Abby R Rosenberg1, Joyce P Yi-Frazier2, Claire Wharton3, Karen Gordon3, Barbara Jones4. 1. Division of Pediatric Hematology/Oncology, Seattle Children's Hospital , Seattle, Washington. ; Department of Pediatrics, University of Washington , Seattle, Washington. ; Treuman Katz Center for Pediatric Bioethics , Seattle, Washington. ; Fred Hutchinson Cancer Research Center , Seattle, Washington. 2. Department of Pediatrics, University of Washington , Seattle, Washington. ; Division of Pediatric Endocrinology, Seattle Children's Hospital , Seattle, Washington. 3. Division of Pediatric Hematology/Oncology, Seattle Children's Hospital , Seattle, Washington. 4. School of Social Work, University of Texas , Austin, Texas. ; The Institute for Grief , Loss, and Family Survival, Austin, Texas.
Abstract
Purpose: Self-perceived resilience may enable coping and mitigate poor psychosocial outcomes among adolescent and young adult (AYA) patients with cancer. In order to inform the development of resilience-promoting interventions, we aimed to: (1) describe AYA patient-reported resilience and (2) identify AYA patient-reported contributors and inhibitors of resilience. Methods: The "Resilience in Adolescents and Young Adults with Cancer" study was a prospective longitudinal mixed-methods study. Consecutive Caucasian patients aged 14-25 years old enrolled 14-60 days following their diagnosis of cancer and completed one-on-one semi-structured interviews both at the time of enrollment and 3-6 months later. Constant comparative analyses identified salient themes describing modifiable contributors and inhibitors to patient-perceived resilience. Results: Seventeen patients (85% of those approached) enrolled in the study. The mean age was 17 years (SD=2.6) and 53% were female. All patient definitions of resilience inferred an ability to handle adversity. Five themes emerged as predominant contributors or inhibitors of resilience: (1) stress and coping; (2) goals, purpose, and planning; (3) optimism; (4) gratitude and meaning; and (5) connection and belonging. Merged analyses suggested that AYA resilience was a balance that may be enabled by promoting certain skills. Conclusion: AYA patients with cancer perceive resilience as a balance. Learned skills in stress management, goal-setting, and benefit-finding may empower AYAs during their cancer experience, in turn improving long-term psychosocial outcomes.
Purpose: Self-perceived resilience may enable coping and mitigate poor psychosocial outcomes among adolescent and young adult (AYA) patients with cancer. In order to inform the development of resilience-promoting interventions, we aimed to: (1) describe AYA patient-reported resilience and (2) identify AYA patient-reported contributors and inhibitors of resilience. Methods: The "Resilience in Adolescents and Young Adults with Cancer" study was a prospective longitudinal mixed-methods study. Consecutive Caucasian patients aged 14-25 years old enrolled 14-60 days following their diagnosis of cancer and completed one-on-one semi-structured interviews both at the time of enrollment and 3-6 months later. Constant comparative analyses identified salient themes describing modifiable contributors and inhibitors to patient-perceived resilience. Results: Seventeen patients (85% of those approached) enrolled in the study. The mean age was 17 years (SD=2.6) and 53% were female. All patient definitions of resilience inferred an ability to handle adversity. Five themes emerged as predominant contributors or inhibitors of resilience: (1) stress and coping; (2) goals, purpose, and planning; (3) optimism; (4) gratitude and meaning; and (5) connection and belonging. Merged analyses suggested that AYA resilience was a balance that may be enabled by promoting certain skills. Conclusion: AYA patients with cancer perceive resilience as a balance. Learned skills in stress management, goal-setting, and benefit-finding may empower AYAs during their cancer experience, in turn improving long-term psychosocial outcomes.
Authors: Kevin R Krull; Sujuan Huang; James G Gurney; James L Klosky; Wendy Leisenring; Amanda Termuhlen; Kirsten K Ness; Deo Kumar Srivastava; Ann Mertens; Marilyn Stovall; Leslie L Robison; Melissa M Hudson Journal: J Cancer Surviv Date: 2010-04-11 Impact factor: 4.442
Authors: Paul C Nathan; Mark L Greenberg; Kirsten K Ness; Melissa M Hudson; Ann C Mertens; Martin C Mahoney; James G Gurney; Sarah S Donaldson; Wendy M Leisenring; Leslie L Robison; Kevin C Oeffinger Journal: J Clin Oncol Date: 2008-09-20 Impact factor: 50.717
Authors: Abby R Rosenberg; Kira Bona; Claire M Wharton; Miranda Bradford; Michele L Shaffer; Joanne Wolfe; Kevin Scott Baker Journal: Pediatr Blood Cancer Date: 2015-12-18 Impact factor: 3.167
Authors: Abby R Rosenberg; Miranda C Bradford; Kira Bona; Michele L Shaffer; Joanne Wolfe; K Scott Baker; Nancy Lau; Joyce Yi-Frazier Journal: J Psychosoc Oncol Date: 2017-11-03
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Authors: Abby R Rosenberg; Miranda C Bradford; Krysta S Barton; Nicole Etsekson; Elizabeth McCauley; J Randall Curtis; Joanne Wolfe; K Scott Baker; Joyce P Yi-Frazier Journal: Pediatr Blood Cancer Date: 2018-09-30 Impact factor: 3.167
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Authors: E Anne Lown; Farya Phillips; Lisa A Schwartz; Abby R Rosenberg; Barbara Jones Journal: Pediatr Blood Cancer Date: 2015-12 Impact factor: 3.167