探讨青少年癌症幸存者的同伴丧失和幸存者内疚感。

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2025-05-19 DOI:10.1080/07347332.2025.2505728

Alexandra Neenan, Michelle Byrd

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引用次数: 0

摘要

背景：美国有近50万儿童癌症幸存者，新出现的证据表明，这些幸存者中至少有25%的人因癌症失去了同伴。目前的研究调查了童年癌症的年轻成年幸存者样本中同伴丧失的性质。方法：幸存者（n = 63）完成了一项在线调查，包括同伴丧失、幸存者内疚感（人际内疚感问卷）和创伤后应激症状(ptsd；DSM-5创伤后应激障碍检查表)。评估同伴丧失、幸存者内疚和创伤后应激障碍之间的关系。结果：幸存者内疚感与创伤后应激障碍显著相关。幸存者内疚在创伤后应激障碍中占6%的差异，超出了其他风险因素所解释的差异。同伴丧失与幸存者内疚或创伤后应激症状无显著相关。讨论：幸存者内疚是儿童癌症幸存者的一个重要问题。加强筛查和干预是必要的，以减少幸存者内疚和相关症状的影响。由于同伴丧失与幸存者内疚或创伤后应激障碍缺乏联系，因此需要进一步的研究来阐明同伴丧失对儿童癌症幸存者的影响。

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Exploring peer loss and survivor guilt among young adult survivors of childhood cancer.

Background: There are nearly 500,000 childhood cancer survivors in the United States, and emerging evidence suggests at least 25% of these survivors have lost a peer to cancer. The current study investigated the nature of peer loss in a sample of young adult survivors of childhood cancer.

Methods: Survivors (n = 63) completed an online survey including measures of peer loss, survivor guilt (Interpersonal Guilt Questionnaire) and posttraumatic stress symptoms (PTSS; Posttraumatic Stress Disorder Checklist for DSM-5). Relations between peer loss, survivor guilt, and PTSS were assessed.

Results: Survivor guilt and PTSS were significantly correlated. Survivor guilt accounted for 6% of variance in PTSS beyond variance explained by other risk factors. Peer loss was not significantly correlated with survivor guilt or posttraumatic stress symptoms.

Discussion: Survivor guilt is a significant concern for childhood cancer survivors. Increased screening and intervention are warranted to reduce the impact of survivor guilt and related symptoms. Further research is needed to clarify the impact of peer loss on childhood cancer survivors given its lack of association with survivor guilt or PTSS.

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.