儿童癌症对幸存者造成的积极和消极社会心理影响:DCCSS-LATER 2 肿瘤心理学研究。

IF 3.1 2区 医学 Q2 ONCOLOGY
Journal of Cancer Survivorship Pub Date : 2024-10-01 Epub Date: 2023-05-11 DOI:10.1007/s11764-023-01394-1
Anne Maas, Heleen Maurice-Stam, Alied M van der Aa-van Delden, Elvira C van Dalen, Eline van Dulmen-den Broeder, Wim J E Tissing, Jacqueline J Loonen, Helena J H van der Pal, Andrica C H de Vries, Marry M van den Heuvel-Eibrink, Geert O Janssens, Cécile Ronckers, Sebastian Neggers, Dorine Bresters, Marloes Louwerens, Birgitta A B Versluys, Margriet van der Heiden-van der Loo, Leontien C M Kremer, Marloes van Gorp, Martha A Grootenhuis
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引用次数: 0

摘要

目的:许多研究调查了儿童癌症(CCS)幸存者的一般社会心理后果。本研究旨在描述儿童癌症幸存者的特异性社会心理后果,并确定与之相关的社会人口和医疗因素:方法:荷兰儿童癌症幸存者研究(DCCSS)-LATER队列(1963-2001年确诊)第2部分中的儿童癌症幸存者(年龄≥18岁,确诊结果:CCS,N = 1713,CCS,N = 1713,CCS,N = 1713,CCS,N = 1713,CCS,N = 1713:参与研究的儿童癌症幸存者人数为 1713 人,平均年龄(男)36 岁,49% 为女性,确诊时间≥ 15 年。平均而言,CCS 报告儿童癌症 "有点 "受益(M = 2.9),"完全没有 "到 "有点 "负担(M = 1.5)。在 IOC-CS 的正面影响量表中,平均得分从 2.5(个人成长)到 4.1(社交)不等;在负面影响量表中,平均得分从 1.4(经济问题)到 2.4(思考/记忆)不等。除认知问题外,中央案例研究报告的挑战还包括对关系状况、生育以及癌症对兄弟姐妹的影响的担忧。女性与更多的个人成长和更多的负面影响有关。受过高等教育、有伴侣和有工作的社区保健服务人员受到的积极影响较高,而受到的消极影响较低。确诊时年龄较大的中枢神经系统肿瘤患者报告的积极影响更大。中枢神经系统肿瘤幸存者和接受过头部/颅骨放疗的人受到的负面影响更大。中枢神经系统肿瘤幸存者报告的积极影响较少:大多数中枢神经系统肿瘤幸存者报告了癌症带来的积极影响,而大多数中枢神经系统肿瘤幸存者报告的消极影响较小。虽然这可能表明大多数社区保健服务人员具有恢复能力,但医疗服务人员应意识到,他们也可能遇到幸存者特有的挑战,需要进行监测/筛查、提供信息和社会心理支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Positive and negative survivor-specific psychosocial consequences of childhood cancer: the DCCSS-LATER 2 psycho-oncology study.

Purpose: Numerous studies investigated generic psychosocial outcomes in survivors of childhood cancer (CCS). The present study aimed to describe survivor-specific psychosocial consequences in CCS, and to identify socio-demographic and medical associated factors.

Methods: CCS from the Dutch Childhood Cancer Survivor Study (DCCSS)-LATER cohort (diagnosed 1963-2001) part 2 (age ≥ 18 years, diagnosed < 18 years, ≥ 5 years since diagnosis) completed the Benefit & Burden Scale (BBSC) and the Impact of Cancer-Childhood Cancer (IOC-CS). Items were scored on a 5-point Likert scale (range 1-5). We examined outcomes with descriptive statistics, and socio-demographic and medical associated factors with regression analyses, corrected for multiple testing (p < 0.004).

Results: CCS, N = 1713, age mean (M) 36 years, 49% female, ≥ 15 years since diagnosis, participated. On average, CCS reported 'somewhat' Benefit (M = 2.9), and 'not at all' to 'a little' Burden (M = 1.5) of childhood cancer. Average scores on IOC-CS' positive impact scales ranged from 2.5 (Personal Growth) to 4.1 (Socializing), and on the negative impact scales from 1.4 (Financial Problems) to 2.4 (Thinking/Memory). Apart from cognitive problems, CCS reported challenges as worries about relationship status, fertility, and how cancer had affected siblings. Female sex was associated with more Personal Growth, and more negative impact. CCS more highly educated, partnered, and employed had higher positive and lower negative impact. CCS older at diagnosis reported more positive impact. CNS tumor survivors and those who had head/cranium radiotherapy had higher negative impact. CNS tumor survivors reported less positive impact.

Conclusion and implications: The majority of CCS reported positive impact of cancer while most CCS reported little negative impact. While this may indicate resiliency in most CCS, health care providers should be aware that they can also experience survivor-specific challenges that warrant monitoring/screening, information provision and psychosocial support.

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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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