Department of Social Welfare, Myongji University.
College of Medicine, Chungbuk National University.
Am J Orthopsychiatry. 2018;88(4):441-449. doi: 10.1037/ort0000292. Epub 2018 Jan 25.
Adolescents who reenter school after treatment for cancer may face certain challenges, such as social exclusion by their peers and difficulties in cognitive functioning, due to the cancer treatment and its psychosocial sequelae. Such challenges may have an impact on their mental health. This cross-sectional study examined the impact of peer exclusion-victimization and cognitive functioning on depression among adolescent survivors of childhood cancer. A total of 175 adolescent survivors of childhood cancer between the ages of 13 and 19 years completed a self-reported questionnaire. Their mean age was 15.33 years (SD = 1.65), the mean time since diagnosis was 7.97 years (SD = 3.91), and 49.7% experienced at least 1 kind of peer exclusion in school. Multiple regression analysis was conducted to examine the effects of survivors' experiences related to peer exclusion-victimization and cognitive functioning on depression, controlling for demographic (age and gender) and cancer-related (cancer type, time since diagnosis, recurrence) characteristics. The model with peer exclusion-victimization and cognitive functioning as predictors accounted for 27.9% of the variance in depression. More experiences in peer exclusion-victimization (β = .200, p = .024) and lower cognitive functioning (β = -.465, p < .001) were associated with greater levels of depression. Understanding the impact of survivors' experiences of peer exclusion-victimization and cognitive functioning on their mental health will help professionals to provide appropriate counseling services to moderate peer exclusion-victimization as well as resources for academic performance for those cancer survivors at risk for depression. (PsycINFO Database Record
青少年癌症患者在接受治疗后重返学校时可能会面临一些挑战，例如由于癌症治疗及其心理社会后遗症而受到同伴的排斥和认知功能障碍，这可能会对他们的心理健康产生影响。本横断面研究考察了同伴排斥-受害经历和认知功能对儿童癌症青少年幸存者抑郁的影响。共有 175 名年龄在 13 岁至 19 岁之间的儿童癌症青少年幸存者完成了一份自我报告问卷。他们的平均年龄为 15.33 岁（SD=1.65），诊断后平均时间为 7.97 年（SD=3.91），49.7%的人在学校至少经历过一次同伴排斥。进行了多元回归分析，以检验幸存者与同伴排斥-受害经历和认知功能相关的经历对抑郁的影响，控制了人口统计学（年龄和性别）和癌症相关（癌症类型、诊断后时间、复发）特征。以同伴排斥-受害经历和认知功能为预测因子的模型解释了抑郁程度 27.9%的方差。更多的同伴排斥-受害经历（β=0.200，p=0.024）和较低的认知功能（β=-0.465，p<0.001）与更高的抑郁水平相关。了解幸存者同伴排斥-受害经历和认知功能对其心理健康的影响将有助于专业人员提供适当的咨询服务，以适度减轻同伴排斥-受害经历，并为那些有抑郁风险的癌症幸存者提供学术表现资源。
