Symptoms of Posttraumatic Stress in Young Adult Survivors of Childhood Cancer
Abstract
PURPOSE: This study assessed the prevalence of posttraumatic stress symptoms in young adult survivors of childhood cancer and the association of posttraumatic stress with anxiety, adjustment, perceptions of illness and treatment, and medical data extracted from oncology records. PATIENTS AND METHODS: Seventy-eight young adults (ages 18 to 40 years) who had been treated for childhood cancer completed questionnaires and psychiatric interviews assessing posttraumatic stress, anxiety, perceptions of their illness and treatment, and symptoms of psychologic distress. Data on treatment intensity and severity of medical late effects were collected via chart review. RESULTS: Of the patient sample, 20.5% met American Psychiatric Association Diagnostic and Statistical Manual criteria for posttraumatic stress disorder (PTSD) at some point since the end of their treatment. Clinically significant levels of intrusive (9%) and avoidant (16.7%) symptoms were reported. Participants also reported elevated state and trait anxiety. Participants with PTSD reported higher perceived current life threat, more intense treatment histories, and higher (and clinically significant) levels of psychologic distress than those who did not have PTSD. CONCLUSION: One-fifth of this sample of young adult survivors of childhood cancer met criteria for a diagnosis of PTSD, with clinically significant symptoms of intrusion and avoidance reported. As in other samples, PTSD in young adult survivors was associated with anxiety and other psychologic distress. Survivors’ perceptions of treatment and its effects were more highly associated with posttraumatic stress than were more objective medical data. The data suggest that cancer-related posttraumatic stress may emerge in young adulthood and may affect the achievement of developmental milestones and orientation toward health care.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Subjective appraisals regarding the cancer experience and its aftermath are stronger predictors of psychosocial functioning than objective medical data.
“Although the literature in this domain mostly stems from comparatively small-sized studies, results indeed highlighted that subjective appraisals regarding the cancer experience and its aftermath are stronger predictors of psychosocial functioning than objective medical data [10-12].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [10]
The present results are in line with previous studies demonstrating the importance of subjective appraisals and social support in predicting childhood cancer survivors' psychosocial outcomes.
“These results are in line with previous studies demonstrating the importance of subjective appraisals and social support in predicting CCS' psychosocial outcomes [10-13].”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [10]
Cites
(1970) · Cited by 24,983 · see citing works
Impact of Event Scale: A Measure of Subjective Stress
Horowitz, M., Wilner, N., & Alvarez, W. (1979) · Psychosomatic Medicine · doi:10.1097/00006842-197905000-00004 · Cited by 7,813 · see citing works
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650 · see citing works
Life Threat and Posttraumatic Stress in School-age Children
Pynoos, R. S. (1987) · Archives of General Psychiatry · doi:10.1001/archpsyc.1987.01800240031005 · Cited by 1,206 · see citing works
Post-traumatic Stress Reactions in Children After the 1988 Armenian Earthquake
Pynoos, R. S., Goenjian, A. K., Tashjian, M., Karakashian, M., Manjikian, R., Manoukian, G., Steinberg, A. M., & Fairbanks, L. A. (1993) · The British Journal of Psychiatry · doi:10.1192/bjp.163.2.239 · Cited by 549 · see citing works
Kazak, A. E., Barakat, L. P., Meeske, K., Christakis, D., Meadows, A. T., Casey, R., Penati, B., & Stuber, M. L. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.1.120 · Cited by 467 · see citing works
Self-citationKazak, A. E., Barakat, L. P., Meeske, K., et al. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.1.120 · Cited by 350 · see citing works
Self-citationBarakat, L. P., Kazak, A. E., Meadows, A. T., Casey, R., Meeske, K., & Stuber, M. L. (1997) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/22.6.843 · Cited by 277 · see citing works
Self-citationPsychological adjustment to survival from Hodgkin's disease.
