Long-Term Coping with Pediatric Leukemia: A Six-Year Follow-Up Study

Abstract

Forty-three families of children with acute leukemia who participated in a prospective study of family coping were assessed to determine long-term ($X¯$ = 6.8 years postdiagnosis) coping. Data on coping were obtained through semistructured interviews, self-ratings (Current Adjustment Rating Scale), and ratings by project staff (Family Coping Scale). Results showed that these families showed significant improvements in adjustment over time. Antecedent variables related to coping were coping disposition (fathers), occupational level of fathers, and coping with earlier stages of the illness. Concurrent/consequent correlates of coping were: level of family support, quality of the parents' marital relationship, good coping of other family members, lack of other concurrent stresses and open communication within the family. Medical status and duration of the illness were not significantly related to coping.