TY - JOUR T1 - Investigation of post-traumatic growth with traumatic and psychological effects in children and adolescents diagnosed with cancer TT - Kanser tanılı çocuk ve ergenlerde travma sonrası büyüme ile travmatik ve ruhsal etkilenmenin incelenmesi AU - Aktaş Terzioğlu, Merve AU - Soyleyici Mert, Tugce AU - Yakarışık, Selin AU - Şenol, Hande PY - 2023 DA - January Y2 - 2022 DO - 10.31362/patd.1210932 JF - Pamukkale Medical Journal JO - Pam Med J PB - Pamukkale Üniversitesi WT - DergiPark SN - 1308-0865 SP - 89 EP - 100 VL - 16 IS - 1 LA - en AB - Purpose: The aim of this study was to evaluate and compare traumatic and mental effects and PTG bycomparing a patient group in hematological-oncological cancer remission with a healthy control group.Materials and methods: Children and adolescents aged 8-18 years, who were in remission with a diagnosis ofchildhood cancer, and presented at the Paediatric Hematology Department of Pamukkale Unıversity between 1September 2021 and 30 April 2022 were included as the study group and a control group was formed of healthychildren and adolescents with no history of cancer diagnosis. The Post-Traumatic Growth Inventory (PTGI), theChild Revised Impact of Events Scale (CRIES-13) and the Revised Child Anxiety and Depression Scale-ChildVersion (RCADS-CV) were applied to all the children in both groups. A sociodemographic information formprepared by the researchers, and the Revised Child Anxiety and Depression Scale- Parent Version (RCADSPV)were applied to parents.Results: Evaluation was made of 27 patients aged 8-18 years with a diagnosis of childhood cancer who werein remission, and a control group of 25 healthy children. No statistically significant difference was determinedbetween the groups in respect of parental ages, family structure, parental educational levels, and mean monthlyfamily income (p>0.05). In the comparisons of the raw scores of the RCADS-PV between the two groups,RCADS-PV Panic Disorder, Obsessive Compulsive Disorder, and Depression subscale scores were found tobe statistically significantly higher in the control group than in the remission group (p=0.048; p=0.045; p=0.047).When the CRIES-13 scores of the two groups were compared, no statistically significant difference was found(p=0.659).When the PTGI scales and subscales of the two groups were compared; while no statisticallysignificant difference was found in the total PTGI score (p=0.066), the change in life philosophy subscale andthe change in relationships with others subscale was found to be statistically significantly higher in the remissiongroup than in the control group (p=0.038; p=0.05).Considering the relationship between CRIES-13 and PTGIscale scores, no statistically significant relationship was found in the remission group.Conclusion: Cancer survivors grow from this negative experience, become stronger and survive with positivegains; they can adjust their expectations from themselves, the world and their future. Considering the currentprevalence of cancer and increasing survival rates with treatments, new multicenter studies with larger samplesare needed on this subject. KW - post-traumatic growth KW - trauma KW - cancer KW - child KW - adolescent N2 - Amaç: Hematoloji-onkoloji kanser remisyonunda olan hasta grubu ve sağlıklı kontrol grubunun karşılaştıraraktravmatik ve ruhsal etkilenmelerini ve post travmatik büyümelerini değerlendirmek ve karşılaştırmakamaçlanmıştır.Gereç ve yöntem: 01 Eylül 2021-30 Nisan 2022 tarihleri arasında Pamukkale Üniversitesi Çocuk HematolojisiAnabilim Dalı’na başvuran ve çalışmaya katılmayı kabul eden çocukluk çağı kanser tanısı remisyonda olan 8-18yaş arası çocuk ve ergenler ile daha önce çocukluk çağı kanser tanısı almamış sağlıklı kontrol grubu çocuk veergenler ile çalışma tamamlanmıştır. Çocuk ve ergenlere Travma Sonrası Büyüme Envanteri (PTGI), RevizeEdilmiş Çocuk Olayın Etkisi Ölçeği -13 (CRIES-13), Çocuklarda Anksiyete ve Depresyon Ölçeği-YenilenmişÇocukFormu (ÇADÖ-Y-ÇF) ölçekleri uygulanmıştır. Ebeveynlere de Sosyodemografik form ve ÇocuklardaAnksiyete ve Depresyon Ölçeği-Yenilenmiş-Ebeveyn Formu (ÇADÖ-Y-EF) uygulanmıştır.Bulgular: Çalışmaya 8-18 yaş arası, 27 çocukluk çağı kanser tanısı remisyonda olan hasta ve 25 sağlıklı kontrolkatılmıştır. İki grup arasında anne baba yaşı, aile yapısı, anne ve babanın öğrenim durumu ve ortalama aylık gelir dağılımında istatistiksel olarak anlamlı düzeyde bir farklılık saptanmamıştır (p>0,05). ÇADÖ-Y-EF PanikBozukluk, Obsesif Kompulsif Bozukluk, Depresyon alt ölçek skorları kontrol grubunda remisyon grubuna göreistatistiksel olarak anlamlı düzeyde yüksek saptanmıştır (p=0,048; p=0,045; p=0,047). İki grubun CRIES-13puanları karşılaştırıldığında istatistiksel olarak anlamlı farklılık bulunmamıştır (p=0,659). İki grubun PTGI ölçekve alt ölçekleri karşılaştırıldığında; total PTGI puanında istatistiksel olarak anlamlı farklılık saptanmazken(p=0,066), PTGI ölçeğinin Yaşam Felsefesinde Değişim ve Başkalarıyla İlişkilerde Değişim alt ölçek ortalamasıhasta grubunda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde yüksek saptanmıştır (p=0,038;p=0,05). CRIES-13 ve PTGI ölçek puanları arasındaki ilişkiye bakıldığında, remisyon grubunda istatistikselolarak anlamlı ilişki bulunmamıştır.Sonuç: Kanseri yenenler bu olumsuz deneyimden büyüyerek, güçlenerek ve olumlu kazanımlarla sağ çıkarak;kendilerinden, dünyadan ve geleceklerinden beklentilerini ayarlayabilmektedir. Günümüzdeki kanser prevalansıve tedavilerle artan sağkalım oranları göz önüne alındığında bu konuda yapılacak çok merkezli ve daha büyükörneklemli yeni çalışmalara ihtiyaç vardır. CR - 1. Marziliano A, Tuman M, Moyer A. 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Posttraumatic growth following breast cancer: a controlled comparison study. Heal Psychol 2001;20:176-185. https://doi.org/10.1037/0278-6133.20.3.176 UR - https://doi.org/10.31362/patd.1210932 L1 - http://dergipark.org.tr/tr/download/article-file/2798053 ER -