Cella, D. F., & Tross, S. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.5.616 · Cited by 274 · see citing works
Identification of PTSD in Cancer Survivors
Alter, C. L., Pelcovitz, D., Axelrod, A., Goldenberg, B., Harris, H., Meyers, B., Grobois, B., Mandel, F. S., Septimus, A., & Kaplan, S. J. (1996) · Psychosomatics · doi:10.1016/s0033-3182(96)71580-3 · Cited by 267 · see citing works
Predicting Posttraumatic Stress Symptoms in Mothers and Fathers of Survivors of Childhood Cancers
Kazak, A. E., Stuber, M. L., Barakat, L. P., Meeske, K., Guthrie, D., & Meadows, A. T. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199808000-00012 · Cited by 237 · see citing works
Self-citationPredictors of Posttraumatic Stress Symptoms in Childhood Cancer Survivors
Stuber, M. L., Kazak, A. E., Meeske, K., Barakat, L. P., Guthrie, D., Garnier, H., Pynoos, R. S., & Meadows, A. T. (1997) · PEDIATRICS · doi:10.1542/peds.100.6.958 · Cited by 226 · see citing works
Self-citationValidation of the impact of event scale for psychological sequelae of combat.
Schwarzwald, J., Solomon, Z., Weisenberg, M., & Mikulincer, M. (1987) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.55.2.251 · Cited by 207 · see citing works
Andrykowski, M. A., & Cordova, M. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024490718043 · Cited by 201 · see citing works
Manne, S. L., Hamel, K. D., Gallelli, K. A., Sorgen, K., & Redd, W. H. (1998) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/23.6.357 · Cited by 197 · see citing works
Posttraumatic stress disorder and comorbidity: recognizing the many faces of PTSD.
Brady, K. T. (1997) · PubMed · Cited by 197 · see citing works
Stuber, M. L., Nader, K., Yasuda, P. M., Pynoos, R. S., & Cohen, S. E. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199111000-00013 · Cited by 176 · see citing works
Self-citationDivalproex Treatment of Disruptive Adolescents
Donovan, S. J., Susser, E., Nunes, E. V., Stewart, J. W., Quitkin, F. M., & Klein, D. F. (1997) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v58n0102 · Cited by 171 · see citing works
Epping‐Jordan, J. E., Compas, B. E., & Howell, D. C. (1994) · Health Psychology · doi:10.1037//0278-6133.13.6.539 · Cited by 169 · see citing works
Validation of the impact of event scale for psychological sequelae of combat.
Schwarzwald, J., Solomon, Z., Weisenberg, M., et al. (1987) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.55.2.251 · Cited by 167 · see citing works
Posttraumatic Stress Disorder in Mothers of Pediatric Cancer Survivors
Pelcovitz, D., Goldenberg, B., Kaplan, S. J., Weinblatt, M. E., Mandel, F. S., Meyers, B., & Vinciguerra, V. P. (1996) · Psychosomatics · doi:10.1016/s0033-3182(96)71577-3 · Cited by 143 · see citing works
Epping‐Jordan, J. E., Compas, B. E., & Howell, D. C. (1994) · Health Psychology · doi:10.1037/0278-6133.13.6.539 · Cited by 116 · see citing works
Psychometric comparability of the State-Trait Anxiety Inventory for different ethnic subpopulations.
Novy, D. M., Nelson, D. V., Goodwin, J., & Rowzee, R. D. (1993) · Psychological Assessment · doi:10.1037/1040-3590.5.3.343 · Cited by 100 · see citing works
Survivors of Childhood Cancer: Assessment and Management
Hobbie, W. L., & Schwartz, C. L. (1994) · Medical Entomology and Zoology · Cited by 83 · see citing works
Self-citationMultiattribute approach to the assessment of health-related quality of life: Health utilities index
Feeny, D., Furlong, W. J., & Barr, R. D. (1998) · Medical and Pediatric Oncology · doi:10.1002/(sici)1096-911x(1998)30:1+ · Cited by 83 · see citing works
Self-citationLong term social adjustment after treatment for childhood cancer.
Eiser, C., & Havermans, T. (1994) · Archives of Disease in Childhood · doi:10.1136/adc.70.1.66 · Cited by 80 · see citing works
Noll, R. B., MachLean, W. E., Whitt, J. K., Kaleita, T. A., Stehbens, J. A., Waskerwitz, M. J., Ruymann, F. B., & Hammond, G. D. (1997) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/22.6.827 · Cited by 78 · see citing works
Current lifestyle of young adults treated for cancer in childhood.
Evans, S. E., & Radford, M. (1995) · Archives of Disease in Childhood · doi:10.1136/adc.72.5.423 · Cited by 66 · see citing works
Implications of Survival: Pediatric Oncology Patients and Their Families
Bearison, D. J., & Mulhern, R. K. (1994) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195079319.003.0009 · Cited by 63 · see citing works
Prevention and management of neonatal hypoglycaemia.
