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THE IMPACT OF POST-TRAUMATIC STRESS AND POST-TRAUMATIC GROWTH ON YOUNG ADULT CANCER SURVIVORS
by
Jaehee Yi
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(SOCIAL WORK)
May 2011
Copyright 2011 Jaehee Yi
Object Description
| Title | The impact of post-traumatic stress and post-traumatic growth on young adult cancer survivors |
| Author | Yi, Jaehee |
| Author email | jaeheeyi@usc.edu; jaehee.yi@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Social Work |
| School | School of Social Work |
| Date defended/completed | 2011-03-15 |
| Date submitted | 2011 |
| Restricted until | Unrestricted |
| Date published | 2011-05-05 |
| Advisor (committee chair) | Palinkas, Lawrence |
| Advisor (committee member) |
Chi, Iris Knight, Bob Chou, Chih-Ping |
| Abstract | This dissertation examines the interrelationships between Post-Traumatic Stress (PTS) and Post-Traumatic Growth (PTG), the consequences of their coexistence in some survivors, and the buffering roles of PTG on distress in young adult cancer survivors. Specifically, three independent papers comprising the dissertation aim (1) to test curvilinear relationships between PTS and PTG; (2) to classify latent profiles of the survivors based on their PTS and PTG levels and investigate the characteristics of the survivor profiles; and (3) to test the moderating effect of PTG on the negative relationship between PTS and psychological distress. Participants were recruited from four medical centers that treat pediatric oncology patients in Southern California and Michigan. Inclusion criteria included current age 18-39; age at diagnosis 0-21 years; and disease-free status. Volunteer participants answered the mailed survey questionnaires. Of the 618 participants who responded and met the eligibility criteria, 593 survivors who had both PTG and PTS scores were used for this dissertation. In the first paper, the overall relationships between PTG and PTS were not statistically significant. The two phenomena seemed to coexist, but independently from each other. In the second paper using latent profile analyses, three clusters of survivors were found based on PTS and PTG levels: “Thrivers” who grew the most with their traumatic distress at medium level; “Sufferers” who suffered the highest level of distress with the level of growth at medium; and “Recoverers” at the lowest levels in both PTS and PTG. There was no difference among the clusters in demographic variables such as gender, employment, income, education, and current age. Thrivers comprised the most recent survivors with the highest level of social support and the greatest mental health, whereas Sufferers had the worst physical health.; In the third paper, PTG was found to buffer the negative impact of PTS on psychological distress and the moderating effect was greater as the PTG level increased. The study findings provide important empirical evidence to the complex experiences of cancer survivorship in young adulthood. The positive roles of PTG should continue to be examined to explore its mechanism and to develop growth-oriented programs and services for survivors. |
| Keyword | cancer survivorship; possttraumatic growth; childhood cancer survivorship; young adult cancer survivors |
| Geographic subject (city or populated place) | Los Angeles |
| Geographic subject (state) | California |
| Geographic subject (country) | USA |
| Coverage date | 2000/2010 |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m3863 |
| Rights | Yi, Jaehee |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Yi-4444 |
| Archival file | uscthesesreloadpub_Volume62/etd-Yi-4444.pdf |
Description
| Title | Page 1 |
| Full text | THE IMPACT OF POST-TRAUMATIC STRESS AND POST-TRAUMATIC GROWTH ON YOUNG ADULT CANCER SURVIVORS by Jaehee Yi A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (SOCIAL WORK) May 2011 Copyright 2011 Jaehee Yi |
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