Hope as a Predictor of Anxiety and Depressive Symptoms Following Pediatric Cancer Diagnosis

Germann, Julie N.; Léonard, David; Heath, Corey; Stewart, Sunita M.; Leavey, Patrick J.

doi:10.1093/jpepsy/jsx097

Cited by 32 publications

(25 citation statements)

References 24 publications

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“…For example, many adolescents reported feeling more positive, hopeful, and valued as an individual, while also feeling less isolated, depressed, and suicidal. Positive emotions, such as hope and connectedness have shown to be inversely related to depression, [37][38][39] and also predictive of life satisfaction, high self-esteem and optimism [40,41]. Results from our study reinforce the signi cance of eliciting trust, hope, and social connection when establishing acceptability of behavioral health treatments for youth.…”

Section: Discussionsupporting

confidence: 71%

Do Adolescents Consider Mind-Body Skills Groups an Acceptable Treatment for Depression: Results from a Pilot Study.

Jones

Salgado

Aalsma

et al. 2020

Preprint

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Background: Mind-Body Skills Groups (MBSGs) have shown promise in reducing adolescent depression symptoms; however, little is known about adolescents’ perspectives on this treatment. The objective of this study was to understand the acceptability of a new treatment for depressed adolescents in primary care settings. Methods: Adolescents participating in a 10-week MBSG treatment were interviewed to understand their perspectives on the acceptability and effectiveness of the treatment. Interviews were collected at post-intervention and at a 3-month follow-up visit. Results: A total of 39 adolescents completed both the post-intervention and 3-month follow-up interview. At post-intervention and follow-up, 84% of adolescents stated the MBSGs helped them. When asked how the MBSGs helped them, 3 areas were identified: learning new MBSG activities and skills, social connection with others within the group, and outcomes related to the group. Many adolescents reported no concerns with the MBSGs (49% at post- intervention; 62% at follow-up). Those with concerns identified certain activities as not being useful, wanting the group to be longer, and the time of group (after school) being inconvenient. Most adolescents reported that their life had changed because of the group (72% at post-intervention; 61% at follow-up), and when asked how, common responses included feeling less isolated and more hopeful. Conclusions: Adolescents found the MBSGs to be helpful and acceptable as a treatment option for depression in primary care. Given the strong emphasis on treatment preference autonomy and the social activities within the group, MBSGs appear well-suited for this age group. Trial Registration: NCT03363750

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Section: Discussionsupporting

confidence: 71%

Do Adolescents Consider Mind-Body Skills Groups an Acceptable Treatment for Depression: Results from a Pilot Study.

Jones

Salgado

Aalsma

et al. 2020

Preprint

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“…Among the positive psychological responses, being confident and being rational were observed to be associated with lower prevalence of anxiety, which suggests that being confident and rational might prompt individuals to cope better with adverse events and difficult challenges during public health emergencies. Being rational also has been found to influence anxiety in previous studies, wherein people who were more positive coped better with life stressors and had low levels of anxiety [ 59 , 60 ]. WeChat users in this study had been exposed to a variety of stressors such as the perception of severe health risks of COVID-19, negative emotions associated with home quarantine, financial hardships caused by delays in work, and uncertainty during the pandemic, which might have resulted in reduced positive psychological responses and higher prevalence of anxiety.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Anxiety Among WeChat Users During the Early Stages of the COVID-19 Pandemic in Mainland China: Cross-sectional Survey Study

