PURPOSE: The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors. METHODS: From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program. RESULTS: The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience. CONCLUSION: The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.
Adaptation, Psychological ; Adolescent ; Antineoplastic Agents/therapeutic use ; Female ; Hope ; Humans ; Leukemia/drug therapy/*psychology/radiotherapy ; Male ; Psychology, Adolescent ; *Resilience, Psychological ; Self Concept ; Social Support ; Stem Cell Transplantation ; Surveys and Questionnaires ; Uncertainty ; Young Adult