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Dying concerns in young parents with advanced cancer (PWAC): A scoping review

  • Cinzia Caparso (a1), Joel Appel (a1) and Ramona Benkert (a1)



Advanced cancer in young parents (PWAC) can increase dying concerns, the fluctuating thoughts, or feelings, conscious, or unconscious, about an approaching death by a person facing a terminal illness or a family member coping with the impending death of a loved one. However, limited research has been conducted to identify dying concerns in an ill parent as the research has focused on older adults.


Our goal was to identify dying concerns that PWAC are expressing and to understand how these concerns affect measurable outcomes.


CINHAL, MEDLINE, PsychARTICLES, PsycINFO, Social Work Abstracts, Health Source: Nursing/Academic Edition, and Psychology and Behavioral Sciences Collection were searched. Articles included were samples of PWAC, peer-reviewed, and published within the last 10 years. Elderly or pediatric populations, PWAC with adult children, and early-stage cancer were excluded. The initial search resulted in 1,526 articles, 18 were identified as potentially relevant. Fourteen articles were identified and reviewed.


PWAC expressed concerns for their children (n = 11), concerns for their co-parent (n = 4), and personal concerns (n = 11). Additionally, PWAC have decreased quality of life, have significant emotional and psychological distress, and have increased family dysfunction in relation to their concerns. Samples limit the generalizability of the findings. Majority of the articles consisted of White, upper, middle-class (n = 8) women (n = 7) diagnosed with breast cancer (n = 11) within nuclear families (n = 11).

Significance of results

Dying concerns are described in the literature from a fairly narrow sample of PWAC. Future research should focus on recruiting participants from diverse backgrounds, genders, diagnosis types, and non-nuclear families. Identifying concerns for the co-parent would also add to the understanding of dying concerns.


Corresponding author

Author for correspondence: Cinzia Caparso, Mailbox No. 110, 5557 Cass Ave. 323 Cohn Bldg., Detroit, MI48202, USA. E-mail:


