Abrams Annah N, Hazen Eric P, Penson Richard T
Department of Child Psychiatry and Pediatric Hematology-Oncology, Massachusetts General Hospital, Boston, MA 02114, United States.
Cancer Treat Rev. 2007 Nov;33(7):622-30. doi: 10.1016/j.ctrv.2006.12.006. Epub 2007 Apr 16.
Cancer in adolescents is uncommon and when it occurs raises a number of unique challenges for both the patient and their families. Adolescence is a period of time of significant physical and emotional changes and a diagnosis of cancer during this time has a major impact on their psychological and physical development. In this review we will look at the psychosocial issues facing adolescents who have cancer. We will address adolescent development, issues related to informed consent and assent, initial responses to the diagnosis of cancer, quality of life and the experience of the adolescent with cancer, psychological adjustment, support systems, body image issues, sexuality, education, hope, and treatment compliance.
青少年患癌症的情况并不常见,一旦发生,会给患者及其家庭带来诸多独特的挑战。青春期是身体和情感发生重大变化的时期,在此期间被诊断出患有癌症会对他们的心理和身体发育产生重大影响。在这篇综述中,我们将探讨患癌症青少年所面临的社会心理问题。我们将涉及青少年发育、与知情同意和赞同相关的问题、对癌症诊断的初始反应、生活质量以及患癌症青少年的经历、心理调适、支持系统、身体形象问题、性征、教育、希望和治疗依从性。