Psychosocial characteristics of adolescents who refuse cancer treatment.

Examined psychosocial variables by comparing 10 13–17 yr old adolescents (and their mothers) who had refused cancer treatment with a group of 10 consenting adolescents who were matched on age and demographic and illness variables. Adolescents completed the State-Trait Anxiety Inventory for Children and measures of family characteristics, locus of control, religion, hopelessness, impact of event, and satisfaction with physician. Mothers completed the State-Trait Anxiety Inventory and measures of coping and religion. Adolescent refusers scored lower on state anxiety and subjective distress but scored higher on trait anxiety, religiosity, and external locus of control. Their mothers also scored higher than did the consenting-group mothers on religiosity and trait anxiety. It is suggested that refusers are prone to anxiety and cope with their present distress by maintaining the belief that their lives are determined by fate or religious convictions. An intervention approach that fosters mastery over the cancer experience is advocated. (8 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)