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Aamotsmo, T and Bugge, KE (2014) Balance artistry: The healthy parent's role in the family when the other parent is in the palliative phase of cancer — Challenges and coping in parenting young children. Palliative & Supportive Care 12, 317329. doi:10.1017/S1478951513000953
Algarvio, S and Leal, I (2016) Parental concerns definition: A literature review. Psicologia, Saúde & Doenças 17(3), 423440. doi:10.15309/16psd170310
American Cancer Society (2019) Cancer Facts & Figures 2019. Retrieved from (retrieved September 3, 2019).
Arndt, J, Routledge, C and Goldenberg, JL (2006) Predicting proximal health responses to reminders of death: The influence of coping style and health optimism. Psychology and Health 21(5), 539614. doi:10.1080/14768320500537662
Bell, CJ, Smythe, E, Diver, J, et al. (2016) Exploring readiness to engage in difficult discussions with adolescents living with advanced cancer. Biology of Blood and Marrow Transplantation 22(3), 115116. doi:10.1016/j.bbmt.2015.11.436
Check, DK, Park, EM, Reeder-Hayes, KE, et al. (2017) Concerns underlying treatment preferences of advanced cancer patients with children. Psycho-Oncology 26(10), 14911497.
Davey, MP, Kissil, K, Lynch, L, et al. (2013) A culturally adapted family intervention for African American families coping with parental cancer: Outcomes of a pilot study. Psycho-Oncology 22(7), 15721580. doi:10.1002/pon.3172
Dickstein, LS (1972) Death concern: Measurement and correlates. Psychological Reports 30, 563571. doi:10.2466/pr0.1972.30.2.563
Ernst, J, Götze, H, Krauel, K, et al. (2012) Psychological distress in cancer patients with underage children: Gender-specific differences. Psycho-Oncology 22, 823828. doi:10.1002/pon.3070
Gazendam-Donofrio, SM, Hoekstra, H, van der Graaf, WTA, et al. (2008) Quality of life of parents with children living at home: When one parent has cancer. Supportive Care in Cancer 16, 133141. doi:10.1007/s00520-007-0299-7
Kakuta, M, Kakikawa, F and Chida, M (2015) Concerns of patients undergoing palliative chemotherapy for end-stage carcinomatous peritonitis. American Journal of Hospice and Palliative Medicine 38(8), 810816.
Kobayashi, M, Heiney, SP, Osawa, K, et al. (2017) Effect of a group intervention for children and their parents who have cancer. Palliative & Supportive Care 15, 575586. doi:10.1017/S14789515160011115
Kubler-Ross, E (1969) On Death and Dying. New York, NY: Scribner.
Kuhne, F, Krattenmacher, T, Bergelt, C, et al. (2013) “There is still so much ahead of us”–Family functioning in families of palliative cancer patients. Families, Systems & Health 31(2), 181193. doi:10.1037/a0032274
Lewis, S, Willis, K, Yee, J, et al. (2016) Living well? Strategies used by women living with metastatic breast cancer. Qualitative Health Research 26(9), 11671179. doi:10.1177/1049732315591787
Lundquist, M (2017) Fathers facing advanced cancer: An exploratory study. Journal of Social Work in End-of-Life & Palliative Care 13(4), 266283. doi:1.1080/15524256.2017.1403410
Moher, D, Shamseer, L, Clarke, M, et al. (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Review 4(1), 1. doi:10.1186/2046-4053-4-1
Moore, CW, Rauch, PK, Baer, L, et al. (2015) Parenting changes in adults with cancer. Cancer 121(19), 35513557. doi:10.1002/cncr.29525
Muriel, AC, Moore, CW, Baer, L, et al. (2012) Measuring psychosocial distress and parenting concerns among adults with cancer. Cancer 118, 56715678. doi:10.1002/cncr.27572
National Cancer Institute (2016) Cancer Stat Facts: Cancer of any Site. Retrieved from (retrieved March 29, 2017).
Nilsson, ME, Maciejewski, PK, Zhang, B, et al. (2009) Mental health, treatment preferences, advance care planning location, and quality of death in advanced cancer patients with dependent children. Cancer, 399409. doi:10.1002/cncr.24002
Park, EM, Deal, AM, Check, DK, et al. (2016) Parenting concerns, quality of life, and psychological distress in patients with advanced cancer. Psycho-Oncology 25, 942948. doi:10.1002/pon.3935
Park, EM, Check, DK, Song, M, et al. (2017) Parenting while living with advanced cancer: A qualitative study. Palliative Medicine 31(3), 231238.
Park, EM, Deal, AM, Yopp, JM, et al. (2018) Understanding health-related quality of life in adult women with metastatic cancer who have dependent children. Cancer 124(12), 26292636.
Schmitt, F, Piha, J, Helenius, H, et al. (2008) Multinational study of cancer patients and their children: Factors associated with family functioning. Journal of Clinical Oncology 26(36), 58775883. doi:10.1200/JCO.2007.12.8132
Stinesen-Kollberg, K, Thorsteinsdottir, T, Wilderäng, U, et al. (2013) Worry about one's own children, psychological well-being, and interest in psychosocial intervention. Psycho-Oncology 22, 21172123. doi:10.1002/pon.3266
Tarakeshwar, N, Vanderwerker, LC, Paulk, E, et al. (2006) Religious coping is associated with the quality of life of patients with advanced cancer. Journal of Palliative Medicine 9(3), 646657.
Thastum, M, Munch-Hansen, A, Wiell, A, et al. (2006) Evaluation of focused short-term preventive counselling project for families with a parent with cancer. Clinical Child Psychology and Psychiatry 11(4), 529542. doi:10.1177/1359104506067875
Weaver, KE, Rowland, JH, Alfano, CM, et al. (2010) Parental cancer and the family: A population-based estimate of the number of US cancer survivors residing with their minor children. Cancer 116, 43954401.
Zaider, TI, Salley, CG, Terry, R, et al. (2015) Parenting challenges in the setting of terminal illness: A family-focused perspective. Supportive & Palliative Care 9(1), 5257. doi:10.1097/SPC.0000000000000114


Dying concerns in young parents with advanced cancer (PWAC): A scoping review

  • Cinzia Caparso (a1), Joel Appel (a1) and Ramona Benkert (a1)


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