Cancer diagnosis and treatment of children and dogs: coping strategies used by parents and owners in teaching hospitals


cancer diagnosis, coping, human being-animal bond, parents-children relationships.

How to Cite

Vieira, L. C. ., Contesini, E. A. ., & Goldim, J. R. . (2021). Cancer diagnosis and treatment of children and dogs: coping strategies used by parents and owners in teaching hospitals. Brazilian Journal of Veterinary Medicine, 43(1), e002220. 1


This paper aimed to gain insight into and to compare various strategies deployed by parents and owners for coping with both cancer diagnosis and corresponding treatment for both children and dogs. Cross-sectional study of the data collected from parents of children with cancer on chemotherapy at the In-Patient Unit of the Pediatric Oncology Service at Hospital de Clínicas de Porto Alegre and owners of dogs with cancer on chemotherapy at the Oncology Unit of Veterinary Clinics Hospital at Universidade Federal do Rio Grande do Sul. A semistructured interview was conducted with the 44 subjects on the impact of the diagnosis and treatment. They answered a questionnaire adapted from the Coping Strategies Inventory by Folkman and Lazarus. Data were analyzed using mixed methods, that is, statistical analysis and the content analysis proposed by Bardin. The Inventory scales were analyzed to compare parents and owners. Three of the eight scales showed statistically significant differences: responsibility acceptance (P=0.002), escape-avoidance (P=0.001) and positive reappraisal (P=0.005). The main differences were found in the scales related to emotion, because parents showed both guilt and need to find a way to turn that situation into something positive. The main goal of both parents and owners was patient care and treatment. They set a course of action and pursued it, in spite of the suffering brought by the situation. The ability to reassess the situation positively was observed in both groups, as their discourse after coping with was that of who has learned to appreciate life more.


Al-Gamal, E., Long, T., & Shehadeh, J. (2019). Health satisfaction and family impact of parents of children with cancer: A descriptive cross-sectional study. Scandinavian Journal of Caring Sciences, 33(4), 815-823.

Amador, D. D., Gomes, I. P., Reichert, A. P. S., & Collet, N. (2013). Repercussões do câncer infantil para o cuidador familiar: Revisão integrativa. Revista Brasileira de Enfermagem, 66(2), 264. S0034-71672013000200017.

Anjos, C. D., Santo, F. H. D. E., & Carvalho, E. M. M. S. D. (2015). O câncer infantil no âmbito familiar: revisão integrativa. Revista Mineira de Enfermagem, 19(1), 227-240.

Bardin, L. (1977). Análise de conteúdo. Martins Fontes.

Eche, I. J., & Aronowitz, T. (2018). Factors That Influence Parental Uncertainty and Health-Related Quality of Life in Children With Cancer: A Framework. Nursing Science Quarterly, 31(4), 362-368.

Família. (2017). Família multiespécie é tendência mundial. regional/familia-multiespecie-e-tendencia-mundial-1.242833.

Gårdling, J., Törnqvist, E., Edwinson Månsson, M., & Hallström, I. (2017). Parents’ lived experiences during their children’s radiotherapy. Journal of Pediatric Oncology Nursing, 34(2), 140-147. http://dx.doi. org/10.1177/1043454216646540.

Hetts, S., & Lagoni, L. (1990). The owner of the pet with cancer. The Veterinary Clinics of North America. Small Animal Practice, 20(4), 879-896.

Instituto Brasileiro de Geografia e Estatística – IBGE. (2019) Síntese de indicadores sociais: uma análise das condições de vida da população brasileira.

Jarolmen, J. (1998). A comparison of the grief reaction of children and adults: Focusing on pet loss and bereavement. Omega, 37(2), 133-150.

Kim, M. A., Yi, J., Wilford, A., & Kim, S. H. (2019). Parenting Changes of Mothers of a Child with Cancer. Journal of Family Issues, 41(4), 460-482.

Kristensen, C. H., Schaefer, L. S., & Busnello, F. D. B. (2010). Estratégias de coping e sintomas de stress na adolescência. Estudos de Psicologia, 27(1), 21-30.

Mason, S. (2016). Palliative care in small animal oncology. In Practice, 38(5), 203-217. inp.i1869.

Merrill, E. (2012). Companion Animal Loss: A Disenfranchised Form of Grief and why it’s Relevant to Social Work.

Moreira, P. L., & Angelo, M. (2008). Becoming a mother of a child with cancer: Building motherhood. Revista Latino-Americana de Enfermagem, 16(3), 355-361.

Pereira, T. B., & Branco, V. L. R. (2016). As estratégias de coping na promoção à saúde mental de pacientes oncológicos: Uma revisão bibliográfica. Revista Psicologia e Saúde, 8, 24-31.

Pezente, C. C., Valvassori, E., & Zugno, P. I. (2014). Sentimento dos pais e das crianças com câncer submetidas à quimioterapia. Inova Saúde, 3(2), 88-96.

Rosa, R. R., & Lopes, R. F. F. (2013). Presença de distorções cognitivas em propagandas brasileiras. Revista Brasileira de Terapias Cognitivas, 9(2), 71-80.

Savóia, M. G., Santana, P. R., & Mejias, N. P. (1996). Adaptação do inventário de Estratégias de Coping de Folkman e Lazarus para o português. Psicologia USP, 7(1-2), 183-201.

Slater, P. J. (2019). Telling the story of childhood cancer: The experience of families after treatment. Journal of Patient Experience, 7(4), 570-576.

Slater, P. J., Fielden, P. E., & Bradford, N. K. (2018). The oncology family app: Providing information and support for families caring for their child with cancer. Journal of Pediatric Oncology Nursing, 35(2), 94-102.

Teixeira, R. J., & Pereira, M. D. G. (2011). Impacto do câncer parental no desenvolvimento psicológico dos filhos: Uma revisão da literatura. Psicologia: Reflexão e Crítica, 24(3), 513-522. S0102-79722011000300012.

Van-Schoors, M., De Mol, J., Morren, H., Verhofstadt, L. L., Goubert, L., & Van Parys, H. (2018). Parents’ perspectives of changes within the family functioning after a pediatric cancer diagnosis: A multi family member interview analysis. Qualitative Health Research, 28(8), 1229-1241.

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Copyright (c) 2021 Luciane Cristina Vieira, Emerson Antonio Contesini, José Roberto Goldim