Skip to main content

Resilience in Pediatric Oncology

Part of the Pediatric Oncology book series (PEDIATRICO)

Abstract

The focus on precision health in healthcare fits well with the recent shift from a traditional illness-focused model to a positive health approach. Precision health seeks to tailor treatment and supportive care to characteristics of individual patients in order to attain the best clinical outcome for that person. In order to achieve increasingly positive outcomes, it is helpful to understand why some patients and families thrive despite adversity, while others struggle. Therefore, resilience is receiving increased attention in research and clinical care. The science and understanding of resilience specifically in pediatric oncology is emerging with research efforts aimed at understanding and intervening with patients and families to promote health in the face of illness. Challenges remain, including the need for a single, agreed upon definition of resilience among healthcare professionals.

Keywords

  • Resilience
  • Positive health
  • Strengths-based approach
  • Precision health

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-25804-7_4
  • Chapter length: 15 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   84.99
Price excludes VAT (USA)
  • ISBN: 978-3-030-25804-7
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   109.99
Price excludes VAT (USA)
Hardcover Book
USD   149.99
Price excludes VAT (USA)
Fig. 4.1
Fig. 4.2

References

  1. Galli SJ. Toward precision medicine and health: opportunities and challenges in allergic diseases. J Allergy Clin Immunol. 2016;137(5):1289–300. https://doi.org/10.1016/j.jaci.2016.03.006.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  2. Singer B, Ryff CD. New horizons in health: an integrative approach. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  3. Founds S. Systems biology for nursing in the era of big data and precision health. Nurs Outlook. 2018;66:283–92.

    CrossRef  PubMed  Google Scholar 

  4. Haase JE, Phillips CR. Resilience. In: Peterson SJ, Bredow TS, editors. Middle range theories: application to nursing research and practice. 5th ed. Philadelphia: Wolters Kluwer; 2013.

    Google Scholar 

  5. Haase JE, Kintner EK, Robb SL, et al. The resilience in illness model part 2: confirmatory evaluation in adolescents and young adults with cancer. Cancer Nurs. 2017;40(6):454–63. https://doi.org/10.1097/NCC.0000000000000450.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  6. Haase JE, Heiney SP, Ruccione KS, Stutzer C. Research triangulation to derive meaning-based quality-of-life theory: adolescent resilience model and instrument development. Int J Cancer. 1999;83(S12):125–31.

    CrossRef  Google Scholar 

  7. Haase JE. The adolescent resilience model as a guide to interventions. J Pediatr Oncol Nurs. 2004;21:289–99. https://doi.org/10.1016/S0197-2456(97)00024-X.

    CrossRef  PubMed  Google Scholar 

  8. Landier W, Leonard M, Ruccione KS. Children’s oncology Group’s 2013 blueprint for research: nursing discipline. Pediatr Blood Cancer. 2013;60(6):1031–6.

    CrossRef  PubMed  Google Scholar 

  9. Wright MOD, Masten AS, Narayan AJ. Resilience processes in development: four waves of research on positive adaptation in the context of adversity. In: Goldstein S, Brooks RB, editors. Handbook of resilience in children. Boston: Springer; 2013. p. 15–37.

    CrossRef  Google Scholar 

  10. Rutter M. Resilience in the face of adversity: protective factors and resistance to psychiatric disorders. Br J Psychiatry. 1985;147:598–611.

    CrossRef  CAS  PubMed  Google Scholar 

  11. Rutter M. Psychosocial resilience and protective mechanisms. Am J Orthopsychiatry. 1987;57:316–31.

    CrossRef  PubMed  Google Scholar 

  12. Mullins LL, Molzon ES, Suorsa KI, Tackett AP, Pai ALH, Chaney JM. Models of resilience: developing psychosocial interventions for parents of children with chronic health conditions. Fam Relat. 2015;64(1):176–89. https://doi.org/10.1111/fare.12104.

    CrossRef  Google Scholar 

  13. Masten AS. Ordinary magic: resilience in development. New York: The Guilford Press; 2014.

    Google Scholar 

  14. Rutter M. Resilience concepts and findings: implications for family therapy. J Fam Ther. 1999;21(2):119–44.

    CrossRef  Google Scholar 

  15. Winders SJ. From extraordinary invulnerability to ordinary magic: a literature review of resilience. J Eur Psychol Stud. 2014;5(1):3–9. https://doi.org/10.5334/jeps.bk.

    CrossRef  Google Scholar 

  16. Ungar M, Ghazinour M, Richter J. Annual research review: what is resilience within the social ecology of human development? J Child Psychol Psychiatry. 2013;54(4):348–66.

