Factors Influencing Resilience among Korean adolescents and young adult survivors of childhood cancer. (August 2021)

• Record Type: Journal Article
• Authors: Shin, Yoon Jung; Oh, Eui Geum
• Is Part Of: European journal of oncology nursing. Volume 53(2021)
• Publication Date: 2021-08
• Subjects: Childhood cancer survivors -- Adolescent and young adult -- Resilience -- Courageous coping -- Hope; Cancer -- Nursing -- Periodicals; Cancer -- Research -- Periodicals; Oncology -- Periodicals; Oncology Nursing -- Periodicals; Neoplasms -- nursing -- Periodicals; Cancer -- Soins infirmiers -- Périodiques; Cancer -- Recherche -- Périodiques; Cancérologie -- Périodiques; Verpleegkunde; Kanker; Cancer -- Nursing; Cancer -- Research; Oncology; Electronic journals; Periodicals; Electronic journals; 616.9940231
• DOI: 10.1016/j.ejon.2021.101977
• Languages: English
• ISSNs: 1462-3889

Abstract

Abstract: Purpose: The number of childhood cancer survivors has been steadily increasing because of improved cancer treatment outcomes. We aimed to examine the level of cancer stigma, coping, spirituality, hope, family communication, social support and resilience in adolescent and adult childhood cancer survivors and identify factors associated with resilience. Method: This study is a descriptive survey conducted on 139 childhood cancer survivors aged 15–29 years who had been diagnosed with cancer prior to the age of 19 years at a general hospital in Seoul. The questionnaire consisted of the Cancer Stigma Scale, Jalowiec Coping Scale, Functional Assessment of Chronic-Illness Therapy-Spirituality (FACIT-Sp), Hearth Hope Index (HHI), Parent-Adolescent Communication Inventory (PACI), Multidimensional Scale of Perceived Social Support (MSPSS), and Haase Resilience in Illness Scale (HARS). Collected data were analyzed using multiple linear regression analysis with SPSS 23.0. Results: Resilience positively correlated with courageous coping, spirituality, hope, family communication and social support, and negatively correlated with cancer stigma and defensive coping. Regression analyses revealed that courageous coping (β = 0.303, p < .001), hope (β = 0.317, p = .001), and solid tumor diagnosis (β = −0.144, p = .012) were significantly predictive of resilience among childhood cancer survivors, and these factors explained 65.2% of the variance. Conclusions: Resilience among childhood cancer survivors was higher with increasing courageous coping and hope and lower with solid tumors. These results suggest that coping and hope management should be included in the strategies to enhance the resilience of AYA cancer survivors. Highlights: Various factors influence childhood cancer survivors' resilience. The major factors were analyzed based on Haase's Resilience in Illness Model. Solid tumor diagnosis, courageous coping, and hope, were the major predictors of resilience. These variables explained 65.2% of the variance in resilience. Interventions for childhood cancer survivors should foster courageous coping and hope.