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Aspects psychosociaux de la qualité de vie des adolescents avec passé de cancer : analyse au sein de la dyade mère-adolescent et approche comparative

Abstract : The adolescents survivors of cancer are likely to present a strong emotional distress related to their past experience of the disease, which could influence their Quality of Life (QoL). Adolescents’ mothers could also be affected in the long term by the experience of the childhood cancer, remaining constantly worried for their child, even years after the end of the treatment. Therefore, it is important to investigate the presence of resource variables which could preserve or improve adolescents quality of life. Resource variables studied in this thesis are goal adjustment, self-efficacy, life engagement, coping strategies and mothers’ perception of their children’s quality of life. This research includes a comparative analysis with mother-adolescent dyads without prior history of cancer. Participants (n=302 ; including 51 dyads mother-adolescent survivor of cancer ; 100 control dyads mother-adolescent without history of cancer) completed self-report questionnaires. Results revealed that adolescents survivors of childhood cancer presented a correct quality of life, and a lower level of emotional distress when compared to adolescents without history of cancer. The exploratory models showed the positive influence of coping strategies, life engagement and self-efficacy on adolescents survivors of cancer quality of life. Finally, our last exploratory model indicates the importance of taking into consideration mothers’ perceptions regarding their children’s quality of life, because of their influence on the adolescents survivors of cancer resources and quality of life, as well as on the reduction of emotional distress. Discussion highlights the importance to take the mother-adolescent dyad life story into account in order to understand adolescents survivors of cancer adjustment
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Manon Florquin. Aspects psychosociaux de la qualité de vie des adolescents avec passé de cancer : analyse au sein de la dyade mère-adolescent et approche comparative. Psychologie. Université de Lorraine, 2018. Français. ⟨NNT : 2018LORR0018⟩. ⟨tel-01798280⟩

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