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Kremer AL, Schieber K, Metzler M, et al. Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers. Int J Adolesc Med Health. 2016;29(6)doi: 10.1515/ijamh-2016-0027.
Kremer, A. L., Schieber, K., Metzler, M., Schuster, S., & Erim, Y. (2016). Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers. International journal of adolescent medicine and health, 29(6), . https://doi.org/10.1515/ijamh-2016-0027
Kremer, Anna-Lena, et al. "Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers." International journal of adolescent medicine and health vol. 29,6 (2016). doi: https://doi.org/10.1515/ijamh-2016-0027
Kremer AL, Schieber K, Metzler M, Schuster S, Erim Y. Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers. Int J Adolesc Med Health. 2016 Jun 07;29(6). doi: 10.1515/ijamh-2016-0027. PMID: 27269889.
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Int J Adolesc Med Health. 2016 Jun 07;29(6). doi: 10.1515/ijamh-2016-0027.

Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers.

International journal of adolescent medicine and health

Anna-Lena Kremer, Katharina Schieber, Markus Metzler, Sonja Schuster, Yesim Erim

Affiliations

  1. .

PMID: 27269889 DOI: 10.1515/ijamh-2016-0027

Abstract

OBJECTIVE: This study examined posttraumatic growth (PTG) in young childhood cancer survivors (CCS) and type 1 diabetics (DM), with physically healthy peers as the control group (CG). Anxiety and depression as negative mental outcomes in the three groups, as well as fear of progression in DM and CCS were examined.

METHODS: A total of 107 participants with ages ranging from 18 to 35 years were examined: CCS (n=33), type 1 diabetics (n=39) and peers without a history of chronic disease (n=35). PTG and negative psychosocial outcomes were assessed with self-report questionnaires.

RESULTS: There was a significant difference between the groups regarding PTG. On a subscale level DM reported higher appreciation of life (p=0.024), higher personal strength (p=0.010), and more new possibilities (p=0.010) compared to CG. CCS experienced higher spiritual changes than DM (p=0.050). DM reported higher levels of anxiety compared to CCS (p=0.026) and CG (p=0.049). Depression was higher in DM compared to CG (p=0.003). Fear of progression was higher in DM compared to CCS (p<0.001).

CONCLUSION: These findings show that psychological growth was experienced by young CCS and participants with DM. Furthermore, these findings highlight that adolescents with a significant health diagnosis in childhood or youth can undergo a similar or even more positive psychosocial development as peers without a history of chronic disease. However, young type 1 diabetics seem to be a more vulnerable group in terms of anxiety, depression and fear of progression.

Keywords: anxiety; childhood cancer survivor; depression; posttraumatic growth; type 1 diabetes

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