Without support, children may experience post-traumatic stress symptoms, distance themselves emotionally, feel unloved, or worry that they caused a parent’s illness. Preventative programming such as ours is necessary.


Wonders & Worries is committed to evaluating the impact of our programs and sharing the results of our work. In 2016, we published a study of the impact of our programming in the Journal of Psychological Oncology.2 The study found that among 156 families we served, most of them experienced amelioration of multiple children’s issues including improved communication skills (87%), reduced anxiety (84%), increased feeling of security at home (90%), and improved school performance (73%). 

Clinical Research

In June 2018, we completed data collection for a research study conducted in conjunction with the Steve Hicks School of Social Work at the University of Texas at Austin. This study focused on shedding light on the efficacy of our copyrighted, six-session curriculum. Data analysis has been completed and the results of the study have been published.

Supporting Evidence

A serious parental illness affects families by producing emotions of confusion, anger, and fears of abandonment in children, and produce radical changes in their daily lives, which creates a disorienting home environment. Children may react to parental cancer by internalizing problems, withdrawing or becoming depressed, anxious and/or by developing post-traumatic stress symptoms.2

Successful Child Adjustment

Review of studies regarding children’s psycho-social needs and existing interventions indicate three elements as critical to successful interventions. Wonders & Worries’ services address all three of these needs:

Comparative analysis studies show that cancer impacts a child’s adjustment, especially during the early period of diagnosis, treatment, and recovery.3 An interview study of 8 to 12 year-olds reveals that 81 percent of the children believed their mother would die from breast cancer, even though it was diagnosed as early stage.4

We also know that stress within families is even higher prior to a parent’s death than following death.5 When a parent has cancer, a child’s earlier ways of thinking–including poor hypothesis-testing and magical thinking–may reappear.4 This means that we cannot assume an adolescent will be able to reason or problem-solve when a parent is diagnosed with cancer.

Because strong emotional states may make it more difficult for a child to sort out what is happening, the upset child may perceive a greater threat than he or she might otherwise. There is evidence that children may also internalize their ill parent’s behavior as them not being lovable or valued.6