Illness unpredictability and psychosocial adjustment of adolescent and young adults impacted by parental cancer: the mediating role of unmet needs
| Autor: | Elisabetta Crocetti, Aylin Duzen, Eliana Tossani, Silvana Grandi, Fiona E. J. McDonald, Pandora Patterson, Giulia Landi |
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| Přispěvatelé: | Landi, Giulia, Duzen, Aylin, Patterson, Pandora, McDonald, Fiona E. J., Crocetti, Elisabetta, Grandi, Silvana, Tossani, Eliana |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Parents
Parental cancer Adolescent Offspring Offspring unmet needs Health-related quality of life Psychological intervention 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life (healthcare) Neoplasms Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Young adult Adverse effect Health Services Needs and Demand business.industry Nursing research Adolescents and young adults · Health-related quality of life · Illness unpredictability · Internalizing problems · Ofspring unmet needs · Parental cancer Illness unpredictability Internalizing problems Adolescents and young adults Oncology 030220 oncology & carcinogenesis Quality of Life Original Article business Psychosocial Clinical psychology |
| Zdroj: | Supportive Care in Cancer |
| ISSN: | 1433-7339 0941-4355 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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