Indicators of developmental status among adolescents and young adults with cancer: Perceived adult status, social milestones, and health-related quality of life.
Indicators of developmental status among adolescents and young adults with cancer: Perceived adult status, social milestones, and health-related quality of life.
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患有癌症的青少年和年轻人的发育状况指标：感知的成人状态、社会里程碑以及与健康相关的生活质量。
DOI：
10.1002/pon.6186
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发表时间：
2023
期刊：
影响因子：
3.6
通讯作者：
Salsman,JohnM
中科院分区：
文献类型：
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作者：
Fladeboe,KaitlynM;Siembida,ElizabethJ;Ip,Edward;Rosenberg,AbbyR;Snyder,MalloryA;Salsman,JohnM
目的 尽管 AYA 发育状态指标尚不清楚，但发育障碍导致患有癌症的青少年和年轻人 (AYAs) 心理社会结果不佳。在这项研究中，我们将感知成人状态描述为一种新的发展指标，并检查其与社会里程碑成就和健康相关生活质量 (HRQoL) 的关联。方法在这项二次分析中，通过在线研究小组采用 2（开/关治疗）×2 [新兴成人 (EA) 18-25 岁，年轻成人 (YA) 26-39 岁] 分层抽样设计招募患有癌症的 AYA。调查评估了感知的成人状态（即对一个人已成年程度的自我认知）、社会里程碑（婚姻、育儿、就业、教育状况）、人口和治疗特征以及 HRQoL。广义线性模型测试了感知的成人状态、社会里程碑和 HRQoL 之间的关联。结果 AYA (N = 383；Mage = 27.2，SD = 6.0) 大部分为男性 (56%)，并接受放疗但未进行化疗 (37%)。大多数 EA (60%) 认为自己在某些方面已经成年；大多数青少年（65%）认为自己已经成年。那些认为自己已经成年的 EA 比那些不认为自己已经成年的 EA 更有可能结婚、抚养孩子和工作。在 EA 中，考虑到社会里程碑时，较低的成人状态认知与较低的 HRQoL 相关。在青少年中，感知的成人状态与社会里程碑无关，感知的成人状态和社会里程碑均与 HRQoL 无关。结论 对于患有癌症的 EA，感知的成人状态可能是一个有用的发育指标。研究结果强调了 EA 的独特发展需求以及患者视角对于理解发展结果的效用。
ObjectiveDevelopmental disruption contributes to poor psychosocial outcomes among adolescents and young adults (AYAs) with cancer, though indicators of AYAs' developmental status are not well understood. In this study, we describe perceived adult status as a novel developmental indicator and examine its associations with social milestones achievements and health‐related quality of life (HRQoL).MethodsFor this secondary analysis, AYAs with cancer were recruited using a 2 (on/off treatment) × 2 [emerging adults (EAs) 18–25 years‐old, young adults (YAs) 26–39 years‐old] stratified sampling design through an online research panel. Surveys assessed perceived adult status (i.e., self‐perception of the extent to which one has reached adulthood), social milestones (marital, child‐rearing, employment, educational status), demographic and treatment characteristics, and HRQoL. Generalized linear models tested associations between perceived adult status, social milestones, and HRQoL.ResultsAYAs (N= 383;Mage= 27.2, SD = 6.0) were majority male (56%) and treated with radiation without chemotherapy (37%). Most EAs (60%) perceived they had reached adulthood in some ways; most YAs (65%) perceived they had reached adulthood. EAs who perceived they had reached adulthood were more likely to be married, raising a child, and working than EAs who did not perceive they had reached adulthood. Among EAs, lower perceived adult status was associated with lower HRQoL when accounting for social milestones. Among YAs, perceived adult status was not associated with social milestones and neither perceived adult status nor social milestones were associated with HRQoL.ConclusionsPerceived adult status may be a useful developmental indicator for EAs with cancer. Findings highlight unique developmental needs of EAs and utility of patient perspectives for understanding developmental outcomes.