Abstract

Objective

To identify and predict resilient functioning over time among youths with pediatric cancer experience (YPCE).

Design

YPCE aged 8–17 years (N = 231) were followed prospectively for 3 years. Their psychosocial adjustment was assessed using self-report and parent-report at 1 year (T2) and 3 years (T3) post-baseline.

Methods

Latent profile analysis identified subgroups of YPCE with different patterns of adjustment over time. Self-reported factors from baseline and T2 were examined as predictors of subgroup membership.

Findings

Three subgroups of youths were found. Two exhibited average (52.5% of the sample) to better-than-average (41.3%) functioning. One subgroup (6.2%) exhibited subclinical but at-risk range of adjustment. Low optimism and low connectedness to parents and school predicted membership in this group.

Conclusions

Most YPCE exhibit resilient functioning across time. However, approximately 6% report persistent maladjustment.

Implications

Most YPCE are well-adjusted, but those with low optimism and poor connection to parents or school may require monitoring for psychosocial difficulties.

中文翻译：

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有小儿癌症病史的年轻人的弹性功能的概况和预测因素

摘要

目的

识别并预测有小儿癌症经验（YPCE）的年轻人随时间推移的弹性功能。

设计

对YPCE年龄8-17岁（N  = 231）进行了前瞻性随访3年。在基线后1年（T2）和3年（T3）使用自我报告和父母报告评估他们的心理社会适应能力。

方法

潜在特征分析确定了YPCE的亚组，它们随着时间的推移具有不同的调整模式。来自基线和T2的自我报告因素作为亚组成员资格的预测因子被检查。

发现

发现了三个青年群体。两个显示出平均水平（占样本的52.5％）至优于平均水平（41.3％）。1个亚组（6.2％）表现出亚临床但有风险的调整范围。家长和学校的乐观度低和联系度低，预示了该组成员的身份。

结论

大多数YPCE在整个时间范围内均表现出弹性功能。但是，约有6％的人报告称其持续存在失调。

含义

大多数YPCE的调整都很好，但是那些乐观度低，与父母或学校的联系较差的人可能需要对心理社会方面的困难进行监测。