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Related Concept Videos

Cognitive Development During Adolescence01:18

Cognitive Development During Adolescence

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During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the...
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Emerging Adulthood01:27

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Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
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Erikson's Theory on Socioemotional Development during Adolescence01:17

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Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and "What is my place in...
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Revisionist Views of Adolescent and Adult Cognition01:24

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A revisionist approach to Jean Piaget's theory of cognitive development has brought new insights that challenge and reinterpret his established ideas. Piaget proposed that the formal operational stage, emerging in adolescence, represents the culmination of cognitive maturity. During this stage, individuals are said to develop abstract thinking, engage in systematic problem-solving, and show a form of egocentrism, believing others are as preoccupied with their behavior as they are...
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Influence of Parents and Peers on Identity01:23

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Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
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Ethnic Identity within a Larger Culture01:27

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Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
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Using Teamwork to Bridge the Adolescent and Young Adult Gap.

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  • 1Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.

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Summary

Adolescents and young adults with cancer need better support. A new care model improved psychosocial referrals and fertility preservation discussions, though clinical trial enrollment did not change.

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Area of Science:

  • Oncology
  • Adolescent and Young Adult (AYA) Medicine
  • Cancer Care Delivery

Background:

  • Adolescents and young adults (AYAs) aged 15-39 diagnosed with cancer experience stagnant survival rates compared to other age groups.
  • Key challenges for AYAs include unmet needs in psychosocial support and fertility preservation (FP), impacting quality of life.

Purpose of the Study:

  • To implement and evaluate a novel, team-based care framework for AYAs (15-39 years) at a single institution.
  • To enhance clinical trial enrollment, physician/staff collaboration, psychosocial support, and fertility preservation (FP) services for AYAs.

Main Methods:

  • Leveraged existing pediatric and adult oncology structures to form integrated AYA care teams.
  • Captured and compared pre- (Jan 2016-Feb 2019) and post- (Feb 2019-Mar 2022) program implementation metrics for AYAs.
  • Utilized descriptive statistics to analyze changes in clinical trial enrollment, supportive care referrals, FP discussions, and FP consults.

Main Results:

  • No significant change was observed in clinical trial enrollment rates for AYAs.
  • Significant increases were noted in referrals for supportive care and psychology services for both pediatric and adult AYAs.
  • A substantial rise in oncologists discussing FP and AYAs undergoing FP consults was observed across both pediatric and adult AYA populations.

Conclusions:

  • The implemented team-based framework positively impacted psychosocial support and fertility preservation domains for AYAs.
  • Further research is needed to understand patient- and facility-level barriers to optimize interventions for clinical trial enrollment and FP.