Predictors of Psychological Well-Being among Adolescents Receiving Cancer Chemotherapy
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Abstract
Purpose: This research aims to investigate the predictive abilities of symptom experiences, anxiety, and resiliency on psychological well-being among adolescents undergoing and underwent chemotherapy for cancer.
Design: Predictive study.
Methods: Participants were 100 adolescents undergoing cancer treatment at the Division of Pediatric Hematology and Oncology at a tertiary referral hospital in Bangkok. Data were collected through Demographic and Medical Record Form, the Modified Memorial Symptom Assessment Scale, Hospital Anxiety and Depression Scale, Connor-Davidson Resilience Scale, and Ryff’s Psychological Well-Being Scale. Data were analyzed by stepwise method of multiple regression analysis.
Main findings: An average score of psychological well-being reported by adolescents with cancer was 77.30 (SD = 8.66). Resiliency and symptom experience could significantly predict psychological well-being and explain 29% of the variances (R2 = .29).
Conclusion and recommendations: Resiliency and symptom experience were statistically significant predictors of psychological well-being in adolescents underwent cancer chemotherapy. Nurses should play heed to assess the symptoms and help adolescents to be able to manage the symptoms either during chemotherapy session or completed treatment phase, as well as promote adolescents’ psychological well-being through activities that strengthen their resiliency. In addition, parents’ awareness of the importance of promoting adolescents’ resiliency should be raised so that their adolescents will achieve the adjustment to illness and increased psychological well-being.
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