Coping strategies of retinoblastoma survivors in relation to behavioural problems
Abstract
Objective: To assess coping strategies of long‐term retinoblastoma (RB) survivors and explore determinants of behavioural functioning, including medical, socio‐demographic and coping variables. Methods: This population‐based cross‐sectional study included 117 RB survivors (12–35 years), registered in the Dutch national RB register. Survivors were asked to fill in coping, social support and behavioural questionnaires, and situational characteristics were obtained from medical archives and from an interview. Prevalence rates of coping strategies were computed based on self‐reports. One‐sample t‐tests were applied to analyse differences in the use of coping strategies compared with healthy reference samples. Multiple regression analyses were performed to identify various determinants for behavioural problems within the RB sample. Results: RB survivors differed from their healthy reference group in one coping style, i.e. they showed significantly less emotion‐oriented coping behaviour. Adolescents who came from a single‐parent family and/or experienced lower social support and used more emotion‐oriented coping reported more total problem behaviour. More internalizing problems were reported for adolescents who experienced less social support and less acceptance of the disease. For adults, more life events, emotion‐oriented coping and lower social support explained more total problem behaviour, especially internalizing problems. Conclusion: RB survivors showed less emotion‐oriented coping behaviour compared with the reference group. Behavioural problems are best determined by emotion‐oriented coping, social support, life events other than RB and acceptance of the disease, and not by medical variables. Therefore, these variables should be taken into consideration during interventions for this group. Copyright © 2009 John Wiley & Sons, Ltd.
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The social context of cancer survivors is crucial in understanding their psychosocial outcomes.
“It has been acknowledged that the social context of cancer survivors is crucial in understanding their psychosocial outcomes [14, 16].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [14]
Similar results for illness cognitions have been found in studies among patients with chronic health problems and among adolescent and young adult cancer survivors.
“Although these concepts have not been extensively studied in CCS, similar results were found in studies among patients with chronic health problems [25], and among adolescent and young adult cancer survivors [14].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [14]
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“Notably, the literature emphasizes the importance of subjective factors including perceptions regarding childhood cancer [11, 13], coping strategies to manage the cancer experience and its long‐term effects [12, 14], self‐esteem [15], and social support [16].”
Self-citation
- Authors
- van Dijk, J., Grootenhuis, M. A., Imhof, S. M., Cohen‐Kettenis, P. T., Moll, A. C., & Huisman, J.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2009-02-16
- Volume
- 18
- Issue
- 12
- Pages
- 1281-1289
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2129784495
- Cited by
- 25
- References
- 51
- Citations by year
- 2026: 1 · 2024: 2 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 5 · 2013: 2 · 2012: 1
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Universiteit Utrecht
- Stichting Blindenhulp
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- retinoblastoma survivors, coping strategies, emotion-focused coping, behavioral problems, internalizing problems, social support, life events, acceptance of illness, single-parent families, adolescents, adults, long-term cancer survivors
- MeSH terms
- Adaptation, Psychological, Adjustment Disorders, Adolescent, Adult, Child Behavior Disorders, Cross-Sectional Studies, Defense Mechanisms, Female, Humans, Internal-External Control, Interview, Psychological, Life Change Events, Male, Personality Inventory, Problem Solving, Psychometrics, Retinoblastoma, Social Adjustment, Social Support, Single Parent, Survivors, Retinal Neoplasms, Young Adult
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