소아암 생존자 집단과 건강통제 집단의 삶의 질과 문제행동 비교 및 부모보고와 자기보고의 차이 연구
Discrepancy between Parent and Child Report on Quality of Life and Behavioral Problems in Child and Adolescent cancer survivors and Healthy Control Group
정경미 (연세대학교)
이명아 (연세대학교)
원성철 (연세대학교)
유철주 (연세대학교)
신윤정 (연세대학교)
Abstract
Since the introductionof modern therapies, more children with cancer have survived their illness. As a result, an interest in the degree of adjustment achieved by cancer survivors has increased. In this study, quality of life and behavior problemsof child and adolescent cancer survivors were compared with those of healthy controls. Also, the patternsof the discrepancy between parent-report and self-report were compared. Childhood cancer survivors aged 8-18 and their mothers were participated in the study. Parent and self report versions of PedQL were administered to assess the quality of life. K-CBCL and K-YSR were further completed to assess internalizing and externalizing behavior problem. Results suggested that cancer survivors generally showed lower quality of life in physical and social domains and more internalizing behavior problem than healthy control group. However, the results were affected by the domain, age group, and informant. The pattern of discrepancy between parent and self report was similar. All parents reported higher levelsof quality of life and lower levels of behavior problems compared to the self reports of their siblings. In assessing internalizing problem behaviors, cancer survivor group showed greater discrepancy than the healthy control group.The implications, limitations, and directions for future research were also discussed.
- keywords
- Cancer survivors, quality of life, behavior problem, parent report, self report, informant discrepancy, 소아암 생존자, 삶의 질, 문제 행동, 부모 보고, 자기 보고, 정보원 보고 차이
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