{"doi":"10.1093/jpepsy/jsab017","title":"Coping Trajectories and the Health-Related Quality of Life of Childhood Cancer Survivors","abstract":"OBJECTIVE: To identify coping trajectories from diagnosis through survivorship and test whether particular trajectories exhibit better health-related quality of life (HRQOL) at 5 years post-diagnosis. METHODS: Families of children with cancer (ages 5-17; M = 10.48, SD = 4.03) were recruited following a new diagnosis of cancer (N = 248). Three follow-up assessments occurred at 1-year (N = 185), 3-years (N = 101), and 5-years (N = 110). Mothers reported on children's coping using the Responses to Stress Questionnaire for Pediatric Cancer. Survivor HRQOL was measured at 5-year follow-up using self-report on the PedsQL 4.0. Longitudinal patterns of coping were derived using Latent Class Growth Analysis and mean-levels of survivor-report HRQOL were compared across classes. RESULTS: Two primary control coping trajectories emerged, \"Moderate and Stable\" (50%) and \"Low-moderate and Decreasing\" (50%), with no significant differences in HRQOL across trajectories. Three secondary control coping trajectories emerged, \"Moderate-high and Increasing\" (54%), \"Moderate and Stable\" (40%), and \"High and Increasing\" (6%), with survivors in the last trajectory showing better HRQOL. Two disengagement coping trajectories emerged, \"Low and Stable\" (85%) and \"Low and Variable\" (15%), with no significant differences in HRQOL across trajectories. CONCLUSIONS: Coping trajectories were relatively stable from diagnosis to 5 years. A small group of survivors with high and increasing secondary control coping over time, per mother-report, reported better HRQOL. Future research should consider tailoring coping interventions to children with cancer to improve survivors' HRQOL.","journal":"Journal of Pediatric Psychology","year":2021,"id":178279,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":19,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9179,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":693629,"name":"Katianne M. Howard Sharp","orcid":"0000-0002-4823-9702","position":1,"is_corresponding":false},{"id":723487,"name":"Kemar V. Prussien","orcid":"0000-0001-5012-9425","position":2,"is_corresponding":false},{"id":723488,"name":"Alexandra C. Himelhoch","orcid":"0000-0002-4122-0507","position":3,"is_corresponding":false},{"id":372527,"name":"Lexa K. Murphy","orcid":"0000-0003-2644-4366","position":4,"is_corresponding":false},{"id":723489,"name":"Erin M. Rodríguez","orcid":"0000-0003-0825-8543","position":5,"is_corresponding":false},{"id":723977,"name":"Tammi Young‐Saleme","orcid":null,"position":6,"is_corresponding":false},{"id":723490,"name":"Kathryn Vannatta","orcid":"0000-0002-9218-2352","position":7,"is_corresponding":false},{"id":599825,"name":"Bruce E. Compas","orcid":"0000-0002-5884-181X","position":8,"is_corresponding":false},{"id":723491,"name":"Cynthia A. Gerhardt","orcid":"0000-0002-4376-3652","position":9,"is_corresponding":false},{"id":723486,"name":"Rachel S. Fisher","orcid":"0000-0002-7128-9871","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-18T23:47:36.112170Z","pmid":"33738496","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}