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Empirically derived psychosocial states among adolescents diagnosed with cancer during the acute and extended phase of survival
Uppsala universitet, Lunds universitet.ORCID iD: 0000-0001-5104-1281
Uppsala universitet.
Uppsala universitet.
2009 (English)In: Annals of Oncology, ISSN 0923-7534, E-ISSN 1569-8041, Vol. 20, no 10, 1722-1727 p.Article in journal (Refereed) Published
Abstract [en]

Patients and methods: Participants completed the Hospital Anxiety and   Depression Scale and two subscales, Vitality and Mental Health, in the   SF-36 4-8 weeks (T1) (n = 61), 6 (T2) (n = 57), 12 (T3) (n = 50), and   18 (T4) months (n = 48) after diagnosis. I-State as Object of Analysis   was used to identify a finite set of states based on three dimensions.   Cluster analysis was carried out using Ward’s method.   Results: Five states were obtained: psychosocial dysfunction (state A)   and poor (B), incomplete (C), good (D), and excellent (E) psychosocial   function. At T1, more adolescents than expected by chance were in   states A (P < 0.05) and C (P < 0.01) and fewer in states D (P < 0.05)   and E (P < 0.001). At T4, more adolescents than expected by chance were   in state E (P < 0.001) and fewer in state C (P < 0.05). Female gender   and being in late adolescence when diagnosed is related to worse   psychosocial function.   Conclusion: The findings provide support for subgroups of adolescents   whose level of vitality, mental health, and anxiety differ during the   acute and extended phase of survival of cancer. Clinical interventions   tailored to the level of impairment as determined by the clusters may   result in better psychosocial outcomes.

Place, publisher, year, edition, pages
2009. Vol. 20, no 10, 1722-1727 p.
Keyword [en]
Adolescents, Cancer, Cluster analysis, HADS, Psychosocial function, SF-36
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6511DOI: 10.1093/annonc/mdp066PubMedID: 19549708OAI: oai:DiVA.org:esh-6511DiVA: diva2:1162233
Available from: 2017-12-04 Created: 2017-12-04 Last updated: 2017-12-04Bibliographically approved

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