Investigation of post-traumatic growth with traumatic and psychological effects in children and adolescents diagnosed with cancer

Merve Aktaş Terzioğlu; Tugce Soyleyici Mert; Selin Yakarışık; Hande Şenol

Makale detayları

Investigation of post-traumatic growth with traumatic and psychological effects in children and adolescents diagnosed with cancer

Yazarlar:

Merve Aktaş Terzioğlu | Tugce Soyleyici Mert | Selin Yakarışık | Hande Şenol

Yayıncı:

Pamukkale University

Ana Başlıklar:

Psikiyatri

Dergi:

Pamukkale Tıp Dergisi Vol.16 Issue 1, pp.89-100

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281233

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: The aim of this study was to evaluate and compare traumatic and mental effects and PTG by comparing a patient group in hematological-oncological cancer remission with a healthy control group. Materials and methods: Children and adolescents aged 8-18 years, who were in remission with a diagnosis of childhood cancer, and presented at the Paediatric Hematology Department of Pamukkale Unıversity between 1 September 2021 and 30 April 2022 were included as the study group and a control group was formed of healthy children and adolescents with no history of cancer diagnosis. The Post-Traumatic Growth Inventory PTGI, the Child Revised Impact of Events Scale CRIES-13 and the Revised Child Anxiety and Depression Scale-Child Version RCADS-CV were applied to all the children in both groups. A sociodemographic information form prepared by the researchers, and the Revised Child Anxiety and Depression Scale- Parent Version RCADSPV were applied to parents. Results: Evaluation was made of 27 patients aged 8-18 years with a diagnosis of childhood cancer who were in remission, and a control group of 25 healthy children. No statistically significant difference was determined between the groups in respect of parental ages, family structure, parental educational levels, and mean monthly family income p0.05. In the comparisons of the raw scores of the RCADS-PV between the two groups, RCADS-PV Panic Disorder, Obsessive Compulsive Disorder, and Depression subscale scores were found to be statistically significantly higher in the control group than in the remission group p0.048; p0.045; p0.047. When the CRIES-13 scores of the two groups were compared, no statistically significant difference was found p0.659.When the PTGI scales and subscales of the two groups were compared; while no statistically significant difference was found in the total PTGI score p0.066, the change in life philosophy subscale and the change in relationships with others subscale was found to be statistically significantly higher in the remission group than in the control group p0.038; p0.05.Considering the relationship between CRIES-13 and PTGI scale scores, no statistically significant relationship was found in the remission group. Conclusion: Cancer survivors grow from this negative experience, become stronger and survive with positive gains; they can adjust their expectations from themselves, the world and their future. Considering the current prevalence of cancer and increasing survival rates with treatments, new multicenter studies with larger samples are needed on this subject.

 Purpose: The aim of this study was to evaluate and compare traumatic and mental effects and PTG by comparing a patient group in hematological-oncological cancer remission with a healthy control group. Materials and methods: Children and adolescents aged 8-18 years, who were in remission with a diagnosis of childhood cancer, and presented at the Paediatric Hematology Department of Pamukkale Unıversity between 1 September 2021 and 30 April 2022 were included as the study group and a control group was formed of healthy children and adolescents with no history of cancer diagnosis. The Post-Traumatic Growth Inventory PTGI, the Child Revised Impact of Events Scale CRIES-13 and the Revised Child Anxiety and Depression Scale-Child Version RCADS-CV were applied to all the children in both groups. A sociodemographic information form prepared by the researchers, and the Revised Child Anxiety and Depression Scale- Parent Version RCADSPV were applied to parents. Results: Evaluation was made of 27 patients aged 8-18 years with a diagnosis of childhood cancer who were in remission, and a control group of 25 healthy children. No statistically significant difference was determined between the groups in respect of parental ages, family structure, parental educational levels, and mean monthly family income p0.05. In the comparisons of the raw scores of the RCADS-PV between the two groups, RCADS-PV Panic Disorder, Obsessive Compulsive Disorder, and Depression subscale scores were found to be statistically significantly higher in the control group than in the remission group p0.048; p0.045; p0.047. When the CRIES-13 scores of the two groups were compared, no statistically significant difference was found p0.659.When the PTGI scales and subscales of the two groups were compared; while no statistically significant difference was found in the total PTGI score p0.066, the change in life philosophy subscale and the change in relationships with others subscale was found to be statistically significantly higher in the remission group than in the control group p0.038; p0.05.Considering the relationship between CRIES-13 and PTGI scale scores, no statistically significant relationship was found in the remission group. Conclusion: Cancer survivors grow from this negative experience, become stronger and survive with positive gains; they can adjust their expectations from themselves, the world and their future. Considering the current prevalence of cancer and increasing survival rates with treatments, new multicenter studies with larger samples are needed on this subject.

