Self-esteem and coping strategies in adolescent cancer patients during the period of illness and follow-up

  1. Diego José Sáez Rodríguez 1
  2. Juan Manuel Ortigosa Quiles 1
  3. Antonio Riquelme Marin 1
  4. Raquel Suriá Martínez 2
  1. 1 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  2. 2 Universitat d'Alacant
    info

    Universitat d'Alacant

    Alicante, España

    ROR https://ror.org/05t8bcz72

Revista:
EJIHPE: European Journal of Investigation in Health, Psychology and Education

ISSN: 2174-8144 2254-9625

Año de publicación: 2024

Volumen: 14

Número: 5

Páginas: 1128-1139

Tipo: Artículo

DOI: 10.3390/EJIHPE14050074 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: EJIHPE: European Journal of Investigation in Health, Psychology and Education

Resumen

The importance of self-esteem during the course of oncological illness has been welldocumented by some previous studies. However, data assessing its association with various coping strategies, especially considering the period of illness, are still scarce. The objective of this study is to analyze the differences in coping strategies among oncological adolescents, taking into account their self-esteem, illness period, age, and sex. A total of 201 oncological patients between the ages of 12 and 17 from three different Spanish cities were included in this study. All of them were asked to answer a tailored questionnaire, encompassing information about age, sex, and illness period. Additionally, the coping strategies were measured using the ACS scale, while self-esteem was evaluated using the SENA questionnaire. The results demonstrated that male adolescents and older individuals exhibited higher levels of self-esteem. The main coping strategies associated with higher self-esteem were “ignore the problem”, “focus on positive”, “physical recreation”, and “wishful thinking” both during the treatment and the follow-up phases. We conclude that higher self-esteem is associated with some of the coping strategies such as “focus on positive”, “ignore the problem”, and “wishful thinking”. Sociodemographic variables influence the relationship between self-esteem and coping strategies, but no differences were found regarding the period of illness.

