being and quality of life for parents of children with cancer. Research Square. https://doi.org/10.21203/rs.3.rs-1688101/v1
  9. Connor, K.M., & Davidson, J.R.T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76-82. https://doi.org/10.1002/da.10113
  10. Conway, M.F., Pantaleao, A., & Popp, J.M. (2017). Parents’ experience of hope when their child has cancer: Perceived meaning and the influence of health care professionals. Journal of Pediatric Oncology Nursing, 34(6), 427–434. https://doi.org/10.1177/1043454217713454
  11. Duman, N. (2019). Travma sonrası büyüme ve gelişim. Uluslararası Afro-Avrasya Araştırmaları Dergisi, 4(7), 178-184.
  12. Eker, D., Arkar, H., & Yaldız, H. (2001). Çok Boyutlu Algılanan Sosyal Destek Ölçeği'nin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 12(1), 17–25.
  13. George, D., & Mallery, M. (2010). SPSS for Windows step by step: A simple guide and reference (10th ed.). Pearson.
  14. Gu, G.E. (2019). Effect of the solution-focused family resilience enhancement program for the family adaptation of childhood cancer [Dissertation, Kyungpook National University, Department of Nursing Graduate School], Daegu (South Korea)
  15. Haglund, M.M.E., Nestadt, P.S., Cooper, N.S., Southwick, S.M., & Charney, D.S. (2007). Psychobiological mechanisms of resilience: Relevance to prevention and treatment of stress-related psychopathology. Development and Psychopathology, 19(3), 889–920. https://doi.org/10.1017/S0954579407000430
  16. Hayran, M., & Hayran, M. (2011). Basic statistics for health research. Ari Ofset Matbaacılık
  17. Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17(10), 1251–1259. https://doi.org/10.1111/j.1365-2648.1992.tb01843.x
  18. Hyslop, S., Tomlinson, D., Baggott, C., Dix, D., Gibson, P., Johnston, D.L., Orsey, A.D., Portwine, C., Price, V., Vanan, M., Kuczynski, S., Spiegler, B., Tomlinson, G.A., Dupuis, L.L., & Sung, L. (2021). Feeling scared or worried self-report in children receiving cancer treatments using the Symptom Screening in Pediatrics Tool (SSPedi). Supportive Care in Cancer, 29(6), 3137-3144. https://doi.org/10.1007/s00520-020-05818-x
  19. Jones, B. (2006). Caregivers of children with cancer. Journal of Human Behavior in the Social Environment, 14, 221–240. https://doi.org/10.1300/J137v14n01_11
  20. Kamkhoad, D., & Phonyiam, R. (2023). Symptom clusters that include gastrointestinal symptoms among children receiving cancer treatments: A scoping review. Oncology Nursing Forum, 50(3), 381–395. https://doi.org/10.1188/23.ONF.381-395
  21. Kaya, F., & Odacı, H. (2021). The adaptation of the Connor-Davidson Resilience Scale short form into Turkish: A validity and reliability study. HAYEF: Journal of Education, 18(1), 38-55. https://doi.org/10.5152/hayef.2021.20029
  22. Kearney, J. A., Salley, C.G., & Muriel, A.C. (2015). Standards of psychosocial care for parents of children with cancer. Pediatric Blood & Cancer, 62(Suppl 5), S632–S683. https://doi.org/10.1002/pbc.25761.
