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[Health problems and psychosocial adaptation of children with cancer]
Ka-Sil Oh1, Mi-Kyung Sim, Sun-Young Son
1College of Nursing, Yonsei University, Seoul, Korea. kasil607@yumc.yonsei.ac.kr
Insights
Children with cancer experience significant health issues and psychosocial challenges, impacting their behavior and social competence. Further research is needed to improve care for these young patients.
Area of Science:
- Pediatric Oncology
- Child Psychology
- Health Sciences
Context:
- Children diagnosed with cancer often face complex health and psychosocial challenges.
- Understanding these challenges is crucial for effective pediatric cancer care.
- This study investigates health problems and psychosocial adaptation in pediatric cancer patients.
Purpose:
- To describe the health problems experienced by children with cancer.
- To assess the psychosocial adaptation of children with cancer.
- To determine the relationship between health problems and psychosocial adaptation in this population.
Summary:
- Children with cancer exhibited higher rates of behavioral problems, including withdrawal, somatic complaints, and internalizing issues, compared to norms.
- Social and school competence scores were lower in children with cancer.
- A significant relationship was found between specific health problems and psychosocial adaptation in children off therapy, particularly concerning withdrawal, anxiety/depression, internalizing problems, and social involvement.
Impact:
- Highlights the multifaceted impact of cancer on children's well-being.
- Identifies specific areas of concern for health problems and psychosocial adaptation in pediatric cancer patients.
- Informs the development of targeted interventions and support systems for children with cancer and their families.
Purpose:
The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables.
Method:
The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers.
Result:
The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group.
Conclusions:
This study shows the various areas that need further study in caring for children with cancer.
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