Abstract
This study aims to determine the difference in post-traumatic growth (PTG) and resilience scores of adolescent and young adult (AYA) cancer survivors according to their age, gender, and treatment duration, and also the relationship between PTG and resilience. This analytical cross-sectional study was conducted in the pediatric hematology and oncology polyclinic of a university hospital. The study consisted of 78 AYAs in the 12–25 age group whose cancer treatment had been completed. AYA survivors were requested to complete the Post-Traumatic Growth Inventory (PTGI), the Child and Youth Resilience Measure-28 (CYRM-28) and the demographic questionnaire. Pearson correlation and regression analysis were used to determine the relationship between PTG and resilience. 69.2% of the AYAs participating in the study were 16–25 years old, 60.3% were male, and 55.1% had high school education. Leukemias (39.7%), lymphomas (33.3%) and solid tumors (10.3%) were found to be the top three diagnoses of AYAs. It was found that 46.3% of the AYAs had received chemotherapy and radiotherapy and 67.9% had been treated for more than 1 year. The mean scale scores of AYAs were 85.83 ± 14.71 for PTGI and 123.03 ± 10.72 for CYRM-28. A high level of positive correlation was found between PTGI mean scores and CYRM-28 mean scores. It was determined that the PTGI score of AYAs increased as their CYRM-28 score increased.
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The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
References
Arslan, G. (2015). Resilience in adolescents: The role of individual protective factors. Turkish Psychological Counseling and Guidance Journal, 5(44), 73–82.
Barakat, L. P., Alderfer, M. A., & Kazak, A. E. (2006). Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers. Journal Of Pediatric Psychology, 31(4), 413–419. https://doi.org/10.1093/jpepsy/jsj058
Barakat, L. P., Galtieri, L. R., Szalda, D., & Schwartz, L. A. (2016). Assessing the psychosocial needs and program preferences of adolescents and young adults with cancer. Supportive Care In Cancer, 24(2), 823–832. https://doi.org/10.1007/s00520-015-2849-8
Brand, S., Wolfe, J., & Samsel, C. (2017). The impact of cancer and its treatment on the growth and development of the pediatric patient. Curr Pediatr Rev, 13(1), 24–33. https://doi.org/10.2174/1573396313666161116094916
Calhoun, L. G., & Tedeschi, R. G. (2006a). The foundations of posttraumatic growth: An expanded framework. In L. G. Calhoun, & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (1st ed., pp. 3–23). Routledge.
Calhoun, L. G., & Tedeschi, R. G. (2006b). Expert companions: Posttraumatic growth in clinical practice. In L. G. Calhoun, & R. G. Tedeschi (Eds.), Handbook of Posttraumatic Growth Research and Practice (1st ed., pp. 291–310). Routledge.
Cameron, N., Ross, K., Baken, D., & Bimler, D. (2021). The psychosocial interactions of adolescent and young adult cancer survivors and the possible relationship with their development. Cancer Nursing, 44(1), E23–E33. https://doi.org/10.1097/NCC.0000000000000732
Chen, C. M., Chen, Y. C., & Wong, T. T. (2013). Comparison of resilience in adolescent survivors of brain tumors and healthy adolescents. Cancer Nursing, 37(5), 373–381. https://doi.org/10.1097/ncc.0000000000000094
Davydov, D. M., Stewart, R., Ritchie, K., & Chaudieu, I. (2010). Resilience and mental health. Clinical Psychology Review, 30, 479–495. https://doi.org/10.1016/j.cpr.2010. 03.003
Ferrari, A., Stark, D., Peccatori, F. A., Fern, L., Laurence, V., Gaspar, N., Bozovic-Spasojevic, I., Smith, O., De Munter, J., Derwich, K., Hjorth, L., van der Graaf, W. T. A., Soanes, L., Jezdic, S., Blondeel, A., Bielack, S., Douillard, J. -Y., Mounzios, G., Saloustros, E. (2021). Adolescents and young adults (AYA) with cancer: a position paper from the AYA Working Group of the European Society for Medical Oncology (ESMO) and the European Society for Paediatric Oncology (SIOPE). ESMO Open, 6(2), 100096. https://doi.org/10.1016/j.esmoop.2021.100096
Gartland, D., Riggs, E., Muyeen, S., Giallo, R., Afifi, T. O., MacMillan, H., Herrman, H., Bulford, E., & Brown, S. J. (2019). What factors are associated with resilient outcomes in children exposed to social adversity? A systematic review. British Medical Journal Open, 9(4), e024870. https://doi.org/10.1136/bmjopen-2018-024870
Gouzman, J., Cohen, M., Ben-Zur, H., Shacham-Shmueli, E., Aderka, D., Siegelmann-Danieli, N., & Beny, A. (2015). Resilience and psychosocial adjustment in digestive system cancer. Journal Of Clinical Psychology In Medical Settings, 22(1), 1–13. https://doi.org/10.1007/s10880-015-9416-9
Greup, S. R., Kaal, S. E. J., Jansen, R., Manten-Horst, E., Thong, M. S. Y., van der Graaf, W. T. A., Prins, J. B., & Husson, O. (2018). Post-traumatic growth and resilience in adolescent and young adult cancer patients: An overview. J Adolesc Young Adult Oncol, 7(1), 1–14. https://doi.org/10.1089/jayao.2017.0040
Gunst, D. C. M., Kaatsch, P., & Goldbeck, L. (2016). Seeing the good in the bad: which factors are associated with posttraumatic growth in long-term survivors of adolescent cancer? Supportive Care In Cancer, 24(11), 4607–4615. https://doi.org/10.1007/s00520-016-3303-2
Haase, J. E., & Phillips, C. R. (2004). The adolescent/young adult experience. J Pediatr Oncol Nur, 21(3), 145–149. https://doi.org/10.1177/1043454204264385
Haase, J. E., Robb, S. L., Kintner, E. K., Monahan, P. O., & Robb, S. L. (2014). The resilience in illness model, part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nursing, 37(3), E1–E12. https://doi.org/10.1097/NCC.0b013e31828941bb
Harper, R., Hermann, H., Waite, W., & Loschert, K. (2018). Science of adolescent learning: How body and brain development affect student learning. Washington, DC: Alliance for Excellent Education.