    CrossRef  PubMed  Google Scholar 

  17. Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011;9:8.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  18. Haase JE, Kintner EK, Monahan PO, Robb SL. The resilience in illness model, part 1: exploratory evaluation in adolescents and young adults with cancer. Cancer Nurs. 2014;37(3):E1–E12.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  19. Haase JE. Components of courage in chronically ill adolescents: a phenomenological study. Adv Nurs Sci. 1987;9(2):64–80.

    CrossRef  CAS  Google Scholar 

  20. Haase JE, Britt T, Coward DD, Leidy NK, Penn PE. Simultaneous concept analysis of spiritual perspective, hope, acceptance and self-transcendence. J Nurs Scholarsh. 1992;24(2):141–7.

    CrossRef  CAS  Google Scholar 

  21. Haase JE, Phillips CR. The adolescent/young adult experience. J Pediatr Oncol Nurs. 2004;21(3):145–9.

    CrossRef  PubMed  Google Scholar 

  22. Howard Sharp KM, Willard VW, Okado Y, et al. Profiles of connectedness: processes of resilience and growth in children with cancer. J Pediatr Psychol. 2015;40(9):904–13. https://doi.org/10.1093/jpepsy/jsv036.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  23. Orbuch TL, Parry C, Chesler M, Fritz J, Repetto P. Parent-child relationships and quality of life: resilience among childhood cancer survivors. Fam Relat. 2005;54(2):171–83. https://doi.org/10.1111/j.0197-6664.2005.00014.x.

    CrossRef  Google Scholar 

  24. Phillips CR, Haase JE. A connectedness primer for healthcare providers: adolescents/young adult cancer survivors’ perspectives on behaviors that foster connectedness during cancer treatment and the resulting positive outcomes. J Adolesc Young Adult Oncol. 2018;7(2):174–80. https://doi.org/10.1089/jayao.2017.0056.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  25. Bernat DH, Resnick MD. Connectedness in the lives of adolescents. In: DiClemente RJ, Santelli JS, Crosby RA, editors. Adolescent health: understanding and preventing risk behaviors. San Francisco: Jossey-Bass; 2009. p. 375–89.

    Google Scholar 

  26. Kelly KP, Hooke MC, Ruccione K, Landier W, Haase J. Developing an organizing framework to guide nursing research in the Children’s oncology group. Semin Oncol Nurs. 2014;30(1):17–25.

    CrossRef  PubMed  Google Scholar 

  27. Cosco TD, Kaushal A, Hardy R, Richards M, Kuh D, Stafford M. Operationalising resilience in longitudinal studies: a systematic review of methodological approaches. J Epidemiol Community Health. 2017;71:98–104. https://doi.org/10.1136/jech-2015-206980.

    CrossRef  CAS  PubMed  Google Scholar 

  28. Cai L. Latent variable modeling. Shanghai Arch Psychiatry. 2012;24(2):118–20. https://doi.org/10.3969/j.issn.1002-0829.2012.02.101.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  29. Rosenberg AR, Wolfe J, Bradford MC, et al. Resilience and psychosocial outcomes in parents of children with cancer. Pediatr Blood Cancer. 2014;61:552–7. https://doi.org/10.1002/pbc.24854.

    CrossRef  PubMed  Google Scholar 

  30. Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety. 2003;18:76–82.

    CrossRef  PubMed  Google Scholar 

  31. Naglieri JA, LeBuffle PA. Measuring resilience in children. In: Goldstein S, Brooks RB, editors. Handbook of resilience in children. New York: Springer; 2005. p. 107–21.

    CrossRef  Google Scholar 

  32. Donnon T, Hammond W, Charles G. Youth resiliency: assessing students’ capacity for success at school. Teach Learn. 2003;1(2):23–8.

    Google Scholar 

  33. Donnon T, Hammond W. A psychometric assessment of the self-reported youth resiliency: assessing developmental strengths questionnaire. Psychol Rep. 2007;100(3):963–78.

    CrossRef  PubMed  Google Scholar 

  34. Ungar M, Liebenberg L. Assessing resilience across cultures using mixed methods: construction of the child and youth resilience measure. J Mixed Methods Res. 2011;5(2):126–49.

    CrossRef  Google Scholar 

  35. Wagnild G, Young H. Development and psychometric evaluation of the resilience scale. J Nurs Meas. 1993;1(2):165–78.

    CAS  PubMed  Google Scholar 

  36. Kim DH, Yoo IY. Factors associated with resilience of school age children with cancer. J Paediatr Child Health. 2010;46:431–6. https://doi.org/10.1111/j.1440-1754.2010.01749.x.

    CrossRef  PubMed  Google Scholar 

  37. Masten AS, Barnes AJ. Resilience in children: developmental perspectives. Children. 2018;5:98. https://doi.org/10.3390/children5070098.

