title: Health-related hindrance of personal goal pursuit and well-being of young adults with cystic fibrosis, pediatric cancer survivors, and peers without a history of chronic illness.
abstract: OBJECTIVE
  Study examined content of personal goals, health-related hindrance (HRH; i.e., impact of health on goals), and relationship of HRH to health status and psychological well-being in young adults with cystic fibrosis (CF; n = 48), who survived childhood cancer (n = 57), and without history of chronic illness (n = 105).
  
  
  METHODS
  Participants completed measures of life events, quality of life, psychological well-being, and goals.
  
  
  RESULTS
  No group differences were found on goal content. HRH significantly related to subjective well-being and distress after controlling for demographics, negative life events, physical health-related quality of life, disease status, and self-efficacy. HRH related to health status variables. Cancer survivors without cancer late effects had significantly less HRH than the other groups.
  
  
  CONCLUSIONS
  Health status may affect pursuit of personal goals and relate to well-being of young adults. The assessment of HRH has potential clinical utility for targeting interventions and warrants further research.
authors.affiliation: The Children's Hospital of Philadelphia, Division of Oncology, 34th and Civic Center Blvd, Philadelphia, PA 19104, USA. schwartzl@email.chop.edu
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Schwartz
authors.forename: Dennis
authors.initials: D
authors.lastname: Drotar
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D016009:Chi-Square Distribution; D002908:Chronic Disease / Q000523:psychology; D003550:Cystic Fibrosis / Q000523:psychology*; D005260:Female; D006040:Goals; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D018579:Patient Selection; D011788:Quality of Life / Q000523:psychology; D055500:Resilience, Psychological; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*