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Wei Y, Xiao P, Deng W, Wong CL, Ngan CK, Tso WWY, Leung AWK, Loong HHF, Li CK, Chan A, Cheung YT. Psychosocial challenges among Asian adolescents and young adults with cancer: a scoping review. BMC Cancer 2025; 25:770. [PMID: 40275220 PMCID: PMC12020170 DOI: 10.1186/s12885-025-14169-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2025] [Accepted: 04/16/2025] [Indexed: 04/26/2025] Open
Abstract
BACKGROUND Most of the landmark cohorts and reviews that assessed the psychosocial outcomes among adolescent and young adult (AYA) cancer survivors have focused on Western populations. This scoping review summarizes the existing evidence on psychosocial challenges experienced by AYAs with cancer in Asia, specifically work- and school-related outcomes, financial distress, social relationships, and concerns with infertility. METHODS A literature search was conducted on Embase and Medline for studies that (1) were published in English between 2000 and 2023, (2) recruited AYAs diagnosed with cancer between the age of 15 and 39 years, (3) were conducted in Asia, and (4) assessed outcomes related to (i) work or/and school performance, (ii) financial distress, (iii) romantic relationship or/and relationship with family and peers, and (iii) concerns with childbirth and infertility. Titles, abstracts, and full texts were screened independently by two reviewers to identify eligible studies. Information of included studies was summarized and aggregated using structured forms based on Joanna Briggs Institute's (JBI) data extraction form. Both quantitative and qualitative studies were assessed for methodological validity using JBI Critical Appraisal Checklist. RESULTS Thirteen studies, enrolling a total of 1,108 survivors, reported outcomes related to work or school performance (n = 8), relationships with families and peers (n = 5), and desires or concerns regarding childbirth or infertility (n = 5). Although no differences in resignation rates between AYA survivors of cancer and non-cancer controls or other age groups were reported in three studies, 21%-40% of AYAs expressed concerns regarding employment or impaired work outcomes after cancer diagnosis. Studies identified health concerns and socioenvironmental factors that affected family functioning and romantic relationships. The uncertainty and the lack of information on fertility preservation were consistently reported by participants. CONCLUSIONS Our review demonstrated differences in concerns and disparities in social support and interventions available to AYA cancer survivors among various Asian countries/regions. We found Asian studies have focused more on family relationships than peers, likely due to sociocultural nuances when compared with Western societies. Given the variability in economic development and healthcare infrastructure across Asia, region-specific healthcare policies and services are required for AYA survivors.
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Affiliation(s)
- Yihui Wei
- School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Panpan Xiao
- School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Weishang Deng
- School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Cho Lee Wong
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Chun-Kit Ngan
- Data Science Program, Worcester Polytechnic Institute, Worcester, MA, USA
| | - Winnie Wan-Yee Tso
- Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China
- Department of Paediatrics & Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong SAR, China
| | - Alex Wing-Kwan Leung
- Department of Paediatrics & Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong SAR, China
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Herbert Ho-Fung Loong
- Department of Clinical Oncology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Chi Kong Li
- Department of Paediatrics & Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong SAR, China
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
- Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Alexandre Chan
- School of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, CA, USA
- Department of Oncology Pharmacy, National Cancer Centre Singapore, Singapore, Singapore
| | - Yin Ting Cheung
- School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
- Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong SAR, China.
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Peng W. Impact of filial piety on residents' subjective well-being in China considering the moderating effect of income level. Medicine (Baltimore) 2024; 103:e36983. [PMID: 38241564 PMCID: PMC10798767 DOI: 10.1097/md.0000000000036983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 12/22/2023] [Indexed: 01/21/2024] Open
Abstract
Subjective well-being (SWB) reflects an individual's subjective evaluation of overall life satisfaction and healthcare situation. As one of the most important concepts in traditional Chinese culture, filial piety refers to an ancient and significant ethical concept that originates from traditional Chinese culture. Filial piety emphasizes the respect, care, and filial devotion of children towards their parents, and has a complex influence on SWB. Moreover, in the context of rapid economic development, an individual's income level significantly moderates the influence of filial piety. Revealing the influence of different types of filial piety on SWB is of great significance for enhancing residents' SWB. However, existing studies rarely touch upon this topic. Therefore, this paper focuses on the 7 kinds of filial piety, establishes an ordered logit model based on the data from the China General Social Survey, and analyzes the influence of these 7 kinds of filial piety on SWB. On this basis, this study analyzes the moderating effect of income level. Finally, it further analyzes the regional heterogeneity of China in the influence of filial piety. Concepts such as constant respect for father's authority, enhancing parents' honor, and bearing sons for the purpose of lineage continuity, have negative impact on SWB. Superior economic conditions can neutralize and salvage these concepts to a certain extent, but they are ultimately negative. In regions with a minority population such as the 4 northeastern provinces, Inner Mongolia, Gansu, Ningxia, and Xinjiang, these concepts can increase SWB, which is restricted by the local economic level and might just be a transitional form of insufficient development. appreciating the kindness of upbringing; treating parents well under any circumstances; giving up personal ambitions to fulfill parents' wishes, positively influence individual SWB, especially when income is substantial. The research results indicate that different type of filial piety has different impacts on SWB; income level has a significant moderating effect; and there are significant regional heterogeneities in the influence of filial piety. The results of this study provide a theoretical basis and reference for enhancing residents' SWB.