  23. Koyu, H.O., Algül, G., Altay, N., & Kilicarslan, E. (2024). The effect of psychological resilience and spiritual well-being on the experience of hope in parents of children with cancer. Journal of Pediatric Nursing, 76, e34–e41 https://doi.org/10.1016/j.pedn.2024.01.016
  24. Lazor, T., Pole, J. D., De Souza, C., Schechter, T., Grant, R., Davis, H., Duong, N., Stein, E., Cook, S., Tigelaar, L., & Sung, L. (2019). Severity, change over time, and risk factors of anxiety in children with cancer depend on the anxiety instrument used. Psycho-Oncology, 28(4), 710–717. https://doi.org/10.1002/pon.5004
  25. Luo, Y., Xu, J., Xie, J., Xiao, P., & Cai, Q. (2024). The mediating role of resilience in the relationship between stress and psychological distress in parents of children with cancer. Journal of Health Psychology, 29(4), 266-274. https://doi.org/10.1177/13591053231202635
  26. Luo, Y.H., Li, W.H.C., Cheung, A.T., Ho, L.L.K., Xia, W., He, X.L., Zhang, J.P., & Chung, O.K. (2022). Relationships between resilience and quality of life in parents of children with cancer. Journal of Health Psychology, 27(5), 1048–1056. https://doi.org/10.1177/1359105321990806
  27. Luo, Y.H., Xia, W., He, X.L., Zhang, J.P., & Li, H.C.W. (2021). Psychological interventions for enhancing resilience in parents of children with cancer: A systematic review and meta-analysis. Supportive Care in Cancer, 29(11), 7101–7110. https://doi.org/10.1007/s00520-021-06344-0
  28. Luthar, S.S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164
  29. Mahakwe, G., Johnson, E., Karlsson, K., & Nilsson, S. (2021). A systematic review of self-report instruments for the measurement of anxiety in hospitalized children with cancer. International Journal of Environmental Research and Public Health, 18(4), 1911. https://doi.org/10.3390/ijerph18041911
  30. Maravilha, T.L.F.D., Marcelino, M.F.L., & Charepe, Z. B. (2021). Factors influencing hope in parents of children with chronic illness. Acta Paulista de Enfermagem, 34, eAPE001545. https://doi.org/10.37689/acta-ape/2021AR01545
  31. Martins, A.R., Crespo, C., Salvador, Á., Santos, S., Carona, C., & Canavarro, M.C. (2018). Does hope matter? Associations among self-reported hope, anxiety, and health-related quality of life in children and adolescents with cancer. Journal of Clinical Psychology in Medical Settings, 25(1), 93–103. https://doi.org/10.1007/s10880-018-9547-x
  32. Masten, A., & Cicchetti, D. (2016). Resilience in development: Progress and transformation. In D. Cicchetti (Ed.), Developmental psychopathology (pp. 271-333). Wiley.
  33. Masten, A.S. (2018). Resilience theory and research on children and families: Past, present, and promise. Journal of Family Theory & Review, 10(1), 12–31. https://doi.org/10.1111/jftr.12255
  34. Mensah, A.B.B., Nunoo, H., Mensah, K.B., Okyere, J., Dzomeku, V.M., Apiribu, F., Asoogo, C., Clegg-Lamptey, J. (2023). Impact of childhood and adolescence cancer on family caregivers: A qualitative analysis of strains, resources, and coping behaviors. BMC Psychology, 11(1), 361. https://doi.org/10.1186/s40359-023-01406-w
  35. Meral, B., & Bulut, H. K. (2022). Predictors of moderate-high posttraumatic growth in parents of children with cancer: A cross-sectional study. Cancer Nursing, 10, 1097. https://doi.org/10.1097/NCC.0000000000001374
  36. Mezgebu, E., Berhan, E., & Deribe, L. (2020). Predictors of resilience among parents of children with cancer: A cross-sectional study. Cancer Management and Research, 12, 11611–11621. https://doi.org/10.2147/CMAR.S276599
  37. Mishel, M., & Epstein, D. (1997). Uncertainty in illness scales manual (1st ed.). University of North Carolina.
  38. Mishel, M.H. (1983). Parents' perception of uncertainty concerning their hospitalized child. Nursing Research, 32(6), 324-330. https://doi.org/10.1097/00006199-198311000-00002
  39. Özkan, S., & Arslan, F.T. (2018). Psychometric properties of the Turkish version of the Parent Perception of Uncertainty Scale (PPUS) among parents of hospitalized children. Pediatrics, Cogent Medicine, 5(1), 1544190.
  40. Pahl, D.A., Wieder, M. S., & Steinberg, D.M. (2021). Social isolation and connection in adolescents with cancer and survivors of childhood cancer: A systematic review. Journal of Adolescence, 87, 15-27. https://doi.org/10.1016/j.adolescence.2020.12.010
  41. Pallant, J. (2007). SPSS survival manual: A step-by-step guide to data analysis using SPSS for Windows (Version 12, 2nd ed.). Open University Press.
