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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有儿科癌症病史的青少年弹性功能的概况和预测因素

摘要

客观的

识别和预测有儿科癌症经历 (YPCE) 的青少年随时间推移的弹性功能。

设计

YPCE 年龄为 8-17 岁（N  = 231），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情况。

方法

潜在概况分析确定了随着时间的推移具有不同调整模式的 YPCE 亚组。来自基线和 T2 的自我报告因素被检查为亚组成员的预测因子。

发现

发现了三个青年亚组。两个表现出平均（样本的 52.5%）到优于平均（41.3%）的功能。一个亚组（6.2%）表现出亚临床但有风险的调整范围。低乐观和与父母和学校的低联系预示着该群体的成员。

结论

大多数 YPCE 都表现出随时间变化的弹性功能。然而，大约 6% 的人报告持续失调。

影响

大多数 YPCE 都经过良好调整，但那些乐观情绪低下且与父母或学校联系不佳的人可能需要监测社会心理问题。