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http://dx.doi.org/10.4040/jkan.2015.45.4.595

Predictors of Resilience in Adolescents with Leukemia  

Hong, Sung Sil (Department of Nursing, Kangwon National University)
Park, Ho Ran (College of Nursing, The Catholic University of Korea)
Publication Information
Journal of Korean Academy of Nursing / v.45, no.4, 2015 , pp. 595-603 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors. Methods: From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program. Results: The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience. Conclusion: The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.
Keywords
Leukemia; Adolescent; Resilience;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 You MA. Content analysis on psychosocial adjustment of adolescent survivors of leukemia. Journal of Korean Academy of Child Health Nursing. 2006;12(3):304-313.
2 Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. http://dx.doi.org/10.1207/s15327752jpa5201_2   DOI
3 Enskar K, von Essen L. Prevalence of aspects of distress, coping, support and care among adolescents and young adults undergoing and being off cancer treatment. European Journal of Oncology Nursing. 2007;11(5):400-408. http://dx.doi.org/10.1016/j.ejon.2007.01.003   DOI   ScienceOn
4 Wu LM, Chin CC, Chen CH, Lai FC, Tseng YY. Development and validation of the paediatric cancer coping scale. Journal of Advanced Nursing. 2011;67(5):1142-1151. http://dx.doi.org/10.1111/j.1365-2648.2010.05567.x   DOI   ScienceOn
5 Reed PG. Spirituality and well-being in terminally ill hospitalized adults. Research in Nursing and Health. 1987;10(5):335-344.   DOI   ScienceOn
6 Kim SS, Reed PG, Kang Y, Oh J. Translation and psychometric testing of the Korean versions of the spiritual perspective scale and the self-transcendence scale in Korean elders. Journal of Korean Academy of Nursing. 2012;42(7):974-983. http://dx.doi.org/10.4040/jkan.2012.42.7.974   DOI   ScienceOn
7 Jalowiec A. The Jalowiec coping scale. In: Strickland OL, Dilorio C, editors. Measurement of nursing outcomes. Vol. 3: Self care and coping. 2nd ed. New York, NY: Springer; 2003. p. 71-87.
8 Herth K. Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing. 1992; 17(10):1251-1259.   DOI
9 Reed PG. Religiousness among terminally ill and healthy adults. Research in Nursing and Health. 1986;9(1):35-41.   DOI   ScienceOn
10 Woodgate RL. Conceptual understanding of resilience in the adolescent with cancer: Part I. Journal of Pediatric Oncology Nursing. 1999;16(1):35-43.   DOI
11 Son SY. Illness experience of adolescents with hematologic malignancies. Journal of Korean Academy of Nursing. 2011;41(5):603-612. http://dx.doi.org/10.4040/jkan.2011.41.5.603   DOI   ScienceOn
12 Fortier MA, Batista ML, Wahi A, Kain A, Strom S, Sender LS. Illness uncertainty and quality of life in children with cancer. Journal of Pediatric Hematology Oncology. 2013;35(5):366-370. http://dx.doi.org/10.1097/MPH.0b013e318290cfdb   DOI
13 Oh SM, Lee HJ, Kim GS, Park KD. Factors affecting social adjustment of childhood cancer survivors. Child Health Nursing Research. 2013;19(3):238-245.   DOI   ScienceOn
14 Wu LM, Sheen JM, Shu HL, Chang SC, Hsiao CC. Predictors of anxiety and resilience in adolescents undergoing cancer treatment. Journal of Advanced Nursing. 2013;69(1):158-166. http://dx.doi.org/10.1111/j.1365-2648.2012.06003.x   DOI   ScienceOn
15 Mandleco BL, Peery JC. An organizational framework for conceptualizing resilience in children. Journal of Child and Adolescent Psychiatric Nursing. 2000;13(3):99-111.   DOI   ScienceOn
16 Hockenberry MJ, Wilson D. Wong's essentials of pediatric nursing. 8th ed. St. Louis, MO: Mosby; 2008.
17 Trask PC, Paterson AG, Trask CL, Bares CB, Birt J, Maan C. Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family function. Journal of Pediatric Oncology Nursing. 2003;20(1):36-47. http://dx.doi.org/10.1053/jpon.2003.5   DOI   ScienceOn
18 Ho SM, Ho JW, Bonanno GA, Chu AT, Chan EM. Hopefulness predicts resilience after hereditary colorectal cancer genetic testing: A prospective outcome trajectories study. BMC Cancer. 2010;10:279. http://dx.doi.org/10.1186/1471-2407-10-279   DOI   ScienceOn
19 Fegg MJ, Wasner M, Neudert C, Borasio GD. Personal values and individual quality of life in palliative care patients. Journal of Pain and Symptom Management. 2005;30(2):154-159. http://dx.doi.org/10.1016/j.jpainsymman.2005.02.012   DOI   ScienceOn
20 Ministry of Health & Welfare, Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2011. Seoul: Ministry of Health & Welfare; 2013.
21 Lof CM, Winiarski J, Giesecke A, Ljungman P, Forinder U. Health-related quality of life in adult survivors after paediatric allo-SCT. Bone Marrow Transplantation. 2009;43(6):461-468. http://dx.doi.org/10.1038/bmt.2008.338   DOI   ScienceOn
22 Garmezy N. Resilience in children's adaptation to negative life events and stressed environments. Pediatric Annals. 1991;20(9): 459-460, 463-466.   DOI
23 Park YO, Son Hong GR, Tak YR. Predictors of resilience in adolescents with cancer. Child Health Nursing Research. 2013;19(3): 177-186.   DOI   ScienceOn
24 Haase JE, Heiney SP, Ruccione KS, Stutzer C. Research triangulation to derive meaning-based quality-of-life theory: Adolescent resilience model and instrument development. International Journal of Cancer Supplement. 1999;12:125-131.
25 Haase JE. The adolescent resilience model as a guide to interventions. Journal of Pediatric Oncology Nursing. 2004;21(5):289-304. http://dx.doi.org/10.1177/1043454204267922   DOI
26 Haase JE, Kintner EK, Monahan PO, Robb SL. The resilience in illness model, part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nursing. 2014;37(3):E1-E12. http://dx.doi.org/10.1097/NCC.0b013e31828941bb   DOI
27 Kim DH, Yoo IY. Development of a questionnaire to measure resilience in children with chronic diseases. Journal of Korean Academy of Nursing. 2010;40(2):236-246. http://dx.doi.org/10.4040/jkan.2010.40.2.236   DOI   ScienceOn
28 Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2): 175-191.   DOI
29 Stewart JL, Lynn MR, Mishel MH. Psychometric evaluation of a new instrument to measure uncertainty in children and adolescents with cancer. Nursing Research. 2010;59(2):119-126. http://dx.doi.org/10.1097/NNR.0b013e3181d1a8d5   DOI   ScienceOn
30 Hinds PS, Quargnenti AG, Wentz TJ. Measuring symptom distress in adolescents with cancer. Journal of Pediatric Oncology Nursing. 1992;9(2):84-86.   DOI   ScienceOn