Change in Mental Health and Resilience in Childhood Cancer Survivors After Attending a Person-Centred State-of-the-Art Late Effects Clinic-on Behalf of the PanCareFollowUp Consortium.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Michel Gisela, Rijken Mieke, Kokla Marietta, Sleurs Charlotte, Lemiere Jurgen, Frederiksen Line Elmerdahl, Mader Luzius, Follin Cecilia, Oberti Sara, Winther Jeanette Falck, van den Oever Selina R, Kremer Leontien C M, van der Pal Helena J H, Spreeuwenberg Peter, Bouwman Eline, Te Dorsthorst Jeroen, Essiaf Samira, Feijen Elizabeth A M Lieke, Gsell Hannah, Haupt Riccardo, van Helvoirt Maria, Hermens Rosella P M G, Hjorth Lars, Kepak Tomas, Kepakova Katerina, Kienesberger Anita, Muraca Monica, Renard Marleen, Schneider Carina, Skinner Roderick, Uyttebroeck Anne, Vanrusselt Deveny, Verschueren Sabine, Loonen Jacqueline, Pluijm Saskia M F, Roser Katharina, PanCareFollowUp consortium
Аннотация
AIMS: To describe changes in mental health and resilience in survivors before and after a person-centred follow-up care intervention and analyse associations of mental health improvements with socio-demographic and clinical characteristics.
METHODS: We implemented the novel person-centred PanCareFollowUp Care Intervention in four clinics across Europe. Survivors aged 16+ years (cancer diagnosed at age < 19 years, 5+ years after diagnosis) completed the Brief Symptom Inventory-18 (BSI-18; somatisation, depression, anxiety, overall distress), Post-traumatic Stress Disorder Checklist and the Connor-Davidson Resilience Scale before (T1) and 6 months after (T2) the clinic visit. We calculated a change score for resilience and a reliable change index for BSI-18 scales and post-traumatic stress symptoms.
RESULTS: In total, 798 survivors participated (51.4% males, mean age = 30.3 years [range: 16-60]). Mental health significantly improved, with lower scores for depression (mean change = 0.89, p = 0.001), anxiety (mean change = 0.68, p = 0.025), overall distress (mean change = 0.99, p = 0.004) and post-traumatic stress symptoms (mean change = 1.09, p = 0.004) at T2 as compared to T1. Around one-third of survivors reported significant distress (no change: p = 0.659). Socio-demographic or clinical characteristics were not associated with changes in resilience or overall distress. A reliable reduction of post-traumatic stress symptoms was more likely in those single (p = 0.020), unemployed or in education/studying (p = 0.003) and with poor physical health (p = 0.004).
CONCLUSION: Mental health improved after the person-centred PanCareFollowUp Care Intervention. Inclusion in regular follow-up care may help to decrease survivors' distress in the long-term.
TRIAL REGISTRATION: Netherlands Trial Register numbers: NL8918, NL-OMON21449.