PSYCHOLOGICAL ADJUSTMENT AMONG PEDIATRIC CANCER SURVIVORS
PSYCHOLOGICAL ADJUSTMENT AMONG PEDIATRIC CANCER SURVIVORS
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DOI：
10.1111/j.1469-7610.1980.tb00028.x
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发表时间：
1980-01-01
影响因子：
7.6
通讯作者：
FOSTER, DJ
中科院分区：
文献类型：
--
作者：
KOOCHER, GP;OMALLEY, JE;FOSTER, DJ
相当多的小儿癌症幸存者会经历残留的心理社会后遗症。其中最值得注意的是残留的抑郁、焦虑和自尊心差。与那些适应良好的患者相比，那些在心理社会适应方面最困难的患者的社交和自助技能以及智力功能也较差。与婴儿期相比，癌症治疗造成的发育障碍在儿童中期或青春期发生时似乎更加明显和持久。随着疾病发病时间的推移，人们出现社会心理适应问题的可能性就越小（假设存在无病缓解状态并且不再进行积极治疗）。许多重要因素仍有待探索，包括作为残余身体缺陷、行动障碍和对患者自尊的类似潜在打击的函数的心理社会调整。
A significant number of children who survive pediatric cancer experience residual psychosocial sequelae. The most noteworthy of these include residual depression, anxiety and poor self-esteem. Those patients who have the most difficulty in psychosocial adjustment also have less effective socialization and self-help skills and less effective intellectual functioning than do those patients who have good adjustment. The developmental disruptions engendered by cancer treatment seem more marked and persistent when occurring in middle childhood or adolescence as opposed to during infancy. As one gets further in time from the onset of the illness, one is less likely to suffer psychosocial adjustment problems (assuming that a disease-free remission state exists and that active treatment is no longer in progress). A number of important factors remain to be explored, including psychosocial adjustment as a function of residual physical disfigurement, mobility handicaps and similar potential blows to a patient''s self-esteem.