UNESCO Child and Family Research Centre NUI Galway, Galway, Ireland.
Cancer Rep (Hoboken). 2020 Apr;3(2):e1208. doi: 10.1002/cnr2.1208. Epub 2019 Jul 24.
Research findings on the impact of parental cancer on adolescents are inconsistent, some studies identifying negative psychosocial impact but others identifying positive impact; however, there is not enough understanding on the underlying factors that may lead to differences in outcomes. Research has found that resilience has a role in adolescents' adaptation to maternal cancer; however, the nature of this requires further exploration.
This analysis will help understand resilience in adolescents that experience maternal cancer by exploring the nature of resilience and the individual, family, and environmental risk and protective factors that determine resilience in adolescent lived experiences of maternal cancer that enable positive outcomes.
This study is part of a larger investigation focused on understanding adolescent adjustment to maternal cancer and the psychosocial factors that promote adjustment. Original adolescent interview transcripts (n = 15) were subject to a secondary thematic analysis.
The analysis yielded four themes: the first theme, The Journey of Maternal Cancer, describes adolescent experiences of maternal cancer over time; the second theme is a detailed description of adolescent Protective Factors and how these supported the adolescents; the third theme describes the Risk Factors that adolescents faced; and the fourth theme summarizes the Positive Outcomes that adolescents self-identified.
This study found resilience as dynamic, as it changes over time. These changes are a result of the course of maternal illness and its treatment over time. Adolescents can adapt to change, but this capacity is shaped by protective factors and risk factors as well as challenges that are unique to having a mother diagnosed with cancer. Most adolescents managed to navigate successfully and identified positive outcomes from a difficult and life-changing experience. The study suggests the need to provide long-term supports for adolescents and carry out longitudinal research to further understand the trajectories of resilience in adolescents who experience maternal cancer.
关于父母癌症对青少年影响的研究结果不一致，一些研究表明存在负面的心理社会影响，而另一些研究则表明存在积极的影响；然而，对于导致结果差异的潜在因素，我们还没有足够的了解。研究发现，韧性在青少年适应母亲癌症中起着作用；然而，其性质需要进一步探索。
通过探索韧性的本质以及确定青少年在母亲癌症经历中产生积极结果的韧性的个体、家庭和环境风险和保护因素，本分析将有助于理解经历母亲癌症的青少年的韧性。
本研究是一项更大规模研究的一部分，该研究侧重于了解青少年对母亲癌症的适应以及促进适应的心理社会因素。原始青少年访谈记录（n=15）进行了二次主题分析。
分析产生了四个主题：第一个主题是“母亲癌症之旅”，描述了青少年随着时间的推移对母亲癌症的经历；第二个主题是对青少年保护因素的详细描述，以及这些因素如何支持青少年；第三个主题描述了青少年面临的风险因素；第四个主题总结了青少年自我确定的积极结果。
本研究发现韧性是动态的，它会随着时间的推移而变化。这些变化是母亲疾病及其随时间推移的治疗过程的结果。青少年可以适应变化，但这种能力受到保护因素和风险因素的影响，以及患有癌症的母亲所特有的挑战的影响。大多数青少年成功地应对了困难和改变生活的经历，并确定了积极的结果。该研究表明，需要为青少年提供长期支持，并进行纵向研究，以进一步了解经历母亲癌症的青少年韧性的轨迹。
