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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Volume 29, Issue 6

Issues

Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers

Anna-Lena Kremer
  • Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany
  • Other articles by this author:
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/ Katharina Schieber
  • Corresponding author
  • Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Schwabachanlage 6, 91054 Erlangen, Germany
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Markus Metzler
  • Department of Paediatrics, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Sonja Schuster
  • Department of Paediatrics, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Yesim Erim
  • Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2016-06-07 | DOI: https://doi.org/10.1515/ijamh-2016-0027

Abstract

Objective:

This study examined posttraumatic growth (PTG) in young childhood cancer survivors (CCS) and type 1 diabetics (DM), with physically healthy peers as the control group (CG). Anxiety and depression as negative mental outcomes in the three groups, as well as fear of progression in DM and CCS were examined.

Methods:

A total of 107 participants with ages ranging from 18 to 35 years were examined: CCS (n=33), type 1 diabetics (n=39) and peers without a history of chronic disease (n=35). PTG and negative psychosocial outcomes were assessed with self-report questionnaires.

Results:

There was a significant difference between the groups regarding PTG. On a subscale level DM reported higher appreciation of life (p=0.024), higher personal strength (p=0.010), and more new possibilities (p=0.010) compared to CG. CCS experienced higher spiritual changes than DM (p=0.050). DM reported higher levels of anxiety compared to CCS (p=0.026) and CG (p=0.049). Depression was higher in DM compared to CG (p=0.003). Fear of progression was higher in DM compared to CCS (p<0.001).

Conclusion:

These findings show that psychological growth was experienced by young CCS and participants with DM. Furthermore, these findings highlight that adolescents with a significant health diagnosis in childhood or youth can undergo a similar or even more positive psychosocial development as peers without a history of chronic disease. However, young type 1 diabetics seem to be a more vulnerable group in terms of anxiety, depression and fear of progression.

Keywords: anxiety; childhood cancer survivor; depression; posttraumatic growth; type 1 diabetes

References

  • 1.

    Brinkman TM, Zhu L, Zeltzer LK, Recklitis CJ, Kimberg C, et al. Longitudinal patterns of psychological distress in adult survivors of childhood cancer. Br J Cancer 2013;109:1373–81.Web of SciencePubMedCrossrefGoogle Scholar

  • 2.

    Langeveld NE, Grootenhuis MA, Voute PA, de Haan RJ. Posttraumatic stress symptoms in adult survivors of childhood cancer. Pediatr Blood Cancer 2004;42:604–10.PubMedCrossrefGoogle Scholar

  • 3.

    Langeveld NE, Grootenhuis MA, Voute PA, de Haan RJ, van den Bos C. Quality of life, self-esteem and worries in young adult survivors of childhood cancer. Psychooncology 2004;13: 867–81.CrossrefPubMedGoogle Scholar

  • 4.

    Zebrack BJ, Gurney JG, Oeffinger K, Whitton J, Packer RJ, et al. Psychological outcomes in long-term survivors of childhood brain cancer: a report from the childhood cancer survivor study. J Clin Oncol 2004;22:999–1006.CrossrefPubMedGoogle Scholar

  • 5.

    Kazak AE, Alderfer M, Rourke MT, Simms S, Streisand R, et al. Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors. J Pediatr Psychol 2004;29:211–9.PubMedCrossrefGoogle Scholar

  • 6.

    Joseph S, Linley PA. Growth following adversity: theoretical perspectives and implications for clinical practice. Clin Psychol Rev 2006;26:1041–53.CrossrefPubMedGoogle Scholar

  • 7.

    Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress 1996;9:455–71.PubMedCrossrefGoogle Scholar

  • 8.

    Seitz DC, Knaevelsrud C, Duran G, Waadt S, Loos S, et al. Efficacy of an internet-based cognitive-behavioral intervention for long-term survivors of pediatric cancer: a pilot study. Support Care Cancer 2014;22:2075–83.CrossrefWeb of ScienceGoogle Scholar

  • 9.