Hyun, H. S., Kim, M. J., & Lee, J. H. (2021). Factors associated with post-traumatic growth among healthcare workers who experienced the outbreak of MERS virus in South Korea: A mixed-method study. Frontiers In Psychology, 12, 1228. https://doi.org/10.3389/fpsyg.2021.541510
Jin, Z., Griffith, M. A., & Rosenthal, A. C. (2021). Identifying and meeting the needs of adolescents and young adults with cancer. Current Oncology Reports, 23, 17. https://doi.org/10.1007/s11912-020-01011-9
Kağan, M., Güleç, M., Boysan, M., & Çavuş, H. (2012). Hierarchical factor structure of the turkish version of the posttraumatic growth inventory in a normal population. TAF Prev Med Bull, 11(5), 617–624.
Klosky, J. L., Krull, K. R., Kawashima, T., Leisenring, W., Randolph, M. E., Zebrack, B., Stuber, M. L., Robison, L. L., & Phipps, S. (2014). Relations between posttraumatic stress and posttraumatic growth in long-term survivors of childhood cancer: A report from the childhood cancer survivor study. Health Psychology, 33(8), 878–882. https://doi.org/10.1037/hea0000076
Liebenberg, L., Ungar, M., & Van de Vijver, F. (2012). Validation of the child and youth resilience measure-28 (CYRM-28) among Canadian Youth. Res Soc Work Pract, 22(2), 219–226. https://doi.org/10.1177/1049731511428619
Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal Of Traumatic Stress, 17(1), 11–21. https://doi.org/10.1023/B:JOTS.0000014671.27856.7e
Love, C., & Sabiston, C. M. (2011). Exploring the links between physical activity and posttraumatic growth in young adult cancer survivors. Psychooncology, 20(3), 278–286. https://doi.org/10.1002/pon.1733
Monteiro, S., Torres, A., Morgadinho, R., & Pereira, A. (2013). Psychosocial outcomes in young adults with cancer: emotional distress, quality of life and personal growth. Archives Of Psychiatric Nursing, 27, 299–305. https://doi.org/10.1016/j.apnu.2013.08.003
Ogińska-Bulik, N. (2015). The relationship between resiliency and posttraumatic growth following the death of someone close. Omega (Westport), 71(3), 233–244. https://doi.org/10.1177/0030222815575502
Popa-Velea, O., Diaconescu, L., Jidveian Popescu, M., & Truţescu, C. (2017). Resilience and active coping style: Effects on the self-reported quality of life in cancer patients. The Intl J Psychiatry Med, 52(2), 124–136. https://doi.org/10.1177/0091217417720895
Robb, S. L., Burns, D. S., Stegenga, K. A., Haut, P. R., Monahan, P. O., Meza, J., & Haase, E. J. (2014). Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: A report from the children’s oncology group. Cancer, 120(6), 909–917. https://doi.org/10.1002/cncr.28355
Rosenberg, A. R., Yi-Frazier, J. P., Wharton, C., Gordon, K., & Jones, B. (2014). Contributors and inhibitors of resilience among adolescents and young adults with cancer. J Adolesc Young Adult Oncol, 3(4), 185–193. https://doi.org/10.1089/jayao.2014.0033
Salsman, J. M., Garcia, S. F., Yanez, B., Sanford, S. D., Snyder, M. A., & Victorson, D. (2014). Physical, emotional, and social health differences between posttreatment young adults with cancer and matched healthy controls. Cancer, 120, 2247–2254. https://doi.org/10.1002/cncr.28739
Seiler, A., & Jenewein, J. (2019). Resilience in cancer patients. Frontiers In Psychiatry, 10, 208. https://doi.org/10.3389/fpsyt.2019.00208
Sisto, A., Vicinanza, F., Campanozzi, L. L., Ricci, G., Tartaglini, D., & Tambone, V. (2019). Towards a transversal definition of psychological resilience: a literature review. Medicina, 55(11), 745. https://doi.org/10.3390/medicina55110745
Siqveland, J., Nygaard, E., Hussain, A., Tedeschi, R. G., & Heir, T. (2015). Posttraumatic growth, depression and posttraumatic stress in relation to quality of life in tsunami survivors: a longitudinal study. Health And Quality Of Life Outcomes, 13, 18. https://doi.org/10.1186/s12955-014-0202-4
Smorti, M. (2012). Adolescents’ struggle against bone cancer: an explorative study on optimistic expectations of the future, resiliency and coping strategies. Eur J Cancer Care (Engl), 21(2), 251–258. https://doi.org/10.1111/j.1365-2354.2011.01271.x
Tedeschi, R., & Calhoun, L. (1996). The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. Journal Of Traumatic Stress, 9(3), 455–471. https://doi.org/10.1007/BF02103658
Tedeschi, R. G., Calhoun, L. G., & Cann, A. (2007). Evaluating resource gain: Understanding and misunderstanding posttraumatic growth. Applied Psychology, 56, 396–406.
