Medicine/Population Science, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.
Nemours Children's Health System, Wilmington, Delaware.
Pediatr Blood Cancer. 2018 May;65(5):e26951. doi: 10.1002/pbc.26951. Epub 2018 Jan 9.
Some adolescents with cancer report distress and unmet needs. Guided by the disability-stress-coping model, we evaluated associations among problem-solving skills, parent-adolescent cancer-related communication, parent-adolescent dyadic functioning, and distress in adolescents with cancer. Thirty-nine adolescent-parent dyads completed measures of these constructs. Adolescents were 14-20 years old on treatment or within 1 year of completing treatment. Better problem-solving skills were correlated with lower adolescent distress (r = -0.70, P < 0.001). Adolescent-reported cancer-related communication problems and dyadic functioning were not significantly related to adolescent distress (rs < 0.18). Future work should examine use of problem-solving interventions to decrease distress for adolescents with cancer.
一些患有癌症的青少年报告存在困扰和未满足的需求。本研究以残疾-应激-应对模型为指导，评估了癌症青少年的问题解决技能、父母-青少年癌症相关沟通、父母-青少年二元功能与困扰之间的关系。39 对青少年-家长对完成了这些结构的测量。青少年在治疗期间或完成治疗后 1 年内年龄在 14-20 岁。更好的问题解决技能与青少年困扰呈负相关(r=-0.70，P<0.001)。青少年报告的癌症相关沟通问题和二元功能与青少年困扰无显著相关性(rs<0.18)。未来的工作应该检查使用问题解决干预措施来降低癌症青少年的困扰。
