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Roles of positive psychological outcomes in future health perception and mental health problems: A report from the Childhood Cancer Survivor Study.

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Title: Roles of positive psychological outcomes in future health perception and mental health problems: A report from the Childhood Cancer Survivor Study.
Authors: Weinstein, Aurélie G., Henrich, Christopher C., Armstrong, Gregory T., Stratton, Kayla L., King, Tricia Z., Leisenring, Wendy M., Krull, Kevin R.
Source: Psycho-Oncology. Dec2018, Vol. 27 Issue 12, p2754-2760. 7p. 1 Diagram, 2 Charts.
Subjects: Childhood cancer, Cancer diagnosis, Psychological well-being, Psychosocial factors, Mental health of cancer patients, Cancer patient psychology
Abstract: Objective: Positive psychological outcomes among adolescent and young adult survivors of childhood cancer may influence long-term health status. We examined posttraumatic growth (PTG) and Life satisfaction (LS) in adolescence, and their impact on future emotional and physical health status in young adulthood.Methods: Survivors (n = 2802) from the Childhood Cancer Survivor Study were longitudinally analyzed across social, emotional, and physical factors during adolescence (12-17 years old), and PTG (PTG-Inventory) and LS (Cantril-Ladder-of-Life) during young adulthood (19-24 years old). The impact of PTG and LS on survivors' future long-term mental health, physical health, and social skills was also examined (23-28 years old) using Structural Equation Modeling.Results: Survivors reported high levels of LS (M = 7.43, range 1 to 10) and a positive impact from their cancer experience (M = 48.78, range 0 to 105). Adolescent predictors of higher PTG included older age at diagnosis (p = 0.001), experiencing more severe chronic health conditions (p = 0.01), cancer recurrence/relapse (p = 0.01), and being diagnosed with a non-CNS cancer (p = 0.001). Higher perceived general health (p = 0.01), higher social skills (p = 0.001), and diagnosis with a non-CNS cancer (p = 0.02) were associated with higher LS. Higher PTG during young adulthood predicted poorer perceived health (p = 0.04) and worse emotional health (p = 0.001) in later adulthood. Higher LS predicted better emotional health (p = 0.001) and better perceived health (p = 0.001).Conclusions: While LS was found to help survivors have better perceived long-term emotional and physical health outcomes, survivors with higher PTG fond both positive and negative impacts from cancer. Future therapeutic trials to improve LS should be considered. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Roles of positive psychological outcomes in future health perception and mental health problems: A report from the Childhood Cancer Survivor Study.
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  Data: <searchLink fieldCode="AR" term="%22Weinstein%2C+Aurélie+G%2E%22">Weinstein, Aurélie G.</searchLink><br /><searchLink fieldCode="AR" term="%22Henrich%2C+Christopher+C%2E%22">Henrich, Christopher C.</searchLink><br /><searchLink fieldCode="AR" term="%22Armstrong%2C+Gregory+T%2E%22">Armstrong, Gregory T.</searchLink><br /><searchLink fieldCode="AR" term="%22Stratton%2C+Kayla+L%2E%22">Stratton, Kayla L.</searchLink><br /><searchLink fieldCode="AR" term="%22King%2C+Tricia+Z%2E%22">King, Tricia Z.</searchLink><br /><searchLink fieldCode="AR" term="%22Leisenring%2C+Wendy+M%2E%22">Leisenring, Wendy M.</searchLink><br /><searchLink fieldCode="AR" term="%22Krull%2C+Kevin+R%2E%22">Krull, Kevin R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Dec2018, Vol. 27 Issue 12, p2754-2760. 7p. 1 Diagram, 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Childhood+cancer%22">Childhood cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+diagnosis%22">Cancer diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+well-being%22">Psychological well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+of+cancer+patients%22">Mental health of cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+psychology%22">Cancer patient psychology</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: <bold>Objective: </bold>Positive psychological outcomes among adolescent and young adult survivors of childhood cancer may influence long-term health status. We examined posttraumatic growth (PTG) and Life satisfaction (LS) in adolescence, and their impact on future emotional and physical health status in young adulthood.<bold>Methods: </bold>Survivors (n = 2802) from the Childhood Cancer Survivor Study were longitudinally analyzed across social, emotional, and physical factors during adolescence (12-17 years old), and PTG (PTG-Inventory) and LS (Cantril-Ladder-of-Life) during young adulthood (19-24 years old). The impact of PTG and LS on survivors' future long-term mental health, physical health, and social skills was also examined (23-28 years old) using Structural Equation Modeling.<bold>Results: </bold>Survivors reported high levels of LS (M = 7.43, range 1 to 10) and a positive impact from their cancer experience (M = 48.78, range 0 to 105). Adolescent predictors of higher PTG included older age at diagnosis (p = 0.001), experiencing more severe chronic health conditions (p = 0.01), cancer recurrence/relapse (p = 0.01), and being diagnosed with a non-CNS cancer (p = 0.001). Higher perceived general health (p = 0.01), higher social skills (p = 0.001), and diagnosis with a non-CNS cancer (p = 0.02) were associated with higher LS. Higher PTG during young adulthood predicted poorer perceived health (p = 0.04) and worse emotional health (p = 0.001) in later adulthood. Higher LS predicted better emotional health (p = 0.001) and better perceived health (p = 0.001).<bold>Conclusions: </bold>While LS was found to help survivors have better perceived long-term emotional and physical health outcomes, survivors with higher PTG fond both positive and negative impacts from cancer. Future therapeutic trials to improve LS should be considered. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.4881
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        Text: English
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        PageCount: 7
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      – SubjectFull: Childhood cancer
        Type: general
      – SubjectFull: Cancer diagnosis
        Type: general
      – SubjectFull: Psychological well-being
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      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Mental health of cancer patients
        Type: general
      – SubjectFull: Cancer patient psychology
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      – TitleFull: Roles of positive psychological outcomes in future health perception and mental health problems: A report from the Childhood Cancer Survivor Study.
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              M: 12
              Text: Dec2018
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              Y: 2018
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