Adult self-image and well-being after testicular cancer: The role of agency and meaning. Issue 8 (3rd August 2018)

• Record Type: Journal Article
• Authors: Ryan, Sean J.; Hoyt, Michael A.
• Is Part Of: Psychology & health. Volume 33:Issue 8(2018)
• Page Start: 1049
• Page End: 1061
• Publication Date: 2018-08-03
• Subjects: young adult -- adult self-image -- cancer -- survivorship -- job problems; Clinical health psychology -- Periodicals; Attitude to Health -- Periodicals; Public Opinion -- Periodicals; Psychology -- Periodicals; 150
• DOI: 10.1080/08870446.2018.1456659
• Languages: English
• ISSNs: 0887-0446

Abstract

Abstract : Objective: Cancer during young adulthood can limit the extent to which one adopts an adult self-image. However, the relationship of adult self-image to cancer-related adjustment remains unexplored. The current study examines relationships of adult self-image and social/emotional well-being and job-related problems in young testicular cancer survivors. Factors thought to facilitate future-oriented goals (i.e. agency and meaning) are examined as intermediary processes. Design : Testicular cancer survivors ( N = 171) between the ages of 18 and 29 completed questionnaire measures of adult self-image, agency, sense of meaning and indicators of adjustment. Main Outcome Measures: Social and emotional well-being were measured by the Functional Assessment of Cancer Therapy-General. Job problems were assessed using the EORTC's testicular cancer supplement (EORTC QLQ-TC26). Results: Path model results revealed direct associations of survivors' adult self-image with social ( β = .20, p < .05), but not emotional well-being ( β = .14, p < .01). Both agency and meaning mediated the relationship of adult self-image and well-being indicators. Finally, the relationship between adult self-image and job problems was only significant for those who were employed or in school ( β = −.19, p < .05). Outcomes: Assessment of adult self-image might be useful in identifying risk for poor adjustment. Interventions that target agency and meaning might facilitate developmental goals.