Department of Family Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Nursing, School of Nursing, Hyogo Medical University, 1-3-6 Minatojima, Chuo-Ku, Kobe, 650-8530, Japan.
Support Care Cancer. 2023 Jul 7;31(7):446. doi: 10.1007/s00520-023-07915-z.
This study aimed to clarify the characteristics of post-traumatic growth (PTG) among adolescents having mothers diagnosed with breast cancer and the relationship between PTG and cancer-related communication with breast cancer survivors.
A cross-sectional study was conducted using anonymous self-report questionnaires with breast cancer survivors and adolescent children. PTG in adolescents was measured using the Japanese version of the revised PTG Inventory for Children (PTGI-C-R-J). Furthermore, hierarchical multiple regression analysis was implemented. To evaluate the impact of cancer-related communication on each subscale, the total score of cancer-related communication was switched with other subscales individually within the constructed model.
A total of 97 breast cancer survivors and their adolescent children were included. The mean scores of the total PTGI-C-R-J and subscale scores for "personal strength," "new possibilities," "relating to others," "appreciation of life," and "spiritual change" were 9.0, 1.7, 1.8, 2.3, 2.4, and 0.9, respectively. The connection between PTG and cancer-related communication was partially clarified. The PTGI-C-R-J score was higher when adolescents shared more information regarding breast cancer with their mothers and lower when adolescents expressed more negative feelings toward their mothers. Communication regarding relationships with mothers was not correlated with PTG.
Of all PTG domains, "relating to others" and "appreciation of life" were comparatively higher in adolescents. Health professionals should support breast cancer survivors to ensure that they convey appropriate information regarding their treatment plans and side effects to their adolescent children. Health professionals should help adolescent children express their negative feelings calmly and clearly.
本研究旨在阐明患有乳腺癌母亲的青少年创伤后成长（PTG）的特点，以及 PTG 与与乳腺癌幸存者的癌症相关沟通之间的关系。
采用乳腺癌幸存者及其青少年子女匿名自我报告问卷进行横断面研究。使用修订后的儿童创伤后成长量表（PTGI-C-R-J）的日语版评估青少年的 PTG。此外，还进行了分层多重回归分析。为了评估癌症相关沟通对每个子量表的影响，在构建的模型中，将癌症相关沟通的总分分别与其他子量表进行了交换。
共纳入 97 名乳腺癌幸存者及其青少年子女。PTGI-C-R-J 总分和“个人力量”、“新可能性”、“与他人的关系”、“对生活的欣赏”和“精神变化”的子量表得分分别为 9.0、1.7、1.8、2.3、2.4 和 0.9。部分阐明了 PTG 与癌症相关沟通之间的联系。当青少年与母亲分享更多关于乳腺癌的信息时，PTGI-C-R-J 评分较高，而当青少年对母亲表达更多负面情绪时，PTGI-C-R-J 评分较低。与母亲关系的沟通与 PTG 无关。
在所有 PTG 领域中，“与他人的关系”和“对生活的欣赏”在青少年中相对较高。卫生专业人员应支持乳腺癌幸存者，确保他们向其青少年子女传达适当的治疗计划和副作用信息。卫生专业人员应帮助青少年子女平静而清晰地表达他们的负面情绪。
