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青少年在疾病治疗和康复阶段根据年龄和性别的心理应对差异。

Differences in Psychological Coping with Illness During the Treatment and Survivorship Phases in Adolescents According to Age and Sex.

作者信息

Sáez-Rodríguez Diego-José, Ortigosa-Quiles Juan-Manuel, Riquelme-Marin Antonio, Suriá-Martínez Raquel, Chico-Sánchez Pablo

机构信息

Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Murcia, Espinardo University Campus, 30100 Murcia, Spain.

Department of Communication and Social Psychology, Social Sciences Building, University Institute for Gender Studies Research, University of Alicante, 03690 Alicante, Spain.

出版信息

Healthcare (Basel). 2024 Dec 6;12(23):2476. doi: 10.3390/healthcare12232476.

Abstract

INTRODUCTION

Despite the importance of addressing different stages of cancer, there is a lack of data on how these stages relate to coping strategies. This study aims to analyze coping strategies among adolescents with cancer by comparing two distinct time points, the treatment phase and the post-treatment phase, with a particular focus on age and gender.

METHODOLOGY

A total of 201 cancer patients aged 12 to 17 years from Alicante, Valencia, and Madrid participated in the study. They completed a Demographic and Clinical Data Form questionnaire capturing age, gender, and illness phase, along with the ACS to assess coping strategies.

RESULTS

During the treatment phase, strategies such as "worrying", "stress reduction", "ignoring the problem", and "self-blame" were used more frequently than during the follow-up phase, revealing notable changes in emotional management between the two stages. Gender differences were observed in the first three strategies.

CONCLUSIONS

The coping strategies of adolescents with cancer vary significantly between the treatment and follow-up phases, with greater use of certain strategies during treatment and a decline in their use post-treatment. These findings highlight the evolving emotional demands of each stage and emphasize the need for targeted interventions that address the specific coping needs unique to each phase. Such targeted interventions in clinical settings could support emotional management by adapting strategies to the distinct challenges faced by adolescents during treatment and post-treatment phases.

摘要

引言

尽管应对癌症不同阶段很重要,但关于这些阶段与应对策略之间的关系却缺乏数据。本研究旨在通过比较两个不同的时间点(治疗阶段和治疗后阶段)来分析癌症青少年的应对策略,特别关注年龄和性别。

方法

来自阿利坎特、巴伦西亚和马德里的201名年龄在12至17岁的癌症患者参与了该研究。他们完成了一份人口统计学和临床数据表格问卷,记录年龄、性别和疾病阶段,同时还完成了青少年应对量表(ACS)以评估应对策略。

结果

在治疗阶段,“担忧”“减轻压力”“忽视问题”和“自责”等策略的使用频率高于随访阶段,这表明两个阶段在情绪管理方面存在显著变化。在前三种策略中观察到了性别差异。

结论

癌症青少年的应对策略在治疗阶段和随访阶段之间存在显著差异,治疗期间某些策略的使用频率更高,治疗后使用频率下降。这些发现凸显了每个阶段不断变化的情感需求,并强调需要针对每个阶段独特的应对需求进行有针对性的干预。临床环境中的此类针对性干预可以通过根据青少年在治疗和治疗后阶段面临的不同挑战调整策略来支持情绪管理。

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