바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

Prediction Models of Depression and Anxiety of Childhood Cancer Survivors

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2012, v.17 no.4, pp.997-1011
https://doi.org/10.17315/kjhp.2012.17.4.013





Abstract

The purpose of the present study was (1) to compare anxiety and depression levels of cancer survivors to healthy controls; and (2) to identify significant predictors(including demographic and treatment-related factors) of survivor's depression and anxiety. A total of 71 childhood cancer survivors and gender and age-matched healthy controls completed the Children's Depression Inventory (CDI) and the Revised Children's Manifest Anxiety Scale (RCMAS). One-way ANOVA results revealed no group differences for anxiety and depression. For survivors, the prediction model of anxiety was significant, and age and relapse were identified as significant predictors. No significant predictors were found for depression. The interaction effect of sex and age on depression was significant. Clinical implications and limitations are also discussed.

keywords
소아청소년암 생존자, 불안, 우울, 비교연구, 예측모델, 인구통계 변인, 치료 변인, 상호작용 효과, survivors of childhood cancer, anxiety, depression, comparison, prediction model, demographic factor, treatment factor, interaction effect

Reference

1.

권혜진, 김윤정, 차혜경 (2009). 암 치료가 종료된 청소년의 사회적 지지와 자아존중감이 우울에 미치는 영향. 아동간호학회지, 15(2), 219-227.

2.

김윤정, 차혜경, 김정애, 박윤자, 김혜진, 서종진, 권혜진(2008). 소아암 생존 청소년의 질병력과 부모지지에 따른 삶의 질. 정신간호학회지, 17(1),85-96.

3.

신민정, 정경미, 김은성 (2012). 한국 청소년들의 우울및 불안에 대한 성차 연구: 발현시기와 연령별변화를 중심으로. 한국심리학회지: 임상 31(1),93-114.

4.

심미경, 손선영 (2003). 치료 중인 암환아와 치료 종료암환아의 사회심리적 적응에 관한 비교 연구.아동간호학회지, 9(1), 85-95.

5.

유미애 (2006). 백혈병 생존 청소년의 심리사회적 적응에 대한 내용분석. Journal of Korean Academyof Child Health Nursing, 12(3), 304-313.

6.

윤이화 (2004). 소아암 생존 아동의 심리사회적 적응 및가족 적응을 위한 가족 복원. 한양대학교 대학원 박사학위논문.

7.

조성진, 전홍진, 김무진, 김창규, 김선옥, 류인균, 조맹제(2001). 한국 일도시지역 청소년의 우울증상 유병율과 관련요인에 대한 연구. 정신신체의학,40(4), 627-639.

8.

조수철, 이영식 (1990). 한국형 소아 우울 척도의 개발.신경정신의학, 29(4), 943-955.

9.

진주혜 (2000). School reentry experience of childhood cancer early survival children. Unpublished master's thesis, Yonsei University, Seoul.

10.

최진숙, 조수철 (1990). 소아불안 측정. 신경정신의학29(3), 691-701.

11.

통계청(2009). 2009년 사망원인 통계 결과. 통계청.

12.

하은혜, 오경자, 송동호 (2003). 청소년기 우울 및 불안증상 공존집단의 심리사회적 위험요인. 한국심리학회지 일반, 22(2), 127-144.

13.

한국 중앙 암등록 사업 연례 보고서 (2002). 보건 복지부 한국 중앙 암등록 본부

14.

Anderson, V., Smibert, E., Ekert, H., & Godber, T.(1994). Intellectual, educational, andbehavioural sequelae after cranial irradiationand chemotherapy. Archives of disease inchildhood, 70(6), 476–483.

15.

Barakat, L. P., Alderfer, M. A., & Kazak, A. E.(2006). Posttraumatic Growth in AdolescentSurvivors of Cancer and Their Mothers andFathers. Journal of Pediatric Psychology,31(4), 413-419.

16.

Childrens Oncology Group. Long-term follow-up guidelines for survivors of childhood, adolescent, and young adult cancers. http://www.survivorshipguidelines.org/pdf/HR/ LTFUGuidelines_HR.pdf

17.

Di Gallo, A., Amsler, F., Gwerder, C., & Burgin, D.(2003). The years after: a concept of thepsychological integration of childhood cancer.Support Care Cancer, 11(10), 666-673.

18.

Elkin, T. D., Phipps, S., Mulhern, R. K., & Fairclough, D. (1997). Psychological functioning of adolescent and young adult survivors of pediatric malignancy. Medical and Pediatric Oncology, 29(6), 582-588.

19.

Enskar, K., Carlsson, M., Golsater, M., Hamrin, E., & Kreuger, A. (1997). Parental reports of changes and challenges that result from parenting a child with cancer. Journal of Pediatric Oncology Nursing, 14, 156-163.

20.

Fritz, G., Williams, J. R., & Amylon, M. (1988). AFTER TREATMENT ENDS: Psychosocial Sequelae in Pediatric Cancer Survivors. American Journal of Orthopsychiatry, 58(4), 552–561.

