The Impact of a Personal Cancer Diagnosis on the Psychological Health of Adolescent/Young Adult Cancer Survivors: A Mixed Methods Study.

IF 3.5 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-09-01 DOI:10.1002/pon.70272

Pooja Rao, Katie A Devine, Kristin Bingen, Allison M Scott, Laura M Koehly, Courtney L Rumbaugh, Emily Wasserman, Heather J Costigan, Smita Dandekar, Natthapol Songdej, George F Blackall, Eugene J Lengerich, Lauren J Van Scoy

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引用次数: 0

Abstract

Background: Adolescent/young adult cancer survivors (AYACS), describing people diagnosed with cancer between 15 and 39 years old across the cancer continuum, suffer from poor psychological health. Poor psychological health is associated with difficulty achieving professional goals, financial stress, and poorer health.

Aims: The objective of this study was to use a mixed methods approach to understand AYACS' perspectives on how a personal cancer diagnosis impacts psychological health.

Methods: In this convergent mixed methods study, data from 35 AYACS participants were collected consisting of Patient Reported Outcomes Measurement Information System Anxiety and Depression measures, a sociodemographic survey, and semi-structured interviews.

Results: Mixed methods integration revealed the following for AYACS across the cancer continuum: (1) A need for proactive and longitudinal addressal of psychological health; (2) Promotion of social connectedness as a means of coping with illness; (3) A need for innovative and age-appropriate coping strategies; and (4) Promotion of resilience to help improve psychological health.

Conclusions: This study provides direction for intervention development to improve psychological health.

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个人癌症诊断对青少年/青年癌症幸存者心理健康的影响：一项混合方法研究

背景：青少年/年轻成人癌症幸存者（AYACS），描述了在癌症连续体中被诊断患有癌症的15至39岁的人，心理健康状况不佳。心理健康状况不佳与难以实现职业目标、经济压力和健康状况不佳有关。目的：本研究的目的是使用混合方法来了解AYACS关于个人癌症诊断如何影响心理健康的观点。方法：在这项融合混合方法研究中，收集了来自35名AYACS参与者的数据，包括患者报告结果测量信息系统焦虑和抑郁测量，社会人口调查和半结构化访谈。结果：混合方法整合揭示了跨癌症连续体AYACS的以下几点：(1)需要积极和纵向地解决心理健康问题；(2)促进社会联系，作为应对疾病的一种手段；(3)需要创新和适合年龄的应对策略；(4)促进弹性，以帮助改善心理健康。结论：本研究为改善心理健康的干预措施的制定提供了方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.