Hawdon, J. M., Platt, M. W., & Aynsley-Green, A. (1994) · Archives of Disease in Childhood Fetal & Neonatal · doi:10.1136/fn.70.1.f60 · Cited by 60 · see citing works
Cella, D. F., Pratt, A., & Holland, J. C. (1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.5.641 · Cited by 59 · see citing works
Rourke, M. T., Stuber, M. L., Hobbie, W. L., & Kazak, A. E. (1999) · Journal of Pediatric Oncology Nursing · doi:10.1177/104345429901600303 · Cited by 55 · see citing works
Self-citationAdjustment to amputation among adolescent oncology patients.
Tebbi, C. K., Petrilli, A. S., & Richards, M. (1989) · PubMed · Cited by 23 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hudson, M. M. (2003) · JAMA · doi:10.1001/jama.290.12.1583 · Cited by 809 · see citing works
An integrative model of pediatric medical traumatic stress.
Kazak, A. E., Kassam-Adams, N., Schneider, S., Zelikovsky, N., Alderfer, M. A., & Rourke, M. (2006) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj054 · Cited by 563 · see citing works
Self-citationKazak, A. E. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsh022 · Cited by 505 · see citing works
Self-citationPosttraumatic Growth in Adolescent Survivors of Cancer and Their Mothers and Fathers
Barakat, L. P., Alderfer, M. A., & Kazak, A. E. (2006) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj058 · Cited by 478 · see citing works
Self-citationPsychosocial Functioning in Pediatric Cancer
Patenaude, A. F., & Kupst, M. J. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsi012 · Cited by 411 · see citing works
Schwartz, L. A., Tuchman, L. K., Hobbie, W. L., & Ginsberg, J. P. (2011) · Child Care Health and Development · doi:10.1111/j.1365-2214.2011.01282.x · Cited by 402 · see citing works
Self-citationTraumatic stress in parents of children admitted to the pediatric intensive care unit.
Balluffi, A., Kassam-Adams, N., Kazak, A., Tucker, M., Dominguez, T., & Helfaer, M. (2004) · Pediatric Critical Care Medicine · doi:10.1097/01.pcc.0000137354.19807.44 · Cited by 377 · see citing works
Self-citationOeffinger, K. C., & Hudson, M. M. (2004) · CA A Cancer Journal for Clinicians · doi:10.3322/canjclin.54.4.208 · Cited by 365 · see citing works
Bruce, M. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.10.002 · Cited by 348 · see citing works
Patterson, J. M., Holm, K. E., & Gurney, J. G. (2003) · Psycho-Oncology · doi:10.1002/pon.761 · Cited by 322 · see citing works
Kazak, A. E., Alderfer, M. A., Streisand, R., Simms, S., Rourke, M. T., Barakat, L. P., Gallagher, P., & Cnaan, A. (2004) · Journal of Family Psychology · doi:10.1037/0893-3200.18.3.493 · Cited by 303 · see citing works
Posttraumatic Stress Symptoms During Treatment in Parents of Children With Cancer
Kazak, A. E., Boeving, C. A., Alderfer, M. A., Hwang, W.-T., & Reilly, A. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.09.110 · Cited by 290 · see citing works
Self-citationKazak, A. E., DeRosa, B. W., Schwartz, L. A., Hobbie, W., Carlson, C., Ittenbach, R. F., Mao, J. J., & Ginsberg, J. P. (2010) · Journal of Clinical Oncology · doi:10.1200/jco.2009.25.9564 · Cited by 290 · see citing works
Self-citationPai, A. L. H., Patiño‐Fernández, A. M., McSherry, M., Beele, D., Alderfer, M. A., Reilly, A. T., Hwang, W., & Kazak, A. E. (2007) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsm053 · Cited by 270 · see citing works
Self-citationQuality of life in childhood cancer survivors
Zebrack, B., & Chesler, M. A. (2002) · Psycho-Oncology · doi:10.1002/pon.569 · Cited by 257 · see citing works
Best, M. (2001) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/26.5.299 · Cited by 250 · see citing works
Hodgkinson, K., Butow, P. N., Fuchs, A., Hunt, G. E., Stenlake, A., Hobbs, K., Brand, A. H., & Wain, G. (2006) · Gynecologic Oncology · doi:10.1016/j.ygyno.2006.08.036 · Cited by 247 · see citing works
Kazak, A. E., Simms, S., Alderfer, M. A., Rourke, M. T., Crump, T., McClure, K. S., Jones, P., Rodriguez, A. M., Boeving, A., Hwang, W., et al. (2005) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsi051 · Cited by 229 · see citing works
