French AYA; care facilities; coping strategies; perceived social support; psychological adjustment; Oncology; Pediatrics, Perinatology and Child Health
Abstract :
[en] Purpose: The third Cancer Plan (2014-2019) has helped with the recognition of adolescents and young adults (AYAs) with cancer's medical and psychosocial specificities and has enabled the creation of dedicated structures in France. Methods: The study involved 43 AYA patients (Nmen = 21; Nwomen = 22) between 15 and 27 years old (Mage = 19.9), diagnosed with all types of cancer, and were recruited in two French cancer centers. Online questionnaires were filled in 2 months after the beginning of treatment. AYAs completed measures of depressive and anxiety symptoms, perceived social support, and coping strategies. Results: Results demonstrated moderate depressive symptoms (M = 10.7, standard deviation [SD] = 7.0) and suggested a good satisfaction (M = 30, SD = 9.5) and a mild availability (M = 27, SD = 10.3) of the social support. Spearman's correlations demonstrated that coping strategies are related to depressive symptoms, for which acceptance (p < 0.01) of the disease played a key role in their psychological adjustment. Perceived social support subscales were positively correlated with the use of distraction as a coping strategy (p < 0.05). Kruskal-Wallis test demonstrated the preferential use of instrumental (p < 0.05) and emotional support (p < 0.01), denial (p < 0.01), and self-blame (p < 0.01) for women and the use of acceptance (p < 0.05) and humor (p < 0.05) for men; and there were no significant differences between patients hospitalized in the two cancer center facilities. Conclusion: Finally, a better understanding of the psychological adjustment and processes among French AYAs with cancer will help families and processionals to better adjust AYA-specific needs at the beginning of cancer treatment. ClinicalTrials.gov.: NCT03964116.
Disciplines :
Oncology
Author, co-author :
Phan, Jeff ; Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France ; Adolescents and Young Adults Unit, Curie Institute, Paris, France
Vander Haegen, Marie ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la santé ; Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France ; Haute École Léonard de Vinci, Brussels, Belgium
Karsenti, Lucille; Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France ; Adolescents and Young Adults Unit, Curie Institute, Paris, France ; Psycho-Oncology Unit, Gustave Roussy Hospital, Villejuif, France
Laurence, Valérie; Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France ; Adolescents and Young Adults Unit, Medical Oncology and SIREDO (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer) Departments, Curie Institute, Paris, France
Marec-Berard, Perrine; Pediatrics and Adolescents and Young Adults Oncology Department, Institute of Hematology and Pediatric Oncology, Lyon, France
Cordero, Camille; Adolescents and Young Adults Unit, Medical Oncology and SIREDO (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer) Departments, Curie Institute, Paris, France
Thisse, Audrey; Pediatrics and Adolescents and Young Adults Oncology Department, Institute of Hematology and Pediatric Oncology, Lyon, France
Riberon, Christèle; Pediatrics and Adolescents and Young Adults Oncology Department, Institute of Hematology and Pediatric Oncology, Lyon, France
Flahault-Perron, Cécile ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la santé ; Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France ; Psycho-Oncology Unit, Gustave Roussy Hospital, Villejuif, France ; Functional Unit of Psychology and Liaison Psychiatry and Emergency, Adult and Elderly Psychiatry Service, George Pompidou European Hospital, Paris, France
Language :
English
Title :
Psychological Adjustment, Adaptation, and Perception of Social Support in French Adolescents and Young Adults After the Diagnosis of Cancer.
International Agency for Research on Cancer. Estimated number of new cases in 2020, worldwide, all cancer, both sexes, all ages. GLOBOCAN 2020. Accessed July 27, 2021 from: https://gco.iarc.fr/today/online-analysis-pie?v=2020 &mode=cancer&mode_population=continents&population= 900&populations=900&key=total&sex=0&cancer=%2039 &type=0&statistic=5&prevalence=0&population_group= %200&ages_group%5B%5D=3&ages_group%5B%5D= 4&nb_items=7&group_cancer=1&include_nmsc=1&include_ nmsc_other=1&half_pie=1&donut=1
Raze T, Lacour B, Cowppli-Bony A, et al. Cancer among adolescents and young adults between 2000 and 2016 in France: incidence and improved survival. J Adolesc Young Adult Oncol. 2020;10(1):29-45.
Désandes E, Lacour B, Sommelet D, et al. Cancer survival among adolescents in France. Eur J Cancer. 2006;42(3): 403-9.
Belpame N, Kars MC, Beeckman D, et al. "The AYA Director": a synthesizing concept to understand psychosocial experiences of adolescents and young adults with cancer. Cancer Nurs. 2016;39(4):292-302.
