Empirically derived psychosocial states among adolescents diagnosed with cancer during the acute and extended phase of survival
(2009) In Annals of Oncology 20(10). p.1722-1727- Abstract
- Patients and methods: Participants completed the Hospital Anxiety and Depression Scale and two subscales, Vitality and Mental Health, in the SF-36 4-8 weeks (T1) (n = 61), 6 (T2) (n = 57), 12 (T3) (n = 50), and 18 (T4) months (n = 48) after diagnosis. I-State as Object of Analysis was used to identify a finite set of states based on three dimensions. Cluster analysis was carried out using Ward's method. Results: Five states were obtained: psychosocial dysfunction (state A) and poor (B), incomplete (C), good (D), and excellent (E) psychosocial function. At T1, more adolescents than expected by chance were in states A (P < 0.05) and C (P < 0.01) and fewer in states D (P < 0.05) and E (P < 0.001). At T4, more adolescents than... (More)
- Patients and methods: Participants completed the Hospital Anxiety and Depression Scale and two subscales, Vitality and Mental Health, in the SF-36 4-8 weeks (T1) (n = 61), 6 (T2) (n = 57), 12 (T3) (n = 50), and 18 (T4) months (n = 48) after diagnosis. I-State as Object of Analysis was used to identify a finite set of states based on three dimensions. Cluster analysis was carried out using Ward's method. Results: Five states were obtained: psychosocial dysfunction (state A) and poor (B), incomplete (C), good (D), and excellent (E) psychosocial function. At T1, more adolescents than expected by chance were in states A (P < 0.05) and C (P < 0.01) and fewer in states D (P < 0.05) and E (P < 0.001). At T4, more adolescents than expected by chance were in state E (P < 0.001) and fewer in state C (P < 0.05). Female gender and being in late adolescence when diagnosed is related to worse psychosocial function. Conclusion: The findings provide support for subgroups of adolescents whose level of vitality, mental health, and anxiety differ during the acute and extended phase of survival of cancer. Clinical interventions tailored to the level of impairment as determined by the clusters may result in better psychosocial outcomes. (Less)
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https://lup.lub.lu.se/record/1489837
- author
- Mattsson, Eva LU ; El-Khouri, B. ; Ljungman, G. and von Essen, L.
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cluster analysis, adolescents, cancer, HADS, psychosocial function, SF-36
- in
- Annals of Oncology
- volume
- 20
- issue
- 10
- pages
- 1722 - 1727
- publisher
- Oxford University Press
- external identifiers
-
- wos:000270217700016
- scopus:70349647899
- pmid:19549708
- ISSN
- 1569-8041
- DOI
- 10.1093/annonc/mdp066
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: The Vårdal Institute (016540000), Division of Infection Medicine (BMC) (013024020)
- id
- ecd39c8f-2bb6-41c0-b673-4e84dd783cea (old id 1489837)
- date added to LUP
- 2016-04-01 15:02:11
- date last changed
- 2022-01-28 03:48:34
@article{ecd39c8f-2bb6-41c0-b673-4e84dd783cea,
abstract = {{Patients and methods: Participants completed the Hospital Anxiety and Depression Scale and two subscales, Vitality and Mental Health, in the SF-36 4-8 weeks (T1) (n = 61), 6 (T2) (n = 57), 12 (T3) (n = 50), and 18 (T4) months (n = 48) after diagnosis. I-State as Object of Analysis was used to identify a finite set of states based on three dimensions. Cluster analysis was carried out using Ward's method. Results: Five states were obtained: psychosocial dysfunction (state A) and poor (B), incomplete (C), good (D), and excellent (E) psychosocial function. At T1, more adolescents than expected by chance were in states A (P < 0.05) and C (P < 0.01) and fewer in states D (P < 0.05) and E (P < 0.001). At T4, more adolescents than expected by chance were in state E (P < 0.001) and fewer in state C (P < 0.05). Female gender and being in late adolescence when diagnosed is related to worse psychosocial function. Conclusion: The findings provide support for subgroups of adolescents whose level of vitality, mental health, and anxiety differ during the acute and extended phase of survival of cancer. Clinical interventions tailored to the level of impairment as determined by the clusters may result in better psychosocial outcomes.}},
author = {{Mattsson, Eva and El-Khouri, B. and Ljungman, G. and von Essen, L.}},
issn = {{1569-8041}},
keywords = {{cluster analysis; adolescents; cancer; HADS; psychosocial function; SF-36}},
language = {{eng}},
number = {{10}},
pages = {{1722--1727}},
publisher = {{Oxford University Press}},
series = {{Annals of Oncology}},
title = {{Empirically derived psychosocial states among adolescents diagnosed with cancer during the acute and extended phase of survival}},
url = {{http://dx.doi.org/10.1093/annonc/mdp066}},
doi = {{10.1093/annonc/mdp066}},
volume = {{20}},
year = {{2009}},
}