Self-citationKAZAK, A. E., SIMMS, S., BARAKAT, L., HOBBIE, W., FOLEY, B., GOLOMB, V., & BEST, M. (1999) · Family Process · doi:10.1111/j.1545-5300.1999.00176.x · Cited by 213 · see citing works
Self-citationEvidence-Based Interventions for Survivors of Childhood Cancer and Their Families
Kazak, A. E. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsi013 · Cited by 204 · see citing works
Self-citationThematic Evidence of Psychosocial Thriving in Childhood Cancer Survivors
Parry, C., & Chesler, M. A. (2005) · Qualitative Health Research · doi:10.1177/1049732305277860 · Cited by 197 · see citing works
Kazak, A. E., Rourke, M. T., Alderfer, M. A., Pai, A. L. H., Reilly, A. F., & Meadows, A. T. (2007) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsm031 · Cited by 198 · see citing works
Self-citationKazak, A. E., Cant, M. C., Jensen, M. M., McSherry, M., Rourke, M. T., Hwang, W.-T., Alderfer, M. A., Beele, D., Simms, S., & Lange, B. J. (2003) · Journal of Clinical Oncology · doi:10.1200/jco.2003.12.156 · Cited by 194 · see citing works
Self-citationPrevalence and Predictors of Posttraumatic Stress Disorder in Adult Survivors of Childhood Cancer
Stuber, M. L., Meeske, K., Krull, K. R., Leisenring, W. M., Stratton, K. L., Kazak, A. E., Huber, M., Zebrack, B., Uijtdehaage, S. H. J., Mertens, A. C., et al. (2010) · PEDIATRICS · doi:10.1542/peds.2009-2308 · Cited by 191 · see citing works
Self-citationBrief Report: Does Posttraumatic Stress Apply to Siblings of Childhood Cancer Survivors?
Alderfer, M. A. (2003) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsg016 · Cited by 174 · see citing works
Long-term follow-up of people who have survived cancer during childhood
Skinner, R., Wallace, W. H., & Levitt, G. (2006) · The Lancet Oncology · doi:10.1016/s1470-2045(06)70724-0 · Cited by 173 · see citing works
Posttrauamatic stress disorder (PTSD) in young adult survivors of childhood cancer
Rourke, M. T., Hobbie, W. L., Schwartz, L. A., & Kazak, A. E. (2006) · Pediatric Blood & Cancer · doi:10.1002/pbc.20942 · Cited by 172 · see citing works
Self-citationInformation and service needs for young adult cancer patients
Zebrack, B. (2008) · Supportive Care in Cancer · doi:10.1007/s00520-008-0435-z · Cited by 172 · see citing works
Michel, G., Rebholz, C. E., von der Weid, N. X., Bergstraesser, E., & Kuehni, C. E. (2010) · Journal of Clinical Oncology · doi:10.1200/jco.2009.23.4534 · Cited by 164 · see citing works
Recklitis, C. J., Parsons, S. K., Shih, M.-C., Mertens, A., Robison, L. L., & Zeltzer, L. (2006) · Psychological Assessment · doi:10.1037/1040-3590.18.1.22 · Cited by 209 · see citing works
The adolescent and young adult gap in cancer care and outcome
Bleyer, A. (2005) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2005.02.001 · Cited by 166 · see citing works
Childhood Cancer Survivors: Transition to Adult-Focused Risk-Based Care
Henderson, T. O., Friedman, D. L., & Meadows, A. T. (2010) · PEDIATRICS · doi:10.1542/peds.2009-2802 · Cited by 159 · see citing works
Seitz, D. C. M., Besier, T., Debatin, K.-M., Grabow, D., Dieluweit, U., Hinz, A., Kaatsch, P., & Goldbeck, L. (2010) · European Journal of Cancer · doi:10.1016/j.ejca.2010.03.001 · Cited by 147 · see citing works
Psychosocial Late Effects in Pediatric Cancer Survivors: A Report From the Children's Oncology Group
Bitsko, M. J., Cohen, D., Dillon, R., Harvey, J., Krull, K., & Klosky, J. L. (2016) · Pediatric Blood & Cancer · doi:10.1002/pbc.25773 · Cited by 148 · see citing works
Phipps, S., Long, A. M., Hudson, M. M., & Rai, S. N. (2005) · Pediatric Blood & Cancer · doi:10.1002/pbc.20373 · Cited by 145 · see citing works
Sexual functioning in young adult survivors of childhood cancer
Zebrack, B. J., Foley, S., Wittmann, D., & Leonard, M. (2010) · Psycho-Oncology · doi:10.1002/pon.1641 · Cited by 144 · see citing works
“Indeed, post-traumatic stress symptoms have been reported in both male and female children treated for childhood cancers [37,38], and female survivors have been identified as being at significantly greater risk for experiencing post-traumatic stress [39].”
