Returning to Social Life: Development of Social Identity for Adolescent and Young Adult Survivors of Leukemia in Korea.

OBJECTIVE: The purpose of this study is to investigate the life experiences and processes that occur as adolescent and young adult leukemia survivors return to social life using grounded theory.

METHOD: This study comprised 14 adolescents and young adults who visited a hospital for follow-up care after treatment of leukemia. We used in-depth interviews to examine the participants' experiences in returning to social life. The semistructured questionnaire examined "good and bad experiences in returning to social life," "sources of happiness and stress," and "strategies for managing stressful events."

RESULTS: We extracted 6 categories and 21 concepts from the interviews. We grouped the 6 categories into a core category and three phases: "catching up with others," "discovering myself," and "planning my future." A core category shown through all phases was "fear of recurrence." The "catching up with others" phase included themes of "feeling different from others" and "wanting to be like others." The "discovering myself" phase included "completing one thing at a time" and "recognizing myself as special." The "planning my future" phase included "looking for things I can do."

CONCLUSIONS: Self-esteem was an important issue for adolescent leukemia survivors; negative illness perception affected self-esteem in both adolescents and young adults. It is important for health care providers to develop programs to help adolescent and young adult leukemia survivors to perceive their disease experiences more positively and to take part in social life, including school life.