Surviving Childhood Cancer: Quality of Life and Parental Regulatory Focus

Abstract

Applying Regulatory Focus Theory (RFT), the authors predicted that among survivors of childhood cancer, quality of life (QOL) may be compromised by prevention-focused parenting characterized by an overly protective concern with possible mishaps and illness recurrence rather than promotion-focused parenting encouraging expectations of recovery and a normal life. Interviews with parents of 64 survivors (M age = 13.83 years) of acute lymphoblastic leukemia (ALL) or central nervous system (CNS) tumors were coded for reports of promotion or preventionoriented parenting and positive and negative expectancies. Overall, parents expressed more promotion than prevention focus, especially in relation to general rather than illness-related contexts. Greater use by parents of prevention focus in general contexts predicted lower QOL for survivors (as rated both by parents and survivors themselves) and less satisfactory parental well-being. These effects were independent of a main effect for type of cancer, with survivors of ALL having higher QOL.