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(1 - 3 of 3)
- Title
- FINANCIAL BURDEN AND COPING IN HEAD AND NECK CANCER PATIENTS
- Creator
- Yap, Bonnie Joyce
- Date
- 2020
- Description
-
In order to contribute to knowledge about how treatment impacts the financial well-being of patients diagnosed with head and neck cancer, this...
Show moreIn order to contribute to knowledge about how treatment impacts the financial well-being of patients diagnosed with head and neck cancer, this study examined the relationship between patient characteristics, financial burden, and financial coping over the treatment period among patients receiving treatment for locally advanced head and neck cancer at a major midwestern medical center. A sample of 65 participants completed self-report questionnaires on out-of-pocket costs, use of financial coping strategies, healthcare utilization, and personal and medical characteristics. Participant disease-specific information was obtained from their medical charts. Age, illness intrusiveness, and distance significantly predicted use of lifestyle-altering financial coping strategies. In addition, human papillomavirus (HPV) status significantly predicted use of care-altering financial coping strategies. Results of hierarchical linear regression analyses found significant main effects of financial burden, loneliness, and social support as predictors of the use of financial coping strategies. Moderation effects of loneliness and social support were not found. Trajectories of out-of-pocket costs indicated that costs are highest at the beginning of treatment and decrease over time. The results highlight the non-disease characteristics of patients diagnosed with head and neck cancer that may make them more vulnerable to financial distress and financial burden. Future studies with larger and more representative sample sizes could further add to information about the impact of cancer treatment on patient financial wellbeing.
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- Title
- Child Temperament, Attachment, and Loneliness: The Mediating Effects of Social Competence
- Creator
- Evans, Lindsey M
- Date
- 2021
- Description
-
Chronic loneliness is a risk factor associated with adverse psychological, physical, and academic outcomes. Converging evidence suggests that...
Show moreChronic loneliness is a risk factor associated with adverse psychological, physical, and academic outcomes. Converging evidence suggests that young children experience and can reliably report on their own loneliness. Due to the significant negative sequalae associated with childhood loneliness, it is critically important to examine risk factors for child loneliness. The aims of this study were two-fold: (a) to examine if temperament (i.e., negative affect, effortful control, and inhibitory control) and attachment security assessed at 4 years of age predict loneliness at age 6; and (b) to determine if social competence at age 5 mediates the relation between temperament and attachment security at age 4 and loneliness at age 6. Participants included a diverse sample of 796 4-year old children, about half of whom were male. At age 4, temperament was assessed with the Rothbart Child Behavior Questionnaire and three inhibitory control tasks, and attachment security was assessed with the Attachment Q-Sort. At age 5, the Social Skills Rating Scale was used to assess social competence, and, at age 6, loneliness was assessed with the Loneliness and Social Dissatisfaction Questionnaire. Results of hierarchical regression analyses indicated that lower levels of effortful control and inhibitory control at age 4 significantly predicted higher levels of loneliness at age 6. Also, lower levels of negative affect and higher levels of effortful control and attachment security at age 4 significantly predicted higher levels of social competence at age 5. However, social competence at age 5 did not predict loneliness at age 6. There was no evidence that social competence at age 5 mediated the relation between age 4 temperament, attachment security and age 6 loneliness. These findings reveal that early self-regulation is associated with later child-reported loneliness and that intervention for children who struggle with cognitive regulation may be effective in decreasing risk for later loneliness.
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- Title
- Child Temperament, Attachment, and Loneliness: The Mediating Effects of Social Competence
- Creator
- Evans, Lindsey M
- Date
- 2021
- Description
-
Chronic loneliness is a risk factor associated with adverse psychological, physical, and academic outcomes. Converging evidence suggests that...
Show moreChronic loneliness is a risk factor associated with adverse psychological, physical, and academic outcomes. Converging evidence suggests that young children experience and can reliably report on their own loneliness. Due to the significant negative sequalae associated with childhood loneliness, it is critically important to examine risk factors for child loneliness. The aims of this study were two-fold: (a) to examine if temperament (i.e., negative affect, effortful control, and inhibitory control) and attachment security assessed at 4 years of age predict loneliness at age 6; and (b) to determine if social competence at age 5 mediates the relation between temperament and attachment security at age 4 and loneliness at age 6. Participants included a diverse sample of 796 4-year old children, about half of whom were male. At age 4, temperament was assessed with the Rothbart Child Behavior Questionnaire and three inhibitory control tasks, and attachment security was assessed with the Attachment Q-Sort. At age 5, the Social Skills Rating Scale was used to assess social competence, and, at age 6, loneliness was assessed with the Loneliness and Social Dissatisfaction Questionnaire. Results of hierarchical regression analyses indicated that lower levels of effortful control and inhibitory control at age 4 significantly predicted higher levels of loneliness at age 6. Also, lower levels of negative affect and higher levels of effortful control and attachment security at age 4 significantly predicted higher levels of social competence at age 5. However, social competence at age 5 did not predict loneliness at age 6. There was no evidence that social competence at age 5 mediated the relation between age 4 temperament, attachment security and age 6 loneliness. These findings reveal that early self-regulation is associated with later child-reported loneliness and that intervention for children who struggle with cognitive regulation may be effective in decreasing risk for later loneliness.
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