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Connections of Posttraumatic Stress and Growth in Childhood Cancer Survivors and Their Parents
Koutná, Veronika ; Blatný, Marek ; Jelínek, Martin ; Vobořil, Dalibor
Posttraumatic stress (PTS) and growth (PTG) have been described in both childhood cancer survivors and their parents. This study aims to analyse the parent-child connections in self- reported PTS and PTG as well as the concordance of child self-reported and parent proxy- reported PTG. The sample included 142 parent-child dyads. Both survivors and parents self- reported PTS and PTG. Parents also proxy-reported PTG in their child. Correlations were performed between self-reported measures of PTS and PTG as well as parent proxy-report of PTG in the child. Parent proxy-reports of PTG in their child are more strongly related to parental own PTG than to PTG self-reported by the child. Parental PTS and PTG are correlated, but in survivors, PTS and PTG are not related. Parent proxy-reports of PTG in their child may reflect their own PTG rather than PTG of their child. The relationship between PTG and PTS in the context of childhood cancer differs depending on the reporter (parent/child).
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Relationship of Posttraumatic Stress and Growth with Quality of Life in Childhood Cancer Survivors
Koutná, Veronika ; Blatný, Marek ; Jelínek, Martin ; Vobořil, Dalibor
Childhood cancer is an event with the potential for both posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG). While full PTSD is rare in childhood cancer survivors, PTG is common in this population. The relationship between posttraumatic stress (PTS) and PTG has not yet been clearly established, and the relationship between PTG and quality of life (QOL) is unclear. In a group of 188 childhood cancer survivors, we used correlation analysis to determine the relationship of PTS/PTG with specific dimensions of QOL. In the younger group (up to 12 years), the QOL correlated only with PTS, the connection with PTG was not proven. In the older group (from 13 years), QOL correlated with PTS and PTG, but correlations were stronger for PTS. The relationship between PTS and QOL was negative in both groups, the relationships between PTG and QOL in the older group was weakly positive. The relationship of PTG and successful adaptation and good QOL remains questionable.
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Quality of life of childhood cancer survivors: Results of the second stage of longitudinal study QOLOP
Blatný, Marek ; Koutná, Veronika ; Jelínek, Martin ; Blažková, T. ; Kepák, T.
The Brno Quality of Life Longitudinal Study of Paediatric Oncology Patients (QOLOP,N = 225) is a prospective longitudinal study of the quality of life of children and adolescents after treatment of pediatric cancer, which was started in 2006. This paper summarizes the main results of the second stage of this study. Three studies that dealt with longitudinal trends in quality of life, changes in the level of depressive symptoms and predictors of posttraumatic stress and posttraumatic growth, showed that more important than objective medical data (type of diagnosis, severity of late effects) are personality characteristics (negative emotionality) /nand parenting factors, i.e. factors that are not primarily related to the disease and can be suitably influenced.
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