{"doi":"10.1093/jpepsy/jsab065","title":"Relationship Between Caregiver Uncertainty, Problem-Solving, and Psychological Adjustment in Pediatric Cancer","abstract":"OBJECTIVE: The current study examined the roles of constructive and dysfunctional problem-solving strategies in the relationships between illness uncertainty and adjustment outcomes (i.e., anxious, depressive, and posttraumatic stress symptoms) in caregivers of children newly diagnosed with cancer. METHODS: Two hundred thirty-eight caregivers of children (0-19 years of age) newly diagnosed with cancer (2-14 weeks since diagnosis) completed measures of illness uncertainty, problem-solving strategies, and symptoms of anxiety, depression, and posttraumatic stress. RESULTS: A mediation model path analysis assessed constructive and dysfunctional problem-solving strategies as mediators between illness uncertainty and caregiver anxious, depressive, and posttraumatic stress symptoms. Dysfunctional problem-solving scores partially mediated the relationships between illness uncertainty and anxious, depressive, and posttraumatic stress symptoms. Constructive problem-solving scores did not mediate these relationships. CONCLUSIONS: The current findings suggest that illness uncertainty and dysfunctional problem-solving strategies, but not constructive problem-solving strategies, may play a key role in the adjustment of caregivers of children newly diagnosed with cancer. Interventions aimed at managing illness uncertainty and mitigating the impact of dysfunctional problem-solving strategies may promote psychological adjustment.","journal":"Journal of Pediatric Psychology","year":2021,"id":174650,"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":23,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9397,"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":714233,"name":"Marie L. Chardon","orcid":"0000-0002-9128-1009","position":1,"is_corresponding":false},{"id":334487,"name":"James Peugh","orcid":"0000-0002-1134-5667","position":2,"is_corresponding":false},{"id":714787,"name":"Clayton S. Edwards","orcid":null,"position":3,"is_corresponding":false},{"id":714234,"name":"Lauren Szulczewski","orcid":"0000-0001-9632-9852","position":4,"is_corresponding":false},{"id":714235,"name":"Caroline F. Morrison","orcid":"0000-0001-6210-2027","position":5,"is_corresponding":false},{"id":66038,"name":"Rajaram Nagarajan","orcid":"0000-0003-1933-6180","position":6,"is_corresponding":false},{"id":714788,"name":"Ayman El‐Sheikh","orcid":null,"position":7,"is_corresponding":false},{"id":527319,"name":"John M. Chaney","orcid":"0000-0001-9503-1712","position":8,"is_corresponding":false},{"id":490416,"name":"Ahna L. H. Pai","orcid":"0000-0002-5958-4157","position":9,"is_corresponding":false},{"id":497793,"name":"Larry L. Mullins","orcid":"0000-0002-0274-2687","position":10,"is_corresponding":false},{"id":714232,"name":"Nathan L Basile","orcid":"0000-0001-7944-2087","position":0,"is_corresponding":true}],"reference_count":39,"raw_metadata":null,"created_at":"2026-07-18T23:47:06.584146Z","pmid":"34350968","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":[]}