Kim B, Gilham DM. The experience of young adult cancer patients described through online narratives. Cancer Nurs. 2013;36(5):377-84.
Williamson H, Harcourt D, Halliwell E, et al. Adolescents' and parents' experiences of managing the psychosocial. J Pediat Oncol Nurs. 2010;27(3):168-75.
Zebrack BJ, Mills J, Weitzman TS. Health and supportive care needs of young adult cancer patients and survivors. J Cancer Surviv. 2007;1(2):137-45.
Marioni G, Brugières L, Dauchy S. Side effects of treatment and erasure of the sexual body in the adolescent cancer patient. Neuropsychiatr Enf Adolesc. 2009;57(1):113-7.
Corey AL, Haase JE, Azzouz F, Monahan PO. Social support and symptom distress in adolescents/young adults with cancer. J Pediatr Oncol Nurs. 2008;25(5):275-84.
Neville K. The relationships among uncertainty, social support and psychological distress in adolescents recently diagnosed with cancer. J Pediat Oncol Nurs. 1998;15(1): 37-46.
Ishibashi A. The needs of children and adolescents with cancer for information and social support. Cancer Nurs. 2001;24(1):61-7.
Marshall S, Grinyer A, Limmer M. Dual liminality: a framework for conceptualizing the experience of adolescents and young adults with cancer. J Adolesc Young Adult Oncol. 2018;8(1):26-31.
Hauken M, Larsen T. Young adult cancer patients' experiences of private social network support during cancer treatment. J Clin Nurs. 2019;28:2953-65.
Kaluarachchi T, McDonald F, Patterson P, Newton-John T. Being a teenager and cancer patient: what do adolescents and young adults with cancer find valuable and challenging with their friends and cancer peers? J Psychosoc Oncol. 2020;38(2):195-209.
Breuer N, Sender A, Daneck L, et al. How do young adults with cancer perceived social support? A qualitative study. J Psychosoc Oncol. 2017;35(3):292-308.
Hedström M, Ljungman G, von Essen L. Perceptions of distress among adolescents recently diagnosed with cancer. J Pediatr Hematol Oncol. 2005;27(1):15-22.
Zebrack BJ, Corbett V, Embry L, et al. Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psycho Oncol. 2014;23(11): 1267-75.
Grégoire S, Lamore K, Laurence V, et al. Coping strategies and factors related to problematic substance use and behavioral addictions among adolescents and young adults with cancer. J Adolesc Young Adult Oncol. 2020;9(6): 639-50.
Gaspar N, Ziliani L, Marioni G, et al. Establishment of a dedicated unit for AYAs with cancer. Corresp Onco- Hématol. 2012;7(3):142-9.
Barnett M, McDonnell G, DeRosa A, et al. Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review. J Cancer Surviv Res and Prac. 2016; 10(5):814-31.
Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II. San Antonio, TX: The Psychological Corporation;
Spielberger CD, Bruchon-Schweitzer M, Paulhan I. State- Trait Anxiety Inventory form Y (STAI-Y). Paris: Les Editions du Centre de Psychologie Appliquée; 1993.
Muller L, Spitz E. Multidimensional assessment of coping: validation of the Brief COPE on a French population. Ence phale. 2003;29(6):507-18.
Bruchon-Schweitzer M, Rascle N, Cousson-Gélie F, et al. The Sarason Social Support Questionnaire (SSQ6), a French adaptation. Psychol Fr. 2003;48(3):41-53.
Anderzén-Carlsson A, Sörlie V, Kihlgren A. Dealing with fear-from the perspective of adolescent girls with cancer. Eur J Oncol Nurs. 2012;16(3):286-92.
Kent EE, Smith AW, Keegan THM, et al. Talking about cancer and meeting peer survivors: social information needs of adolescents and young adults diagnosed with cancer. J Adolesc Young Adult Oncol. 2013;2(2):44-52.
Stegenga K, Ward-Smith P. On receiving the diagnosis of cancer: the adolescent perspective. J Pediatr Oncol Nurs. 2009;26(2):75-80.
Rae C, Klassen AF, Tsangaris E. Distress screening in adolescents and young adults with cancer: development of cut-points for the cancer distress scales-adolescent and young adults. J Adolesc Adult Oncol. 2019;8(5):560-5.
Brierley M-E, Sansom-Daly UM, Baenziger J, et al. Impact of physical appearance changes reported by adolescent and young adult cancer survivors: a qualitative analysis. Eur J Cancer Care. 2019;28(4):1-8.
