Illness unpredictability and psychosocial adjustment of adolescent and young adults impacted by parental cancer: the mediating role of unmet needs.

Autor: Landi G; Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy. giulia.landi7@unibo.it.; Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023, Cesena, Italy. giulia.landi7@unibo.it., Duzen A; Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy.; Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023, Cesena, Italy., Patterson P; Research, Evaluation and Social Policy, CanTeen Australia, M: GPO Box 3821, Sydney, NSW, 2001, Australia.; Faculty of Medicine and Health, The University of Sydney, Missenden Road, PO Box M30, Sydney, NSW, 2050, Australia., McDonald FEJ; Research, Evaluation and Social Policy, CanTeen Australia, M: GPO Box 3821, Sydney, NSW, 2001, Australia.; Faculty of Medicine and Health, The University of Sydney, Missenden Road, PO Box M30, Sydney, NSW, 2050, Australia., Crocetti E; Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy., Grandi S; Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy.; Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023, Cesena, Italy., Tossani E; Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy.; Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023, Cesena, Italy.
Jazyk: angličtina
Zdroj: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2022 Jan; Vol. 30 (1), pp. 145-155. Date of Electronic Publication: 2021 Jul 09.
DOI: 10.1007/s00520-021-06379-3
Abstrakt: Purpose: Given the large number of adolescents and young adults (AYAs) impacted by parental cancer and the potential for negative psychosocial outcomes in this vulnerable population, this study examined the mediating role of offspring unmet needs with regard to parental cancer and the relation between AYAs psychosocial adjustment and perceived illness unpredictability.
Methods: A total of 113 AYAs (aged 11-24 years) living with a parent diagnosed with cancer completed a questionnaire assessing illness unpredictability, offspring unmet needs, and psychosocial adjustment (i.e., health-related quality of life and internalizing problems).
Results: Higher offspring unmet needs were associated with lower health-related quality of life (r = -0.24**) and higher internalizing problems (r = 0.21*). Offspring unmet needs mediated the relation between illness unpredictability and health-related quality of life (standardized indirect effect = -0.100* [-0.183, -0.018]) but not internalizing problems (standardized indirect effect = 0.067 [-0.015, 0.148]). In particular, higher illness unpredictability was related to higher unmet needs (β = 0.351**) which, in turn, predicted lower health-related quality of life (β = -0.286**).
Conclusion: These findings identify offspring unmet needs and illness unpredictability as implicated in AYAs positive psychosocial adjustment to parental cancer. Given that AYAs are at greater risk of elevated psychosocial difficulties, interventions should target offspring unmet needs and perception of illness unpredictability to mitigate the adverse effects of parental cancer.
(© 2021. The Author(s).)
Databáze: MEDLINE