Psychosocial profiles of risk and resiliency in neurofibromatoses: a person-centered analysis of illness adaptation

Objectives We sought to characterize psychosocial profiles of adaptation to neurofibromatosis (NF). Methods Participants ( N  = 224) completed self-report measures of psychosocial functioning, including risk (i.e., perceived stress, depression, anxiety) and resiliency (i.e., gratitude, optimism, cop...

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Bibliographic Details
Published in:Journal of neuro-oncology 2022-02, Vol.156 (3), p.519-527
Main Authors: Bannon, Sarah M., Hopkins, Sarah W., Grunberg, Victoria A., Vranceanu, Ana-Maria
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Anxiety
Chronic illnesses
Clinical Study
Clinical trials
Cluster analysis
Coping
Emotions
Genetic disorders
Humans
Intervention
Likert scale
Medicine
Medicine & Public Health
Mindfulness
Neurofibromatoses - psychology
Neurofibromatosis
Neurological disorders
Neurology
Oncology
Optimism
Pain
Quality of life
Questionnaires
Resilience, Psychological
Risk
Social interactions
Social support
Stress
Tumors
Variables
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Summary:Objectives We sought to characterize psychosocial profiles of adaptation to neurofibromatosis (NF). Methods Participants ( N  = 224) completed self-report measures of psychosocial functioning, including risk (i.e., perceived stress, depression, anxiety) and resiliency (i.e., gratitude, optimism, coping, social support, mindfulness, empathy). We used a TwoStep hierarchical cluster analysis to determine clusters reflecting adaptation to NF. Results The analysis revealed two distinct groups, with the “Low Adaptation” group defined by high emotional distress and low resiliency ( n  = 130; 57% of participants), and the “High Adaptation” group defined by low emotional distress and high resiliency ( n  = 85; 37% of participants). Clusters differed significantly across nearly all criterion variables, as well as quality of life and pain interference. Conclusion Both risk and resiliency factors are important for understanding psychosocial adaptation to NF. Findings suggest that clinical providers should prioritize screening and intervention methods targeting these variables to promote positive adaptation to NF. Trial registration ClinicalTrials.gov NCT03406208; https://clinicaltrials.gov/ct2/show/NCT03406208 (Archived by WebCite at http://www.webcitation.org/72ZoTDQ6h ).
ISSN:0167-594X
1573-7373
1573-7373
DOI:10.1007/s11060-021-03928-y