    Tedeschi RG, Calhoun LG. Target article: ‘posttraumatic growth: conceptual foundations and empirical evidence’. Psychological Inquiry 2004;15:1–18.CrossrefGoogle Scholar

  • 10.

    Zoellner T, Maercker A. Posttraumatic growth in clinical psychology – a critical review and introduction of a two component model. Clin Psychol Rev 2006;26:626–53.PubMedCrossrefGoogle Scholar

  • 11.

    Park CL, Helgeson VS. Introduction to the special section: growth following highly stressful life events–current status and future directions. J Consult Clin Psychol 2006;74:791–6.PubMedCrossrefGoogle Scholar

  • 12.

    Park CL, Lechner SC, Antoni MH, Stanton AL. Medical illness and positive life change. Washington, DC: American Psychological Association, 2009.Google Scholar

  • 13.

    Phipps S, Klosky JL, Long A, Hudson MM, Huang Q, et al. Posttraumatic stress and psychological growth in children with cancer: has the traumatic impact of cancer been overestimated? J Clin Oncol 2014;32:641–6.CrossrefWeb of SciencePubMedGoogle Scholar

  • 14.

    Zebrack BJ, Stuber ML, Meeske KA, Phipps S, Krull KR, et al. Perceived positive impact of cancer among long-term survivors of childhood cancer: a report from the childhood cancer survivor study. Psychooncology 2012;21:630–9.CrossrefGoogle Scholar

  • 15.

    Kamibeppu K, Sato I, Honda M, Ozono S, Sakamoto N, et al. Mental health among young adult survivors of childhood cancer and their siblings including posttraumatic growth. J Cancer Surviv 2010;4:303–12.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 16.

    Barakat LP, Alderfer MA, Kazak AE. Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers. J Pediatr Psychol 2006;31:413–9.PubMedCrossrefGoogle Scholar

  • 17.

    Zoellner T, Rabe S, Karl A, Maercker A. Posttraumatic growth in accident survivors: openness and optimism as predictors of its constructive or illusory sides. J Clin Psychol 2008;64:245–63.PubMedCrossrefWeb of ScienceGoogle Scholar

  • 18.

    Folkman S. The case for positive emotions in the stress process. Anxiety Stress Coping 2008;21:3–14.CrossrefWeb of SciencePubMedGoogle Scholar

  • 19.

    Colville G, Cream P. Post-traumatic growth in parents after a child’s admission to intensive care: maybe Nietzsche was right? Intensive Care Med 2009;35:919–23.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 20.

    Landolt MA, Vollrath M, Laimbacher J, Gnehm HE, Sennhauser FH. Prospective study of posttraumatic stress disorder in parents of children with newly diagnosed type 1 diabetes. J Am Acad Child Adolesc Psychiatry 2005;44:682–9.CrossrefPubMedGoogle Scholar

  • 21.

    Hungerbuehler I, Vollrath ME, Landolt MA. Posttraumatic growth in mothers and fathers of children with severe illnesses. J Health Psychol 2011;16:1259–67.Web of ScienceCrossrefPubMedGoogle Scholar

  • 22.

    Maercker A, Langner R. Personliche Reifung (personal growth) durch Belastungen und Traumata: Validierung zweier deutschsprachiger Fragebogenversionen. Diagnostica 2001;47:153–62.CrossrefGoogle Scholar

  • 23.

    Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–70.PubMedCrossrefGoogle Scholar

  • 24.

    Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002;52:69–77.CrossrefPubMedGoogle Scholar

  • 25.

    Mehnert A, Herschbach P, Berg P, Henrich G, Koch U. Progredienzangst bei Brustkrebspatientinnen–Validierung der Kurzform des Progredienzangstfragebogens PA-F-KF. Zeitschrift fur Psychosomatische Medizin und Psychotherapie 2006;52:274–88.CrossrefGoogle Scholar

  • 26.

