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Author Notes:

Corresponding author: Eliza M Park, MD, Department of Psychiatry, University of North Carolina, 170 Manning Drive, Campus Box #7305, Chapel Hill, NC 27599, Phone: 919-966-3494, Fax: 919-966-6735, leeza_park@med.unc.edu.

The authors wish to gratefully acknowledge the men and women who participated in this study and who gave their time to share their experiences.

The authors have no conflicts of interest to disclose.


Research Funding:

This work was supported by the UNC Junior Faculty Development Award, the Foundation of Hope, the Doris Duke Charitable Foundation [2015213], the National Center for Advancing Translational Sciences (NCATS) [1UL1TR001111, 1KL2TR001109], and the National Institutes of Health [1K07CA218167].


  • Science & Technology
  • Life Sciences & Biomedicine
  • Health Care Sciences & Services
  • Medicine, General & Internal
  • Clinical Neurology
  • General & Internal Medicine
  • Neurosciences & Neurology
  • Cancer
  • neoplasm
  • parenting concerns
  • parents
  • psychometrics

Psychometric Analysis of the Parenting Concerns Questionnaire in Women With Metastatic Cancer


Journal Title:

Journal of Pain and Symptom Management


Volume 55, Number 2


, Pages 451-457

Type of Work:

Article | Post-print: After Peer Review


Context: Parenting concerns are a major source of distress for patients with advanced cancer. However, validated tools to measure this construct in advanced cancer patients are lacking. Objectives: The Parenting Concerns Questionnaire (PCQ) is the only tool available to assess parenting concerns in cancer patients, yet its psychometric properties have not been fully evaluated. Methods: This cross-sectional Web-based survey of the psychosocial concerns included 211 women with Stage IV solid tumor malignancy who had at least one minor child in the home. Participants completed a battery of questionnaires assessing parenting concerns, health-related quality of life (HRQOL), depression and anxiety symptoms, and sociodemographic and clinical characteristics. Internal consistency was assessed by computing Cronbach's alpha. Convergent validity was evaluated using correlations of the PCQ with anxiety and depression symptom severity and HRQOL. We examined the PCQ's underlying dimensions with confirmatory factor analysis. Results: The mean total PCQ score for the sample was 2.2 (SD, 0.7), corresponding to “a little bit concerned.” Internal consistency was 0.82. The PCQ demonstrated adequate convergent validity with expected correlations with anxiety (r = 0.49) and depression (r = 0.56) symptom severity, and HRQOL (r = −0.61). The original three-factor structure was not fully supported by confirmatory factor analysis. Conclusion: The PCQ assesses a unique aspect of psychological distress in cancer patients. It demonstrated adequate reliability and convergent validity, but its original three-factor structure was not supported in a population of patients with metastatic cancer. The PCQ would benefit from further testing and refinement to enhance its representation of parenting concerns in metastatic cancer.

Copyright information:

© 2017 American Academy of Hospice and Palliative Medicine

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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