---
title: "Family-centred psycho-oncological counselling (COSIP) for parents with cancer: longitudinal outcom"
id: "pubmed-42768328"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42768328"
content_type: "clinical_feed_article"
specialty: "Oncology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42768328/"
doi: "10.1186/s12885-026-17004-z"
published_at: "2026-09-22T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Family-centred psycho-oncological counselling (COSIP) for parents with cancer: longitudinal outcom
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42768328
- **Specialty:** [Oncology](https://medichelpline.com/clinical-feed/oncology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42768328/)
- **DOI:** [10.1186/s12885-026-17004-z](https://doi.org/10.1186%2Fs12885-026-17004-z)
- **Published At:** 2026-09-22T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This longitudinal secondary data analysis used routine outpatient psycho-oncological data to examine trajectories of psychological burden among parents with cancer or their partners who are raising minor children and who used a family-oriented counselling service (COSIP) compared with routine psycho-oncological care (PO). - The analytic sample comprised n = 34 parents who registered for **COSIP** between 2020 and 2022 and a comparison group of n = 34 users of routine **psycho-oncological** care (PO). - At baseline both groups exhibited high levels of psychological burden: over 80% reported clinically significant **distress**, 54% had moderate to severe anxiety symptoms, and 50% showed elevated depressive symptoms. - COSIP users differed from PO users at baseline: COSIP parents had a shorter average time since initial cancer diagnosis and were less often separated; both differences reached significance in group comparisons. - The dataset included baseline, 6-month, and 12-month follow-ups with measures of distress, anxiety and depression for both groups; COSIP users had additional measures of health-related quality of life (HRQoL), parental concerns, and family functioning. - Longitudinal trajectories were analysed using linear mixed-effects models; the abstract reports a significant main effect of time for distress (F(2, 107.24) = 14.72) but the p-value and further model details are not provided in the source excerpt. - The publication is an observational, secondary analysis of routine care data; details about effect sizes, exact p-values, statistical adjustments, and full numerical longitudinal results were not reported in the provided source text. - The study highlights the high baseline burden among parents with cancer and the use of a family-oriented counselling model (**COSIP**) to address psychological distress, parental concerns, and family functioning over one year of follow-up. - Limitations intrinsic to the source: small sample sizes reported in the abstract (n = 34 per group) and incompletely reported inferential statistics in the excerpt; full-text should be consulted for detailed methods, complete results, and interpretation.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf (UKE), Hamburg, Germany. w.geertz@uke.de. * 2 Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf (UKE), Hamburg, Germany. * 3 German Centre for Child and Adolescent Health, partner site Hamburg, Hamburg, Germany. * 4 Department of Medical Psychology, University Medicine Greifswald, Greifswald, Germany. * PMID: **42768328** * DOI: [ 10.1186/s12885-026-17004-z ](https://doi.org/10.1186/s12885-026-17004-z) Item in Clipboard Observational Study # Family-centred psycho-oncological counselling for parents with cancer: a longitudinal secondary data analysis of psychological distress, family functioning and parental concerns Wiebke Geertz et al. BMC Cancer. 2026. Show details Display options Display options Format Abstract PubMed PMID BMC Cancer Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22BMC+Cancer%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22BMC+Cancer%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42768328/) . 2026 Sep 22;26(1):1131. doi: 10.1186/s12885-026-17004-z. ### Authors [Wiebke Geertz](https://pubmed.ncbi.nlm.nih.gov/?term=Geertz+W&cauthor_id=42768328)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42768328/#short-view-affiliation-1 "Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf \(UKE\), Hamburg, Germany. w.geertz@uke.de."), [Laura Inhestern](https://pubmed.ncbi.nlm.nih.gov/?term=Inhestern+L&cauthor_id=42768328)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42768328/#short-view-affiliation-2 "Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf \(UKE\), Hamburg, Germany.