The purpose of this study was to examine the effects of illness cognition on resilience and quality of life (QOL) in adolescents with leukemia.
Methods:
This study used a cross-sectional, descriptive design. The study was conducted at a hospital in Seoul, Korea. The target population of this study was 72 adolescents and young adults (AYA) who received follow-up visit for leukemia. Participants completed measures of their resilience, illness cognition (i.e., helplessness, acceptance, and perceived benefits), and QOL. The correlation between the study variables was analyzed using Pearson's correlation coefficient, while the impacts on resilience and QOL were analyzed using hierarchical multiple regression.
Results:
Acceptance, which is a subcategory of illness cognition, was associated with resilience and QOL of AYA leukemia survivors. After acceptance was included in model 2 using the hierarchical multiple regression analysis, the increased explanatory powers of resilience and QOL were 23% and 33%, respectively.
Conclusion:
The results suggest that acceptance, which is a subcategory of illness cognition, may be an important factor for resilience and QOL in AYA leukemia survivors.
Get full access to this article
View all access options for this article.
References
1.
Ministry of Health and Welfare, Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2015. Seoul: Ministry of Health & Welfare; 2017.
2.
OeffingerKC, MertensAC, HudsonMM, et al.Health care of young adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Ann Fam Med. 2004; 2(1):61–70.
3.
VetschJ, WakefieldCE, RobertsonEG, et al.Health-related quality of life of survivors of childhood acute lymphoblastic leukemia: a systematic review. Qual Life Res. 2018; 27(6):1431–43.
4.
ZeltzerLK, LuQ, LeisenringW, et al.Psychosocial outcomes and health-related quality of life in adult childhood cancer survivors: a report from the childhood cancer survivor study. Cancer Epidemiol Biomarkers Prev. 2008; 17(2):435–46.
5.
MotaJF, RezioMA, SoaresRC, et al.Quality of life is influenced by body weight, education, and family income in adolescents with chronic diseases. Biomed Res Int. 2018; 24:8485103.eCollection 2018.
6.
VlachiotiE, PerdikarisP, MegapanouE, et al.Assessment of quality of life in adolescent patients with cancer and adolescent survivors of childhood cancer. J Spec Pediatr Nurs. 2016; 21(4):178–88.
7.
KimMA, YiJH, KimJS. Stigma experiences and psychosocial responses to stigma among childhood cancer survivors. Ment Health Soc Work. 2014; 42(2):121–50.
8.
KobayashiK, Nakagami-YamaguchiE, HayakawaA, et al.Health-related quality of life in Japanese children with acute lymphoblastic leukemia during and after chemotherapy. Pediatr Int. 2017; 59(2):145–53.
9.
LeeJW, HanJE, ParkHR. Quality of life in children and adolescents with cancer. Child Health Nurs Res. 2013; 19(1):21–8.
10.
GheshlaghRG, EbadiA, DalvandiA, et al.A systematic study of resilience in patients with chronic physical diseases. Nurs Midwifery Stud. 2016; 6(2):e36401.
11.
LeeS, LeeJ, ChoiJY. The effect of a resilience improvement program for adolescents with complex congenital heart disease. Eur J Cardiovasc Nurs. 2017; 16(4):290–8.
12.
ChoOH, YooYS. Impact of ego-resilience and family function on quality of life in childhood leukemia survivors. Iran J Public Health. 2016; 45(11):1446–54.
13.
HongSS, ParkHR. Predictors of resilience in adolescents with leukemia. J Korean Acad Nurs. 2015; 45(4):595–603.
14.
YeZJ, GuanHJ, WuLH, et al.Resilience and psychosocial function among mainland Chinese parents of children with cancer: a cross-sectional survey. Cancer Nurs. 2015; 38(6):466–74.
15.
EversAW, KraaimaatFW, van LankveldW, et al.Beyond unfavorable thinking: the illness cognition questionnaire for chronic diseases. J Consult Clin Psychol. 2001; 69(6):1026–36.
