Post-traumatic growth among an ethnically diverse sample of adolescent and young adult cancer survivors

被引:98
作者
Arpawong, T. Em [1 ]
Oland, Alyssa [2 ]
Milam, Joel E. [1 ]
Ruccione, Kathleen [2 ,3 ]
Meeske, Kathleen A. [1 ,2 ]
机构
[1] Univ So Calif, Keck Sch Med, Dept Prevent Med, Los Angeles, CA 90033 USA
[2] Childrens Hosp Los Angeles, Childrens Ctr Canc & Blood Dis, Div Hematol Oncol, Los Angeles, CA 90027 USA
[3] Univ So Calif, Keck Sch Med, Dept Pediat, Los Angeles, CA 90033 USA
关键词
childhood cancer survivors; oncology; post-traumatic growth; adolescent; young adults; quality of life; ethnicity; QUALITY-OF-LIFE; BEHAVIORAL STRESS-MANAGEMENT; GENERIC CORE SCALES; CHILDHOOD-CANCER; PEDIATRIC CANCER; DEPRESSIVE SYMPTOMS; COPING STRATEGIES; SOCIAL SUPPORT; BREAST-CANCER; BENEFIT;
D O I
10.1002/pon.3286
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
ObjectiveAlthough some survivors of childhood cancer report significant psychosocial distress, many also report having derived benefits, or post-traumatic growth (PTG), from their cancer experience. This study examines PTG and its correlates among an ethnically diverse sample of adolescent/young adult (AYA) cancer survivors who have recently completed treatment. MethodsSurvivors of childhood cancer (n=94; 47% Hispanic), ages 11-21 and within 6months of completing cancer therapy, were recruited from three pediatric cancer centers. Participants completed a structured interview that assessed demographics, PTG, post-traumatic stress symptoms, health-related quality of life, optimism, and depressive symptoms. Diagnosis/treatment information was collected from each patient's medical record. Multiple regression analyses were used to identify significant correlates of PTG. ResultsThe majority of survivors reported positive growth. PTG was positively associated with psychosocial functioning and post-traumatic stress symptoms and inversely associated with physical functioning and depressive symptoms. PTG was significantly lower among survivors of bone tumors (vs. survivors of other cancers) and Hispanic survivors who primarily spoke English at home (vs. Hispanics who primarily spoke Spanish at home and non-Hispanics). PTG was not significantly related to age, sex, optimism, cancer treatment modality, duration of treatment, or treatment intensity. ConclusionsThe AYA survivors commonly reported PTG in the immediate aftermath of cancer treatment. Findings regarding PTG among more acculturated Hispanic and bone tumor AYA survivors may help to inform risk-adapted clinical interventions, among those transitioning from active treatment to post-treatment surveillance, to mitigate negative long-term sequelae and enhance positive psychosocial adaptation from the cancer diagnosis and treatment. Copyright (c) 2013 John Wiley & Sons, Ltd.
引用
收藏
页码:2235 / 2244
页数:10
相关论文
共 67 条
[61]   PedsQL™ 4.0:: Reliability and validity of the pediatric quality of life Inventory™ Version 4.0 generic core scales in healthy and patient populations [J].
Varni, JW ;
Seid, M ;
Kurtin, PS .
MEDICAL CARE, 2001, 39 (08) :800-812
[62]   The PedsQL™ in pediatric cancer -: Reliability and validity of the Pediatric Quality of Life Inventory™ Generic Core Scales, Multidimensional Fatigue Scale, and Cancer Module [J].
Varni, JW ;
Burwinkle, TM ;
Katz, ER ;
Meeske, K ;
Dickinson, P .
CANCER, 2002, 94 (07) :2090-2106
[63]   ASSESSING DEPRESSIVE SYMPTOMS IN 5 PSYCHIATRIC POPULATIONS - VALIDATION-STUDY [J].
WEISSMAN, MM ;
SHOLOMSKAS, D ;
POTTENGER, M ;
PRUSOFF, BA ;
LOCKE, BZ .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1977, 106 (03) :203-214
[64]   Coping in long-term survivors of childhood cancer: relations to psychological distress [J].
Wenninger, Kerstin ;
Helmes, Almut ;
Bengel, Juergen ;
Lauten, Melchior ;
Voelkel, Susanne ;
Niemeyer, Charlotte M. .
PSYCHO-ONCOLOGY, 2013, 22 (04) :854-861
[65]   Classifying the intensity of pediatric cancer treatment protocols: The intensity of treatment rating scale 2.0 (ITR-2) [J].
Werba, Branlyn E. ;
Hobbie, Wendy ;
Kazak, Anne E. ;
Ittenbach, Richard F. ;
Reilly, Anne F. ;
Meadows, Anna T. .
PEDIATRIC BLOOD & CANCER, 2007, 48 (07) :673-677
[66]   The adolescent cancer experience: loss of control and benefit finding [J].
Wicks, L. ;
Mitchell, A. .
EUROPEAN JOURNAL OF CANCER CARE, 2010, 19 (06) :778-785
[67]   Perceived positive impact of cancer among long-term survivors of childhood cancer: a report from the childhood cancer survivor study [J].
Zebrack, Brad J. ;
Stuber, Margaret L. ;
Meeske, Kathleen A. ;
Phipps, Sean ;
Krull, Kevin R. ;
Liu, Qi ;
Yasui, Yutaka ;
Parry, Carla ;
Hamilton, Rachel ;
Robison, Leslie L. ;
Zeltzer, Lonnie K. .
PSYCHO-ONCOLOGY, 2012, 21 (06) :630-639