小児がん患者における病気のとらえ方の検討 [in Japanese] The Perceived Cancer Experience in Japanese Childhood Cancer Patients : A Qualitative Study [in Japanese]
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Objectives : Experience of cancer has been linked to post-traumatic stress disorder for childhood cancer survivors. However, it is also an opportunity for personal growth (Jim & Jacobsen., 2008). Evaluating the long-term effects of cancer and its treatment, we have to investigate the impact of cancer in life domains. The purpose of this study was to explore the perception of the cancer experience in Japanese childhood cancer patients. Methods : Subjects were 25 childhood cancer patients attending the pediatric outpatient clinics (8 male and 17 female), median age at survey was 16.8 yrs (13.8-28.8 yrs), median age at diagnosis was 8.0 yrs (2.3-15.0 yrs). Approximately 18 patients had leukemia, 4 suffered from malignant lymphoma and 3 suffered from osteosarcoma, respectively. They were asked to participate in a semi-structured interview regarding the perception of the cancer experience. The data was analyzed with the content analysis, chi-square test and Fisher's exact test. Results: A total of 11 attributes were extracted. The attributes indicated by many of the participants were "having cancer brought my family closer together (n=14)", "I have met various people (n=12)", "cancer has been a precious experience of my life (n=11)", "I wonder why I got cancer (n=9)". Some attributes showed statistically significant differences among age at survey. Conclusion : This study identified the important components of the perceived cancer experience in Japanese childhood cancer patients. Most patients thought that good things have come out of having had cancer. In addition, older patients have more diversified views of cancer than younger patients because they have had many problems and benefits.
- Japanese Journal of Psychosomatic Medicine
Japanese Journal of Psychosomatic Medicine 52(7), 638-645, 2012
Japanese Society of Psychosomatic Medicine