Dynamic Predictors of Posttraumatic Stress in Adolescents and Young Adult Cancer Survivors

Abstract

Adolescent and young adult survivors of cancer encounter unique challenges associated with their health status. These challenges are often lifelong and persistent, including medical and psychosocial late effects, such as posttraumatic stress. Utilizing a model to predict the risk of posttraumatic stress in childhood cancer survivors (Bruce, 2006), the proposed study was designed to analyze the potential dynamic predictors in this broader adolescent and young adult population. Predictors included social support, family stressors, and mental health symptoms related to posttraumatic stress. Using a sample of adolescent and young adult cancer survivors (McGrady et al., 2022), this study (1) examined dynamic predictors of posttraumatic stress symptoms, (2) determined the relative importance of each predictor, and (3) identified which dynamic predictors were consistent with clinically significant levels of posttraumatic stress. Results of statistical analyses suggested that lower social support and higher anxiety significantly predicted higher levels of posttraumatic stress and uniquely predicted the majority of variance in the overall model. Female sex and lower social support demonstrated higher odds of having clinical levels of posttraumatic stress.