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Psychosocial Long-Term Effects of Young Adult Cancer Survivors: Study Protocol of the Longitudinal AYA-LE Long-Term Effects StudyGeue, Kristina, Mehnert-Theuerkauf, Anja, Stroske, Isabelle, Brock, Hannah, Friedrich, Michael, Leuteritz, Katja 31 March 2023 (has links)
Background: About 3% of new cancer cases affect young adults aged between 15 and
39 years. The young age, the increasing incidence and the relatively good prognosis of
this population lead to the growing importance to investigate the psychosocial long-term
and late effects. The aims of the AYA-LE long-term effects study are: first, to assess
the temporal course and related factors of life satisfaction and psychological distress of
adolescent and young adult (AYA) cancer survivors; and second, to examine a specific
topic in each of the yearly surveys in a more differentiated way.
Methods: This study represents a continuation of the longitudinal AYA-LE study. The
existing sample of AYA cancer patients (t1: N = 577; t2: N = 514; aged between 18
and 39 years at diagnosis; all major tumor entities) was extended by four further survey
points (t3: 2018, t4: 2019, t5: 2020, t6: 2021). In addition, a comparison sample of young
adults without cancer was collected. We measured longitudinal data for outcomes such
as quality of life, psychological distress, and fatigue with standardized questionnaires.
Furthermore, each survey point included a different cross-sectional topic (e.g., health
behavior, occupational situation, and compliance).
Discussion: The AYA-LE long-termeffects study will show the long-termconsequences
of cancer in young adulthood. We expect at least complete data of 320 participants to
be available after the sixth survey, which will be completed in 2021. This will provide a
comprehensive and differentiated understanding of the life situation of young adults with
cancer in Germany. The findings of our study enable a continuous improvement of the
psychosocial care and specific survivorship programs for young cancer patients.
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Situational action theory and intimate partner violence : an exploration of morality as the underlying mechanism in the explanation of violent crimeBarton-Crosby, Jennifer Louise January 2018 (has links)
Despite the criminal nature of intimate partner violence, scholars infrequently apply general theories of crime to understanding its causes (Dixon, Archer, & Graham-Kevan, 2012). Indeed, some scholars reject the notion that the causes of intimate partner violence align with the causes of general crime and violence (Dobash, Dobash, Wilson, & Daly, 1992). A second area of contention is whether male and female violence can be explained within the same theoretical framework (Dutton & Nicholls, 2005). In this thesis I argue that as a type of criminal behaviour, understanding the causes of intimate partner violence from a criminological perspective is a valid and necessary research endeavour. Further, guided by the principles of the theoretical framework of this thesis, I submit that both male and female intimate partner violence can be explained within the same general theory of crime. This thesis applies situational action theory, a general theory of crime that places morality at the centre of its explanatory framework, to the understanding and explanation of intimate partner violence. This thesis concentrates on the roles of personal morality and provocation in intimate partner violence perpetration. Partner conflict is defined as the experience of provocation, while friction sensitivity and low partner cohesion are included as key factors leading to partner conflict. Specifically, this thesis examines whether the strength of personal morality influences whether individuals respond to provocation with violence against a partner. To address the aims of the research, this thesis uses data from the Peterborough Adolescent and Young Adult Development Study, a study designed to test situational action theory. Participants are a representative sample of males and females between 24 and 25 years of age. Path analyses using a multiple-group method revealed that high friction sensitivity and low partner cohesion contributed to increased partner violence perpetration by influencing the level of partner conflict. Morality had a significant moderating effect on the path between partner conflict and partner violence perpetration. Namely, individuals with weak morality, and who frequently engaged in partner conflict, were significantly more likely to perpetrate acts of partner violence than individuals with strong morality who engaged in frequent conflict with a partner. These findings were replicated across males and females. The findings of this research illustrate the importance of morality in the explanation of partner violence, and provide evidence that both male and female partner violence can be explained within the framework of situational action theory.
