Distress among young adult cancer survivors: a cohort study
Open accessAbstract
Purpose Being diagnosed with cancer as a young adult can lead to significant psychological distress and impaired quality of life. Compared to children and older adults diagnosed with cancer, fewer studies have addressed psychological distress among young adult cancer survivors. This study sought to identify the prevalence of, and factors associated with, distress among young adult cancer survivors (ages 18-39).Methods Young adult cancer survivors (N = 335, mean age = 31.8, women = 68.4%) were recruited from an online research panel and stratified by cohort (time postactive treatment: 0-12, 13-24, and 25-60 months). Participants completed measures assessing demographic and clinical characteristics, global impact of cancer, cancer-related education and work interruption, and cancer-specific distress using the impact of event scale (IES).Results The mean score on the IES (M = 31.0, range = 0-75) was above the cut point of 20, suggesting clinically elevated distress. Analysis of covariance revealed significant main effects for cohort, global impact and cancer-related education/work interruption, and an interaction between cohort and cancer-related education/work interruption on distress. Although there was no significant effect of education/work interruption on distress for those in the 0-12 month cohort (p = .88), survivors in the 13-24 and 25-60 month cohorts reporting education/work interruption were significantly more distressed than those not reporting education/work interruption in the respective cohorts (p < .05).Conclusions Young adult cancer survivors face unique challenges. These data underscore the importance of attending to cancer-related distress beyond the completion of treatment and may help inform targeted interventions to prevent or reduce significant distress and related sequelae in this population.
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For many young adult cancer survivors, the impact of treatment is significant and long-lasting, including physical symptoms such as pain and fatigue, psychological distress, and increased risk of long-term health problems such as second cancers and early-onset cardiovascular disease.
“For many YA cancer survivors, the impact of treatment is significant and long-lasting, including difficult physical symptoms (e.g., pain, fatigue) [4–6], psychological distress [6–10], and an increased risk of long-term health problems (e.g., second cancers, early-onset cardiovascular disease) [11–13].”
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 [7]
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- Authors
- Yanez, B., Garcia, S. F., Victorson, D., & Salsman, J. M.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Yanez, Betina
- Venue
- Supportive Care in Cancer
- Published
- 2013-04-09
- Volume
- 21
- Issue
- 9
- Pages
- 2403-2408
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- PMC
- PMC3835730
- OpenAlex
- W1969931779
- Cited by
- 56
- References
- 27
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 1 · 2015: 5 · 2014: 4 · 2013: 1
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000150)
- National Institute on Disability and Rehabilitation Research
- National Cancer Institute (K07CA158008, 51K07CA158008-01A1)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- young adult cancer survivors, psychological distress, cancer-related distress, work interruptions, Impact of Event Scale, quality of life
- MeSH terms
- Adolescent, Adult, Affective Symptoms, Educational Status, Employment, Female, Humans, Male, Neoplasms, Psychology, Quality of Life, Stress, Psychological, Cohort Studies, Prevalence, Survivors, Young Adult
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