癌症自1982年起即躍居十大死因之首，迄今已超過26年，每年有將近四萬人死於癌 症，近年來罹癌病人更有年輕化的趨勢。在台灣，30歲到59歲的中壯年罹癌人口，從 1994年到2003年之間成長了81%。這些中壯年人口的子女多半仍處在未成年的階段。 在未成年子女中，青少年子女是非常特殊的一個族群，不論在生理、心理或認知發 展上都有明顯的轉變。相較其他年齡層，父母罹癌的青少年子女有著更顯著的焦慮與不 適應的問題。此外，青少年子女比其他年齡層的子女更容易承擔因父母罹癌而來的家務 照顧與情緒照顧責任，影響青少年原本生命週期任務的執行，並引發青少年的種種適應 問題。 本文從青春期的依附，說明父母罹癌對青少年子女安全依附的影響。筆者建議，以 青少女承擔親職之經驗為研究主題的必要性；同時，以子女生命週期發展任務為基礎， 做家務分工與家庭角色安排，可因應父母生病期間的家庭角色重組；另外，藉由以家庭 為中心的處遇策略與政策制定及資源整合，提昇父母的親職功能，並將罹癌家庭的子女 納入服務體系，預防青少年子女因父母罹癌而造成的問題。

Since 1982 more than 26 years, cancer has become the f irst one among ten reasons of death. Nearly 40,000 people died of cancer and people get cancer at much younger age. In Taiwan, the number of cancer patients from the age of 30 to 59 increases 81% during these ten years. And besides, most of their children are under 18 years old. Adole sce nt ch i ld re n a re a sp e cial g roup no m at t e r i n physical, me nt al or cog n it ional development. Compa red to ot her age g roups, t hey a re appa rently an xious and maladapted. In addition, they more easily assume housework and emotional care for their family because of their parents with cancer. Thus the adolescent child ren’s life cycle tasks are inf luenced and they will have t rouble dealing with their daily lives. This paper discusses the impact of parents with cancer on adolescent children’ s attachment. The results show that it is necessary to do research on the topic of adolescent girls who play the parental role. At the meantime, family chores and roles should be arranged based on children’s development. Furthermore, parental f u nction can be en hanced by family– centered inter vention, policy mak ing and resource con necting. And adolescent children should be integrated into ser vice system to prevent from numerous problem caused by cancer.