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42768328/#short-view-affiliation-3 "German Centre for Child and Adolescent Health, partner site Hamburg, Hamburg, Germany."), [Isabelle Scholl](https://pubmed.ncbi.nlm.nih.gov/?term=Scholl+I&cauthor_id=42768328)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42768328/#short-view-affiliation-2 "Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf \(UKE\), Hamburg, Germany."), [Corinna Bergelt](https://pubmed.ncbi.nlm.nih.gov/?term=Bergelt+C&cauthor_id=42768328)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42768328/#short-view-affiliation-2 "Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf \(UKE\), Hamburg, Germany.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42768328/#short-view-affiliation-4 "Department of Medical Psychology, University Medicine Greifswald, Greifswald, Germany.") ### Affiliations * 1 Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf (UKE), Hamburg, Germany. w.geertz@uke.de. * 2 Department of Medical Psychology, University Medical Centre Hamburg- Eppendorf (UKE), Hamburg, Germany. * 3 German Centre for Child and Adolescent Health, partner site Hamburg, Hamburg, Germany. * 4 Department of Medical Psychology, University Medicine Greifswald, Greifswald, Germany. * PMID: **42768328** * DOI: [ 10.1186/s12885-026-17004-z ](https://doi.org/10.1186/s12885-026-17004-z) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Background:** When a parent is diagnosed with cancer, it can place a significant burden on the entire family. The aim of this study is therefore to analyse the psychological distress experienced over time among cancer patients or their partners who are raising minor children and who utilize a family-oriented counselling service (COSIP), and to compare these data with those of a group receiving routine psycho-oncological care (PO). **Methods:** We conducted a secondary, longitudinal observational study based on routine care data from users of an outpatient psycho-oncological clinic. The database comprised assessments at baseline and at 6- and 12-month follow-ups, including measures of distress, anxiety and depression for COSIP and PO users. For COSIP users additional data on health-related quality of life (HRQoL), parental concerns, and family functioning was included. We conducted descriptive analyses and examined baseline group differences using t-tests and Pearson's chi-square tests. Longitudinal trajectories were analysed using linear mixed-effects models. **Results:** Data from n = 34 parents who had registered themselves and their families for a COSIP counselling session between 2020 and 2022 were included in the analyses. Among the COSIP users, the time since the initial diagnosis was shorter on average (p = .017) and the parents were separated less frequently (p = .015) than in the group of PO users (n = 34). At baseline, PO and COSIP users exhibited elevated levels of psychological burden, with over 80% of parents reporting clinically significant distress, 54% presenting with moderate to severe anxiety symptoms, and 50% showing elevated levels of depressive symptoms. In the adjusted model, a significant main effect of time, for distress F(2, 107.24) = 14.72, p . Accessed 19 Nov 2025. 2. 1. Inhestern L, Bultmann JC, Johannsen LM, et al. Estimates of Prevalence Rates of Cancer Patients With Children and Well-Being in Affected Children: A Systematic Review on Population-Based Findings. Front Psychiatry. 2021;12:765314. - [DOI](https://doi.org/10.3389/fpsyt.2021.765314) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/34899425/) - [PMC](https://pmc.ncbi.nlm.nih.gov/articles/8656299/) 3. 1. Romer G, Bergelt C, Möller B, editors. Kinder krebskranker Eltern: Manual zur kindzentrierten Familienberatung nach dem COSIP-Konzept. Hogrefe Verlag GmbH & Company KG; 2014:1–265. 4. 1. Usui Y, Kosugi K, Nishiguchi Y, Miura T, Fujisawa D, Uehara Y, Matsumoto Y. Parenting experiences of cancer patients with minor children and their conversations about the possibility of death: a cross-sectional web-based survey for an online cancer community. Support Care Cancer. 2022;30(9):7715–20. - [DOI](https://doi.org/10.1007/s00520-022-07220-1) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/35701632/) 5. 1. Kleinhaus H, Brähler E, Romer G, Ernst J. Kommunikation über die elterliche Krebserkrankung mit minderjährigen Kindern: Notwendigkeit, Belastung und Themen aus Elternsicht. PPmP-Psychotherapie· Psychosomatik· Medizinische Psychologie. 2023;73(02):85–8. 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