  42. Park, M., Kim, S., Lee, H., Shin, Y.J., Lyu, C.J., & Choi, E.K. (2023). Development and effects of an internet-based family resilience-promoting program for parents of children with cancer: A randomized controlled trial. European Journal of Oncology Nursing, 64, 102332. https://doi.org/10.1016/j.ejon.2023.102332
  43. Park, M., Suh, E.E., & Yu, S.Y. (2021). Uncertainty and nursing needs of parents with pediatric cancer patients in different treatment phases: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(8), 4253. https://doi.org/10.3390/ijerph18084253
  44. Rosenberg, A.R., Bradford, M.C., Junkins, C.C., Taylor, M., Zhou, C., Sherr, N., Kross, E., Curtis, J.R., Yi-Frazier, J.P. (2019). Effect of the Promoting Resilience in Stress Management intervention for parents of children with cancer (PRISM-P): A randomized clinical trial. JAMA Network Open, 2(9), e1911578. https://doi.org/10.1001/jamanetworkopen.2019.11578
  45. Rosenberg, A.R., Wolfe, J., Bradford, M.C., Shaffer, M.L., Yi-Frazier, J.P., Curtis, J.R., Syrjala, K.L., & Baker, K.S. (2014). Resilience and psychosocial outcomes in parents of children with cancer. Pediatric Blood & Cancer, 61(3), 552-557. https://doi.org/10.1002/pbc.24854
  46. Snaman, J. M., Feraco, A. M., Wolfe, J., & Baker, J. N. (2019). “What if?”: Addressing uncertainty with families. Pediatric Blood & Cancer, 66(6), e27699. https://doi.org/10.1002/pbc.27699
  47. Şengül ZK. (2022). Çocuk ve Aileye Psikososyal Destek. In: Törüner EK, Altay N, editors. Pediatrik Hematoloji Onkoloji Hemşireliği. (pp. 414-448). Ankara, Türkiye: Nobel Tıp Kitabevleri.
  48. Tabachnick, B.G., & Fidell, L.S. (2013). Using multivariate statistics (6th ed.). Pearson.
  49. Toledano-Toledano, F., Luna, D., Moral de la Rubia, J., Martínez Valverde, S., Bermúdez Morón, C. A., Salazar García, M., & Vasquez Pauca, M. J. (2021). Psychosocial factors predicting resilience in family caregivers of children with cancer: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(2), 748. https://doi.org/10.3390/ijerph18020748
  50. van Warmerdam, J., Zabih, V., Kurdyak, P., Sutradhar, R., Nathan, P. C., & Gupta, S. (2019). Prevalence of anxiety, depression, and posttraumatic stress disorder in parents of children with cancer: A meta-analysis. Pediatric Blood & Cancer, 66(6), e27677. https://doi.org/10.1002/pbc.27677
  51. Yardeni, M., Abebe Campino, G., Hasson-Ohayon, I., Basel, D., Hertz-Palmor, N., Bursztyn, S., Weisman, H., Pessach, I.M., Toren, A., & Gothelf, D. (2021). Trajectories and risk factors for anxiety and depression in children and adolescents with cancer: A 1-year follow-up. Cancer Medicine, 10(16), 5653-5660. https://doi.org/10.1002/cam4.4100
  52. Ye, Z.J., Guan, H.J., Wu, L.H., Xiao, M.Y., Luo, D.M., & Quan, X.M. (2015). Resilience and psychosocial function among mainland Chinese parents of children with cancer: A cross-sectional survey. Cancer Nursing, 38(6), 466-474. https://doi.org/10.1097/NCC.0000000000000220
  53. Ye, Z.J., Qiu, H.Z., Li, P.F., Liang, M.Z., Wang, S.N., & Quan, X.M. (2017). Resilience model for parents of children with cancer in mainland China-An exploratory study. European Journal of Oncology Nursing, 27, 9–16. https://doi.org/10.1016/j.ejon.2017.01.002
  54. Zimet, G.D., Dahlem, N.W., Zimet, S.G., & Gordon, K.F. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2