BackgroundPai, A. L. H., Drotar, D., Zebracki, K., Moore, M. E., & Youngstrom, E. A. (2006) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj109 · Cited by 142 · see citing works
DeRosa, B. W., Hobbie, W. L., Kazak, A. E., Ittenbach, R. F., Reilly, A. F., & Meadows, A. T. (2007) · Pediatric Blood & Cancer · doi:10.1002/pbc.21184 · Cited by 141 · see citing works
Self-citationSchwartz, L. A., & Drotar, D. (2005) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj018 · Cited by 139 · see citing works
Psychosocial Follow‐Up in Survivorship as a Standard of Care in Pediatric Oncology
Lown, E. A., Phillips, F., Schwartz, L. A., Rosenberg, A. R., & Jones, B. L. (2015) · Pediatric Blood & Cancer · doi:10.1002/pbc.25783 · Cited by 141 · see citing works
Posttraumatic stress symptoms after childhood cancer
Ta�eb, O., Moro, M. R., Baubet, T., Revah-L�vy, A., & Flament, M. F. (2003) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-003-0352-0 · Cited by 137 · see citing works
Models of care for survivors of childhood cancer
Friedman, D. L., Freyer, D. R., & Levitt, G. (2005) · Pediatric Blood & Cancer · doi:10.1002/pbc.20611 · Cited by 134 · see citing works
Risky Health Behavior Among Adolescents in the Childhood Cancer Survivor Study Cohort
Klosky, J. L., Howell, C. R., Li, Z., Foster, R. H., Mertens, A. C., Robison, L. L., & Ness, K. K. (2012) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jss046 · Cited by 132 · see citing works
Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients
Mintzer, L. L., Stuber, M. L., Seacord, D., Castañeda, M., Mesrkhani, V., & Glover, D. A. (2005) · PEDIATRICS · doi:10.1542/peds.2004-0118 · Cited by 131 · see citing works
Self-citationKwak, M., Zebrack, B., Meeske, K., Embry, L. M., Aguilar, C., Block, R. G., Hayes‐Lattin, B., Li, Y., Butler, M. J., & Cole, S. (2012) · Psycho-Oncology · doi:10.1002/pon.3217 · Cited by 124 · see citing works
Self-citationZebrack, B., Stuber, M. L., Meeske, K., Phipps, S., Krull, K. R., Liu, Q., Yasui, Y., Parry, C., Hamilton, R., Robison, L. L., et al. (2011) · Psycho-Oncology · doi:10.1002/pon.1959 · Cited by 126 · see citing works
Self-citationMcCarthy, M., McNeil, R., Drew, S. E., Dunt, D. R., Kosola, S. K., Orme, L. M., & Sawyer, S. M. (2016) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2016.0015 · Cited by 119 · see citing works
Santacroce, S. J. (2002) · Journal of Pediatric Oncology Nursing · doi:10.1177/104345420201900305 · Cited by 118 · see citing works
D’Agostino, N. M., & Edelstein, K. (2013) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2013.835018 · Cited by 115 · see citing works
Late effects of childhood cancer therapy
Friedman, D. L., & Meadows, A. T. (2002) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(02)00032-9 · Cited by 115 · see citing works
Long-term follow-up of children treated for cancer: why is it necessary, by whom, where and how?
