Physical symptoms, perceived social support, and affect in adolescents with cancer.

Physical symptoms, perceived social support, and affect in adolescents with cancer.
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DOI:
10.1080/07347332.2013.798761
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发表时间:
2013
影响因子:
2.1
通讯作者:
Schwartz LA
Schwartz LA
中科院分区:
医学4区
文献类型:
--
作者:
Wesley KM;Zelikovsky N;Schwartz LA

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青少年癌症治疗通常比老年或年轻患者的治疗强度更大、持续时间更长。它通常会导致疼痛、疲劳和恶心,并影响社交和情感健康。本研究通过相关分析,考察了 102 名患有癌症的青少年(13-19 岁)的人口统计数据、身体症状、来自朋友和家人的社会支持以及情感(积极和消极)之间的关系。此外,使用回归方法探讨了感知社会支持作为身体症状和情感之间关系的中介和调节因素。与男性相比,女性的朋友支持率明显较低,负面情绪较高。与白人受访者相比,少数族裔参与者更有可能认可身体症状,并且负面影响更少。较高的身体症状报告与较高的负面影响显着相关,而较高的来自朋友的社会支持与较高的积极影响相关。青少年始终报告来自家人和朋友的高水平社会支持。此外,与健康人群相比,青少年倾向于报告平均水平的积极影响和较低水平的消极影响。没有发现显着的中介或调节效应。这项研究强调,女性和少数族裔以及身体症状较严重的人可能更容易在青春期期间对癌症适应不良。然而,总体而言,这项研究支持了这样一种观点,即患有癌症的青少年是一个特别有弹性的人群,因为这些患者普遍认可高水平的社会支持和积极影响,而负面影响水平较低。
Treatment for cancer among adolescents is often more intense and lasts longer than treatment for older or younger patients. It typically causes pain, fatigue, and nausea and affects social and emotional well-being. This study examined the relationships among demographics, physical symptoms, perceived social support from friends and family, and affect (positive and negative) in 102 adolescents (age 13–19) with cancer using correlational analyses. Additionally, perceived social support was explored as a mediator and moderator of the relationship between physical symptoms and affect using regression. Females reported significantly lower friend support and higher negative affect compared to males. Minority participants were more likely to endorse physical symptoms and less negative affect compared to White respondents. Higher report of physical symptoms was significantly related to greater negative affect, whereas higher perceived social support from friends was related to higher positive affect. Adolescents consistently reported high levels of social support from family and friends. Additionally, adolescents tended to report average levels of positive affect and low levels of negative affect compared to healthy populations. No significant mediation or moderation effects were found. This research highlights that females and minorities, and those with greater physical symptoms, may be more vulnerable to poor adjustment to cancer during adolescence. However, overall this study lends support to the notion that adolescents with cancer are an especially resilient population, as these patients endorsed generally high levels of social support and positive affect, with low levels of negative affect.
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