Bolliger Céline, Holmer Pauline, Dehler Silvia, Roser Katharina, Michel Gisela
Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Cancer Registry Zurich and Zug, Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland.
Discov Oncol. 2023 Oct 30;14(1):194. doi: 10.1007/s12672-023-00810-3.
Adolescents and young adults (AYAs) are diagnosed with cancer during a challenging period of life. We aimed to (1) describe positive changes (posttraumatic growth; PTG) and illness perception, and (2) determine associations between PTG and illness perception, sociodemographic, and cancer-related characteristics in Swiss AYA cancer survivors.
We conducted a population-based survey among AYA cancer survivors diagnosed 1990-2005 at age 16-25 years, who had survived ≥ 5 years. We used the Posttraumatic Growth Inventory (PTGI) and the Brief Illness Perception Questionnaire (BIPQ). Data were analyzed using descriptive statistics and linear regressions.
Among 389 contacted survivors, 160 responded (61.3% male; mean age = 34 years, SD = 5.8). The mean PTG sum score was 54.63 (SD = 20.24; range: 8-101). Survivors reported high PTG especially in the domains Appreciation of life (mean = 3.23; 95% confidence interval, 3.05-3.40), Personal strength (2.94; 2.77-3.12), and Relating to others (2.57; 2.40-2.74). Neither sociodemographic nor cancer-related characteristics were associated with PTG. Survivors who perceived follow-up care as helpful (p < 0.001) and those with high concerns about the consequences of the illness (p < 0.001) reported higher PTG.
Finding ways to promote PTG and to identify and address maladaptive illness perceptions may help survivors transform their experience into something meaningful for their future life.
青少年和青年（AYA）在生命中充满挑战的时期被诊断出患有癌症。我们旨在：（1）描述积极变化（创伤后成长；PTG）和疾病认知，以及（2）确定瑞士AYA癌症幸存者中PTG与疾病认知、社会人口学和癌症相关特征之间的关联。
我们对1990年至2005年期间在16至25岁被诊断出患有癌症且存活≥5年的AYA癌症幸存者进行了一项基于人群的调查。我们使用了创伤后成长量表（PTGI）和简短疾病认知问卷（BIPQ）。数据采用描述性统计和线性回归进行分析。
在389名被联系的幸存者中，160人做出了回应（男性占61.3%；平均年龄 = 34岁，标准差 = 5.8）。PTG总分平均为54.63（标准差 = 20.24；范围：8 - 101）。幸存者报告的PTG水平较高，尤其是在对生活的感激（平均 = 3.23；95%置信区间，3.05 - 3.40）、个人力量（2.94；2.77 - 3.12）和与他人的关系（2.57；2.40 - 2.74）等领域。社会人口学特征和癌症相关特征均与PTG无关。认为后续护理有帮助的幸存者（p < 0.001）以及对疾病后果高度担忧的幸存者（p < 0.001）报告的PTG水平较高。
找到促进PTG的方法，并识别和解决适应不良的疾病认知，可能有助于幸存者将他们的经历转化为对未来生活有意义的事情。