    CrossRef  PubMed Central  Google Scholar 

  38. Varni JW, Limbers CA, Burwinkle TM. Parent proxy-report of their children's health-related quality of life: an analysis of 13,878 parents’ reliability and validity across age subgroups using the PedsQL™ 4.0 generic Core scales. Health Qual Life Outcomes. 2007;5:2. https://doi.org/10.1186/1477-7525-5-2.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  39. Husson O, Zebrack BJ, Block R, et al. Health-related quality of life in adolescent and young adult patients with cancer: a longitudinal study. J Clin Oncol. 2017;35(6):652–9. https://doi.org/10.1200/JCO.2016.69.7946.

    CrossRef  PubMed  Google Scholar 

  40. Jones B. Guest editorial for special edition—challenges and opportunities for social work in pediatric palliative and end-of-life care. J Soc Work End Life Palliat Care. 2012;8(4):278–80.

    CrossRef  PubMed  Google Scholar 

  41. Zamora ER, Yi J, Ackter J, Kim J, Warner EL, Kirchhoff AC. ‘Having cancer was awful but also something good came out’: post-traumatic growth among adult survivors of pediatric and adolescent cancer. Eur J Oncol Nurs. 2017;28:21–7. https://doi.org/10.1016/j.ejon.2017.02.001.

    CrossRef  PubMed  Google Scholar 

  42. Rosenberg AR, Baker S, Syrjala KL, Back AL, Wolfe J. Promoting resilience among parents and caregivers of children with cancer. J Palliat Med. 2013;16:645–52. https://doi.org/10.1089/jpm.2012.0494.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  43. Ye ZJ, Qiu HZ, Li PF, Liang MZ, Wang SN, Quan XM. Resilience model for parents of children with cancer in mainland China—an exploratory study. Eur J Oncol Nurs. 2017;27:9–16. https://doi.org/10.1016/j.ejon.2017.01.002.

    CrossRef  PubMed  Google Scholar 

  44. Van Schoors M, Caes L, Verhofstadt LL, Goubert L, Alderfer MA. Systematic review: family resilience after pediatric cancer diagnosis. J Pediatr Psychol. 2015;40(9):856–68. https://doi.org/10.1093/jpepsy/jsv055.

    CrossRef  PubMed  Google Scholar 

  45. Armstrong MI, Birnie-Lefcovitch S, Ungar MT. Pathways between social support, family well being, quality of parenting, and child resilience: what we know. J Child Fam Stud. 2005;14(2):269–81.

    CrossRef  Google Scholar 

  46. Benzies K, Mychasiuk R. Fostering family resiliency: a review of the key protective factors. Child Family Soc Work. 2009;14:103–14. https://doi.org/10.1111/j.1365-2206.2008.00586.x.

    CrossRef  Google Scholar 

  47. Fuemmeler BF, Brown RT, Williams L, Barredo J. Adjustment of children with cancer and their caregivers: moderating influences of family functioning. Fam Syst Health. 2003;21(3):263–76.

    CrossRef  Google Scholar 

  48. Luthar SS, Cicchetti D. The construct of resilience: implications for interventions and social policies. Dev Psychopathol. 2000;12(4):857–85.

    CrossRef  PubMed Central  PubMed  Google Scholar 

  49. Patterson J. Integrating family resilience and family stress theory. J Marriage Fam. 2002;64:349–60.

    CrossRef  Google Scholar 

  50. Walsh F. Normal family processes: growing diversity and complexity. 4th ed. New York, NY: Guilford; 2011.

    Google Scholar 

  51. Ozbay F, Fitterling H, Charney D, Southwick S. Social support and resilience to stress across the life span: a neurobiologic framework. Curr Psychiatry Rep. 2008;10:304.

    CrossRef  PubMed  Google Scholar 

  52. Yehuda R, Flory JD, Southwick S, Charney DS. Developing an agenda for translational studies of resilience and vulnerability following trauma exposure. Ann N Y Acad Sci. 2006;1071:379–96.

    CrossRef  PubMed  Google Scholar 

  53. Charney DS. Psychobiological mechanisms of resilience and vulnerability: implications for successful adaptation to extreme stress. Am J Psychiatr. 2004;161(2):195–216.

    CrossRef  PubMed  Google Scholar 

  54. Simeon D, Yehuda R, Cunill R, Knutelska M, Putnam FW, Smith LE. Factors associated with resilience in healthy adults. Psychoneuroendocrinology. 2007;32(8–10):1149–52.

    CrossRef  PubMed  Google Scholar 

  55. Heinrichs M, Domes G. Neuropeptides and social behaviour: effects of oxytocin and vasopressin in humans. Prog Brain Res. 2008;170:337–50. https://doi.org/10.1016/S0079-6123(08)00428-7.

