Adolescents with cancer are confronted with many challenges. The extent to which they are able to deal with such challenges appears to be partly contingent on a positive strong social support system. In this article, the author describes findings specific to the sources of social support that 15 adolescents with cancer found to be most important in getting them through the cancer experience. Data were collected as part of a longitudinal qualitative interpretive study and involved individual interviews, focus group interviews, and participant observation as the main sources of data. The relationships that adolescents maintained with their nuclear families, health care team members, and special friends were the 3 main supportive relationships in the adolescents'lives. The act of others “being there” was seen by the adolescents as the key element of a supportive relationship and involved 6 main behaviors. Although the 3 key supportive relationships were essential in helping adolescents get through cancer, these relationships were at times a source of stress for adolescents.
Banner, L., Mackie, E., & Hill, J. (1996). Family relationships in survivors of childhood cancer: Resource or restraint?Patient Education and Counseling, 28, 191-199.
2.
Belle, D. (1989). Studying children's social networks and social supports. In D. Belle (Ed.), Children's social networks and social supports(pp. 1-12). New York: John Wiley.
3.
Denzin, N. (1984). On understanding emotion. San Francisco: Jossey-Bass.
4.
Doona, M., Haggerty, L., & Chase, S. (1997). Nursing presence: An existential exploration of the concept. Scholarly Inquiry for Nursing Practice: An International Journal, 11(1), 3-16.
5.
Ell, K. (1996). Social networks, social support and coping with serious illness: The family connection. Social Science and Medicine, 42(2), 173-183.
6.
Enskär, K., Carlsson, M., Golsäter, M., & Hamrin, E. (1997). Symptom distress and life situation in adolescents with cancer. Cancer Nursing, 20(1), 23-33.
7.
Fowler-Kerry, S. (1990). Adolescent oncology survivors' recollection of pain. In D. Tyler & E. Krane (Eds.), Advances in pain research therapy(Vol. 15, pp. 365-371). New York: Raven.
8.
Haluska, H., Jessee, P., & Nagy, C. (2002). Sources of social support: Adolescents with cancer. Oncology Nursing Forum, 29(9), 1317-1324.
9.
Harris, C., & Zakowski, S. (2003). Comparisons of distress in adolescents of cancer patients and controls. Psycho-oncology, 12, 173-182.
10.
Hedström, M., Skolin, I., & von Essen, L. (2004). Distressing and positive experiences and important aspects of care for adolescents treated for cancer: Adolescent and nurse perceptions. European Journal of Oncology Nursing, 8, 6-17.
11.
Hinds, P. (1990). Quality of life in children and adolescents with cancer. Seminars in Oncology Nursing, 6(4), 285-291.
12.
Hupcey, J. (1998). Social support: Assessing conceptual coherence. Qualitative Health Research, 8(3), 304-318.
13.
Hydén, L. (1997). Illness and narrative. Sociology of Health and Illness, 19(1), 48-69.
14.
Ishibashi, A. (2001). The needs of children and adolescents with cancer for information and social support. Cancer Nursing, 24(1), 61-67.
15.
Jacobson, D. (1990). Stress and support in stepfamily formation: The cultural context of social support. In B. Sarason, L. Sarason, & G. Pierce (Eds.), Social support: An interactional view (pp. 199-218). New York: John Wiley.
16.
Katz, E., & Varni, J. (1993). Social support and social cognitive problem-solving in children with newly diagnosed cancer. Cancer Supplement, 71(10), 3314-3319.
17.
Kazak, A., Christakis, D., Alderfer, M., & Coiro, M. (1994). Young adolescents cancer survivors and their parents: Adjustment, learning problems, and gender. Journal of Family Psychology, 8(1), 74-84.
18.
Kyngäs, H., Mikkonen, R., Nousiainen, E., Rytilahti, M., Seppänen, P., Vaattovaara, R., et al. (2001). Coping with the onset of cancer: Coping strategies and resources of young people with cancer. European Journal of Cancer Care, 10, 6-11.
19.
Manne, S., & Miller, D. (1998). Social support, social conflict, and adjustment among adolescents with cancer. Journal of Pediatric Psychology, 23(2), 121-130.
20.
Mayall, B. (1996). Children, health and social order. Buckingham, UK: Open University Press.
21.
Morse, J., & Field, P. (1995). Qualitative research methods for health professionals. Thousand Oaks, CA: Sage.