Westphal, M., & Bonanno, G. A. (2007). Posttraumatic growth and resilience to trauma: Different sides of the same coin or different coins? Applied Psychology, 56, 417–427.
Teixeira, R. J., & Pereira, M. G. (2013). Factors contributing to posttraumatic growth and its buffering effect in adult children of cancer patients undergoing treatment. Journal Of Psychosocial Oncology, 31, 235–265. https://doi.org/10.1080/07347332.2013.778932
Üzar-Özçetin, Y. S., & Hiçdurmaz, D. (2019). Effects of an empowerment program on resilience and posttraumatic growth levels of cancer survivors: A randomized controlled feasibility trial. Cancer Nursing, 42(6), E1–E13. https://doi.org/10.1097/NCC.0000000000000644
Walker, A. J., & Lewis, F. M. (2016). Adolescent and young adult cancer survivorship: A systematic review of end-of-treatment and early post-treatment. Nurs Palliat Care, 1(1), 1–6. https://doi.org/10.15761/.1000101
Weiss, T. (2002). Posttraumatic growth in women with breast cancer and their husbands: An intersubjective validation study. Journal Of Psychosocial Oncology, 20(2), 65–80. https://doi.org/10.1300/J077v20n02_04
Wu, W. W., Tsai, S. Y., Liang, S. Y., Liu, C. Y., Jou, S. T., & Berry, D. L. (2015). The mediating role of resilience on quality of life and cancer symptom distress in adolescent patients with cancer. Journal Of Pediatric Oncology Nursing, 32(5), 304–313. https://doi.org/10.1177/1043454214563758
Yi, J., Zebrack, B., Kim, M. A., & Cousino, M. (2015). Posttraumatic growth outcomes and their correlates among young adult survivors of childhood cancer. Journal Of Pediatric Psychology, 40, 981–991. https://doi.org/10.1093/jpepsy/jsv075
Yi, J., & Kim, M. A. (2014). Postcancer experiences of childhood cancer survivors: how is posttraumatic stress related to posttraumatic growth? Journal Of Traumatic Stress, 27(4), 461–467. https://doi.org/10.1002/jts.21941
Zebrack, B. J. (2011). Psychological, social, and behavioral issues for young adults with cancer. Cancer, 117(10), 2289–2294. https://doi.org/10.1002/cncr.26056
Zebrack, B., Kwak, M., Salsman, J., Cousino, M., Meeske, K., Aguilar, C., Embry, L., & Cole, S. (2015). The relationship between posttraumatic stress and posttraumatic growth among adolescent and young adult (AYA) cancer patients. Psychooncology, 24(2), 162–168. https://doi.org/10.1002/pon.3585
Zhai, J., Newton, J., & Copnell, B. (2019). Posttraumatic growth experiences and its contextual factors in women with breast cancer: an integrative review. Health Care For Women International, 40, 554–580. https://doi.org/10.1080/07399332.2019.1578360
Acknowledgements
We would like to thank all the participants who participated in our study and Akdeniz University Scientific Research Projects Coordination Unit for their support by providing resources.
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This study was supported by The Scientific Research Projects Coordination Unit of Akdeniz University. Project Number: TSA-2018-3478.
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All Authors contributed to the study conception and design. Data collection by Birsen Say, material preparation by Sevcan Atay Turan, Süreyya Sarvan, and analysis were performed by Arzu Akcan. The first draft of the manuscript was written by Sevcan Atay Turan and Elif Güler reviewed the manuscript. All authors read and approved the final manuscript.
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Atay Turan, S., Sarvan, S., Akcan, A. et al. Adolescent and young adult survivors of cancer: relationship between resilience and post-traumatic growth. Curr Psychol 42, 25870–25879 (2023). https://doi.org/10.1007/s12144-022-03649-z
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DOI: https://doi.org/10.1007/s12144-022-03649-z