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Journal of Pediatric Oncology Nursing
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*Cancer--Living with Cancer
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Projective Drawings as Measures of Psychosocial Functioning in Siblings of Pediatric Cancer Patients From the Camp Okizu Study

Wendy Packman, JD, PhD

Pacific Graduate School of Psychology, Palo Alto, California, wpackman{at}pgsp.edu

Mary Mazaheri

Pacific Graduate School of Psychology, Palo Alto, California

Lisa Sporri

Pacific Graduate School of Psychology, Palo Alto, California

Janet K. Long, LMFT, ATR-BC

California College of the Arts, University of California, Berkeley Extension

Beth Chesterman, PhD

California State University, East Bay

Joselyn Fine, PhD

The Children's Village, Dobbs Ferry, NY

Michael D. Amylon, MD

Division of Stem Cell Transplantation, Stanford University School of Medicine

This research was conducted at a summer camp for siblings of children with cancer. Participants included 77 siblings (ages 6-17 years) and their parents. Before attending camp, 18 of the siblings had experienced the death of their brother or sister with cancer. Projective measures were administered before attending camp and 3 months after camp. These included the Human Figure Drawing (HFD) and the Kinetic Family Drawing-Revised (KFD-R). Siblings were administered both the HFD and KFD-R; parents were given the KFD-R. On the HFD, siblings' emotional distress scores decreased significantly pre- to postcamp. On the KFD-R, nonbereaved siblings and parents showed significant improvement in family environment scores. Bereaved siblings and parents also showed improvement (although nonsignificant). These results support Camp Okizu's effectiveness in increasing siblings' emotional well-being yet underscore the need to implement interventions to address family communication for both bereaved and nonbereaved families.

Key Words: siblings • projective drawings • camp • psychosocial functioning

Journal of Pediatric Oncology Nursing, Vol. 25, No. 1, 44-55 (2008)
DOI: 10.1177/1043454207311915


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