Skinner, R., Wallace, W. H., & Levitt, G. (2007) · Archives of Disease in Childhood · doi:10.1136/adc.2006.095513 · Cited by 112 · see citing works
Zebrack, B., Zevon, M. A., Turk, N., Nagarajan, R., Whitton, J. A., Robison, L. L., & Zeltzer, L. K. (2006) · Pediatric Blood & Cancer · doi:10.1002/pbc.20914 · Cited by 111 · see citing works
Berg, C. J., Stratton, E., Esiashvili, N., & Mertens, A. (2016) · Journal of Cancer Education · doi:10.1007/s13187-015-0853-9 · Cited by 110 · see citing works
Adverse Late Effects of Childhood Cancer and Its Treatment on Health and Performance
Ness, K. K., & Gurney, J. G. (2007) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.28.021406.144049 · Cited by 108 · see citing works
Stress response symptoms in adolescent and young adult children of parents diagnosed with cancer
Huizinga, G. A., Visser, A., van der Graaf, W. T. A., Hoekstra, H., Klip, E. C., Pras, E., & Hoekstra‐Weebers, J. E. H. M. (2004) · European Journal of Cancer · doi:10.1016/j.ejca.2004.10.005 · Cited by 110 · see citing works
Posttraumatic stress symptoms in adult survivors of childhood cancer
Langeveld, N. E., Grootenhuis, M. A., Voûte, P. A., & de Haan, R. J. (2004) · Pediatric Blood & Cancer · doi:10.1002/pbc.20024 · Cited by 109 · see citing works
The Economic Impact on Families When a Child Is Diagnosed with Cancer
Miedema, B., Easley, J., Fortin, P., Hamilton, R. A., & Mathews, M. (2008) · Current Oncology · doi:10.3747/co.v15i4.260 · Cited by 108 · see citing works
Posttraumatic Growth in Parents and Pediatric Patients
Picoraro, J. A., Womer, J. W., Kazak, A. E., & Feudtner, C. (2014) · Journal of Palliative Medicine · doi:10.1089/jpm.2013.0280 · Cited by 107 · see citing works
Self-citationLove, C., & Sabiston, C. M. (2010) · Psycho-Oncology · doi:10.1002/pon.1733 · Cited by 109 · see citing works
Kamibeppu, K., Sato, I., Honda, M., Ozono, S., Sakamoto, N., Iwai, T., Okamura, J., Asami, K., Maeda, N., Inada, H., et al. (2010) · Journal of Cancer Survivorship · doi:10.1007/s11764-010-0124-z · Cited by 105 · see citing works
Mertens, A. C., Cotter, K. L., Foster, B. M., Zebrack, B., Hudson, M. M., Eshelman, D. A., Loftis, L., Sozio, M. S., & Oeffinger, K. C. (2004) · Health Policy · doi:10.1016/j.healthpol.2003.12.008 · Cited by 106 · see citing works
Janson, C. M., Leisenring, W. M., Cox, C. L., Termuhlen, A. M., Mertens, A. C., Whitton, J. A., Goodman, P. J., Zeltzer, L. K., Robison, L. L., Krull, K. R., et al. (2009) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-08-0959 · Cited by 101 · see citing works
Sansom‐Daly, U. M., & Wakefield, C. E. (2013) · PubMed Central · doi:10.3978/j.issn.2224-4336.2013.10.06 · Cited by 100 · see citing works
Farr, O. M., Ko, B.-J., Joung, K. E., Zaichenko, L., Usher, N., Tsoukas, M., Thakkar, B., Davis, C. R., Crowell, J. A., & Mantzoros, C. S. (2015) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2015.01.007 · Cited by 93 · see citing works
Zebrack, B., Kwak, M., Salsman, J. M., Cousino, M. K., Meeske, K., Aguilar, C., Embry, L. M., Block, R. G., Hayes‐Lattin, B., & Cole, S. W. (2014) · Psycho-Oncology · doi:10.1002/pon.3585 · Cited by 91 · see citing works
Self-citationPsychosocial interventions for adolescent cancer patients: a systematic review of the literature
Seitz, D. C. M., Besier, T., & Goldbeck, L. (2009) · Psycho-Oncology · doi:10.1002/pon.1473 · Cited by 91 · see citing works
Oncology Summer Camp: Benefits of Social Comparison
Meltzer, L. J., & Rourke, M. T. (2005) · Children s Health Care · doi:10.1207/s15326888chc3404_5 · Cited by 92 · see citing works
Self-citationAdult Cancer Survivorship: Evolution, Research, and Planning Care
