Yuko Okado1, Alanna Long2, Sean Phipps2. 1. Department of Psychology, California State University, Fullerton, California, USA. 2. Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Abstract
OBJECTIVE: To identify and predict resilient functioning over time among youths with pediatric cancer experience (YPCE). DESIGN: YPCE aged 8-17 years (N = 231) were followed prospectively for 3 years. Their psychosocial adjustment was assessed using self-report and parent-report at 1 year (T2) and 3 years (T3) post-baseline. METHODS: Latent profile analysis identified subgroups of YPCE with different patterns of adjustment over time. Self-reported factors from baseline and T2 were examined as predictors of subgroup membership. FINDINGS: Three subgroups of youths were found. Two exhibited average (52.5% of the sample) to better-than-average (41.3%) functioning. One subgroup (6.2%) exhibited subclinical but at-risk range of adjustment. Low optimism and low connectedness to parents and school predicted membership in this group. CONCLUSIONS: Most YPCE exhibit resilient functioning across time. However, approximately 6% report persistent maladjustment. IMPLICATIONS: Most YPCE are well-adjusted, but those with low optimism and poor connection to parents or school may require monitoring for psychosocial difficulties.
OBJECTIVE: To identify and predict resilient functioning over time among youths with pediatric cancer experience (YPCE). DESIGN: YPCE aged 8-17 years (N = 231) were followed prospectively for 3 years. Their psychosocial adjustment was assessed using self-report and parent-report at 1 year (T2) and 3 years (T3) post-baseline. METHODS: Latent profile analysis identified subgroups of YPCE with different patterns of adjustment over time. Self-reported factors from baseline and T2 were examined as predictors of subgroup membership. FINDINGS: Three subgroups of youths were found. Two exhibited average (52.5% of the sample) to better-than-average (41.3%) functioning. One subgroup (6.2%) exhibited subclinical but at-risk range of adjustment. Low optimism and low connectedness to parents and school predicted membership in this group. CONCLUSIONS: Most YPCE exhibit resilient functioning across time. However, approximately 6% report persistent maladjustment. IMPLICATIONS: Most YPCE are well-adjusted, but those with low optimism and poor connection to parents or school may require monitoring for psychosocial difficulties.
Authors: Tara M Brinkman; Chenghong Li; Kathryn Vannatta; Jordan G Marchak; Jin-Shei Lai; Pinki K Prasad; Cara Kimberg; Stefanie Vuotto; Chongzhi Di; Deokumar Srivastava; Leslie L Robison; Gregory T Armstrong; Kevin R Krull Journal: J Clin Oncol Date: 2016-07-18 Impact factor: 44.544
Authors: Sean Phipps; James L Klosky; Alanna Long; Melissa M Hudson; Qinlei Huang; Hui Zhang; Robert B Noll Journal: J Clin Oncol Date: 2014-01-21 Impact factor: 44.544
Authors: Katianne M Howard Sharp; Victoria W Willard; Yuko Okado; Rachel Tillery; Sarah Barnes; Alanna Long; Sean Phipps Journal: J Pediatr Psychol Date: 2015-05-11
Authors: Cortney Wolfe-Christensen; Larry L Mullins; Terry A Stinnett; Melissa Y Carpentier; David A Fedele Journal: J Clin Psychol Med Settings Date: 2009-12
Authors: T M Brinkman; L Zhu; L K Zeltzer; C J Recklitis; C Kimberg; N Zhang; A C Muriel; M Stovall; D K Srivastava; L L Robison; K R Krull Journal: Br J Cancer Date: 2013-07-23 Impact factor: 7.640