    CrossRef  CAS  PubMed  Google Scholar 

  56. Masten AS. Global perspectives on resilience in children and youth. Child Dev. 2014;85(1):6–20. https://doi.org/10.1111/cdev.12205.

    CrossRef  PubMed  Google Scholar 

  57. Luo H, Hu X, Liu X, et al. Hair cortisol level as a biomarker for altered hypothalamic-pituitary-adrenal activity in female adolescents with posttraumatic stress disorder after the 2008 Wenchuan earthquake. Biol Psychiatry. 2012;72(1):65–9.

    CrossRef  CAS  PubMed  Google Scholar 

  58. Li H, Martin AJ, Armstrong D, Walker R. Risk, protection, and resilience in Chinese adolescents: a psychosocial study. Asian J Soc Psychol. 2011;14(4):269–82. https://doi.org/10.1111/j.1467-839X.2011.01356.x.

    CrossRef  Google Scholar 

  59. Ungar M. Resilience across cultures. Br J Soc Work. 2008;38(2):218–35.

    CrossRef  Google Scholar 

  60. Ungar M, Brown M, Liebenberg L, et al. Unique pathways to resilience across cultures. Adolescence. 2007;42:287–310.

    PubMed  Google Scholar 

  61. Shek DT. Chinese cultural beliefs about adversity: its relationship to psychological Well-being, school adjustment and problem behaviour in Hong Kong adolescents with and without economic disadvantage. Childhood. 2004;11(1):63–80.

    CrossRef  Google Scholar 

  62. Clauss-Ehlers CS. Cultural resilience. In: Clauss-Ehlers CS, editor. Encyclopedia of cross-cultural school psychology. Boston, MA: Springer; 2010. p. 324–6.

    CrossRef  Google Scholar 

  63. Gray WN, Szulczewski LJ, Regan SM, Williams JA, Pai AL. Cultural influences in pediatric cancer: from diagnosis to cure/end of life. J Pediatr Oncol Nurs. 2014;31(5):252–71.

    CrossRef  PubMed  Google Scholar 

  64. Lee TY, Shek DTL, Kwong WM. Chinese approaches to understanding and building resilience in at-risk children and adolescents. Child Adolesc Psychiatr Clin. 2007;16(2):377–92. https://doi.org/10.1016/j.chc.2006.12.001.

    CrossRef  Google Scholar 

  65. Li H, Bottrell D, Armstrong D. Understanding the pathways to resilience: voices from Chinese adolescents. Young. 2018;26(2):126–44.

    CrossRef  Google Scholar 

  66. Stout C, Badaracco JC, Jean-Charles W, et al. Human strengths and resilience: developmental, cross-cultural, and international perspectives. Lanham, MD: Lexington Books; 2017.

    Google Scholar 

  67. Martinson I, Zhong B, Liang Y. The reaction of Chinese parents to a terminally ill child with cancer. Cancer Nurs. 1994;17(1):72–6.

    CrossRef  CAS  PubMed  Google Scholar 

  68. Hatano Y, Yamada M, Fukui K. Shades of truth: cultural and psychological factors affecting communication in pediatric palliative care. J Pain Symptom Manag. 2011;41(2):491–5. https://doi.org/10.1016/j.jpainsymman.2010.12.002.

    CrossRef  Google Scholar 

  69. Wong MYF, Chan SWC. The qualitative experience of Chinese parents with children diagnosed of cancer. J Clin Nurs. 2006;15(6):710–7. https://doi.org/10.1111/j.1365-2702.2006.01297.x.

    CrossRef  PubMed  Google Scholar 

  70. Wong G. Resilience in the Asian context. In: Clauss-Ehlers CS, Weist MD, editors. Community planning to foster resilience in children. Boston, MA: Springer; 2004. p. 99–111.

    CrossRef  Google Scholar 

  71. Ni H, Li C, Zhao J. Cultural consideration of resilience for Chinese immigrant children and adolescents. N Am J Med Sci. 2014;7(3):112–7. https://doi.org/10.7156/najms.2014.0703112.

    CrossRef  Google Scholar 

  72. Robb SL, Burns DS, Stegenga KA, et al. 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. 2014;120(6):909–17. https://doi.org/10.1002/cncr.28355.

    CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kristin Stegenga .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Stegenga, K., Liu, Q., Haase, J. (2020). Resilience in Pediatric Oncology. In: Hinds, P., Linder, L. (eds) Pediatric Oncology Nursing. Pediatric Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-25804-7_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-25804-7_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-25803-0

  • Online ISBN: 978-3-030-25804-7

  • eBook Packages: MedicineMedicine (R0)