Psychological well-being, perceived functioning, and the career development of young adult central nervous system cancer survivors

David R. Strauser, Forig Chan, Chelsea E. Greco, Stacia Wagner, Kanako Iwanaga, Timothy N. Tansey, Bonnie Carlson-Green

Research output: Contribution to journalArticlepeer-review


This study examined the extent to which physical and emotional functioning mediated the relationship between psychological well-being (PERMA) and the career domains of the Illinois Work and Well-Being Model (IW2M) in a group of young adult central nervous system (CNS) cancer survivors. The participants consisted of 81 young adult survivors of childhood CNS cancer aged between 18 and 24 years old (M = 18.90, SD =.97). Participants were asked to fill out the research packet containing demographic information and research instruments. The PROCESS macro written by Hayes was used to estimate the total, direct, and indirect effects of psychological well-being on job awareness, job acquisition and job maintenance through emotional and physical functioning. Study finding suggest that physical and emotional functioning have a differential impact on specific career development factors and that psychological well-being was also found to have a significant impact on each of the three career development domains. Overall, the study findings are consistent with the IW2M that indicates that an individual's perceived level of functioning impacts career development factors and that positive psychology constructs, such as psychological well-being, may also be implicated in perceived functioning and the career development process of young adult CNS cancer survivors. Career and vocational interventions targeting young adult CNS cancer survivors should focus on increasing psychological well-being as well as increasing physical and emotional functioning. In addition, career interventions should consider the differential impact across the career domain.

Original languageEnglish (US)
Pages (from-to)11-17
Number of pages7
JournalJournal of Rehabilitation
Issue number3
StatePublished - Jul 1 2020

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Psychology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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