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Late Effects, Social Adjustment, and Quality of Life in Adolescent Survivors of Childhood Leukemia

백혈병 생존 청소년의 신체적.정서적 후유장애, 사회적응 및 삶의 질

  • Hong, Sung Sil (Graduate School, The Catholic University of Korea) ;
  • Park, Ho Ran (College of Nursing, The Catholic University of Korea) ;
  • Kim, Kwang Sung (BMT Center, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Choi, Sun Hee (BMT Center, Seoul St. Mary's Hospital, The Catholic University of Korea)
  • 홍성실 (가톨릭대학교 대학원) ;
  • 박호란 (가톨릭대학교 간호대학) ;
  • 김광성 (가톨릭대학교 서울성모병원 BMT 센터) ;
  • 최선희 (가톨릭대학교 서울성모병원 BMT 센터)
  • Received : 2013.10.15
  • Accepted : 2014.01.02
  • Published : 2014.02.28

Abstract

Purpose: This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents. Methods: Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child's physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS. Results: Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects. Conclusion: The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.

Keywords

References

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