Predictors of Posttraumatic Stress and Posttraumatic Growth in Childhood Cancer Survivors

Koutná, Veronika; Jelínek, M.; Blatný, Marek; Kepák, Tomáš

doi:10.3390/cancers9030026

Cited by 37 publications

(39 citation statements)

References 44 publications

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“…All these studies describe adult RB survivors as a fairly healthy and resilient group. Posttraumatic growth (PTG) may have played an important role among these RB survivors [14,15]. In our study, only unilateral RB survivors were included, we did not explore the difference between bilateral RB survivors and unilateral RB survivors.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life (QoL) and Psychosocial Outcomes in Adult Survivors of Unilateral Retinoblastoma (RB) in China

Feng

Zhou

Jia

et al. 2020

Journal of Ophthalmology

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Purpose. To assess the quality of life (QoL) and the long-term psychosocial outcomes in adult survivors of unilateral retinoblastoma (RB). Methods. This is a cross-sectional study. Enrolment was offered to all adult survivors of unilateral RB who were treated by enucleation and were followed up in the Ninth People’s Hospital of Shanghai Jiao Tong University School of Medicine; noncancer healthy adults served as a control group. All participants completed a series of questionnaires consisting of two aspects, QoL and psychosocial status. The psychosocial outcomes included anxiety, depression, fear of cancer, and satisfaction with facial appearance. Results. A total of 66 RB survivors (43.0% male) and 66 healthy adults (33.3% male) were aged 27.94 ± 7.63 and 29.18 ± 8.37 at the time of the study, respectively. Adult RB survivors did not have significantly higher rates of depression and anxiety compared with the control group, and they experienced a relatively good QoL. RB survivors were more likely to worry about their facial appearance (median, 1.59 [inter-quartile range, IQR, 1.27 to 2.16] v median, 0.36 [IQR, 0.09 to 1.18]; p<0.001). Radiotherapy was not the factor affecting satisfaction with facial appearance (β, −0.27 [confidence interval, CI, −0.69 to 0.16]; p=0.214). Females were more likely to be influenced by the disease (mean, 29.59 ± 8.89 v mean, 24.37 ± 6.92; p=0.031) and worry about their appearance (mean, 1.88 ± 0.84 v mean, 1.46 ± 0.77; p=0.041). Conclusions. Unilateral RB survivors are a fairly healthy and resilient group. Most unilateral RB survivors experience a relatively good QoL, and they do not have poorer psychosocial functioning compared with a noncancer sample. Females may need more specific psychosocial care.

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Section: Discussionmentioning

confidence: 99%

Quality of Life (QoL) and Psychosocial Outcomes in Adult Survivors of Unilateral Retinoblastoma (RB) in China

Feng

Zhou

Jia

et al. 2020

Journal of Ophthalmology

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“…Based on the disease type and treatment factors, previous results have shown that chemotherapy and radiotherapy are related to PTG but not surgery . However, studies with survivors of different ethnicities have found opposite results . Additionally, some studies have reported that social support and positive coping styles are major positive factors influencing PTG .…”

Section: Introductionmentioning

confidence: 99%

“…According to Tedeschi's PTG theory, after survivors are initially diagnosed with cancer, they change their beliefs and behaviors and develop a life narrative and wisdom through recurrent rumination and coping. Researchers have reported factors that may influence PTG including sociodemographic variables, social support, and coping styles . With regard to sociodemographic variables, some studies have shown that higher levels of PTG in survivors are associated with older age, being female, being employed, higher educational level, higher household income, and religious beliefs .…”

