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Predictors of Resilience in Adolescents with Leukemia
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Sung Sil Hong, Ho Ran Park
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J Korean Acad Nurs 2015;45(4):595-603. Published online August 31, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.4.595
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Abstract
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Purpose
The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors.
Methods
From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program.
Results
The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience.
Conclusion
The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.
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Citations
Citations to this article as recorded by 
- Family communication and courageous coping in Korean adolescents and young adults: a cross-sectional study
Heeyeon Son, Susan G Silva, Sungsil Hong, Joan E Haase, Jung Woo Han, Sharron L Docherty Journal of Pediatric Psychology.2025; 50(2): 164. CrossRef - Factors affecting resilience among young breast cancer survivors: A cross-sectional study
Hye Young Min, Yoonjung Kim, Hae Jeong An European Journal of Oncology Nursing.2025; 75: 102837. CrossRef - Psychometric evaluation of the spiritual perspective scale for adolescents and young adults with cancer
Chin-Mi Chen, Heeyeon Son, Yvonne Yueh-Feng Lu, Li-Min Wu Asia-Pacific Journal of Oncology Nursing.2024; 11(11): 100594. CrossRef - Resilience to COVID-19 challenges: Lessons for school psychologists serving school-attending black South African youth aged 10 to 19 years old
Jace Pillay School Psychology International.2023; 44(2): 172. CrossRef - Is there a relationship between spirituality/religiosity and resilience? A systematic review and meta-analysis of observational studies
Fábio Duarte Schwalm, Rafaela Brugalli Zandavalli, Eno Dias de Castro Filho, Giancarlo Lucchetti Journal of Health Psychology.2022; 27(5): 1218. CrossRef - A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities
Youyoung Cho, Hyeonok Kim Journal of Korean Academy of Nursing.2022; 52(4): 407. CrossRef - The mediating role of Courageous coping in the relations between spirituality and social support with resilience among adolescents with hemophilia
Ali Mohammad Parviniannasab, Mahnaz Rakhshan, Marzieh Momennasab, Mitra Soltanian, Masoume Rambod, Mahdi Akbarzadeh Clinical Child Psychology and Psychiatry.2022; 27(4): 1141. CrossRef - Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review
Cole Wayant, Jack Manquen, Hannah Wendelbo, Natalie Kerr, Matt Crow, Jon Goodell, Andrea C. Tricco, Jennifer W. Mack, Chan Hellman, Matt Vassar Journal of Adolescent and Young Adult Oncology.2021; 10(3): 247. CrossRef - Factors Influencing Resilience among Korean adolescents and young adult survivors of childhood cancer
Yoon Jung Shin, Eui Geum Oh European Journal of Oncology Nursing.2021; 53: 101977. CrossRef - Health-related Quality of Life of Children and Adolescents after Hematopoietic Stem Cell Transplantation
Yu Min Hwang, Kyung-Sook Bang Child Health Nursing Research.2020; 26(4): 402. CrossRef - Difficulty in returning to school among adolescent leukemia survivors: A qualitative descriptive study
Hyeran An, Sunhee Lee European Journal of Oncology Nursing.2019; 38: 70. CrossRef - The Effects of Illness Cognition on Resilience and Quality of Life in Korean Adolescents and Young Adults with Leukemia
Ju-Young Lee, Dae-Chul Jeong, Nack-Gyun Chung, Sunhee Lee Journal of Adolescent and Young Adult Oncology.2019; 8(5): 610. CrossRef - Impact of resilience on the health‐related quality of life of adolescents with a chronic health problem: A structural equation approach
Mijin Kim, Kyunghee Kim, Ji‐Su Kim Journal of Advanced Nursing.2019; 75(4): 801. CrossRef - Sleep Pattern and Factors Causing Sleep Disturbance in Adolescents with Cancer before and after Hospital Admission
Jin Jung, Eun-Hye Lee, You-Jin Yang, Bo-Yoon Jang Asian Oncology Nursing.2017; 17(3): 143. CrossRef - The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty
Ae-Kyung Kim Korean Journal of Adult Nursing.2017; 29(5): 472. CrossRef - Health Impaired Children's Participation Experience of Hospital School Programs as Perceived by Mothers
Hyun Jung Yun Journal of Korean Public Health Nursing.2015; 29(3): 515. CrossRef
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Late Effects, Social Adjustment, and Quality of Life in Adolescent Survivors of Childhood Leukemia
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Sung Sil Hong, Ho Ran Park, Kwang Sung Kim, Sun Hee Choi
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J Korean Acad Nurs 2014;44(1):55-63. Published online February 28, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.1.55
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Abstract
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Purpose
This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents.
Methods
Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child's physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS.
Results
Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects.
Conclusion
The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.
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Citations
Citations to this article as recorded by 
- An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model
Hye Jin Kim, Eunjoo Lee Asian Oncology Nursing.2024; 24(2): 82. CrossRef - Technology-based psychosocial support for adolescent survivors of leukemia
Tuba ARPACI, Naime ALTAY Journal of Integrative Nursing.2022; 4(3): 157. CrossRef - Self-efficacy, post-traumatic growth, and quality of life of pediatric cancer survivors: A cross-sectional study
Yeunhee Kwak, Yoonjung Kim, Eun Seok Choi, Ho Joon Im European Journal of Oncology Nursing.2021; 54: 102019. CrossRef - Difficulty in returning to school among adolescent leukemia survivors: A qualitative descriptive study
Hyeran An, Sunhee Lee European Journal of Oncology Nursing.2019; 38: 70. CrossRef - Sleep Pattern and Factors Causing Sleep Disturbance in Adolescents with Cancer before and after Hospital Admission
Jin Jung, Eun-Hye Lee, You-Jin Yang, Bo-Yoon Jang Asian Oncology Nursing.2017; 17(3): 143. CrossRef - Qualitative Evaluation of Effectiveness of ‘Family Hope Partner Project’ for Pediatric Cancer Patients and their Families
김선희 Korean Journal of Family Social Work.2017; null(55): 59. CrossRef - The Experiences of Korean Young Adult Survivors of Childhood Cancer
Jaehee Yi, Min Ah Kim, Sangmin An Qualitative Health Research.2016; 26(8): 1044. CrossRef - The Effect of Perceived Social Stigma on Self-Esteem of Childhood Cancer Survivors
김민아, 남석인, 장은혜, Lee Daji Health and Social Welfare Review.2016; 36(1): 497. CrossRef - Health-related Needs and Quality of Life in Childhood Cancer Survivors
Su-Jin Lim Asian Oncology Nursing.2015; 15(4): 246. CrossRef
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