Where There Is a Will There Is a Way: Defining the Path between Hope, Pain and Quality Of Life in Pediatric Acute Lymphoblastic Leukemia Survivors

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Title: Where There Is a Will There Is a Way: Defining the Path between Hope, Pain and Quality Of Life in Pediatric Acute Lymphoblastic Leukemia Survivors
Author: Foxwell, Aleksandra Aceska
Abstract: Acute Lymphoblastic Leukemia (ALL ) is the most common childhood cancer , with an expected long -term survival rate of approximately 80 – 85 % . Observations have lead researchers to believe that adolescent and young adult survivors of childhood ALL have an unexpectedly high frequency of lower back pain . This increase of pain is attributed to the number of lumber punctures during treatment . Various factors influence levels of pain (i .e . BMI , exercise and neuroticism ) and pain has been shown to have a negative effect on quality of life . Hope , a construct that has not been widely studied in the oncology literature , may be a buffer between pain and quality of life , meaning that those with higher hope are able to cope with their pain more effectively and in turn have a better quality of life . Moreover , because survivors have had an aversive experience , they may have increased levels of hope , thus despite high pain levels have a positive quality of life . Results suggested that ALL survivors reported higher pain ratings than siblings , but lower total hope and agency . Agency and total hope were significant predictors of QoL at time 2 over and above QoL at time 1 and mediated the relationship between pain time 1 and QoL time 2 when QoL time was not a covariate . These results conclude that hope and more specifically , agency , should be further examined in pediatric oncology and merits the development and investigation of a hope intervention .
URI: http : / /hdl .handle .net /2152 .5 /942
Date: 2011-12-12

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Where There Is a Will There Is a Way: Defining the Path between Hope, Pain and Quality Of Life in Pediatric Acute Lymphoblastic Leukemia Survivors. Graduate School of Biomedical Sciences. Available electronically from http : / /hdl .handle .net /2152 .5 /942 .

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