Coping in long-term survivors of childhood cancer: relations to psychological distress

被引:63
作者
Wenninger, Kerstin [1 ]
Helmes, Almut [2 ]
Bengel, Juergen [2 ]
Lauten, Melchior [1 ]
Voelkel, Susanne [3 ]
Niemeyer, Charlotte M. [1 ]
机构
[1] Univ Med Ctr Freiburg, Dept Pediat & Adolescent Med, Div Pediat Hematol & Oncol, D-79106 Freiburg, Germany
[2] Univ Freiburg, Dept Psychol Rehabil Psychol & Psychotherapy, D-79106 Freiburg, Germany
[3] Univ Med Ctr Freiburg, Dept Internal Med 2, Div Endocrinol & Diabetol, D-79106 Freiburg, Germany
关键词
childhood cancer; pediatric cancer; oncology; survivors; coping; YOUNG-ADULT SURVIVORS; POSTTRAUMATIC-STRESS-DISORDER; QUALITY-OF-LIFE; ADOLESCENT SURVIVORS; SOCIAL OUTCOMES; PEDIATRIC CANCER; ADAPTIVE STYLE; SYMPTOMS; CHILDREN; HEALTH;
D O I
10.1002/pon.3073
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective The goal of this study was to describe coping strategies and their associations with psychological distress in young adult survivors of childhood cancer. Methods One hundred and sixty-four childhood cancer survivors, at least 7years after diagnosis, completed questionnaires assessing demographics, health information, psychological distress, and different ways of coping (return rate: 61%). The Brief Symptom Inventory-18 (BSI-18) and the Post-traumatic Diagnostic Scale's (PDS) eight-item short form were used to measure psychological distress. Coping was assessed with the Cognitive Control Strategies Scale (CCSS), the Illness Perception Questionnaire-Revised (IPQ-R), and the White Bear Suppression Inventory (WBSI). Results Higher levels of distress were associated with the female sex, not being in a relationship, and with the presence of medical late effects. These predictors explained 12% of the variance in psychological distress. When coping variables were also entered into the equation, the amount of explained variance increased to 50%. The most important determinants of psychological distress in our sample were a tendency to suppress negative thoughts and a low level of optimism. Conclusion These results contribute to a better understanding of the correlates of difficulties in long-term psychological adjustment after childhood cancer. Cognitive strategies, which are associated with or may increase the risk for concurrent psychological distress, in specific, avoidance of negative thoughts and a lack of positive future expectations, should be addressed in psychological counseling with survivors suffering from symptoms of distress. Copyright (c) 2012 John Wiley & Sons, Ltd.
引用
收藏
页码:854 / 861
页数:8
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