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  4. A model linking uncertainty, post-traumatic stress, and health behaviors in childhood cancer survivors
 
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A model linking uncertainty, post-traumatic stress, and health behaviors in childhood cancer survivors

Journal
Oncology Nursing Forum
Journal Volume
36
Journal Issue
1
Pages
E20
Date Issued
2009-01
Author(s)
YA-LING LEE
BIH-SHYA GAU  
WEN-MING HSU  
HSIU-HAO CHANG  
DOI
10.1188/09.ONF.E20-E30
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-58149485956&doi=10.1188%2f09.ONF.E20-E30&partnerID=40&md5=b18a236fcdac3fb9b601637c61f3089e
https://scholars.lib.ntu.edu.tw/handle/123456789/470041
Abstract
Purpose/Objectives: To consolidate the literature and provide a model to explain the links among uncertainty, posttraumatic stress syndrome, and health behaviors in adolescent and young adult childhood cancer survivors. Data Sources: A systemic review of related literature and theory was used for the proposed model. The literature pertaining to the Uncertainty in Illness Theory, childhood cancer late effects, post-traumatic stress, and health behaviors was reviewed and critiqued from three data sets from 1979-2007: MEDLINE?, PsycInfo, and CINAHL?. Key words used for the search were uncertainty and post-traumatic stress as well as health behaviors, including smoking, alcohol use, unsafe sex, sunscreen use, and physical inactivity. Data Synthesis: Childhood cancer survivors living with chronic uncertainty may develop a new view of life and, as a result, adopt more health-promotion behaviors and engage in less health-risk behaviors. However, survivors living with chronic uncertainty may generate symptoms similar to post-traumatic stress disorder and, therefore, adopt fewer health-promotion behaviors and engage in more health-risk behaviors. Conclusions: The uncertainty that pervades the childhood cancer experience can lead to the development of symptoms that resemble those of post-traumatic stress. The symptoms can interfere with the adoption of healthy lifestyle behaviors and avoidance of health-risk behaviors. Implications for Nursing: The theoretically derived model outlined in this article can be used to guide clinical interventions and additional research into the health behaviors of childhood cancer survivors.
SDGs

[SDGs]SDG3

Other Subjects
addiction; adolescent; adult; child; diet; female; health behavior; health promotion; high risk behavior; human; infant; lifestyle; male; motor activity; neoplasm; posttraumatic stress disorder; preschool child; prevalence; psychological aspect; psychological model; review; smoking; survivor; uncertainty; Adolescent; Child; Child, Preschool; Diet; Female; Health Behavior; Health Promotion; Humans; Infant; Life Style; Male; Models, Psychological; Motor Activity; Neoplasms; Prevalence; Risk-Taking; Smoking; Stress Disorders, Post-Traumatic; Substance-Related Disorders; Survivors; Uncertainty; Young Adult
Type
review

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