CHILD CANCER SURVIVORS--SPIRITUAL COPING AND ADJUSTMENT

儿童癌症幸存者——精神应对和调整

• 批准号: 6310484
• 负责人: Charmayne Alexandra Boeving
• 金额: $ 6.94万
• 依托单位: VIRGINIA POLYTECHNIC INST AND ST UNIV
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-05-14 至 2003-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6310484
• 关键词: adolescence (12-20); anxiety; behavioral /social science research tag; child psychology; clinical research; coping; depression; human subject; middle childhood (6-11); outcomes research; pediatric neoplasm /cancer; psychological adaptation; psychological aspect of cancer; quality of life

The aim of the proposed study is to broaden current conceptualization of the coping and adjustment process in child cancer survivors to include spirituality as an additional predictor of positive health outcomes. The immediate goals of the project are: 1) to develop a reliable and validated child measure of spiritual coping and 2) to subsequently examine the relationship between spiritual coping and psychosocial adjustment in the pediatric oncology population. To address the first aim, a semi-structured spirituality interview (created for purposes of this project) will be converted to items for inclusion in the first draft of the spiritual coping measure, which will be subsequently administered to a second sample of children with the same age and treatment parameters (n=70). Factor analysis will be conducted on these items, and items that do not fit into the emergent factors will be dropped from the final measure. The primary hypothesis associated with the second aim is that child cancer survivors' use of spiritual coping will be predictive of better post-diagnosis adjustment, operationalized by lower depression and anxiety and heightened quality of life. Multiple regression will be utilized to analyze this hypothesis. The study time line allows for subject recruitment, development and implementation of the spiritual coping measure, as well as final data analyses and report writing. The proposed study is an imperative step toward increasingly comprehensive assessment of the coping and adjustment processes in the child cancer population. Findings from the investigation will guide the restructuring of coping interventions, increasing efficacy via specific assessment and treatment techniques that target domains of coping salient to the pediatric oncology population above and beyond current coping conceptualizations.

拟议的研究的目的是扩大目前的概念化的应对和调整过程中的儿童癌症幸存者，包括精神作为一个额外的预测积极的健康结果。 该项目的直接目标是：1）开发一个可靠的和有效的儿童精神应对措施和2）随后检查精神应对和心理社会调整之间的关系，在儿科肿瘤人群。 为了解决第一个目标，一个半结构化的灵性访谈（创建本项目的目的）将被转换为项目纳入精神应对措施的初稿，随后将管理到第二个样本的儿童具有相同的年龄和治疗参数（n=70）。 将对这些项目进行因素分析，不符合紧急因素的项目将从最终测量中删除。 与第二个目标相关的主要假设是，儿童癌症幸存者使用精神应对将预测更好的诊断后调整，通过降低抑郁和焦虑以及提高生活质量来实现。 多元回归将被用来分析这一假设。 研究时间表允许受试者招募，精神应对措施的开发和实施，以及最终数据分析和报告撰写。 这项研究是对儿童癌症人群应对和调整过程进行日益全面评估的必要步骤。 调查结果将指导应对干预措施的重组，通过特定的评估和治疗技术提高疗效，这些技术针对儿科肿瘤人群的应对领域，超出了目前的应对概念。