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Cited by 95Childhood Cancer Survivors' Quality of LifeCancer survivorship and careFamily Support in Illness

Cancer in adolescents and young adults: Who remains at risk of poor social functioning over time?

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Husson, Olga, Zebrack, Bradley J., Aguilar, Christine, Hayes‐Lattin, Brandon, Cole, Steve·2017·Cancer
DOI 10.1002/cncr.30656
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Abstract

BACKGROUND: The objective of the current study was to examine social functioning among adolescents and young adults (AYAs) within the first 2 years after a cancer diagnosis and compare their scores with population norms and identify trajectories of social functioning over time and its correlates. METHODS: A multicenter, longitudinal study was conducted among 215 AYA patients with cancer aged 14 to 39 years. A total of 141 patients completed a self‐report measure of social functioning within the first 4 months of diagnosis and again at 12 months and 24 months later. RESULTS: AYA patients with cancer were found to have significantly worse social functioning scores around the time of diagnosis (52.0 vs 85.1; P<.001), at the 12‐month follow‐up (73.1 vs 85.1; P<.001), and at the 24‐month follow‐up (69.2 vs 85.1; P<.001) when compared with population norms. Significant improvements in social functioning from baseline to the 12‐month follow‐up were observed; however, social functioning levels remained stable thereafter. Among participants, 9% demonstrated consistently high/normal social functioning, 47% demonstrated improved social functioning, 13% were found to have worsening social functioning, and 32% demonstrated consistently low social functioning. AYA patients with cancer who had consistently low social functioning were more often off treatment at the time of follow‐up, reported more physical symptoms and higher levels of distress at baseline and follow‐up, and perceived less social support at baseline compared with the other 3 groups. CONCLUSIONS: Although improved over time, social functioning still was found to be compromised 24 months after the primary diagnosis. Nearly one‐third of these patients remain at risk of poor social functioning. Reducing physical symptoms and psychological distress and enhancing social support by interventions during the period after treatment may potentially help these young survivors to better reintegrate into society. Cancer 2017;123:2743‐51. © 2017 American Cancer Society.

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  • Physical symptoms and emotional distress contribute to significant social, economic, and health burdens for young adult cancer survivors.

    “Consequently, physical symptoms and emotional distress contribute to significant social, economic, and health burdens for YA at a time when they should otherwise be on an upward social, economic, and health trajectory [18–22].”

    From Improving symptom management for survivors of young adult cancer: rationale and study protocol for a pilot randomized controlled trial (2024) · cites this paper as [20]

    The Discussion (page not provided) reports that survivors with persistently poor social functioning had more physical symptoms and psychological distress, but describes their contribution to impaired social activity as a possibility rather than an established cause. It mentions financial and work impacts of cancer, but does not establish that symptoms and distress cause economic or broader health burdens, or address the claimed upward trajectory. (LLM, conf=0.87)

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Research works printed but not linked: 2

  1. Derogatis LR. Brief Symptom Inventory 18: Administration, Scor- ing, and Procedures Manual. Bloomington, MN: Pearson; 2001.
  2. Dunn J, Steginga SK. Young women's experience of breast cancer: defining young and identifying concerns. Psychooncology. 2000;9: 137-146.

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Authors
Husson, O., Zebrack, B. J., Aguilar, C., Hayes‐Lattin, B., & Cole, S.
Affiliations
  • Radboud University Medical Center (NL)
  • University of Michigan School of Social Work Ann Arbor Michigan
  • The University of Texas at San Antonio Health Science Center (US)
  • Oregon Health & Science University (US)
  • HopeLab (US)
Corresponding author
Husson, Olga
ORCID
Venue
Cancer
Publisher
Wiley
Published
2017-03-20
Volume
123
Issue
14
Pages
2743-2751
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
DOI
10.1002/cncr.30656
OpenAlex
W2602043455
Cited by
95
References
33
Citations by year
2026: 7 · 2025: 12 · 2024: 14 · 2023: 15 · 2022: 8 · 2021: 9 · 2020: 12 · 2019: 6 · 2018: 11 · 2017: 1
FWCI
8.95
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Funders
KWF Kankerbestrijding (KUN2015‐7527)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords
adolescents and young adults, cancer survivors, social functioning, somatic symptoms, psychological distress, social support, treatment discontinuation, social reintegration
MeSH terms
Adolescent, Adult, Female, Health Status, Humans, Longitudinal Studies, Male, Neoplasms, Prospective Studies, Quality of Life, Risk, Social Behavior, Social Support, Young Adult

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