Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden
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OBJECTIVE: The aim of this study was to provide insight into survivor-reported negative and positive consequences of cancer during adolescence 10 years after diagnosis and compare these with consequences reported 3 and 4 years after diagnosis. METHODS: Three, 4, and 10 years after diagnosis, survivors of adolescent cancer were interviewed about negative and positive consequences due to their cancer experience. Manifest content analysis was used to identify categories of reported consequences. Categories of consequences 10 years after diagnosis were compared with consequences reported 3 and 4 years after diagnosis. RESULTS: Seven categories of negative consequences were identified: bodily concerns, existential thoughts about loss and life (new at 10 years), psychological problems, difficulties interacting with others, health worries (new), fertility concerns (new), and frustrations about health care (new); and six categories of positive consequences: positive view of life, positive view of self, compassion for others (new), close relationships, gained knowledge about disease and health care, and financial gains. Consistent with previous time points, bodily concerns were reported most often. The majority of survivors (n = 22) reported both negative and positive consequences of their former disease. Few reported only negative (n = 2) or only positive consequences (n = 4). CONCLUSIONS: Ten years after diagnosis, most survivors reported both negative and positive consequences. New themes, relevant to young adulthood and long-term survival, were identified. Health care professionals treating young adult survivors may anticipate and address problems regarding physical health, fertility, and health care but may also reinforce positive affect by addressing survivors' positive views of life, sense of self, and close relationships.
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The post-treatment period is a vulnerable time for some parents, who can experience worsening quality of life, anxiety, depression, and feelings of helplessness.
“Despite the acknowledged positive aspects of treatment completion [5,6], this is a vulnerable time for some parents, who can experience worsening quality of life (QoL), anxiety, depression, and feelings of helplessness [7,8].”
From Online parent-targeted cognitive-behavioural therapy intervention to improve quality of life in families of young cancer survivors: study protocol for a randomised controlled trial. (2015) · cites this paper as [6]
The Results (Negative consequences; page unavailable) report depression in adolescent cancer survivors, including one survivor who felt worse after treatment. The paper does not establish that the post-treatment period brings worsening quality of life, anxiety, depression, or helplessness for parents; its findings concern survivors, not parents. (LLM, conf=0.83)
Experimental — accuracy not yet measuredResearch identifying the specific psychological problems and needs experienced by young people diagnosed with cancer during adolescence and evidence-based cognitive-behavioural models for treating anxiety and depression guided development of the programme.
“Research identifying the specific psychological problems and needs experienced by young people diagnosed with cancer during adolescence30–38 and evidence-based cognitive–behavioural models for treating anxiety and depression58–66 guided development of the programme.”
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- Authors
- Lehmann, V., Grönqvist, H., Engvall, G., Ander, M., Tuinman, M. A., Hagedoorn, M., Sanderman, R., Mattsson, E., & von Essen, L.
- Affiliations
- University Medical Center Groningen (NL)
- Uppsala University (SE)
- Psychosocial Oncology and Supportive Care, Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden
- Corresponding author
- Lehmann, Vicky
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2014-04-15
- Volume
- 23
- Issue
- 11
- Pages
- 1229-1235
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC4282587
- OpenAlex
- W2097578749
- Cited by
- 86
- References
- 31
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 8 · 2020: 11 · 2019: 8 · 2018: 13 · 2017: 10 · 2016: 9 · 2015: 8
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psycho-Oncology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- 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
- adolescent cancer survivors, negative consequences, positive consequences, young adult survivors, fertility concerns, mental illness, long-term survival, survivorship care
- MeSH terms
- Adult, Empathy, Female, Financing, Personal, Humans, Infertility, Interpersonal Relations, Health Knowledge, Attitudes, Practice, Longitudinal Studies, Male, Neoplasms, Self Concept, Sweden, Survivors, Qualitative Research, Young Adult
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