诊断为癌症的儿童和青少年创伤后成长及创伤和心理影响的调查

Merve Aktaş Terzioğlu, Tugce SOYLEİCİ MERT, S. Yakarisik, H. Şenol
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引用次数: 0

摘要

目的:本研究的目的是通过比较血液学肿瘤缓解的患者组与健康对照组,评估和比较创伤和精神影响和PTG。材料和方法:在2021年9月1日至2022年4月30日期间在PAUTF儿科血液科就诊的8-18岁儿童期癌症缓解期儿童和青少年被纳入研究组,对照组由无癌症诊断史的健康儿童和青少年组成。采用创伤后成长量表(PTGI)、儿童事件影响修正量表(cry -13)和儿童焦虑抑郁修正量表-儿童版(RCADS-CV)对两组儿童进行评估。家长采用研究者编制的社会人口学信息表和修订儿童焦虑抑郁量表家长版(RCADS-PV)。结果:评估了27例8-18岁的儿童癌症缓解患者,以及25名健康儿童作为对照组。各组间父母年龄、家庭结构、父母文化程度、家庭月平均收入差异无统计学意义(p>0.05)。在两组RCADS-PV原始得分比较中,对照组RCADS-PV恐慌症、强迫症、抑郁亚量表得分显著高于缓解组(p=0.048;p = 0.045;p = 0.047)。两组患者的哭声-13评分比较,差异无统计学意义(p=0.659)。比较两组的PTGI量表和亚量表;虽然PTGI总分差异无统计学意义(p=0.066),但缓解组的生活哲学量表变化和与他人关系量表变化差异有统计学意义(p=0.038;p = 0.05)。考虑到CRIES-13与PTGI量表评分之间的关系,缓解组未发现有统计学意义的关系。结论:癌症幸存者从这段负面经历中成长,变得更强大,并以积极的收获生存;他们可以调整对自己、对世界和对未来的期望。考虑到目前癌症的患病率和治疗后生存率的提高,需要在这一主题上进行新的多中心、更大样本的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation of post-traumatic growth and traumatic and psychological effects in children and adolescents diagnosed with cancer
Purpose: The aim of this study was to evaluate and compare traumatic and mental effects and PTG by comparing a patient group in hematological-oncological cancer remission with a healthy control group. Materials and methods: Children and adolescents aged 8-18 years, who were in remission with a diagnosis of childhood cancer, and presented at the Paediatric Hematology Department of PAUTF between 1 September 2021 and 30 April 2022 were included as the study group and a control group was formed of healthy children and adolescents with no history of cancer diagnosis. The Post-traumatic Growth Inventory (PTGI), the Child Revised Impact of Events Scale (CRIES-13) and the Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV) were applied to all the children in both groups. A sociodemographic information form prepared by the researchers, and the Revised Child Anxiety and Depression Scale- Parent Version (RCADS-PV) were applied to parents. Results: Evaluation was made of 27 patients aged 8-18 years with a diagnosis of childhood cancer who were in remission, and a control group of 25 healthy children. No statistically significant difference was determined between the groups in respect of parental ages, family structure, parental educational levels, and mean monthly family income (p>0.05).In the comparisons of the raw scores of the RCADS-PV between the two groups, RCADS-PV Panic Disorder, Obsessive Compulsive Disorder, and Depression subscale scores were found to be statistically significantly higher in the control group than in the remission group (p=0.048; p=0.045; p=0.047). When the CRIES-13 scores of the two groups were compared, no statistically significant difference was found (p=0.659).When the PTGI scales and subscales of the two groups were compared; while no statistically significant difference was found in the total PTGI score (p=0.066), the change in life philosophy subscale and the change in relationships with others subscale was found to be statistically significantly higher in the remission group than in the control group (p=0.038; p=0.05).Considering the relationship between CRIES-13 and PTGI scale scores, no statistically significant relationship was found in the remission group. Conclusion: Cancer survivors grow from this negative experience, become stronger and survive with positive gains; they can adjust their expectations from themselves, the world and their future. Considering the current prevalence of cancer and increasing survival rates with treatments, new multicenter studies with larger samples are needed on this subject.
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