Cargando…

Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life

Pediatric cancer can be considered an event potentially leading to posttraumatic stress symptoms (PTSS) as well as posttraumatic growth (PTG). While clinically significant levels of PTSS are rare in childhood cancer survivors, PTG is common in this population. However, the relationship of PTG to ove...

Descripción completa

Detalles Bibliográficos
Autores principales: Koutná, Veronika, Blatný, Marek, Jelínek, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505020/
https://www.ncbi.nlm.nih.gov/pubmed/36160575
http://dx.doi.org/10.3389/fpsyg.2022.992310
_version_ 1784796368260300800
author Koutná, Veronika
Blatný, Marek
Jelínek, Martin
author_facet Koutná, Veronika
Blatný, Marek
Jelínek, Martin
author_sort Koutná, Veronika
collection PubMed
description Pediatric cancer can be considered an event potentially leading to posttraumatic stress symptoms (PTSS) as well as posttraumatic growth (PTG). While clinically significant levels of PTSS are rare in childhood cancer survivors, PTG is common in this population. However, the relationship of PTG to overall adaptation and quality of life (QOL) in pediatric cancer patients is not clear. Therefore, our study aims to analyse the relationships of PTSS and PTG with QOL in childhood cancer survivors. In this study, 172 childhood cancer survivors completed measures of quality of life (Minneapolis-Manchester Quality of Life Scale; child and adolescent version), posttraumatic stress (UCLA PTSD Reaction Index for DMS-IV) and posttraumatic growth (Benefit Finding Scale for Children). Correlation analyses were carried out separately for the child (up to 13 years, N = 47) and adolescent (more than 13 years, N = 125) groups and each QOL dimension. In the adolescent group, the relationship of PTSS and PTG with QOL was further verified by regression analyses while controlling for age, gender, and time off treatment. In children, negative relationships between PTSS and QOL were found, but the relationships between QOL and PTG were not significant. In adolescents, significant relationships were found for all dimensions of QOL and PTSS and also for several dimensions of QOL and PTG. The relationships between PTSS and QOL dimensions were negative in both groups, and the relationships between PTG and QOL in the adolescent group were weakly positive. In adolescents, regression analyses controlling for age, gender and time off treatment were performed and confirmed a negative relationship of PTSS with all QOL dimensions except for social functioning. For PTG, regression analyses revealed a significant positive relationship with QOL dimensions of social functioning, outlook on life and intimate relations. While the relationship between PTSS and QOL is negative for almost all QOL dimensions in children and adolescents, the nature of the relationship between PTG and QOL appears to be more complex and changing over time. PTG in children may reflect different processes with different outcomes than PTG in adolescents.
format Online
Article
Text
id pubmed-9505020
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-95050202022-09-24 Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life Koutná, Veronika Blatný, Marek Jelínek, Martin Front Psychol Psychology Pediatric cancer can be considered an event potentially leading to posttraumatic stress symptoms (PTSS) as well as posttraumatic growth (PTG). While clinically significant levels of PTSS are rare in childhood cancer survivors, PTG is common in this population. However, the relationship of PTG to overall adaptation and quality of life (QOL) in pediatric cancer patients is not clear. Therefore, our study aims to analyse the relationships of PTSS and PTG with QOL in childhood cancer survivors. In this study, 172 childhood cancer survivors completed measures of quality of life (Minneapolis-Manchester Quality of Life Scale; child and adolescent version), posttraumatic stress (UCLA PTSD Reaction Index for DMS-IV) and posttraumatic growth (Benefit Finding Scale for Children). Correlation analyses were carried out separately for the child (up to 13 years, N = 47) and adolescent (more than 13 years, N = 125) groups and each QOL dimension. In the adolescent group, the relationship of PTSS and PTG with QOL was further verified by regression analyses while controlling for age, gender, and time off treatment. In children, negative relationships between PTSS and QOL were found, but the relationships between QOL and PTG were not significant. In adolescents, significant relationships were found for all dimensions of QOL and PTSS and also for several dimensions of QOL and PTG. The relationships between PTSS and QOL dimensions were negative in both groups, and the relationships between PTG and QOL in the adolescent group were weakly positive. In adolescents, regression analyses controlling for age, gender and time off treatment were performed and confirmed a negative relationship of PTSS with all QOL dimensions except for social functioning. For PTG, regression analyses revealed a significant positive relationship with QOL dimensions of social functioning, outlook on life and intimate relations. While the relationship between PTSS and QOL is negative for almost all QOL dimensions in children and adolescents, the nature of the relationship between PTG and QOL appears to be more complex and changing over time. PTG in children may reflect different processes with different outcomes than PTG in adolescents. Frontiers Media S.A. 2022-09-09 /pmc/articles/PMC9505020/ /pubmed/36160575 http://dx.doi.org/10.3389/fpsyg.2022.992310 Text en Copyright © 2022 Koutná, Blatný and Jelínek. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Koutná, Veronika
Blatný, Marek
Jelínek, Martin
Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life
title Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life
title_full Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life
title_fullStr Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life
title_full_unstemmed Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life
title_short Posttraumatic stress and growth in adolescent childhood cancer survivors: Links to quality of life
title_sort posttraumatic stress and growth in adolescent childhood cancer survivors: links to quality of life
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505020/
https://www.ncbi.nlm.nih.gov/pubmed/36160575
http://dx.doi.org/10.3389/fpsyg.2022.992310
work_keys_str_mv AT koutnaveronika posttraumaticstressandgrowthinadolescentchildhoodcancersurvivorslinkstoqualityoflife
AT blatnymarek posttraumaticstressandgrowthinadolescentchildhoodcancersurvivorslinkstoqualityoflife
AT jelinekmartin posttraumaticstressandgrowthinadolescentchildhoodcancersurvivorslinkstoqualityoflife