    Herschbach P, Berg P, Dankert A, Duran G, Engst-Hastreiter U, et al. Fear of progression in chronic diseases: psychometric properties of the fear of progression questionnaire. J Psychosom Res 2005;58:505–11.PubMedCrossrefGoogle Scholar

  • 27.

    van der Geest IM, van Dorp W, Hop WC, Neggers SJ, de Vries AC, et al. Emotional distress in 652 Dutch very long-term survivors of childhood cancer, using the hospital anxiety and depression scale (HADS). J Pediatr Hematol Oncol 2013;35:525–9.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 28.

    Seiffge-Krenke I, Stemmler M. Coping with everyday stress and links to medical and psychosocial adaptation in diabetic adolescents. J Adolesc Health 2003;33:180–8.PubMedCrossrefGoogle Scholar

  • 29.

    Grey M, Davidson M, Boland EA, Tamborlane WV. Clinical and psychosocial factors associated with achievement of treatment goals in adolescents with diabetes mellitus. J Adolesc Health 2001;28:377–85.PubMedCrossrefGoogle Scholar

  • 30.

    American Diabetes Association. Standards of medical care in diabetes–2013. Diabetes Care 2013;36 Suppl 1:11–66.Web of ScienceGoogle Scholar

  • 31.

    Musselman DL, Betan E, Larsen H, Phillips LS. Relationship of depression to diabetes types 1 and 2: epidemiology, biology, and treatment. Biol Psychiatry 2003;54:317–29.CrossrefPubMedGoogle Scholar

  • 32.

    Ormseth MJ, Scholz BA, Boomershine CS. Duloxetine in the management of diabetic peripheral neuropathic pain. Patient Prefer Adherence 2011;5:343–56.Web of SciencePubMedGoogle Scholar

  • 33.

    Bergh AL, Persson LO, Attvall S. Psychometric properties of the Swedish version of the Well-Being Questionnaire in a sample of patients with diabetes type 1. Scand J Public Health 2000;28:137–45.Google Scholar

  • 34.

    de Ornelas Maia AC, Braga Ade A, Paes F, Machado S, Carta MG, et al. Comorbidity of depression and anxiety: association with poor quality of life in type 1 and 2 diabetic patients. Clin Pract Epidemiol Ment Health 2013;9:136–41.PubMedCrossrefGoogle Scholar

  • 35.

    Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med 2000;160:3278–85.CrossrefPubMedGoogle Scholar

  • 36.

    Collins MM, Corcoran P, Perry IJ. Anxiety and depression symptoms in patients with diabetes. Diabet Med 2009;26: 153–61.PubMedCrossrefGoogle Scholar

  • 37.

    Maia AC, Braga Ade A, Paes F, Machado S, Nardi AE, et al. Psychiatric comorbidity in diabetes type 1: a cross-sectional observational study. Rev Assoc Med Bras 2014;60:59–62.CrossrefWeb of ScienceGoogle Scholar

  • 38.

    Krousel-Wood MA, Re RN. Health status assessment in a hypertension section of an internal medicine clinic. Am J Med Sci 1994;308:211–7.CrossrefGoogle Scholar

  • 39.

    Eaton WW, Mengel M, Mengel L, Larson D, Campbell R, et al. Psychosocial and psychopathologic influences on management and control of insulin-dependent diabetes. Int J Psychiatry Med 1992;22:105–17.CrossrefPubMedGoogle Scholar

  • 40.

    Tulloch-Reid MK, Walker SP. Quality of life in Caribbean youth with diabetes. West Indian Med J 2009;58:250–6.PubMedGoogle Scholar

  • 41.

    Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 1993;329:977–86.PubMedGoogle Scholar

  • 42.

    Diabetes Control and Complications Trial Research Group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: diabetes control and complications trial. J Pediatr 1994;125:177–88.PubMedGoogle Scholar

About the article

Corresponding author: Katharina Schieber, M.Sc., Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Schwabachanlage 6, 91054 Erlangen, Germany, Phone: 0049-9131 8544542, Fax: 0049-9131 8534153


Received: 2016-03-04

Accepted: 2016-04-30

Published Online: 2016-06-07


Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 6, 20160027, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2016-0027.

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