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Correlates of Control in Pediatric Cancer Patients and Their Families
Authors:Nannis, Ellen D.   Susman, Elizabeth J.   Strope, Barbara E.   Woodruff, Pamela J.   Hersh, Stephen P.   Levine, Arthur S.   Pizzo, Philip A.
Affiliation:St. Elizabeth's Hospital, National Institute of Mental Health, Laboratory of Developmental Psychology, National Institute of Mental Health, Pediatric Oncology Branch, National Cancer Institute

2All correspondence should be directed to Ellen D. Nannis, Psychology Clinic, 2205 Tolman Hall, University of California, Berkeley, California 94720.

Abstract:Physical illness is a life experience which challenges an individual'ssense of control and thus represents a potential threat to mentalhealth. For children, a serious illness threatens not only theirsense of physical and psychological well-being but also threatensthe psychological well-being of their family. In this study,severely ill patients (n = 15) and a member of their family(n = 15) were interviewed. The patients, who ranged in age from12 to 21 years, were being treated for metastatic solid tumorsor lymphoma that failed to respond to conventional therapeuticregimens. Correlates of control for the patients and familymembers, the relationship between control and developmentalstage of the patients, and the difference between levels ofcontrol in patients and family member were examined. The findingsare discussed in relation to development and their implicationsfor medical management.
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