Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult

Cancer - Tập 118 Số 20 - Trang 5155-5162 - 2012
Keith M. Bellizzi1, Ashley Wilder Smith2, Steven D. Schmidt1, Theresa H.M. Keegan3,4, Brad Zebrack5, Charles F. Lynch6, Dennis Deapen7, Margarett Shnorhavorian8, Bradley J. Tompkins9, Michael Simon10
1Department of Human Development and Family Studies, University of Connecticut, Storrs, Connecticut
2Outcomes Research Branch, National Cancer Institute, Bethesda, Maryland
3Cancer Prevention Institute of California, Fremont, California
4Department of Health Research and Policy, Stanford University School of Medicine, Stanford, California
5University of Michigan, School of Social Work, Ann Arbor, Michigan
6Department of Epidemiology, The University of Iowa, Iowa City, Iowa
7Department of Preventive Medicine, University of Southern California, Los Angeles, California
8Pediatric Urology, Seattle Children's Hospital, Seattle, Washington
9Vermont Department of Health, Burlington, Vermont
10Barbara Ann Karmanos Cancer Institute, Detroit, Michigan

Tóm tắt

AbstractBACKGROUND:The objective of this study was to explore the psychosocial impact of cancer on newly diagnosed adolescent and young adult (AYA) cancer patients.METHODS:This was a population‐based, multicenter study of 523 newly diagnosed AYA survivors (ages 15‐39 years) of germ cell cancer (n = 204), non‐Hodgkin lymphoma (n = 131), Hodgkin lymphoma (n = 142), acute lymphocytic leukemia (n = 21), or sarcoma (n = 25) from 7 National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) registries. Age at diagnosis was categorized into 3 groups (ages 15‐20 years, 21‐29 years, and 30‐39 years).RESULTS:Respondents (43% response rate), on average (±standard deviation), were aged 29 = 6.7 years, and most patients (80.1%) were not receiving treatment at the time the completed the survey. With modest differences between the age groups, the most prevalent areas of life impacted in a negative way were financial, body image, control over life, work plans, relationship with spouse/significant other, and plans for having children. Endorsement of positive life impact items also was evident across the 3 age groups, particularly with regard to relationships, future plans/goals, and health competence.CONCLUSIONS:The current results indicated that there will be future need for interventions targeting financial assistance, body image issues, relationships, and helping AYAs to attain their education objectives. Cancer 2012. © 2012 American Cancer Society.

Từ khóa


Tài liệu tham khảo

Havighurst RJ, 1952, Developmental Tasks and Education

Levinson D, 1978, The Seasons of a Man's Life

10.1136/adc.2003.045369

Rowland JH, 1990, Developmental Stage and Adaptation: Adult Model

10.2190/DC07-CPVW-4UVE-5GK0

10.1093/jpepsy/jsj058

10.1007/BF02872673

Zebrack BJ, 2011, Perceived positive impact of cancer among long‐term survivors of childhood cancer: a report from the childhood cancer survivor study [published online ahead of print March 22, 2011], Psychooncology.

10.1002/cncr.11363

10.1016/j.ijnurstu.2006.07.002

10.1002/nur.10004

Albritton K, 2006, Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults With Cancer: Report of the Adolescent and Young Adult Oncology Progress Review Group

10.1002/cncr.23060

10.1002/cncr.22102

10.1093/jnci/djr094

10.1093/jpepsy/22.1.29

10.1002/cncr.22338

10.1007/s11764-007-0015-0

10.1046/j.1365-2354.2001.00243.x

10.1007/s11764-011-0173-y

10.1093/jnci/94.1.39

10.1007/s11764-009-0087-0

10.1037/0278-6133.25.1.47

Stanton AL, 2006, Handbook of Post‐Traumatic Growth: Research and Practice, 138

US Department of Labor Statistics. Differences in Earnings by Age and Sex in 2005. Available at:http://www.bls.gov/opub/ted/2006/oct/wk1/art01.htm. Accessed June 2 2011.

Nicholson JL, 2009, Rite of Passage? Why Young Adults Become Uninsured and How New Policies Can Help

Schwartz K, 2008, Uninsured Young Adults: A Profile and Overview of Coverage Options

10.1016/j.jadohealth.2010.04.005

10.3200/SOCP.146.1.15-30

10.1016/j.jadohealth.2006.09.026

10.1097/NCC.0b013e3181982d18

10.1093/jnci/94.9.652

10.1016/S0022-3476(05)80256-2

10.1207/S15326888CHC3103_2

10.1001/jama.293.20.2479

10.1200/JCO.2008.17.5026

10.1001/archpediatrics.2010.287

10.1200/JCO.2004.06.148

10.1046/j.1365-2214.2002.00227.x

Myers DG, 1999, Well‐Being: The Foundations of Hedonic Psychology, 374

10.1200/JCO.2006.06.5888

10.1016/j.jadohealth.2008.08.014

10.1093/jpepsy/23.2.121

10.1007/s10880-010-9210-7

10.1016/S0738-3991(01)00170-7

Thông tin
Thông tin xuất bản

Cancer

Tập 118 Số 20

5155-5162

Thông tin tác giả