Zou¹,

Zhang²,

Sznajder³

et al. 2021

J Med Internet Res

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Background The rapid outbreak of COVID-19 around the world has adversely affected the mental health of the public. The prevalence of anxiety among the public has increased dramatically during the COVID-19 pandemic. However, there are few studies evaluating the effects of positive psychological responses and information-seeking behaviors on anxiety experienced among social media users during the COVID-19 pandemic. Objective This study evaluated the prevalence of anxiety and its associated factors among WeChat users in mainland China during the early stages of the COVID-19 pandemic. Methods From February 10 to February 24, 2020, a nationwide, web-based cross-sectional survey study was carried out using convenience sampling. Participants’ levels of anxiety, positive psychological responses, and information-seeking behaviors were assessed. The survey was distributed among WeChat users via the WeChat smartphone platform. Chi-square tests and multivariable logistic regression analyses were performed to examine the factors associated with anxiety. Results This study found that the prevalence of anxiety (Generalized Anxiety Disorder 7-item [GAD-7] scale score ≥7) among WeChat users in China was 17.96% (446/2483) during the early stages of the COVID-19 pandemic. Results of multivariable logistic regression analysis showed that information-seeking behaviors such as cannot stop searching for information on COVID-19, being concerned about the COVID-19 pandemic, and spending more than 1 hour per day consuming information about the pandemic were found to be associated with increased levels of anxiety. Additionally, participants who chose social media and commercial media as the primary sources to obtain information about the COVID-19 pandemic were found more likely to report anxiety. Conversely, participants who were confident or rational about the COVID-19 pandemic were less likely to report anxiety. Conclusions This study found that positive psychological responses and information-seeking behaviors were closely associated with anxiety among WeChat users during the COVID-19 pandemic in China. It might be paramount to enhance mental well-being by helping people respond to the COVID-19 pandemic more rationally and positively in order to decrease symptoms of anxiety.

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“…Treatment intensity has been used to study adverse health events, health behaviors (e.g. substance use, healthcare utilization, information seeking), mental health, quality of life, self-efficacy, cancer-related knowledge, and resilience among pediatric cancer survivors [5][6][7][8][9][10][11][12][13][14][15][16]. This method could be applied to cases from other regions…”

Section: Discussionmentioning

confidence: 99%

Estimating cancer treatment intensity from SEER cancer registry data: methods and implications for population-based registry studies of pediatric cancers

Tobin

Schlüter

Freyer

et al. 2020

Cancer Causes Control

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Objective: The Intensity of Treatment Rating (ITR) Scale condenses treatment and clinical characteristics into a single measure to study treatment effects on downstream health outcomes across cancer types. This rating was originally developed for clinicians to determine from medical charts. However, large studies are often unable to access medical charts for all study participants. We developed and tested a method of estimating treatment intensity (TI) using cancer registry and patient self-reported data. Methods:We estimated two versions of TI for a cohort of pediatric cancer survivors-one utilized information solely available from cancer registry variables (TI R ) and the other included registry and self-reported information (TI S ) from survey participants. In a subset of cases (n=135) for whom the gold standard TI (TI C ) was known, both TI R and TI S were compared to TI C by calculating percent agreement and weighted Cohen's kappa, overall and within cancer subtypes. Results:In comparison to TI C , 71% of TI scores from both methods were in agreement (k = 0.61 TIR / 0.54 TI S ). Among subgroups, agreement ranged from lowest (46% TI R /39% TI S ) for nondefined tumors (e.g. "Tumor-other"), to highest (94% TI R /94% TI S ) for acute lymphoblastic leukemia (ALL). Conclusions:We developed a methodology to estimate TI for pediatric cancer research when medical chart review is not possible. High reliability was observed for ALL, the most common pediatric cancer. Additional validation is needed among a larger sample of other cancer subgroups.

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Hope as a Predictor of Anxiety and Depressive Symptoms Following Pediatric Cancer Diagnosis

Abstract: Patient agency is a potential target for intervention to prevent or reduce anxiety and depressive symptoms following pediatric cancer diagnosis.

Cited by 32 publications

References 24 publications

Do Adolescents Consider Mind-Body Skills Groups an Acceptable Treatment for Depression: Results from a Pilot Study.

Do Adolescents Consider Mind-Body Skills Groups an Acceptable Treatment for Depression: Results from a Pilot Study.

Factors Influencing Anxiety Among WeChat Users During the Early Stages of the COVID-19 Pandemic in Mainland China: Cross-sectional Survey Study

Estimating cancer treatment intensity from SEER cancer registry data: methods and implications for population-based registry studies of pediatric cancers

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