台灣癌症兒童之心理社會問題探討：不同治療階段之評估

Exploring psychosocial problem of children with cancer in Taiwan: Evaluation of different treatment stage

林信佑(Shin-Yo Lin)

指導教授 ： 邱世欣

高雄醫學大學/健康科學院/心理學研究所/碩士(2012年)

https://doi.org/10.6832/KMU.2012.00008

摘要

癌症除了造成兒童生理抱怨外，也可能引發癌症兒童的心理困擾。在密集治療階段，除了忍受治療所帶來之副作用，治療程序中所伴隨之壓力情境亦引起兒童的適應問題。另一方面治療結束後並非等於癌症脫離，癌症兒童須面對相當大的不確定，在這情境下癌症兒童可能發展出特殊的情緒困擾例如創傷後壓力反應，此外完成治療後這群兒童有很高的機率回歸到學校，社會適應問題例如社交功能亦讓人擔憂，因此探討這群癌症兒童的適應狀態顯得相當重要。台灣目前缺乏對不同治療階段癌症兒童的適應狀態進行研究，本研究將探討目前接受密集治療，治療結束未達五年的癌症兒童的情緒與行為問題。研究方法：本研究為橫斷性設計，研究工具採用兒童行為檢核表以評估癌症兒童情緒與行為問題，將癌症兒童區分為治療組19名、治療結束組26名與控制組43名。研究結果：正在接受治療之癌症兒童在焦慮/憂鬱、退縮/憂鬱與生理抱怨指標顯著高於控制組，結束治療之癌症兒童在創傷後壓力問題指標、社交問題指標顯著高於健康兒童組，社交功能量尺顯著低於控制組。結論：癌症兒童在不同治療階段呈現不同的情緒與行為困擾，需針對不同治療階段之癌症兒童提供其相關的因應策略。

關鍵字

癌症兒童 ； 兒童行為檢核表 ； 創傷後壓力反應

並列摘要

Children with cancer suffered from physical problem, even the cancer evoked psychological disturbance. In intensive treatment stage, either enduring side effect by treatment, or stressful situation accompanied by medical procedure caused these children with cancer to develop maladjustment, therefore exploring adjustment of these children in treatment is likely important. On the other hand, Treatment completion didn’t reflect distance from the cancer, children with cancer confronted with high degree of certainty, they probably develop specific emotional disturbances such as posttraumatic stress response, in addition these children completed treatment had high opportunities to return back schools, however the social adjustment of these children were been concern carefully, it is important to examine their social ability. Lack sufficient studies focused on children with cancer in different treatment stage in Taiwan, the present study investigate emotional and behavioral problems with who received treatment and who completed less than 5 years. Method: this studies was constructed by cross-sectional design, behavioral and emotional problems were assessed by child behavior checklist, 19 children were in treatment (In treatment) and 26 were completed treatment less than 5 years (Off treatment), they were compared by 43 healthy children (Controls). Results: it revealed higher scores on anxious/depressed, withdraw/depressed and somatic complaints were shown in treatment group and children in off treatment group were reported higher scores on posttraumatic stress problems and social problems, and these children had poor scores on social competence scale. Conclusion: children with cancer in different treatment stage suffered discrete emotional and behavioral distress, it suggest specific coping strategies for children with cancer in different stage.

並列關鍵字

children with cancer ； Children behavior checklist ； posttraumatic stress problems

參考文獻

中文文獻

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