Assessment of the Promoting Resilience in Stress Management Intervention for Adolescent and Young Adult Survivors of Cancer at 2 Years

Abstract

Key Points Question Is the Promoting Resilience In Stress Management (PRISM) psychosocial intervention associated with sustained well-being among adolescent and young adult cancer survivors? Findings In this secondary analysis of available 2-year long-term follow-up data on 57 participants from a phase 2 clinical randomized trial, adolescents and young adults who received PRISM reported sustained improvements in patient-reported cancer-related quality of life and hope compared with those who received usual care. Meaning The findings of this study suggest that positive psychology interventions such as PRISM may bolster durable well-being among adolescent and young adult survivors of cancer.

The Feasibility and Acceptability of Resilience Coaching for Adolescent Chronic Musculoskeletal Pain: A Single-Arm Pilot Trial

“…The findings from this pilot study are consistent with those of prior trials of PRISM in which high patient satisfaction with PRISM and improvements in self-perceived resilience and quality of life, along with lower psychological distress, were found for youth with other chronic illnesses [ 6 , 8 , 25 ]. Additionally, among adolescents and young adults with cancer, PRISM improved patient-reported cancer-related quality of life and hope [ 26 ]. Taken together, these findings suggest that the resilience resources targeted by PRISM are critical and universal for improving stress management in the setting of adolescent chronic illness.…”

Yin and Yang of Psychological Health in the Cancer Experience: Does Positive Psychology Have a Role?

“…Hence, interventions that focus on increasing a patient's life satisfaction, social support, life purpose, coping, and positive affect, in relation to their overall life circumstances and health, could be especially important for the cancer population during active cancer treatment and in their future lives. 4,67…”

“…4,67 Recommendations Overall, we advocate that enhancing PPWB during the entire cancer care cycle should go hand-in-hand with minimizing the negative psychological outcomes associated with the cancer care experience regardless of disease stage and prognosis. Despite the challenges of managing cancer and its treatment, the average patient with cancer wants to maintain an optimistic spirit, satisfaction with their life, and gratitude, as we have observed in patients with other medical conditions 4.…”

Çocuklarda Yaşam Sonu Bakım ve İyi Ölüm Kavramı

“…Yaşam sonu dönemde bulunan çocuğun hastalığı nedeniyle korku yaşaması, kendini akranlarından farklı görmesi ve ölümü kabul etme süreci depresif bozukluk, anksiyete bozuklukları veya travma sonrası stres bozukluğu (TSSB) gibi psikolojik semptomlar yaşamasına neden olur (26)(27)(28). Ayrıca yaşam sonu dönemde çocuklarda görülebilen psikolojik semptomlar, fizyolojik semptomların artış göstermesine yol açabilir (28).…”

“…Stres yönetiminde dayanıklılığın teşvik edilmesi isimli bir koçluk müdahalesinin kanserli çocuk ve genç yetişkinlerde (13-25 yaş) etkinliğini değerlendiren bir çalışmada; müdahaleden 6 ay sonra çocuk ve genç yetişkinlerin yaşam kalitesi, umut ve dayanıklılık düzeylerinde iyileşme görüldüğü bildirilmiştir. Ayrıca müdahaleden 2 yıl sonra çocukların ve genç yetişkinlerin iyilik hâlinin devam ettiği saptanmıştır (27). Bunun yanı sıra yapılan bir sistematik incelemede pediatrik onkoloji hastalarına uygulanan psikososyal müdahalelerin, ağrı ve psikolojik semptomların yanı sıra fiziksel semptomlar üzerinde de olumlu etki gösterdiği bildirilmiştir (28).…”