Family-Related Factors Influencing Resilience of Korean Adolescents and Young Adults with Childhood Cancer: A Cross-Sectional Design Study

PurposeResilience is an important psychosocial resource for adolescents and young adults (AYAs) with cancer; however, family-related factors influencing resilience among Korean AYAs remain understudied.This study examined the associations between family environment variables (family strength, parent-adolescent communication, and family support) and resilience among Korean AYAs with childhood cancer. Materials and MethodsIn this cross-sectional study, 141 Korean AYAs (ages 11-26 years) completed self-report questionnaires between June 2019 and January 2021.Guided by the Resilience in Illness Model, parent-AYA communication, family strengths, and family support were assessed.Data were analyzed using descriptive statistics, correlations, and hierarchical regression models. ResultsResilience was positively correlated with all family-related variables.After adjusting for demographic and clinical characteristics, family strengths (β=0.290,p=0.044) and family support (β=0.447, p<0.001) significantly predicted resilience, explaining 34.7% of the variance.Moderation analysis using Hayes' PROCESS macro showed that that the association between family strength and resilience was stronger among AYAs receiving active treatment (b=1.2416,p<0.001).In addition, the association between family support and resilience was stronger influence among male AYAs and those under treatment (b=0.530,p<0.001). ConclusionFamily strength and perceived family support are important correlates of resilience among Korean AYAs with childhood cancer, particularly among male AYAs and those undergoing active cancer treatment.These findings highlight the importance of understanding family dynamics and