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Affiliation(s)
- Wang Peng
- School of History and Culture, Lanzhou University, Lanzhou, China
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Niu Y, Cai H, Zhang L. The Moderating Role of the DYX1C1 Gene in the Effect of Home Supervision on Chinese Children's Reading Achievements: Evidence from the Diathesis-Stress Model. Behav Sci (Basel) 2023; 13:891. [PMID: 37998638 PMCID: PMC10669724 DOI: 10.3390/bs13110891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 10/19/2023] [Accepted: 10/23/2023] [Indexed: 11/25/2023] Open
Abstract
The current study aimed to explore whether susceptible children (with differences in DYX1C1 (dyslexia susceptibility 1 candidate gene 1) gene) are more likely to be influenced by either supportive or adverse home supervision in their reading achievements. Home supervision, reading achievements, and genotype data were collected from a total of 745 fourth and fifth grade children and their parents in Chongqing, China. The results showed that there was a significant interaction between the rs11629841 polymorphism of the DYX1C1 gene and home supervision on children's reading achievements. A further analysis based on the re-parameterized regression model showed that the interaction best fit a weak diathesis-stress model, which indicated that the home supervision had a stronger predictive effect on children's reading achievements among children with the susceptible genotype than children with a non-susceptible genotype in a more adverse environment rather than in a supportive environment. These results suggested that children carrying different genotypes may need targeted interventions and that their parents should emphasize home supervision to develop their children's reading skills.
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Affiliation(s)
- Yingnan Niu
- Collaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal University, No. 19, XinJieKouWai St., HaiDian District, Beijing 100875, China; (Y.N.); (H.C.)
| | - He Cai
- Collaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal University, No. 19, XinJieKouWai St., HaiDian District, Beijing 100875, China; (Y.N.); (H.C.)
| | - Li Zhang
- School of Sociology and Psychology, Central University of Finance and Economics, 39 South College Road, Haidian District, Beijing 100081, China
- Faculty of Psychology, Southwest University, Chongqing 400715, China
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Mai HV, Le HV. The interdependence of happiness and filial piety within the family: a study in Vietnam. HEALTH PSYCHOLOGY REPORT 2023; 12:124-132. [PMID: 38628278 PMCID: PMC11016942 DOI: 10.5114/hpr/172091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 06/24/2023] [Accepted: 09/10/2023] [Indexed: 04/19/2024] Open
Abstract
BACKGROUND Filial piety is one of the most important values in Vietnam, as it is in a number of East Asian countries. It is an expression of children's respect, gratitude, and care for their parents. While filial piety may bring joy to parents and is a personal duty for offspring, it can also be a pressure for children. Hence, in recent years, some studies have considered filial piety as two dimensions instead of one dimension.Participants And Procedure This study focused on clarifying the relationship between filial piety and perceived family happiness with 385 adult offspring who lived in Vietnam at the time of the study. The Dual Filial Piety Scale (DFPS) and the Interdependent Happiness Scale (IHS) were used. Results The results showed that participants regularly engaged in aspects of filial piety and there was no contradiction between authoritarian filial piety (AFP) and reciprocal filial piety (RFP). Filial piety can predict family happiness at a fairly high level. CONCLUSIONS These results, besides showing the importance and value to the family, also give a multi-dimensional and comprehensive view of filial piety. At the social level, upholding the value of filial piety is the basis for building family happiness as well as making an important contribution to the implementation of social security in the family.
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Affiliation(s)
- Hai Van Mai
- Institute of Psychology, Vietnam Academy of Social Sciences, Hanoi, Vietnam
| | - Hao Van Le
- Institute of Psychology, Vietnam Academy of Social Sciences, Hanoi, Vietnam
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