21.

Himelstein, B. P., Hilden, J. M., Boldt, A. M., & Weissman, D. (2004). Pediatric palliative care. The New England Journal of Medicine, 350, 1752-1762.

22.

Hockenberry-Eaton, M., Dilorio, C., & Kemp, V.(1995). The relationship of illness longevityand relapse with self-perception, cancerstressors, anxiety, and coping strategies inchildren with cancer. Journal of PediatricOncology Nursing, 12, 71-79.

23.

Hudson, M., Mertens, A., Yasui, Y., Hobbie, W., Chen, H., Gurney, J., Yeazel, M., Recklitis, C., Marina, N., Robison, L., & Oeffinger, K. (2003). Health status of adult survivors who are long-term childhood cancer survivors: a report for the Childhood Cancer Survivor Study. Journal of American Medical Association, 290, 1582–1592.

24.

Kovacs, M. (1992). Children's Depression Inventory manual. North Tonawanda, NY: Multi-Health Systems, Inc.

25.

Lansky, S., List, M., & Ritter-sterr, C. (1986). Psychosocial consequences of cure. Cancer, 58, 529-533.

26.

Pendley, J. S., Dahlquist, L. M., & Dreyer, Z. (1997). Body Image and Psychosocial Adjustment in Adolescent Cancer Survivors1. Journal of Pediatric Psychology, 22(1), 29-43.

27.

Radcliffe, J., Bennett, D., Kazak, A. E., Foley, B., & Phillips, P. C. (1996). Adjustment in childhood brain tumor survival: Child, mother, and teacher report. Journal of Pediatric Psychology, 21, 529–539.

28.

Reynolds, C. Richmond, B. (1978). What I think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology. 6, 271-280.

29.

Rourke, M., Hobbie, W., Schwartz, L., & Kazak, A.(2007). Posttrauamatic stress disorder (PTSD)in young adult survivors of childhood cancer.Pediatric Blood & Cancer, 49(2), 177–182.

30.

Rourke, M. T., Stuber, M. L., Hobbie, W. H., & Kazak, A. E. (1999). Posttraumatic stress disorder: understanding the psychosocial impact of surviving childhood cancer into young adulthood. Journal of Pediatric Oncology Nursing, 16(3), 126-135.

31.

Schultz, K., Ness, K., Whitton, J., Recklitis, C., Zebrack, B., Robison, L., Zeltzer L., & Mertens, A. (2007). Behavioral and social outcomes in adolescent survivors of childhood cancer: A report from the childhood cancer survivor study. Journal of Clinical Oncology, 25, 3649–3656.

32.

Scottish Intercollegiate Guidelines Network. Long term follow up of survivors of childhood cancer-a national clinical guideline. http://www.sign.ac.uk/pdf/sign76.pdf.

33.

Seitz, D., Besiera, T., Debatinb, K., Grabowc, D., Dieluweita, U., Hinzd, A., Kaatschb, P., & Goldbecka, L. (2010). Posttraumatic stress, depression, and anxiety among adult long term survivors of cancer in adolescence. European Journal of Cancer, 46, 1596-1606.

34.

Servitzoglou, M., Papadatou, D. Tsiantis, I., & Vasilatou-Kosmidis, H. (2008). Psychological functioning of young adolescent and adult suvivors of childhood cancer, Support Care Cancer, 16(1), 29-36.

35.

Skinner, R., Wallace, W. H., & Levitt, G. A. Therapy based LTFU practice statement UKCCSG. http://www.ukccsg.org.uk/public/followup/Prac ticeStatement/LTFU-full.pdf

36.

Sloper, T., Larcombe, I. J, & Charlton, A. (1994). Psychosocial adjustment of five-year survivors of childhood cancer. Journal of Cancer Education, 9(3), 163-169.

37.

Worchel, F. F., Nolan, B. F., Willson, V. L., Purser, J. S., Copeland D. R., & Pfefferbaum B. (1988). Assessment of depression in children with cancer. Journal of pediatric psychology, 13, 101-112.

38.

Zebrack, B. J., Zelter, L. K., Whitton, J., Meltens, A. C., Odom, L., Berkow, R., & Robinson, L. L., (2002). Psychological Outcomes in Long-term Survivors of Childhood Leukemia, Hodgkin's Disease, and Non-Hodgkin's Lymphoma: A Report From the Childhood Cancer Survivor Study. Pediatrics, 110(1), 42-52.

39.

Zeltzer, L. K., Lu, Q., Leisenring, W., Tsao, J., Recklitis, C., Armstrong, G., Mertens, A., Robison, L., & Ness, K. (2008). Psychosocial outcomes and health-related quality of life in adult childhood cancer survivors: A report from the childhood cancer survivor study. Cancer Epidemiol Biomarkers Prev, 17, 435 –446.

The Korean Journal of Health Psychology