22.
Neville, K. (1998). The relationships among uncertainty, social support, and psychological distress in adolescents recently diagnosed with cancer. Journal of Pediatric Oncology Nursing, 15(1), 37-46.
23.
Nichols, M. L. (1995). Social support and coping in young adolescents with cancer. Pediatric Nursing, 21(3), 235-240.
24.
Osterman, P., & Schwartz-Barcott, D. (1996). Presence: Four ways of being there. Nursing Forum, 31,23-30.
25.
Prus, R. (1996). Symbolic interaction and ethnographic research. Albany: State University of New York Press.
26.
Quittner, A. L. (1992). Re-examining research on stress and social support: The importance of contextual factors. In A. La Greca, L. Siegel, J. Wallander, & C. Walker (Eds.), Stress and coping in child health(pp. 85-115). New York: Guilford.
27.
Rechner, M. (1990). Adolescents with cancer: Getting on with life. Journal of Pediatric Oncology Nursing, 7(4), 139-144.
28.
Reiss, J., Gibson, R., & Walker, L. (2005). Health care transition: Youth, family, and provider perspectives. Pediatrics, 115(1), 112-120.
29.
Ressler, I., Cash, J., McNeill, D., Joy, S., & Rosoff, P. (2003). Continued parental attendance at a clinic for adult survivors of childhood cancer. Journal of Pediatric Hematology/Oncology, 25, 868-873.
30.
Ritchie, M. (2001). Sources of emotional support for adolescents with cancer. Journal of Pediatric Oncology Nursing, 18(3), 105-110.
31.
Romaniuk, D., & Kristjanson, L. (1995). The parent-nurse relationship from the perspective of parents of children with cancer. Journal of Pediatric Oncology Nursing, 12(2), 80-89.
32.
Sandler, I., Miller, P., Short, J., & Wolchik, S. (1989). Social support as a protective factor for children in stress. In D. Belle (Ed.), Children's social networks and social supports(pp. 277-307). New York: John Wiley.
33.
Stern, M., Norman, S., & Zevon, M. (1993). Adolescents with cancer: Self-image and perceived social support as indexes of adaptation. Journal of Adolescent Research, 8(1), 124-142.
34.
Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
35.
Trask, P., Paterson, A., Trask, C., Bares, C., Birt, J., & Maan, C. (2003). Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family function. Journal of Pediatric Oncology Nursing, 20(1), 36-47.
36.
van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy. London, Ontario: Althouse.
37.
Vaux, A. (1990). An ecological approach to understanding and facilitating social support. Journal of Social and Personal Relationships, 7, 507-518.
38.
Viney, L., & Bousfield, L. (1991). Narrative analysis: A method of psychosocial research for AIDS-affected people. Social Science and Medicine, 32(7), 757-765.
39.
Weekes, D., & Kagan, S. (1994). Adolescents completing cancer therapy: Meaning, perception, and coping. Oncology Nursing Forum, 21(4), 663-670.
40.
Weekes, D., Kagan, S., James, K., & Seboni, N. (1993). The phenomenon of hand holding as a coping strategy in adolescents experiencing treatment-related pain. Journal of Pediatric Oncology Nursing, 10(1), 19-25.
41.
Wolchik, S., Beals, J., & Sandler, I. (1989). Mapping children's support networks: Conceptual and methodological issues. In D. Belle (Ed.), Children's social networks and social supports (pp. 191-220). New York: John Wiley.
42.
Woodgate, R. (1999). Social support in children with cancer: A critical review of the literature. Journal of Pediatric Oncology Nursing, 16(4), 201-213.
43.
Woodgate, R. L. (2001). Symptom experiences in the illness trajectory of children with cancer and their families. Dissertation study, University of Manitoba, Winnipeg, Manitoba.
44.
Woodgate, R. L., & Degner, L. (2003). A substantive theory of keeping the spirit alive: The spirit within children with cancer and their families. Journal of Pediatric Oncology Nursing, 20(3), 103-119.
45.
Wortman, C. (1984). Social support and the cancer patient: Conceptual and methodologic issues. Cancer Supplement, 53(10), 2339-2360.
46.
Zevon, M., Tebbi, C., & Stern, M. (1987). Psychological and familial factors in adolescent oncology. In C. Tebbi (Ed.), Major topics in adolescent oncology(pp. 325-349). New York: Futura.