16.
SinghR.Psychological model of illness. Newcastle Upon Tyne: Cambridge Scholars Publishing; 2011.
17.
BossemaER, SeuntiënsMW, MarijnenCA, et al.The relation between illness cognitions and quality of life in people with and without a stoma following rectal cancer treatment. Psychooncology. 2011; 20(4):428–34.
18.
van MierloML, van HeugtenCM, PostMWM, et al.Life satisfaction post stroke: the role of illness cognitions. J Psychosom Res. 2015; 79(2):137–42.
19.
VerhoofEJ, Maurice-StamH, HeymansHS, et al.Psychosocial well-being in young adults with chronic illness since childhood: the role of illness cognitions. Child Adolesc Psychiatry Ment Health. 2014; 8(1):12.
20.
FaulF, ErdfelderE, BuchnerA, LangAG. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149–60.
WagnildGM, YoungHM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1(2):165–78.
23.
WagnildG. A review of the Resilience Scale. J Nurs Meas. 2009; 17(2):105–13.
24.
HongSD, YangJW, JangWS, et al.The KIDSCREEN-52 Quality of Life Measure for Children and Adolescents (KIDSCREEN-52-HRQOL): reliability and validity of the Korean version. J Korean Med Sci. 2007; 22(3):446–52.
25.
GurkovaE, SoosovaMS. Illness cognitions and health-related quality of life of patients with Inflammatory bowel disease. Gastroenterol Nurs. 2018; 41(1):29–37.
26.
HoseiniL, KashaniFL, AkbariS, et al.Model development of illness perception and consequences in breast cancer patients. Asian Pac J Cancer Pre. 2016; 17:185–90.
27.
LuyckxK, RassartJ, AujoulatI, et al.Self-esteem and illness self-concept in emerging adults with type I diabetes: long-term associations with problem areas in diabetes. J Health psychol. 2016; 21(4):540–9.
28.
AnH, LeeS. Returning to social life: development of social identity for adolescent and young adult survivors of leukemia in Korea. J Pediatr Oncol Nurs. 2019; 36(1):35–43.
29.
CasierA, GoubertL, GebhardtWA, et al.Acceptance, well-being and goals in adolescents with chronic illness: a daily process analysis. Psychol Health. 2013; 28(11):1337–51.
30.
van Damme-OstapowiczK, Krajewska-KułakE, RozwadowskaE, et al.Quality of life and satisfaction with life of malaria patients in context of acceptance of the disease: quantitative studies. Malar J. 2012; 11:171.
31.
PakenhamKI, FlemingM. Relations between acceptance of multiple sclerosis and positive and negative adjustments. Psychol Health. 2011; 26(10):1292–309.
32.
LeeS, KimSS. The life experiences of Korean children and adolescents with complex congenital heart disease: a qualitative study. Nurs Health Sci. 2012; 14:398–404.
33.
AmbrosioL, Senosiain GarcíaJM, Riverol FernándezM, et al.Living with chronic illness in adults: a concept analysis. J Clin Nurs. 2015; 24:2357–67.
34.
ImYM, LeeS, YunTJ, ChoiJY. School-related adjustment in children and adolescents with CHD. Cardiol Young. 2017; 27:1349–55.
35.
MarcianoRE, SoaresCM, DiniaJS, et al.Behavioral disorders and low quality of life in children and adolescents with chronic kidney disease Pediatr Nephrol. 2011; 26:281–90.
36.
IqbalM, AmirsalariS, RadfarS, HaidariMR. Effect of parental gender level of education on the quality of life and general health of pediatric patients with epilepsy: an outpatient cross-sectional survey. Epilepsy Behav. 2016; 60:118–23.
37.
DidsburyM, KimS, MedwayM, et al.Socio-economic status and quality of life in children with chronic disease: a systematic review. J Paediatr Child Health. 2016; 52(12):1062–9.
