Foster Rebecca H, Brouwer Amanda M, Dillon Robyn, Bitsko Matthew J, Godder Kamar, Stern Marilyn
a Department of Psychology , St. Louis Children's Hospital , St. Louis , MO , USA.
b Department of Pediatrics , Washington University School of Medicine , St. Louis , MO , USA.
J Psychosoc Oncol. 2017 Jul-Aug;35(4):377-392. doi: 10.1080/07347332.2017.1292575. Epub 2017 Feb 15.
Young adult survivors of childhood cancer (N = 47) completed essays exploring situational coping within a mixed methods study. Data were qualitatively analyzed using consensual qualitative research-modified methodology. Five themes emerged: (1) initial reactions to cancer, (2) adjustment/coping with cancer diagnosis and treatment, (3) provisions of social support, (4) perceived effects of cancer experience, and (5) reflections on the cancer experience. Perceptions of childhood cancer experiences appear generally positive, with the majority of negative reactions emerging immediately following diagnosis. Cognitive behavioral and supportive interventions may be most beneficial in the initial postdiagnosis period and should emphasize lasting benefits, accomplishments, and profound effects.
47名童年癌症成年幸存者在一项混合方法研究中完成了探讨情境应对的短文。使用经修改的共识定性研究方法对数据进行了定性分析。出现了五个主题:(1)对癌症的初始反应,(2)对癌症诊断和治疗的调整/应对,(3)社会支持的提供,(4)癌症经历的感知影响,以及(5)对癌症经历的反思。对童年癌症经历的认知总体上似乎是积极的,大多数负面反应在诊断后立即出现。认知行为和支持性干预在诊断后的初始阶段可能最有益,并且应强调持久的益处、成就和深远影响。