Abstract：
OBJECTIVE: This study aims to identify the factors influencing psychosocial adjustment and its subdomains.
METHODS: A descriptive cross-sectional study was conducted with 176 young adults (men 55.7%, 30.5 ± 5.9 years) diagnosed with a hematologic malignancy in South Korea. Psychological adjustment, symptom experience, and type D personality were assessed using self-report questionnaires. Clinical characteristics were extracted from the medical record. Stepwise multiple regression was conducted to identify the factors influencing psychosocial adjustment.
RESULTS: The predictors of difficulties in psychosocial adjustment were high symptom experience, type D personality, being unemployed, low functional status, and short time since the last chemotherapy. By subdomain of psychosocial adjustment, predictors of low healthcare orientation were high symptom experience, woman, and type D personality, and predictors of low vocational environment were high symptom experience, being unemployed, short duration of disease, low functional status, and diagnosis. The factors influencing low domestic environment were high symptom experience, being unemployed, and low functional status, and the factor influencing low sexual relationships was high symptom experience. The predictor of low extended family relationships was high symptom experience; predictors of low social environment were high symptom experience and short duration of disease; and predictors of low psychological distress were high symptom experience, type D personality, and being unemployed.
CONCLUSIONS: As young adults with higher symptom experiences, type D personality, low functional status, and shorter time since the last chemotherapy, and who are unemployed experience difficulties in psychosocial adjustment, healthcare professionals should evaluate their psychosocial adjustment and develop strategies to improve the same.
METHODS: A descriptive cross-sectional study was conducted with 176 young adults (men 55.7%, 30.5 ± 5.9 years) diagnosed with a hematologic malignancy in South Korea. Psychological adjustment, symptom experience, and type D personality were assessed using self-report questionnaires. Clinical characteristics were extracted from the medical record. Stepwise multiple regression was conducted to identify the factors influencing psychosocial adjustment.
RESULTS: The predictors of difficulties in psychosocial adjustment were high symptom experience, type D personality, being unemployed, low functional status, and short time since the last chemotherapy. By subdomain of psychosocial adjustment, predictors of low healthcare orientation were high symptom experience, woman, and type D personality, and predictors of low vocational environment were high symptom experience, being unemployed, short duration of disease, low functional status, and diagnosis. The factors influencing low domestic environment were high symptom experience, being unemployed, and low functional status, and the factor influencing low sexual relationships was high symptom experience. The predictor of low extended family relationships was high symptom experience; predictors of low social environment were high symptom experience and short duration of disease; and predictors of low psychological distress were high symptom experience, type D personality, and being unemployed.
CONCLUSIONS: As young adults with higher symptom experiences, type D personality, low functional status, and shorter time since the last chemotherapy, and who are unemployed experience difficulties in psychosocial adjustment, healthcare professionals should evaluate their psychosocial adjustment and develop strategies to improve the same.
摘要：
目的：本研究旨在确定影响心理社会适应及其子领域的因素。
方法：对176名年轻人进行了描述性横断面研究（男性55.7％，30.5±5.9年）在韩国诊断为血液恶性肿瘤。心理调整,症状体验，使用自我报告问卷评估D型人格。从病历中提取临床特征。进行逐步多元回归以确定影响心理社会适应的因素。
结果：心理社会适应困难的预测因素是高症状体验，D型人格,失业,低功能状态，自上次化疗以来时间很短。通过心理社会适应的子领域，低医疗导向的预测因素是高症状体验，女人,和D型人格，低职业环境的预测因素是高症状体验，失业,疾病持续时间短，低功能状态，和诊断。影响低家庭环境的因素是高症状体验，失业,和低功能状态，影响低性关系的因素是高症状体验。低大家庭关系的预测因素是高症状体验；低社会环境的预测因素是高症状体验和疾病持续时间短；低心理困扰的预测因素是高症状体验。D型人格,和失业。
结论：作为症状较高的年轻人，D型人格,低功能状态，自上次化疗以来的时间更短，失业的人在心理社会适应方面遇到困难，医疗保健专业人员应该评估他们的心理社会适应，并制定改善心理社会适应的策略。
方法：对176名年轻人进行了描述性横断面研究（男性55.7％，30.5±5.9年）在韩国诊断为血液恶性肿瘤。心理调整,症状体验，使用自我报告问卷评估D型人格。从病历中提取临床特征。进行逐步多元回归以确定影响心理社会适应的因素。
结果：心理社会适应困难的预测因素是高症状体验，D型人格,失业,低功能状态，自上次化疗以来时间很短。通过心理社会适应的子领域，低医疗导向的预测因素是高症状体验，女人,和D型人格，低职业环境的预测因素是高症状体验，失业,疾病持续时间短，低功能状态，和诊断。影响低家庭环境的因素是高症状体验，失业,和低功能状态，影响低性关系的因素是高症状体验。低大家庭关系的预测因素是高症状体验；低社会环境的预测因素是高症状体验和疾病持续时间短；低心理困扰的预测因素是高症状体验。D型人格,和失业。
结论：作为症状较高的年轻人，D型人格,低功能状态，自上次化疗以来的时间更短，失业的人在心理社会适应方面遇到困难，医疗保健专业人员应该评估他们的心理社会适应，并制定改善心理社会适应的策略。
