collecting and analysing the data is stated. Cultural and ethical considerations conclude the chapter. Chapter 4 presents the key findings from an analysis of the research data using quantitative research methods. Chapter 5 discusses the findings of the study with reference to each of the research questions and identifies the study strengths and limitations. The significance of the findings and the implications for practice and future research are discussed. 8
2.1 Introduction CHAPTER 2 LITERATURE REVIEW The aim of this study is to explore the self reported psychosocial well being of adolescent child cancer survivors in New Zealand. A review of current literature was carried out by reviewing those studies and reviews that looked specifically at the late effects of childhood cancer, in particular, psychosocial outcomes, posttraumatic stress symptoms, quality of life, risk taking behaviours and resiliencies of childhood cancer survivors (CSS). The primary focus was on published literature within the past ten years. Databases searched for this literature review were MEDLINE, CINAHL, PsychINFO and Cochrane Library using EBSCO and OVID, and Google Scholar. Keywords and phrases used were; childhood cancer, survivors, late effects, psychosocial wellbeing, quality of life, cancer treatment toxicities, post traumatic stress, anxiety, and health status of CCS. Additional literature was identified from reference lists and journals within the Haematology/Oncology Unit, Starship Children’s Hospital. 2.2 Medical late effects Childhood cancer therapy affects growing and developing tissues, so children and adolescent survivors are at increased risk of morbidity, mortality and diminished quality of life associated with their previous cancer therapy (Oeffinger & Hudson, 2004). Cancer therapies frequently include irradiation and certain chemotherapy agents that may significantly increase the risk of cognitive dysfunction, liver damage, endocrine, cardiac dysfunction, lung disease including fibrosis and precocious emphysema (Mody et al., 2008; Wallace et al., 2001). These physical late effects can have a significant impact on the psychosocial wellbeing and quality of life for survivors (Friedman, 1999; Speechley, Barrera, Shaw, Morrison, & Maunsell, 2006). It is also 9
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- Page 7 and 8: ABSTRACT There has been increased r
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Table 17. Comparison of SDQ prosoci
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Wells, & Scott., 2006), that report
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similar between both the study and
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18years, when the protective factor
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parts of New Zealand have either li
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Key implications for practice inclu
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therapy do not plateau but increase
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Children's Oncology Group. (2006).
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Lusk, C., Delclos, G. L., Burau, K.
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Rosoff, P. M., Werner, C., Clipp, E
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APPENDICES 79
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Appendix B: Survey Participant Info
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Information Sheet A study of the qu
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How will I find out about the resul
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Consent Form ACSIS: A Paediatric Ha
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Over the last six months... I have
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d) MASC-10 We would like to ask you
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