CHILD CANCER SURVIVORS--SPIRITUAL COPING AND ADJUSTMENT

这项拟议研究的目的是扩大目前对儿童癌症幸存者应对和适应过程的概念化，将灵性作为积极健康结果的另一个预测因素。该项目的近期目标是：1)开发可靠和有效的儿童精神应对措施；2)随后在儿科肿瘤科人群中检查精神应对与心理社会适应之间的关系。为了实现第一个目标，将把半结构化精神访谈(为本项目的目的而创建)转化为精神应对措施初稿中的项目，随后将对具有相同年龄和治疗参数的第二个样本(n=70)进行测试。对这些项目进行因素分析，不符合应急因素的项目将从最终测量中剔除。与第二个目标相关的主要假设是，儿童癌症幸存者对精神应对的使用将预示着诊断后更好的适应，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。研究时间线允许受试者招募、制定和实施精神应对措施，以及最后的数据分析和报告撰写。这项拟议的研究是朝着日益全面地评估儿童癌症人群的应对和适应过程迈出的重要一步。调查结果将指导应对干预措施的重组，通过具体的评估和治疗技术提高疗效，这些技术针对的是在当前应对概念之外的儿科肿瘤学人群突出的应对领域。

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.