Referencias bibliográficas

  • Yélamos, C.; García, G.; Fernández, B.; Pascual, C.; García-Saenz, J.A.; Medin, G. El Cáncer en los Niños; Asociación Española Contra el Cáncer: Madrid, España, 2011. Available online: https://www.aecc.es/sites/default/files/migration/actualidad/ publicaciones/documentos/guiareducida.pdf (accessed on 10 August 2023).
  • Kornfeld, D.S. Consultation-Liaison Psychiatry: Contributions to Medical Practice. Am. J. Psychiatry 2002, 159, 1964–1972.
  • Sharp, K.; Tillery, R.; Long, A.; Wang, F.; Pan, H.; Phipps, S. Trajectories of resilience and posttraumatic stress in childhood cancer: Consistency of child and parent outcomes. Health Psychol. 2022, 41, 256–267.
  • Wurttemberger, O.R. Information and Childhood Cancer. Colomb Med. 2016, 47, 74–79. Available online: https://www.minsalud. gov.co/sites/rid/Lists/ (accessed on 10 August 2023).
  • AECC Asociación Española Contra el Cáncer, Dimensiones del Cáncer. 2022. Available online: https://observatorio. contraelcancer.es/explora/dimensiones-del-cancer (accessed on 10 August 2023).
  • Thabrew, H.; Stasiak, K.; E Hetrick, S.; Wong, S.; Huss, J.H.; Merry, S.N. eHealth interventions for anxiety and depression in children and adolescents with long-term physical conditions. Cochrane Database Syst. Rev. 2017, 1, CD012489.
  • Phelps, C.; Minou, M.; Baker, A.; Hughes, C.; French, H.; Hawkins, W.; Leeuwenberg, A.; Crabtree, R.; Hutchings, P.B. Necessary but not sufficient? Engaging young people in the development of an avatar-based online intervention designed to provide psychosocial support to young people affected by their own or a family member’s cancer diagnosis. Health Expect. 2017, 20, 459–470.
  • Puello-Alcocer, E.C.; Herrera-Espitia, K.K.; German-Orozco, S.C. Sentimientos y cambios en niños y adolescentes con cáncer en Montería (2019). Rev. Cienc. Cuid. 2020, 17, 33–43.
  • Wang, M.; Huang, M.; Hong, Y. Psychological intervention in children with transfusion-dependent β-thalassaemia. Vox Sang. 2022, 117, 386–392.
  • Azem, T. Preventing Body Image Issues in Adolescent Cancer Survivors. 2017. Available online: https://www.proquest.com/ openview/148c3a2fa1bec02cff1dc4e4d8603d7f/1?pq-origsite=gscholar&cbl=18750 (accessed on 10 August 2023).
  • Mittmann, G.; Schrank, B. Determinants of health and well-being in adolescents. Wien. Klin. Wochenschr. 2021, 133, 1057–1063.
  • Gibson, F.; Hibbins, S.; Grew, T.; Morgan, S.; Pearce, S.; Stark, D.; Fern, L.A. How young people describe the impact of living with and beyond a cancer diagnosis: Feasibility of using social media as a research method. Psycho-Oncology 2016, 25, 1317–1323.
  • Wicks, L.; Mitchell, A. The adolescent cancer experience: Loss of control and benefit finding. Eur. J. Cancer Care 2010, 19, 778–785.
  • Rosenberg-Yunger, Z.R.S.; Klassen, A.F.; Amin, L.; Granek, L.; D’Agostino, N.M.; Boydell, K.M.; Greenberg, M.; Barr, R.D.; Nathan, P.C. Barriers and Facilitators of Transition from Pediatric to Adult Long-Term Follow-Up Care in Childhood Cancer Survivors. J. Adolesc. Young Adult Oncol. 2013, 2, 104–111.
  • Dieluweit, U.; Debatin, K.; Grabow, D.; Kaatsch, P.; Peter, R.; Seitz, D.C.M.; Goldbeck, L. Social outcomes of long-term survivors of adolescent cancer. Psycho-Oncology 2010, 19, 1277–1284.
  • Stam, H.; Hartman, E.E.; Deurloo, J.A.; Groothoff, J.; Grootenhuis, M.A. Young Adult Patients with a History of Pediatric Disease: Impact on Course of Life and Transition into Adulthood. J. Adolesc. Health 2006, 39, 4–13.
  • Van Dijk, E.M.; van Dulmen-den Broeder, E.; Kaspers, G.J.L.; van Dam, E.W.C.M.; Braam, K.I.; Huisman, J. Psychosexual functioning of childhood cancer survivors. Psycho-Oncology 2008, 17, 506–511.
  • Havighurst, R.J. Developmental Tasks and Education. 1992; p. 119. Available online: https://www.worldcat.org/title/335070 (accessed on 13 August 2023).