Jacobs, L., Palmer, S. C., Schwartz, L. A., DeMichele, A. M., Mao, J. J. J., Carver, J. R., Gracia, C. R., Hill‐Kayser, C. E., Metz, J. M., Hampshire, M. K., et al. (2009) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.20040 · Cited by 89 · see citing works
Adaptive Style and Symptoms of Posttraumatic Stress in Children with Cancer and Their Parents
Phipps, S., Larson, S., Long, A. M., & Rai, S. N. (2005) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj033 · Cited by 88 · see citing works
Recklitis, C. J., Blackmon, J. E., & Chang, G. (2017) · Psychological Assessment · doi:10.1037/pas0000427 · Cited by 86 · see citing works
Jonker-Pool, G., Hoekstra, H. J., van Imhoff, G. W., Sonneveld, D. J. A., Sleijfer, D. T., van Driel, M. F., Koops, H. S., & van de Wiel, H. B. M. (2004) · Patient Education and Counseling · doi:10.1016/s0738-3991(03)00025-9 · Cited by 84 · see citing works
Ozono, S., Saeki, T., Mantani, T., Ogata, A., Okamura, H., & Yamawaki, S. (2006) · Supportive Care in Cancer · doi:10.1007/s00520-006-0139-1 · Cited by 84 · see citing works
The effects of response bias on self-reported quality of life among childhood cancer survivors
O’Leary, T. E., Diller, L., & Recklitis, C. J. (2007) · Quality of Life Research · doi:10.1007/s11136-007-9231-3 · Cited by 84 · see citing works
Utility of Routine Psychological Screening in the Childhood Cancer Survivor Clinic
Recklitis, C. J., O’Leary, T. E., & Diller, L. (2003) · Journal of Clinical Oncology · doi:10.1200/jco.2003.05.158 · Cited by 84 · see citing works
Coping in long‐term survivors of childhood cancer: relations to psychological distress
Wenninger, K., Helmes, A., Bengel, J., Lauten, M., Völkel, S., & Niemeyer, C. M. (2013) · Psycho-Oncology · doi:10.1002/pon.3073 · Cited by 83 · see citing works
Maurice‐Stam, H., Grootenhuis, M. A., Brons, P., Caron, H. N., & Last, B. F. (2005) · Pediatric Blood & Cancer · doi:10.1002/pbc.20661 · Cited by 83 · see citing works
Emerging adulthood and cancer: How unmet needs vary with time-since-treatment
Millar, B. M., Patterson, P., & Desille, N. (2010) · Palliative & Supportive Care · doi:10.1017/s1478951509990903 · Cited by 83 · see citing works
Kazak, A. E., Barakat, L. P., Alderfer, M. A., Rourke, M. T., Meeske, K., Gallagher, P. R., Cnaan, A., & Stuber, M. L. (2001) · Journal of Clinical Psychology in Medical Settings · doi:10.1023/a:1011977031826 · Cited by 83 · see citing works
Self-citationChildhood post-traumatic stress disorder: an overview.
Bellis, M. D., & Dillen, T. V. (2005) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2005.05.006 · Cited by 73 · see citing works
Pemberger, S., Jagsch, R., Frey, E., Felder-Puig, R., Gadner, H., Kryspin‐Exner, I., & Topf, R. J. (2004) · Supportive Care in Cancer · doi:10.1007/s00520-004-0724-0 · Cited by 82 · see citing works
Delivering long‐term follow‐up care to pediatric cancer survivors: Transitional care issues
Ginsberg, J. P., Hobbie, W. L., Carlson, C. A., & Meadows, A. T. (2005) · Pediatric Blood & Cancer · doi:10.1002/pbc.20610 · Cited by 82 · see citing works
Self-citationRobb, S. L., Clair, A. A., Watanabe, M., Monahan, P. O., Azzouz, F., Stouffer, J. W., Ebberts, A. G., Darsie, E., Whitmer, C., Walker, J., et al. (2007) · Psycho-Oncology · doi:10.1002/pon.1301 · Cited by 81 · see citing works
Recklitis, C. J., & Rodriguez, P. (2006) · Psycho-Oncology · doi:10.1002/pon.1069 · Cited by 81 · see citing works
Cancer-Related Parental Beliefs: The Family Illness Beliefs Inventory (FIBI)
Kazak, A. E. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsh055 · Cited by 80 · see citing works
Self-citationMuffly, L. S., Hlubocky, F. J., Khan, N., Wroblewski, K., Daunov, K., Gomez, J. X., McNeer, J. L., Stock, W., & Daugherty, C. K. (2016) · Cancer · doi:10.1002/cncr.29868 · Cited by 79 · see citing works
