Purpose This study aimed to identify the attributes of social adjustment among adolescent cancer survivors using concept analysis and to propose a definition of the concept.
Methods In accordance with the hybrid model of concept analysis, this study employed a three-phase circular process comprising theoretical, fieldwork, and final analysis phases. A thorough literature review was conducted using MEDLINE, Embase, and Korean databases, followed by qualitative fieldwork with seven participants. The results derived from the theoretical and fieldwork phases were integrated into the final analysis phase.
Results Four attributes of social adjustment were found in adolescent cancer survivors: having harmonious relationships with friends, having harmonious relationships with boy/girlfriends, fulfilling their present roles, and planning for and expecting future roles. The following definition of social adjustment of adolescent cancer survivors is proposed: “the conquering of difficulties arising from the continuum of childhood cancer and the achievement of the developmental tasks of typical adolescents.”
Conclusion Social adjustment of childhood cancer survivors is crucial for integrating them into society. The findings of this study provide a basis for developing an instrument to measure the social adjustment of adolescent cancer survivors and for developing of interventions that target this group.
Citations
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Personal recovery of adolescents with mental health conditions in the community: empirically-based practical implications Hila Tuaf, Hod Orkibi Israel Journal of Health Policy Research.2025;[Epub] CrossRef
Development and Psychometric Testing of the Social Participation Scale for Pediatric Cancer Patients Wang Mengjia, Liu Guo, Li Dan, Ji Jinglan, Ma Zilong, Wang Qing, Guo Xinyan, Zhang Ruixing Psycho-Oncology.2025;[Epub] CrossRef
Mediators of Social Acceptance Among Emerging Adult Survivors of Childhood Cancer Sylvia L. Crowder, Rebecca H. Foster, Acadia W. Buro, Robyn Dillon, Kamar Godder, Marilyn Stern Journal of Adolescent and Young Adult Oncology.2023; 12(5): 644. CrossRef
Development and psychometric properties of the social adjustment scale for youth cancer survivors in South Korea Sumi Oh, Hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu, Chang Gi Park, Hyoung Jin Kang Asia-Pacific Journal of Oncology Nursing.2023; 10(7): 100241. CrossRef
Development and Validation of the Social Adjustment Scale for Adolescent Cancer Survivors Sumi Oh, hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu, Chang-gi Park, Hyoung Jin Kang SSRN Electronic Journal .2022;[Epub] CrossRef
Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim Child Health Nursing Research.2021; 27(3): 201. CrossRef
Purpose The purpose of this study was to evaluate measurement properties of self-report questionnaires measuring the social adjustment for youth after treatment of childhood cancer.
Methods Social adjustment measurement tools were identified through a two-stage systematic review. First, we searched for articles using self-report questionnaires to measure the social adjustment of youth after the treatment of childhood cancer. The appropriate tools were listed and categorized. Second, using methodological filters, we searched 5 electronic databases for articles examining the measurement properties of the tools when used with youth after the treatment of childhood cancer. The quality of these papers was then evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
Results Eight tools were frequently used to measure social adjustment. Eight studies investigated the measurement properties of 4 of these tools. The PedsQL 4.0 and MMQL-AF had moderate to strong evidence in some domains, but the rest of the domains had a lack of evidence. The SF-36 and KIDSCREEN-27 were validated for only a few areas.
Conclusion We found a lack of evidence regarding the measurement properties of these tools. More research is required on the measurement properties of tools for use in this population.
Citations
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Current status of systematic review studies on patient-reported outcome measures published in Korean journals Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee Research in Community and Public Health Nursing.2025; 36: 1. CrossRef
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Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim Child Health Nursing Research.2021; 27(3): 201. CrossRef
Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences Go-Un Kim, Ju Hee Lee Korean Journal of Adult Nursing.2019; 31(4): 337. CrossRef
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