, reflecting directional discrepancies in communication quality. Methods. Seventy-six caregiver–child dyads (N = 152) were recruited from two Midwestern pediatric hospitals. Children aged 8–17 with cancer and their caregivers independently completed measures of parent–child communication (PCCS) and family relationships (PROMIS). Descriptive statistics, correlations, and paired- and independent-samples t-tests examined differences and associations across dyads. Exploratory Actor–Partner Interdepe