Predicting social withdrawal, anxiety and depression symptoms in pediatric brain tumor survivors
| Autor: | Laura Janzen, Fiona Schulte, Leandra Desjardins, Joanna Chung, Maru Barrera, Ute Bartels, Danielle Cataudella, Andrea Downie |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Social adjustment Social withdrawal Adolescent Anxiety 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Cancer Survivors Survivorship curve Medicine Humans Child Applied Psychology Depression (differential diagnoses) 030504 nursing business.industry Brain Neoplasms Depression Psychological distress Psychiatry and Mental health Oncology Social Isolation 030220 oncology & carcinogenesis Pediatric Brain Tumor Female medicine.symptom 0305 other medical science business Clinical psychology Follow-Up Studies |
| Zdroj: | Journal of psychosocial oncology. 37(1) |
| ISSN: | 1540-7586 |
| Popis: | Pediatric brain tumor survivors (PBTSs) are at risk for impairments in social adjustment and psychological distress. This study investigated longitudinal associations between symptoms of social withdrawal and anxiety/depression in PBTS, as well as medical, demographic, and personal characteristics that may also influence reports of social withdrawal and anxiety/depression.About 91 PBTS (51% male, mean age 11.21 years, off-treatment) participated. At baseline and 8 months follow-up, primary caregivers of PBTS completed measures of social withdrawal, anxiety, and depression symptoms. Medical information (e.g. tumor type and location, cranial irradiation therapy) and child personal characteristics (e.g. child's age and gender, executive function, social skills) were obtained at baseline.Baseline reports of depression symptoms and social skills predicted social withdrawal 8 months later. Social withdrawal at baseline predicted greater combined anxiety and depression symptoms 8 months later. Depression alone predicted greater anxiety symptoms at follow-up. Anxiety symptoms and poor global executive functioning predicted greater depression symptoms at follow-up.The social adjustment and psychological distress of PBTSs are interrelated and can influence each other across time. These findings support the importance of multifaceted interventions targeting both psychological distress and social adjustment, in order to support the optimal psychosocial adjustment of PBTSs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|