Journal of Pediatric Psychology, Vol. 25, No. 2, 2000, pp. 105-115
© 2000 Society of Pediatric Psychology
Identity in Adolescent Survivors of Childhood Cancer
1 Children's Hospital of Alabama, Birmingham, 2 Department of Pediatrics, Medical University of South Carolina, 3 Georgia State University, 4 Emory University School of Medicine, 5 Kennedy-Krieger Institute, Johns Hopkins University, 6 Children's Hospital Medical Center, Cincinnati, 7 University of North Carolina at Charlotte
All correspondence should be sent to Ronald T. Brown, Department of Pediatrics, Division of Genetics and Child Development, Medical University of South Carolina, Children's Hospital, 171 Ashley Avenue, Charleston, South Carolina 29425. E-mail: brownron{at}musc.edu .
Objective: To investigate identity formation among adolescent survivors of childhood cancer. Family functioning, perceived emotional support from family and peers, life stress, and anxiety produced by the cancer experience also were examined as they influenced identity development.
Method: Participants were 52 adolescent survivors and their mothers recruited from a medical center and 42 healthy adolescent counterparts and their mothers recruited from the community.
Results: A greater frequency of survivors than their healthy peers was found within the foreclosed identity status. Factors associated with the foreclosed identity status included the cancer diagnosis, symptoms of posttraumatic stress disorder (PTSD), and family functioning characterized by greater levels of conflict.
Conclusions: Data were interpreted to suggest that the foreclosed identity status may serve a protective function in assisting survivors to cope with the stressors of the cancer experience.
Key words: cancer; adolescent; identity formation; late effects.
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