Abstract
The paper describes major areas of concern and preferred coping mechanisms among 17 young survivors of childhood cancer who participated in an 8-day adventure jeep trip in Greece. The paper also deals with various aspects of "adventure therapeutic activity." The participants were videotaped and interviewed during and after the trip. The data gathered were studied through a process of content analysis. Survivors' main areas of concern included: coping with uncertainty, dependency versus autonomy, social exclusion, separation processes, body image, intimacy, sexuality and fertility, and occupation. Preferred coping styles included use of humor, religious beliefs, cognitive reframing, and use of imagination. The trip provided the young adults with an opportunity for physical challenges, and they reported improvements in self-confidence, independence, and social contacts. The trip served as a catalyst for further group activities and group support. An adventure trip seems to be a suitable therapeutic milieu for young adult cancer survivors, where they can profit from a nurturing setting in which rehabilitation-promoting resources are available. It still remains to be seen which components of such an activity are more health promoting, what contraindications there could be, if any, for participation in such a trip, and what role health professionals should play in this kind of activity.
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Notes
In Israel, military service is considered to be part of the normative course of life for young persons of both sexes.
References
Ayalon O, Flescher A (1988) Chain reaction: children and divorce (in Hebrew). Sifriat Hpoalim, Tel Aviv
Bacci G, Lari S (2001) Current treatment of high grade osteosarcoma of the extremity. J Chemother 13:235–243
Baruchel S, Bilodeau M (2000) On the tip of the toes: therapeutic adventure program for teenagers with cancer. Second International Adventure Therapy Conference, Augsburg, Germany, 20–24 March 2000
Byrne J, Fears TR, Steinhorn SC (1989) Marriage and divorce after childhood and adolescent cancer. JAMA 262:2693–2699
Cason DJ, Gillis HL (1994) A meta-analysis of outdoor adventure programming with adolescents. J Exp Educ 17:40–47
Chang PH, Nesbit ME, Youngren N, Robison LL (1987) Personality characteristics and psychosocial adjustment of long term survivors of childhood cancer. Psychosoc Oncol 5:43–58
Evans SE, Radford M (1995) Current lifestyle of young adults treated for cancer in childhood. Arch Dis Child 72:423–426
Fritz GK, Williams JR, Amylon M (1988) After treatment ends: psychosocial sequelae in pediatric cancer survivors. Am J Orthopsychiatry 58:552–561
Gillis HL (1995) If I conduct outdoor pursuits with clinical population, am I an adventure therapist? J Leisurability 22: (www.lin.ca/resource/html/Vol22/v22n2a2.htm)
Gray RE, Doan BD, Shermer P, Fitzgerald VA, Berry MP, Jenkin D, Doherty MA (1992) Psychologic adaptation of survivors of childhood cancer. Cancer 70:2713–2721
Hicks MD, Lavender R (2001) Psychosocial practice trends in pediatric oncology. J Pediatr Oncol 18:143–153
Hollen PJ, Hobbie WL (1995) Establishing comprehensive specialty follow up clinics for long-term survivors of cancer. Support Care Cancer 3:40–44
Kazak AE, Meadows AT (1989) Families of young adolescents who have survived cancer: Social-emotional adjustment, adaptability and social support. J Pediatr Psychol 14:175–191
Kazak AE, Simms S, Barakat L, Hobbie W, Foley B, Golomb V, Best M (1999) Surviving cancer competently intervention program (SCCIP): a cognitive behavioral and family therapy intervention for adolescent survivors of childhood cancer and their families. Fam Process 38: 175–191
Keene N, Hobbie W, Ruccione K (2000) Childhood cancer survivors. A practical guide to your future. O'Reilly and Associates, Sebastopol Calif
Koocher GP, O'Malley JE, Foster DJ (1981) The special problems of survivors. In: Koocher GP, O'Malley JE (eds) The Damocles syndrome. McGraw Hill, New York, pp 112–129
Lansky SB, List MA, Ritter-Sterr C (1986) Psychosocial consequences of cure. Cancer 58:529–533
Maclean WE Jr, Foley GV, Ruccione K, Sklar C (1996) Transitions in the care of adolescents and young adults survivors of childhood cancer. Cancer 78:1340–1344
Maughan B, Champion L (1989) Risk and protective factors in the transition of young adulthood. In: Baltes PB, Baltes MM (eds) Successful aging: perspective from the behavioral sciences. Cambridge University Press, New York
Meadows AT, McKee L, Kazak AE (1989) Psychosocial status of young adult survivors of childhood cancer. A survey. Med Pediatr Oncol 17:466–470
Parker SL, Tong T, Bolden S, Wingo PA (1996) Cancer statistics. Cancer J Clin 46:5–27
Pendley JS, Dahlquist LM, Dreyer Z (1997) Body image and psychosocial adjustment in adolescent cancer survivors. J Pediatr Psychol 22:29–43
Rauck AM, Green DH, Yasui Y, Mertens A, Robison LL (1999) Marriage in the survivors of childhood cancer: a preliminary description from the childhood cancer survivor study. Med Pediatr Oncol 33:60–63
Roberts CS, Piper L, Denny J, Cuddeback G (1997) A support group intervention to facilitate young adults' adjustment to cancer. Health Soc Work 22:133–141
Rourke MT, Stuber ML, Hobbie, WL, Kozak AE (1999) Post traumatic stress disorder: understanding the psychosocial impact of survivors childhood cancer into young adulthood. J Pediatr Oncol Nurs 116:26–135
Schover LR (1999) Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review. Med Pediatr Oncol 33:53–59
Schwartz CE, Feinberg RG, Jilinskaia E, Applegate JC (1999) An evaluation of a psychosocial intervention for survivors of childhood cancer: paradoxical effects of response shift over time. Psychooncology 8:344–354
Terry T (1995) Universal adventure programming: Opening our programs to people with physical disabilities. J Leisurability 22: (www.lin.ca/resource/html/Vol22/v22n2a3.htm)
Teta MJ, Del Po MC, Kasl SV, Meigs JW, Meyers MH, Mulvihill JJ (1986) Psychosocial consequences of childhood and adolescent cancer survival. J Chron Dis 39:751–759
Zelzer LK (1993) Cancer in adolescents and young adults, psychosocial aspects. Cancer 71:3463–3468
Acknowledgements.
We are grateful to Mrs. M. Ziv of the Israeli Cancer Association for the support, to Mr. O. Gamlieli, who was the manager of the project and led it to its successful end, and to Mr. T. Goder for filming and producing the video-tape.
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Elad, P., Yagil, Y., Cohen, L. et al. A jeep trip with young adult cancer survivors. Support Care Cancer 11, 201–206 (2003). https://doi.org/10.1007/s00520-002-0426-4
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DOI: https://doi.org/10.1007/s00520-002-0426-4