Learning Objective #1: Understand the behavior problem in childhood cancer survivors

Learning Objective #2: Identify the relationship of behavior problems and coping strategy in childhood cancer survivors

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The cancer diagnosis and treatment is a critical event for childhood cancer survivor in life. The more increase the population of childhood cancer survivor, the more increase the attention to the late effect of a cancer. Recently researches reported the increased attention to the following up health care. However, researches that focused on the developmental effect of a cancer in childhood cancer survivor are scarce. Therefore, the purpose of this study is to explore the relationship among the post trauma stress, child's behavior problem and the coping strategy used in a stress situation. This study comprised 113 childhood cancer survivor (55 boys and 58 girls) aged 11-18 years old who had been off treatment for a minimum of 1 year, and met the survivor criteria. They were recruited from the oncology late follow up clinic at four large hospitals in Seoul, Korea. The post trauma stress was a significantly associated with child's behavior problem such as social behavior, externalizing behavior, and internalizing behavior. Social behavior was associated with coping strategy such as a seeking social support, investing in close friends, engaging in demanding activity, and being humorous. Externalizing behavior problem was related to the coping strategy such as seeking diversion and avoiding problem. Finally, Internalizing behavior problem was associated with coping strategy such as seeking spiritual support and seeking professional support. Conclusively, child's post trauma stress influenced the child's behavior. The child's behavior pattern was associated with the coping strategy. The findings of this study provided a need for understanding the behavior problem related to post trauma stress and post trauma stress in childhood cancer survivor. This study suggested that there is a need to assess a coping strategy for the nursing intervention focused on the developmentally appropriate for childhood cancer survivors.