青少年癌症适应研究：适应模式分析及同伴关系的作用
Youth's Adjustment to Cancer: Examination of Patterns of Adjustment and the Role of Peer Relations.
机构信息
Department of Psychology, The University of Memphis.
Department of Psychology, St. Jude Children's Research Hospital.
出版信息
J Pediatr Psychol. 2017 Nov 1;42(10):1123-1132. doi: 10.1093/jpepsy/jsx067.
OBJECTIVE
Examine unique forms of peer relations (i.e., peer group vs. friendships) in relation to patterns of youth's resilience and challenge-related growth in the context of cancer.
METHODS
In all, 279 youth (cancer, n = 156; control, n = 123) completed measures of posttraumatic stress, depression, anxiety, posttraumatic growth (PTG), and perceived positive changes. Youth also reported on their peer relations. Latent profile analysis (LPA) was used to examine patterns of youth's adjustment. Peer relations were examined as predictors of youth's adjustment.
RESULTS
LPA revealed three profiles (42.1% resilient high growth, 21.4% resilient low growth, and 36.5% mild distress with growth). Youth's peer relations, demographic factors, and disease-related factors predicted assignment to profiles. Differences in adjustment emerged depending on youth's connection with their peers versus their friends.
SUMMARY
Peer relations serve an important role in youth's adjustment to stressful life events. Assessment of peer and friend support may provide a more nuanced understanding of adjustment processes.
目的
在癌症背景下，研究同伴关系的独特形式（即同伴群体与友谊）与青年适应力和与挑战相关的成长模式之间的关系。
方法
共有 279 名青年（癌症组，n=156；对照组，n=123）完成了创伤后应激、抑郁、焦虑、创伤后成长（PTG）和感知积极变化的测量。青年还报告了他们的同伴关系。潜在剖面分析（LPA）用于检查青年适应模式。同伴关系被视为青年适应的预测因素。
结果
LPA 揭示了三种模式（42.1%适应良好、高成长，21.4%适应良好、低成长，36.5%轻度困扰、有成长）。青年的同伴关系、人口统计学因素和疾病相关因素预测了模式的分配。根据青年与同伴的关系与与朋友的关系的不同，调整方面的差异也会显现出来。
总结
同伴关系在青年应对压力生活事件方面起着重要作用。评估同伴和朋友的支持可以更细致地了解适应过程。
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