 Purpose: The aim of this study was to evaluate and compare traumatic and mental effects and PTG by comparing a patient group in hematological-oncological cancer remission with a healthy control group. Materials and methods: Children and adolescents aged 8-18 years, who were in remission with a diagnosis of childhood cancer, and presented at the Paediatric Hematology Department of Pamukkale Unıversity between 1 September 2021 and 30 April 2022 were included as the study group and a control group was formed of healthy children and adolescents with no history of cancer diagnosis. The Post-Traumatic Growth Inventory PTGI, the Child Revised Impact of Events Scale CRIES-13 and the Revised Child Anxiety and Depression Scale-Child Version RCADS-CV were applied to all the children in both groups. A sociodemographic information form prepared by the researchers, and the Revised Child Anxiety and Depression Scale- Parent Version RCADSPV were applied to parents. Results: Evaluation was made of 27 patients aged 8-18 years with a diagnosis of childhood cancer who were in remission, and a control group of 25 healthy children. No statistically significant difference was determined between the groups in respect of parental ages, family structure, parental educational levels, and mean monthly family income p0.05. In the comparisons of the raw scores of the RCADS-PV between the two groups, RCADS-PV Panic Disorder, Obsessive Compulsive Disorder, and Depression subscale scores were found to be statistically significantly higher in the control group than in the remission group p0.048; p0.045; p0.047. When the CRIES-13 scores of the two groups were compared, no statistically significant difference was found p0.659.When the PTGI scales and subscales of the two groups were compared; while no statistically significant difference was found in the total PTGI score p0.066, the change in life philosophy subscale and the change in relationships with others subscale was found to be statistically significantly higher in the remission group than in the control group p0.038; p0.05.Considering the relationship between CRIES-13 and PTGI scale scores, no statistically significant relationship was found in the remission group. Conclusion: Cancer survivors grow from this negative experience, become stronger and survive with positive gains; they can adjust their expectations from themselves, the world and their future. Considering the current prevalence of cancer and increasing survival rates with treatments, new multicenter studies with larger samples are needed on this subject.

