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Cited by 65Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeFamily Support in Illness

Cancer-Related Distress in Young Adults Compared to Middle-Aged and Senior Adults

Burgoyne, Mary Jo, Bingen, Kristin, Leuck, Julianne, Dasgupta, Mahua, Ryan, Polly, Hoffmann, Raymond G.·2015·Journal of Adolescent and Young Adult Oncology
DOI 10.1089/jayao.2014.0005
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Abstract

PURPOSE: Little is known about cancer-related distress during young adulthood. Results from the few studies that have directly assessed this age group have indicated that young adults (YAs) may be at greater risk of developing psychosocial difficulties due to their unique challenges of coping with cancer. This study's objective was to investigate cancer-related distress in YAs compared to older adults. METHODS: This retrospective cross-sectional study compared the distress level of YAs (18-39 years old) with that of middle-aged (40-64 years old) and senior adults (65-90 years old) using the Distress Thermometer (DT) and associated Problem List (PL). Factors that may be associated with distress by age group were examined, including demographics, cancer type, and PL items endorsed. RESULTS: YAs had higher cancer-related distress than senior adults but similar distress levels to middle-aged adults. Findings from distress comparisons across demographics, cancer types, and PL items endorsed suggest that YAs and middle-aged adults had similar distress patterns when compared to senior adults, who had the lowest DT scores. Multivariable analyses indicated age-related risk factors for high distress, including gynecologic cancers for YAs; divorced, single, or unemployed statuses for middle-aged adults; and being of Hispanic ethnicity for senior adults. Female gender and practical, emotional, and physical problems were associated with distress for all age groups. CONCLUSION: There is a differential impact of cancer by age. It is important to screen for cancer-related distress, paying attention to risk factors by age to determine age-appropriate supportive care needs.

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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 [10]

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Authors
Burgoyne, M. J., Bingen, K., Leuck, J., Dasgupta, M., Ryan, P., & Hoffmann, R. G.
Affiliations
Medical College of Wisconsin (US)
Corresponding author
Bingen, Kristin
ORCID
Venue
Journal of Adolescent and Young Adult Oncology
Publisher
SAGE Publications
Published
2015-06
Volume
4
Issue
2
Pages
56-63
ISSN
  • 2156-5333 (ISSN-L)
  • 2156-535X
DOI
10.1089/jayao.2014.0005
OpenAlex
W1789324018
Cited by
65
References
17
Citations by year
2026: 7 · 2025: 8 · 2024: 11 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 4 · 2019: 1 · 2018: 9 · 2017: 2 · 2016: 4
FWCI
2.18
Type
journal article
Language
en
Open access
closed
Licence
www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations
  • Journal of Adolescent and Young Adult Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
NIH Clinical Center
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
cancer-related distress, young adults, middle-aged adults, older adults, age differences, psychosocial distress, gynecologic cancer, marital status, Hispanic origin, gender differences, supportive care needs, Distress Thermometer
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Age Factors, Aged, Cross-Sectional Studies, Employment, Female, Humans, Male, Middle Aged, Neoplasms, Psychometrics, Retrospective Studies, Risk Factors, Sex Factors, Stress, Psychological, United States, Marital Status, Young Adult

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