Section: Introductionmentioning

confidence: 99%

Post‐traumatic growth and related factors among 1221 Chinese cancer survivors

Zhang

Yin³

et al. 2019

Psycho-Oncology

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Objective: There is an increasing number of studies on the post-traumatic growth (PTG) of cancer survivors worldwide. However, few Chinese studies have reported about PTG in cancer survivors because of the underdevelopment of community health services. This study aimed to evaluate the level of PTG in China and explore related factors among a large sample of survivors of more than 12 cancer types. Methods: We recruited 1236 survivors from 14 sites of the Beijing Cancer Rehabilitation Association. Survivors completed standardized questionnaires assessing PTG, social support, coping styles, demographic characteristics, and clinical conditions. Multivariate linear regression was used to evaluate potential predictive factors of PTG.Results: A total of 1221 (98.7%) subjects completed the questionnaires. The average PTG score was 61.15 ± 20.26. Seven variables were included in the final regression model: social support, coping style, time after treatment, exercise, BMI, work status, and economic income (P < .05). Survivors who had low levels of social support, had negative coping strategies, had a time after treatment of less than 5 years, exercised irregularly, had an abnormal BMI, were unemployed, or had low economic income had lower PTG levels.Conclusions: PTG levels among Chinese cancer survivors are associated with social support, coping style, time after treatment, exercise, BMI, work status, and economic income. Strategies tailored to Chinese survivors should be developed to promote their PTG and improve their physical and psychological well-being.

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“…Recent work in pediatric psycho-oncology demonstrates that post-traumatic growth, marked by adaptive coping and resilience, can take place in the survivors 34–36 as well as their parents/caregivers. 7,11 Consistent with this, our interview participants reported being able to cope using a variety of strategies, regardless of whether they were providing acupressure.…”

Section: Discussionmentioning

confidence: 99%

Acupressure and Therapeutic Touch in Childhood Cancer to Promote Subjective and Intersubjective Experiences of Well-being During Curative Treatment

Shear

Thakkar

et al. 2019

Glob Adv Health Med

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Acupressure and therapeutic touch may be beneficial for symptom management and increasing general well-being for children undergoing cancer treatment. Acupressure has the benefit of stimulating targeted acupuncture points while providing therapeutic touch. We sought to explore the relationship between acupressure and the experience of well-being among children being treated for cancer who received acupressure. Methods: In the Acupressure for Children in Treatment for a Childhood Cancer trial, hospitalized children received acupressure using specified acupressure points for symptom control as well as points for general well-being. Acupressure was delivered by professionals and by caregivers, following training by the professional. Qualitative data were collected through semistructured interviews with a purposive sample of professional acupressure providers (n ¼ 3) and primary caregivers (n ¼ 13), combined with participant observation during the acupressure intervention. Data were analyzed using grounded theory methods. Results: Analysis of provider interview, caregiver interview, and participation observation yielded 3 prominent themes: (1) well-being elicited by acupressure, (2) well-being elicited by touch, and (3) well-being experienced as relational and intersubjective. These themes, taken together, illustrate the intricate ways in which an intervention like acupressure can help alleviate the difficulties of a childhood cancer illness experience by promoting well-being in the child as well as the caregiver. Acupressure brought symptom relief, physical relaxation, and comforting touch to the child, allowing the caregiver to also feel relief and relaxation as caregiver-child experience of well-being are closely intertwined. Conclusions: Data from the 3 sources provided distinct and overlapping insights suggesting the versatile benefits of acupressure in promoting well-being during childhood cancer treatment. Professional acupressure combined with training of caregivers for childhood cancer may be a relational intervention that facilitates the experience of well-being for both the caregiver and the child.

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Predictors of Posttraumatic Stress and Posttraumatic Growth in Childhood Cancer Survivors

Cited by 37 publications

References 44 publications

Quality of Life (QoL) and Psychosocial Outcomes in Adult Survivors of Unilateral Retinoblastoma (RB) in China

Quality of Life (QoL) and Psychosocial Outcomes in Adult Survivors of Unilateral Retinoblastoma (RB) in China

Post‐traumatic growth and related factors among 1221 Chinese cancer survivors

Acupressure and Therapeutic Touch in Childhood Cancer to Promote Subjective and Intersubjective Experiences of Well-being During Curative Treatment

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