 Amaç: Hematoloji-onkoloji kanser remisyonunda olan hasta grubu ve sağlıklı kontrol grubunun karşılaştırarak travmatik ve ruhsal etkilenmelerini ve post travmatik büyümelerini değerlendirmek ve karşılaştırmak amaçlanmıştır. Gereç ve yöntem: 01 Eylül 2021-30 Nisan 2022 tarihleri arasında Pamukkale Üniversitesi Çocuk Hematolojisi Anabilim Dalına başvuran ve çalışmaya katılmayı kabul eden çocukluk çağı kanser tanısı remisyonda olan 8-18 yaş arası çocuk ve ergenler ile daha önce çocukluk çağı kanser tanısı almamış sağlıklı kontrol grubu çocuk ve ergenler ile çalışma tamamlanmıştır. Çocuk ve ergenlere Travma Sonrası Büyüme Envanteri PTGI, Revize Edilmiş Çocuk Olayın Etkisi Ölçeği -13 CRIES-13, Çocuklarda Anksiyete ve Depresyon Ölçeği-YenilenmişÇocuk Formu ÇADÖ-Y-ÇF ölçekleri uygulanmıştır. Ebeveynlere de Sosyodemografik form ve Çocuklarda Anksiyete ve Depresyon Ölçeği-Yenilenmiş-Ebeveyn Formu ÇADÖ-Y-EF uygulanmıştır. Bulgular: Çalışmaya 8-18 yaş arası, 27 çocukluk çağı kanser tanısı remisyonda olan hasta ve 25 sağlıklı kontrol katılmıştır. İki grup arasında anne baba yaşı, aile yapısı, anne ve babanın öğrenim durumu ve ortalama aylık gelir dağılımında istatistiksel olarak anlamlı düzeyde bir farklılık saptanmamıştır p0,05. ÇADÖ-Y-EF Panik Bozukluk, Obsesif Kompulsif Bozukluk, Depresyon alt ölçek skorları kontrol grubunda remisyon grubuna göre istatistiksel olarak anlamlı düzeyde yüksek saptanmıştır p0,048; p0,045; p0,047. İki grubun CRIES-13 puanları karşılaştırıldığında istatistiksel olarak anlamlı farklılık bulunmamıştır p0,659. İki grubun PTGI ölçek ve alt ölçekleri karşılaştırıldığında; total PTGI puanında istatistiksel olarak anlamlı farklılık saptanmazken p0,066, PTGI ölçeğinin Yaşam Felsefesinde Değişim ve Başkalarıyla İlişkilerde Değişim alt ölçek ortalaması hasta grubunda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde yüksek saptanmıştır p0,038; p0,05. CRIES-13 ve PTGI ölçek puanları arasındaki ilişkiye bakıldığında, remisyon grubunda istatistiksel olarak anlamlı ilişki bulunmamıştır. Sonuç: Kanseri yenenler bu olumsuz deneyimden büyüyerek, güçlenerek ve olumlu kazanımlarla sağ çıkarak; kendilerinden, dünyadan ve geleceklerinden beklentilerini ayarlayabilmektedir. Günümüzdeki kanser prevalansı ve tedavilerle artan sağkalım oranları göz önüne alındığında bu konuda yapılacak çok merkezli ve daha büyük örneklemli yeni çalışmalara ihtiyaç vardır.

Makale detayları

Investigation of post-traumatic growth with traumatic and psychological effects in children and adolescents diagnosed with cancer

Yazarlar:

Merve Aktaş Terzioğlu | Tugce Soyleyici Mert | Selin Yakarışık | Hande Şenol

Yayıncı:

Pamukkale University

Ana Başlıklar:

Psikiyatri

Dergi:

Pamukkale Tıp Dergisi Vol.16 Issue 1, pp.89-100

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281233

pISSN:

1308-0865

post-traumatic growth

trauma

cancer

child

adolescent

Travma sonrası büyüme

travma

kanser

çocuk

ergen

Sayı

Makale detayları

Yazarlar: Merve Aktaş Terzioğlu | Tugce Soyleyici Mert | Selin Yakarışık | Hande Şenol

Yayıncı: Pamukkale University

Ana Başlıklar: Psikiyatri

Dergi: Pamukkale Tıp Dergisi Vol.16 Issue 1, pp.89-100

Belge Tipi: Makale

Yayın Tarihi: 1/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001281233

pISSN: 1308-0865

Sayı

Yazarlar:

Merve Aktaş Terzioğlu | Tugce Soyleyici Mert | Selin Yakarışık | Hande Şenol

Yayıncı:

Pamukkale University

Ana Başlıklar:

Psikiyatri

Dergi:

Pamukkale Tıp Dergisi Vol.16 Issue 1, pp.89-100

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281233

pISSN:

1308-0865