  • Hensler, M.A.; Katz, E.R.; Wiener, L.; Berkow, R.; Madan-Swain, A. Benefit Finding in Fathers of Childhood Cancer Survivors. J. Pediatr. Oncol. Nurs. 2013, 30, 161–168.
  • Erickson, S.J.; Steiner, H. Trauma and Personality Correlates in Long Term Pediatric Cancer Survivors. Child Psychiatry Hum. Dev. 2001, 31, 195–213.
  • Hullmann, S.E.; Fedele, D.A.; Molzon, E.S.; Mayes, S.; Mullins, L.L. Posttraumatic Growth and Hope in Parents of Children with Cancer. J. Psychosoc. Oncol. 2014, 32, 696–707.
  • Barakat, L.P.; Alderfer, M.A.; Kazak, A.E. Posttraumatic Growth in Adolescent Survivors of Cancer and Their Mothers and Fathers. J. Pediatr. Psychol. 2006, 31, 413–419.
  • López, J.; Ortiz, G.; Noriega, C. Posttraumatic growth in parents of children and adolescents with cancer. An. Sist. Sanit. Navar. 2019, 42, 325–337.
  • Turner-Sack, A.M.; Menna, R.; Setchell, S.R. Posttraumatic Growth, Coping Strategies, and Psychological Distress in Adolescent Survivors of Cancer. J. Pediatr. Oncol. Nurs. 2012, 29, 70–79.
  • Zebrack, B.J.; Chesler, M.A. Quality of life in childhood cancer survivors. Psycho-Oncology 2002, 11, 132–141.
  • Rosenberg, A.R.; Yi-Frazier, J.P.; Wharton, C.; Gordon, K.; Jones, B. Contributors and Inhibitors of Resilience Among Adolescents and Young Adults with Cancer. J. Adolesc. Young Adult Oncol. 2014, 3, 185–193.
  • García, A.A.G.; Gómez-Maqueo, M.E.L. Estilo de afrontamiento y calidad de vida en adolescentes con cáncer. Gac. Mex. Oncol. 2016, 15, 3–9.
  • Pérez, A.B.; Martínez, H.V. Adolescencia y cáncer. Psicooncología 2015, 12, 141.
  • Pinto, I.F.; Santamaría, P.; Sánchez-Sánchez, F.; Carrasco, M.A.; del Barrio, V. Sistema de Evaluación de Niños y Adolescentes, TEA Ediciones; SENA: Madrid, Spain, 2015.
  • Condor, Y.E.H. Autoestima y estrategias de afrontamiento al estrés en adolescentes. Rev. Cienc. Arte Enfermería 2018, 3, 27–31.
  • Joaquín-Mingorance, M.; Arbinaga, F.; Carmona-Márquez, J.; Bayo-Calero, J. Coping strategies and self-esteem in women with breast cancer. An. Psicol. 2019, 35, 188–194.
  • Barrón, R.G.; Castilla, I.M.; Casullo, M.M.; Verdú, J.B. Relación Entre Estilos y Estrategias de Afrontamiento y Bienestar Psicológico en Adolescents. Psicothema 2002, 14, 363–368. Available online: https://reunido.uniovi.es/index.php/PST/article/view/8028 (accessed on 10 August 2023).
  • Cheng, C.; Lau, H.-P.B.; Chan, M.-P.S. Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review. Psychol. Bull. 2014, 140, 1582–1607.
  • McMahon, E.M.; Corcoran, P.; McAuliffe, C.; Keeley, H.; Perry, I.J.; Arensman, E. Mediating Effects of Coping Style on Associations Between Mental Health Factors and Self-Harm Among Adolescents. Crisis 2013, 34, 242–250.
  • Villa, A.C.; Retamal, G.C.; de Martínez, E.F. Vivencias y significados de adolescentes sobrevivientes al cáncer. Trilogía Cienc. Tecnol. Soc. 2014, 6, 145–163.
  • Poch, F.V.; Carrasco, M.G.; Moreno, Y.G.; Cerrato, S.M.; Aznar, F.C. Los estilos y estrategias de afrontamiento y su relación con el bienestar personal en una muestra de adolescentes. An. Psicol. 2015, 31, 226–233.
  • Compas, B.E.; Jaser, S.S.; Bettis, A.H.; Watson, K.H.; Gruhn, M.A.; Dunbar, J.P.; Williams, E.; Thigpen, J.C. Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative review. Psychol. Bull. 2017, 143, 939–991.
  • Bottesi, G.; Spoto, A.; Trevisson, E.; Zuccarello, D.; Vidotto, G.; Cassina, M.; Clementi, M. Dysfunctional coping is related to impaired skin-related quality of life and psychological distress in patients with neurofibromatosis type 1 with major skin involvement. Br. J. Dermatol. 2019, 182, 1449–1457.
  • Ramírez, J.S.; González, G.M.C. Evaluación de síntomas en niños y adolescentes con cáncer: Revisión integrativa. Rev. Cienc. Cuid. 2019, 16, 103–113.
  • Frydenberg, E.; Lewis, R. ACS. Escalas de Afrontamiento para Adolescentes; TEA Ediciones: Madrid, Spain, 1996.