Relationship of Self-esteem and Social Support to Depression in Child Cancer Survivors

암 치료가 종료된 청소년의 사회적 지지와 자아존중감이 우울에 미치는 영향

  • Published : 2009.04.30

Abstract

Purpose: This study was done to evaluate depression in child cancer survivors. Methods: The participants in this descriptive research were 103 adolescents who agreed to participate. All of the adolescents were diagnosed as completely cured but remained under follow-up observation as outpatients. A structured questionnaire including the depression scale developed by Shin et al. (1991), a self-esteem scale developed by Rosenberg (1965) and a social support scale developed by Kim & Park (1999), Lee (1997) were used for data collection. The data were analyzed using SPSS. Results: The mean scores were, for self-esteem, 36.01, for paternal support, 57.21, for maternal support, 59.98, for peer support, 22.19, for teachers support, 21.07 and for depression, 27.95. Scores for depression were significantly different according to academic achievement, satisfaction with appearances, diagnosis and prognosis. Depression was negatively correlated with self-esteem, paternal support, maternal support, peer support, and teachers support. Variables affecting depression were peer support and self-esteem, accounting for 47.0% of the variance. Conclusion: The findings indicate that peer support and self-esteem, follow by maternal, paternal and teachers support, are important variables in the occurrence of depression in these adolescents. Further study is needed to develop strategies to increase this support and self-esteem.

Keywords

References

  1. Bai, J. S. (2006). The effect of stress, self-esteem and social support on depression-with the youth of the rural and fishing areas. Unpublished master's thesis, Chonnam National University, Kwangju.
  2. Central Cancer Registry Center in Korea. (2008). Annual Report of the Central Cancer Registry in Korea. Seoul: Ministry of Health and Welfare, Republic of Korea.
  3. Cho, Y. J. (2001). The relationships of social support perception, anxiety, depression and self-esteem of cancer child and non-cancer child. Unpublished master's thesis, Sookmyung Women's University, Seoul.
  4. Eiser, C., Hill, J. J., & Vance, Y. H. (2000). Examining the psychological consequence of surviving childhood cancer: systemic review as a research method in pediatric psychology. Journal of Pediatric Psychology, 25(6), 449-460. https://doi.org/10.1093/jpepsy/25.6.449
  5. Grant, J., Cranston, A., Horsman, J., Furlong, W., Barr, N., Findlay, S., et al. (2006). Health status and health-related quality of life in adolescent survivors of cancer in childhood. Journal of Adolescent Health, 38, 504-510. https://doi.org/10.1016/j.jadohealth.2005.08.002
  6. Han, Y. G. (1993). Children's and adolescents' depression, attributional style and academic achivement. Unpublished master's thesis, Seoul University, Seoul.
  7. Jin, J. H. (2000). School reentry experience of childhood cancer early survival children. Unpublished master's thesis, Yonsei University, Seoul.
  8. Kim, M. A. (2007). The effects of perceived social support and self-esteem on depression of adolescents. Unpublished master's thesis, Yeungnam University, Kyungsan.
  9. Kim, M. Y., Kwon, I. S., Kim, S. O., Kim, E. K., Kim, T. I., Moon, J. H., et al. (2004). Pediatric nursing. Seoul: Soomoonsa.
  10. Kim, O. S., & Kim, K. H. (2000). Weight, self-esteem, and depression in high school and college females. Journal of Korean Academy of Adult Nursing. 12(3), 396-405.
  11. Kim, U. K., & Park, Y. S. (1999). Psychological and behavioral pattern of Korean adolescents: With specific focus on the influence of friends, family, and school. Journal of Educational Psychology. 13(1), 99-142.
  12. Kim, Y. J., Cha, H. G., Kim, C. A., Park, Y. J., Kim, H. J., Seo, J. J., et al. (2008). Child cancer survivors' quality of life based on their parents' support and past history. Journal of Korean Academy Psychiatric and Mental Health Nursing. 17(1), 85-96.
  13. Ko, K. J. (1999). A phenomenological study on hardiness of patients with chronic disease. Journal of Korean Academy of Adult Nursing. 11(1), 5-11.
  14. Lee, H. J., & Sohn, S. K. (2000). Predictive factors of hope in patients with cancer. Journal of Korean Academy of Adult Nursing. 12(2), 184-195.
  15. Lee, H. R. (2007). Adversity and adaptation of adolescents: The role of resilience. Unpublished doctoral dissertation, Hanyang University, Seoul.
  16. Lee, K. J. (1997). Stress, social support, and behavior problems of adolescents. Unpublished master's thesis, Chonnam National University, Kwangju.
  17. Lee, M. S. (2007). The factors affecting adolescent life quality. Unpublished doctoral dissertation, Baekseok University, Seoul.
  18. Lee, Y. L, Santacroce, S. J., & Sadler, L. (2007) Predictors of healthy behaviour in long-term survivors of childhood cancer. Journal of Clinical Nursing, 16(11C), 285-295. https://doi.org/10.1111/j.1365-2702.2007.01966.x
  19. Madan-Swain, A., Brown, R. T., Foster, M. A., Vega, R., Byars, K., Rodenberger, W., et al. (2000). Identity in adolescent survivors of childhood cancer. Journal of Pediatric Psychology, 25(2), 105-115. https://doi.org/10.1093/jpepsy/25.2.105
  20. Mun, S. W. (2008). The effects of perceived stress, social-support and self-esteem on depression of middle-school students-Seoul, Cheonnam region. Unpublished master's thesis, Dongguk University, Seoul.
  21. Noh, Y. H. (2003). Breast cancer survivor's conquest experience. Unpublished doctoral dissertation, Chonnam National University, Kwangju.
  22. Rosenberg, M. (1965). Society and adolescent self image. NJ: Princeton Press.
  23. Shin, J. E. (1999). A study on the psychosocial factors affecting of adolescent's depression. Unpublished master's thesis, Ewha Woman University, Seoul.
  24. Shin, S. C., Kim, M. K., Yun, K. S., Kim, J. H., Lee, M. S., Moon, S. J., et al. (1991). The center for epidemiological studies-depression scale(CES-D): Its use m Korea-standardization and factor structure of CES-D. Journal of Korean Neuropsychiatric Association, 30(4), 752-767.
  25. Sim, H. O. (1998). Depression among late-elementary children: Relationships with daily hassles, self-esteem, & social skills. Journal of the Korean Home Economic Association, 36(6), 137-141.
  26. Sim, M. K., & Son, S. Y. (2003). A study on the comparison of psychosocial adjustment of children with cancer between on and off treatment. Journal of Korean Academy of Child Health Nursing, 9(1), 85-95.
  27. Speechley, K. N., Barrera, M., Shaw, A. K., Morrison, H. I., & Maunsell, E. (2006). Health-related quality of life among child and adolescent survivors of childhood cancer. Journal of Clinical Oncology, 24(16), 2536-2543. https://doi.org/10.1200/JCO.2005.03.9628
  28. Yoon, M. S. (1999). A study on the relationship of social support and self-esteem perceived by high school students. Unpublished master's thesis, MyongJi University, Seoul.
  29. You, M. A. (2005). Psychosocial adjustment of adolescent survivors of leukemia. Unpublished doctoral dissertation, Yonsei University, Seoul