Coping in long‐term survivors of childhood cancer: relations to psychological distress
Abstract
Objective: The goal of this study was to describe coping strategies and their associations with psychological distress in young adult survivors of childhood cancer. Methods: One hundred and sixty‐four childhood cancer survivors, at least 7 years after diagnosis, completed questionnaires assessing demographics, health information, psychological distress, and different ways of coping (return rate: 61%). The Brief Symptom Inventory‐18 (BSI‐18) and the Post‐traumatic Diagnostic Scale's (PDS) eight‐item short form were used to measure psychological distress. Coping was assessed with the Cognitive Control Strategies Scale (CCSS), the Illness Perception Questionnaire‐Revised (IPQ‐R), and the White Bear Suppression Inventory (WBSI). Results: Higher levels of distress were associated with the female sex, not being in a relationship, and with the presence of medical late effects. These predictors explained 12% of the variance in psychological distress. When coping variables were also entered into the equation, the amount of explained variance increased to 50%. The most important determinants of psychological distress in our sample were a tendency to suppress negative thoughts and a low level of optimism. Conclusion: These results contribute to a better understanding of the correlates of difficulties in long‐term psychological adjustment after childhood cancer. Cognitive strategies, which are associated with or may increase the risk for concurrent psychological distress, in specific, avoidance of negative thoughts and a lack of positive future expectations, should be addressed in psychological counseling with survivors suffering from symptoms of distress. Copyright © 2012 John Wiley & Sons, Ltd.
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Subjective appraisals regarding the cancer experience and its aftermath are stronger predictors of psychosocial functioning than objective medical data.
“Although the literature in this domain mostly stems from comparatively small-sized studies, results indeed highlighted that subjective appraisals regarding the cancer experience and its aftermath are stronger predictors of psychosocial functioning than objective medical data [10-12].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [12]
The present results are in line with previous studies demonstrating the importance of subjective appraisals and social support in predicting childhood cancer survivors' psychosocial outcomes.
“These results are in line with previous studies demonstrating the importance of subjective appraisals and social support in predicting CCS' psychosocial outcomes [10-13].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [12]
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- Authors
- Wenninger, K., Helmes, A., Bengel, J., Lauten, M., Völkel, S., & Niemeyer, C. M.
- Affiliations
- University of Freiburg (DE)
- Corresponding author
- Wenninger, Kerstin
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2012-03-28
- Volume
- 22
- Issue
- 4
- Pages
- 854-861
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2168233398
- Cited by
- 83
- References
- 64
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 8 · 2023: 2 · 2022: 4 · 2021: 8 · 2020: 10 · 2019: 3 · 2018: 8 · 2017: 10 · 2016: 5 · 2015: 8 · 2014: 3 · 2013: 8 · 2012: 1
- FWCI
- 5.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- 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
- childhood cancer survivors, psychological distress, coping strategies, optimism, illness perception, psychological adjustment, young adults, Brief Symptom Inventory
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Germany, Humans, Male, Neoplasms, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Stress, Psychological, Time Factors, Prevalence, Survivors
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