Psychosocial risks and invulnerability: A review of the theoretical and empirical bases of preventive family-focused services for survivors of childhood cancer.

Psychosocial risks and invulnerability: A review of the theoretical and empirical bases of preventive family-focused services for survivors of childhood cancer.
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心理社会风险和刀枪不入:对儿童癌症幸存者以家庭为中心的预防性服务的理论和经验基础的回顾。

DOI:
10.1300/j077v05n04_03
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发表时间:
1988
影响因子:
2.1
通讯作者:
O. Barbarin
O. Barbarin
中科院分区:
医学4区
文献类型:
--
作者:
O. Barbarin

文献摘要

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Childhood cancer consitutes a series of chronic, uncontrollable, and stressful life events that may have lasting impact on survivors. The uncertainty and the threat of loss associated with childhood cancer is traumatic and disruptive not only for the ill child but also for the child's parent and siblings. As a consequence, surviving patients and their famliies are at risk for problems of adjustment in later life. This article discusses several risk factors that increase the child and family's vulnerability to maladjustment: namely, (1) the severity and spacing of medical and other life stresses, (2) iatrogenic physical impairment, (3) social stigma, and (4) an interrelated cluster of poverty, ethnicity, and a single-adult family structure. It also describes three sources of invulnerability to maladjustment - individual coping style, family functioning, and social support - that may increase resiliency in the face of stress and thus reduce the risk of long-term dysfunction. The risk of psychological maladj...