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The Association of Resilience with Psychosocial Outcomes in Teenagers and Young Adults with Cancer.
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- Author(s): Hughes, Kathryn; Jacobson, Clare E.H.; Lavelle, Grace; Carr, Ewan; Henley, Susie M.D.
- Source:
Journal of Adolescent & Young Adult Oncology; Apr2024, Vol. 13 Issue 2, p331-337, 7p- Subject Terms:
PSYCHOLOGICAL resilience; TUMORS in children; ATTITUDES toward illness; RESEARCH funding; QUESTIONNAIRES; MULTIPLE regression analysis; SEX distribution; CANCER patients; DESCRIPTIVE statistics; AGE distribution; ANXIETY; QUALITY of life; TUMORS; CANCER patient psychology; COMPARATIVE studies; CONFIDENCE intervals; MENTAL depression; ADULTS - Source:
- Additional Information
- Abstract: Purpose: There is limited research on the psychological impact of cancer for teenagers and young adults (TYAs) and the role of protective factors such as resilience. This study investigated associations between resilience and psychosocial outcomes in this group. Methods: Data were collected from TYAs (aged 16–24) who attended the TYA cancer clinic at Guy's Hospital between 2013 and 2021. Participants (N = 63) completed psychosocial questionnaires within 4 weeks of their treatment start date (T
1 ) and again between 9 and 15 months later (T2 ). We used separate multivariable linear regression models to analyze associations of resilience (Brief Resilience Questionnaire) with outcomes measured at T2, including symptoms of depression (Patient Health Questionnaire [PHQ]-9), anxiety (Generalized Anxiety Disorder [GAD]-7), and subjective quality of life. Models were adjusted for age, gender, ethnicity, and T1 outcome assessments. Results: Higher resilience at T1 was associated with increased anxiety (β = 1.68; bootstrapped confidence interval [95% CI −0.28 to 3.19]), depression (β = 1.24; [−0.85 to 2.90]), and quality of life (5.76; [−0.88 to 15.60]). In contrast, an increase in resilience over time was associated with decreases in the same period in anxiety (β = −3.16; [−5.22 to −1.47]) and depression (β = −2.36, [−4.41 to −0.58]), and an increase in quality of life (β = 9.82, [−0.24 to 21.13]). Conclusion: Increases in resilience during cancer treatment were associated with reduced symptoms of depression and anxiety in TYAs. We discuss factors likely to influence these outcomes, the implications for psychosocial interventions in this population, and identify further research to explore the impact of other factors such as diagnosis and treatment type. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Journal of Adolescent & Young Adult Oncology is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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