Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers
Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers
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DOI：
10.1093/jpepsy/jsj058
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发表时间：
2006-05-01
影响因子：
3.6
通讯作者：
Kazak, AE
中科院分区：
文献类型：
--
作者：
Barakat, LP;Alderfer, MA;Kazak, AE
目的描述儿童癌症生存后的创伤后生长(PTG)及其与人口学和疾病/治疗变量、自感治疗严重程度和生命威胁以及创伤后应激症状(PTSS)的关系。方法青少年癌症幸存者(N=150，年龄11~19岁)，治疗后至少1年，其母亲(N=146)和父亲(N=107)完成了自我报告的治疗强度和PTSS和半结构访谈，以确定创伤后的反应和PTG的指标，包括对自我、人际关系和生活目标的积极变化。结果大多数青少年及其父母报告了PTG。更大的感知治疗严重程度和生命威胁，而不是客观的疾病严重程度，与PTG相关。青少年癌症存活者PTG和PTSS呈正相关。5岁以后的诊断结果为青少年幸存者带来了更多的感知益处和更大的PTSS。结论有必要澄清儿童癌症后PTG的概念和测量方法，以及关于PTG和PTSS之间的关系以及人口统计学变量和疾病特异性评估的作用的前瞻性研究。
Objective To describe posttraumatic growth (PTG) following childhood cancer survival and its association with demographic and disease/treatment variables, perceived treatment severity and life threat, and posttraumatic stress symptoms (PTSS). Method Adolescent survivors of cancer (N = 150, ages 11-19), at least 1 year after treatment, and their mothers (N = 146) and fathers (N = 107) completed self-report measures of perceived treatment intensity and PTSS and a semistructured interview designed to identify posttraumatic responses and indicators of PTG including perceived positive changes for self, relationships, and life goals. Results A majority of adolescents and their mothers and fathers reported PTG. Greater perceived treatment severity and life threat, but not objective disease severity, was associated with PTG. PTG and PTSS were positively associated for the adolescent cancer survivors. Diagnosis after age 5 resulted in more perceived benefit and greater PTSS for adolescent survivors. Conclusion Clarification of the concept and measurement of PTG after childhood cancer is warranted, as are prospective studies of the association of PTG and PTSS and the role of demographic variables and illness-specific appraisals.