Cancer's positive flip side: posttraumatic growth after childhood cancer
Cancer's positive flip side: posttraumatic growth after childhood cancer
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DOI：
10.1007/s00520-015-2746-1
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发表时间：
2016-01-01
影响因子：
3.1
通讯作者：
Michel, Gisela
中科院分区：
文献类型：
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作者：
Gianinazzi, Micol E.;Rueegg, Corina S.;Michel, Gisela
儿童癌症的幸存可能会导致积极的心理变化，称为创伤后成长（PTG）。了解积极变化的可能性可能有助于幸存者重新融入日常生活。我们的目的是（1）描述PTG在瑞士儿童癌症幸存者，包括最常见和最不常见的PTG现象的分量表和项目水平和（2）确定与PTG.Within瑞士儿童癌症幸存者研究（SCCSS），我们发送了两份问卷，儿童癌症幸存者登记在瑞士儿童癌症登记（SCCR）。符合条件的幸存者在1990年后被诊断为千分之一货币符号16岁，存活了千分之一日元5岁，在发送第二份调查问卷时年龄为千分之一日元18岁。我们纳入了创伤后成长量表（PTGI），以评估PTG的五个方面。我们调查了PTG与社会人口学特征、自我报告的迟发效应和心理困扰的相关性，这些在SCCSS和从SCCR中提取的临床变量中进行了评估。我们用描述性统计来描述PTG，用线性回归来研究PTG的相关因素。我们评估了309名儿童癌症幸存者的PTG。大多数人报告经历了一些PTG。最受认可的变化发生在“与他人的关系”，最少的是“精神变化”。“PTG在诊断时年龄较大的幸存者（p = 0.001）和治疗持续时间较长的幸存者（p = 0.042）中显着较高，而男性幸存者则较低（p = 0.003）。在随访期间PTG的支持经验可能有助于幸存者成功恢复日常生活。
Surviving childhood cancer may result in positive psychological changes called posttraumatic growth (PTG). Knowing about the possibility of positive changes may facilitate survivors' reintegration in daily life. We aimed to (1) describe PTG in Swiss childhood cancer survivors including the most and the least common PTG phenomena on the subscale and item levels and (2) determine factors associated with PTG.Within the Swiss Childhood Cancer Survivor Study (SCCSS), we sent two questionnaires to childhood cancer survivors registered in the Swiss Childhood Cancer Registry (SCCR). Eligible survivors were diagnosed after 1990 at age a parts per thousand currency sign16 years, survived a parts per thousand yen5 years, and were aged a parts per thousand yen18 years at the time the second questionnaire was sent. We included the Posttraumatic Growth Inventory (PTGI) to assess five areas of PTG. We investigated the association of PTG with socio-demographic characteristics, self-reported late effects, and psychological distress, which were assessed in the SCCSS and clinical variables extracted from the SCCR. We used descriptive statistics to describe PTG and linear regressions to investigate factors associated with PTG.We assessed PTG in 309 childhood cancer survivors. Most individuals reported to have experienced some PTG. The most endorsed change occurred in "relation with others," the least in "spiritual change." PTG was significantly higher in survivors with older age at diagnosis (p = 0.001) and those with a longer duration of treatment (p = 0.042), while it was lower in male survivors (p = 0.003).Supporting experiences of PTG during follow-up may help survivors successfully return to daily life.