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Sexualität, Fertilität, Familienplanung, Familienleben und Partnerschaft bei jungen Brustkrebspatientinnen: eine LängsschnittstudieJäkel, Karoline 30 April 2024 (has links)
Brustkrebs ist mit weltweit fast 2 Millionen Neuerkrankungen jährlich (Stand 2020) das am häufigsten diagnostizierte Malignom bei Frauen im gebärfähigen Alter. Patientinnen im jugendlichen und jungen Erwachsenenalter (AYA) sind hierbei oft mit sexualitätsbezogenen Problemen konfrontiert, die nur selten in der onkologischen Routineversorgung angesprochen werden und wenig Beachtung finden. In der vorliegenden Studie wurden 139 Brustkrebspatientinnen im Alter von 18 bis 39 Jahre zu zwei verschiedenen Zeitpunkten mit einem Abstand von einem Jahr über die Zufriedenheit und den Unterstützungs-bedarf in den Bereichen der Sexualität, Fertilität, Familienplanung, Familienleben und Partnerschaft befragt. Ziel unserer Studie war es, anhand der Einschätzung der Veränderungen in den verschiedenen Bereichen Daten bereitzustellen, die dazu genutzt werden können, die multimodale, interdisziplinäre Betreuung der Betroffenen in medizinischer und psychosozialer Sicht auf die Bedürfnisse der Patientinnen anzupassen und zu verbessern. Generell wurde festgestellt, dass ein geringes Level an Zufriedenheit mit hohem Unterstützungsbedarf einhergeht. Über unseren Beobachtungszeitraum von einem Jahr zeigten sich die Patientinnen eher zufrieden in den Bereichen Partnerschaft und Familienleben, während sie mit ihrer Sexualität und Familienplanung eher unzufrieden waren. Letzteres steht in engem Zusammenhang mit fertilitätserhaltenden Maßnahmen aufgrund der potentiell fruchtbarkeits-schädigenden Nebenwirkungen der onkologischen Therapie. Junge Betroffene sollten hier noch weit-reichender beraten und unterstützt werden. Besonders Frauen, deren Familienplanung noch nicht ab-geschlossen ist, benötigen vor Beginn der Behandlung aktiv Informationen und Unterstützungsbedarf.:Inhaltsverzeichnis
1. Abkürzungsverzeichis 4
2. Einleitung 5
2.1 Das Mammakarzinom 5
2.1.1 Epidemiologie 5
2.1.2 Ätiologie 6
2.1.3 Klinik des Mammakarzinoms 6
2.1.4 Lokalisation und Metastasierung 7
2.1.5 Diagnostik 8
2.1.6 Therapie 9
2.2 Das Leben mit Brustkrebs (physische, psychische und soziale Faktoren) 11
2.2.1 Lebensqualität bei Brustkrebspatientinnen 11
2.2.2 Krebs und Psyche 12
2.2.3 Krebs und Sexualität 13
2.2.4 Krebs und Fertilität 14
2.2.5 Sexualität und Partnerschaft 16
2.3 Forschungsfragen 18
2.4 Literaturverzeichnis 19
3. Publikation 24
4. Zusammenfassung 35
4.1 Einführung 35
4.2 Methodik 36
4.3 Ergebnisse 37
4.4 Diskussion 38
5. Anlagen 40
5.1 Spezifizierung des eigenen Beitrags 40
5.2 Erklärung über die eigenständige Abfassung der Arbeit 41
5.3 Danksagung 42
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Why monitoring doesn't always matter : the situational role of parental monitoring in adolescent crimeHardie, Beth Nicole January 2017 (has links)
Parental monitoring of settings is not always relevant for the prevention of adolescent crime because adolescents with strong personal moral rules and the ability to exercise self control are unlikely to offend even when they are unsupervised and know that their parents have little knowledge about their activities. Parental monitoring, commonly operationalised as parental supervision or parental knowledge, is often shown to have a negative relationship with crime involvement. However, research often ignores both the mechanism by which these relationships occur and the conditions under which they might (and might not) be found. This thesis uses specialist Space-Time Budget data (from the Peterborough Adolescent and Young Adult Development Study) to allow the comparison of adolescent crime rates in settings characterised by the of convergence of i) the physical presence or absence of parents and other guardians, ii) the psychological presence or absence of parents (represented by adolescent-perceived generalised parental knowledge of the circumstances of unsupervised activity) and iii) personal crime propensity (moral rules and ability to exercise self control). The conclusion derived from the results is that the physical presence of parents and other guardians in settings reduces the rate of adolescent crime committed in those settings; and the psychological presence of parents reduces the criminogenic impact of unsupervised time. Crucially however, these effects of parental monitoring are almost irrelevant for adolescents with a lower personal crime propensity, who are not likely to offend in settings irrespective of the physical or psychological absence of parents and other guardians. These findings provide support for person-environment interactions inherent in the causal model of Situational Action Theory, and provide a novel addition to evidence that could be used in future to inform policy-relevant recommendations concerning parenting behaviour and adolescent offending. Although this thesis provides new evidence about the relationship between parental monitoring and crime, the bulk of its contribution is relevant to a much wider audience. It contributes to the debate on approaches to the study of crime and crime prevention, adds clarity to key concepts and develops theoretical arguments in the field of parental monitoring and crime, develops a novel application of Situational Action Theory, extends theoretical and methodological discussions surrounding situational analysis, applies novel data and analytical methods to the study of the psychological and physical presence of guardians, generates and situates unique findings about the situational role of aspects of parental monitoring and crime, and makes some policy recommendations and suggestions about the nature and direction of future research.
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