Abstract:
OBJECTIVE:The goal of this study was to describe coping strategies and their associations with psychological distress in young adult survivors of childhood cancer. METHODS:One hundred and sixty-four childhood cancer survivors, at least 7 years after diagnosis, completed questionnaires assessing demographics, health information, psychological distress, and different ways of coping (return rate: 61%). The Brief Symptom Inventory-18 (BSI-18) and the Post-traumatic Diagnostic Scale's (PDS) eight-item short form were used to measure psychological distress. Coping was assessed with the Cognitive Control Strategies Scale (CCSS), the Illness Perception Questionnaire-Revised (IPQ-R), and the White Bear Suppression Inventory (WBSI). RESULTS:Higher levels of distress were associated with the female sex, not being in a relationship, and with the presence of medical late effects. These predictors explained 12% of the variance in psychological distress. When coping variables were also entered into the equation, the amount of explained variance increased to 50%. The most important determinants of psychological distress in our sample were a tendency to suppress negative thoughts and a low level of optimism. CONCLUSION:These results contribute to a better understanding of the correlates of difficulties in long-term psychological adjustment after childhood cancer. Cognitive strategies, which are associated with or may increase the risk for concurrent psychological distress, in specific, avoidance of negative thoughts and a lack of positive future expectations, should be addressed in psychological counseling with survivors suffering from symptoms of distress.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Wenninger K,Helmes A,Bengel J,Lauten M,Völkel S,Niemeyer CMdoi
10.1002/pon.3073subject
Has Abstractpub_date
2013-04-01 00:00:00pages
854-61issue
4eissn
1057-9249issn
1099-1611journal_volume
22pub_type
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