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Empirically derived psychosocial states among adolescents diagnosed with cancer during the acute and extended phase of survival

Mattsson, Eva LU ; El-Khouri, B.; Ljungman, G. and von Essen, L. (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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author
organization
publishing date
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
ISSN
1569-8041
DOI
10.1093/annonc/mdp066
language
English
LU publication?
yes
id
ecd39c8f-2bb6-41c0-b673-4e84dd783cea (old id 1489837)
date added to LUP
2009-10-21 11:06:09
date last changed
2017-07-09 04:12:46
@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 &lt; 0.05) and C (P &lt; 0.01) and fewer in states D (P &lt; 0.05) and E (P &lt; 0.001). At T4, more adolescents than expected by chance were in state E (P &lt; 0.001) and fewer in state C (P &lt; 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},
  keyword      = {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},
  volume       = {20},
  year         = {2009},
}