Posttraumatic growth in children aged 8-18 years with malignancies in China

作者全名："Liu, Yi-Xuan; Liu, Qian; Yu, Lu; Mo, Lin"

作者地址："[Liu, Yi-Xuan; Liu, Qian] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorder, Dept Nursing Childrens Hosp, Chongqing Key Lab Pediat,Minist Educ,Key Lab Chil, Chongqing 400014, Peoples R China; [Yu, Lu; Mo, Lin] Chongqing Med Univ, Childrens Hosp, Dept Outpatient, Chongqing, Peoples R China"

通信作者："Yu, L; Mo, L (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Outpatient, Chongqing, Peoples R China."

来源：BMC PEDIATRICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000905957100002

JCR分区：Q2

影响因子：2.4

年份：2022

卷号：22

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Posttraumatic growth; "Nomogram"; "Prediction model"; "Children"; "Malignancies"

摘要："Objective: To establish a nomogram prediction model for posttraumatic growth (PTG) in children aged 8-18 years with malignancies in China and to convenient intuitively judge psychological tendencies. Methods: We recruited 358 children aged 8-18 years with malignancies in China as the study participants. Data from 250 cases collected from June 2019 to November 2019 were used as the model group, data from 108 cases collected from December 2019 to January 2020 were used as the validation group. Logistic regression was used to analyze the influencing factors of PTG in the model group. A prediction model was then established using a nomogram. The centrality measurement index(C-index) and receiver operating characteristic curves (ROC) were used to verify the model. Results: Among the 250 children in the model group, 65 children with malignancies had PTG, with an occurrence of 26%. The model showed that the child's age, diagnosis, coping style and self-efficacy level and the educational level of the caregiver were core predictors of PTG (P < 0.05). The ROC of the model was 0.837, the best cutoff value was 0.566. The C-indexes of the internal and external validation were 0.837 (95% CI: 0786 similar to 0.886) and 0.813 (95% CI: 0732 similar to 0.894), respectively. Conclusions: The prediction model of PTG in children aged 8-18 years with malignancies in China has good discrimination and consistency and can accurately predict PTG. It can be used to clinically assess the psychological status of children in the future."

基金机构："Chongqing Science and Technology Bureau, China; [CSTB2022NSCQ-MSX0082]"

基金资助正文："This work was supported in the part by grants from Chongqing Science and Technology Bureau, China. (Great number: CSTB2022NSCQ-MSX0082)."