Wiener, L. S., Battles, H. B., Bernstein, D. B., Long, L., Derdak, J., Mackall, C. L., & Mansky, P. J. (2006) · Psycho-Oncology · doi:10.1002/pon.1024 · Cited by 78 · see citing works
Mullins, L. L., Fedele, D. A., Chaffin, M. J., Hullmann, S. E., Kenner, C. A., Eddington, A. R., Phipps, S., & McNall‐Knapp, R. Y. (2012) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jss093 · Cited by 78 · see citing works
Hadland, S. E., Agarwal, R., Raman, S. R., Smith, M. J., Bryl, A. W., Michel, J. J., Kelley‐Quon, L. I., Raval, M. V., Renny, M. H., Larson-Steckler, B., et al. (2024) · PEDIATRICS · doi:10.1542/peds.2024-068752 · Cited by 77 · see citing works
Posttraumatic stress responses in children with life-threatening illnesses
Stuber, M. L., Shemesh, E., & Saxe, G. (2003) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/s1056-4993(02)00100-1 · Cited by 76 · see citing works
Self-citationPediatric cancer survivors: past history and future challenges
Meadows, A. T. (2003) · Current Problems in Cancer · doi:10.1016/s0147-0272(03)00025-4 · Cited by 71 · see citing works
The perceived impact of cancer on quality of life for post-treatment survivors of childhood cancer
Zebrack, B., & Landier, W. (2011) · Quality of Life Research · doi:10.1007/s11136-011-9893-8 · Cited by 70 · see citing works
Beyond Survival: Quality of Life and Follow-up After Childhood Cancer
Eiser, C. (2007) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsm052 · Cited by 70 · see citing works
Post-traumatic Stress Response to Life-Threatening Illnesses in Children and Their Parents
Stuber, M. L., & Shemesh, E. (2006) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2006.02.006 · Cited by 69 · see citing works
Self-citationPost-traumatic stress symptoms in childhood brain tumour survivors and their parents
Bruce, M., Gumley, D., Isham, L., Fearon, P. R. M., & Phipps, K. P. (2010) · Child Care Health and Development · doi:10.1111/j.1365-2214.2010.01164.x · Cited by 68 · see citing works
Quality of life issues and cancer survivorship
Zebrack, B., & Zeltzer, L. K. (2003) · Current Problems in Cancer · doi:10.1016/s0147-0272(03)00027-8 · Cited by 68 · see citing works
Procedural Preparation and Support as a Standard of Care in Pediatric Oncology
Flowers, S. R., & Birnie, K. A. (2015) · Pediatric Blood & Cancer · doi:10.1002/pbc.25813 · Cited by 69 · see citing works
I'll Show Them: The Social Construction of (In)Competence in Survivors of Childhood Brain Tumors
Boydell, K., Stasiulis, E., Greenberg, M., Greenberg, C. M., & Spiegler, B. J. (2008) · Journal of Pediatric Oncology Nursing · doi:10.1177/1043454208315547 · Cited by 66 · see citing works
Posttraumatic stress in long-term young adult survivors of childhood cancer: A questionnaire survey
Lee, Y., & Santacroce, S. J. (2006) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2006.07.002 · Cited by 65 · see citing works
Zebrack, B., Donohue, J. E., Gurney, J. G., Chesler, M. A., Bhatia, R., & Landier, W. (2010) · Quality of Life Research · doi:10.1007/s11136-009-9576-x · Cited by 65 · see citing works
Seitz, D. C. M., Knaevelsrud, C., Duran, G., Waadt, S., Loos, S., & Goldbeck, L. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2193-4 · Cited by 63 · see citing works
- Authors
- Hobbie, W. L., Stuber, M., Meeske, K., Wissler, K., Rourke, M. T., Ruccione, K., Hinkle, A., & Kazak, A. E.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Venue
- Journal of Clinical Oncology
- Published
- 2000-12-15
- Volume
- 18
- Issue
- 24
- Pages
- 4060-4066
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2098609244
- Cited by
- 357
- References
- 31
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 8 · 2022: 9 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 10 · 2017: 15 · 2016: 13 · 2015: 18 · 2014: 13 · 2013: 18 · 2012: 17
- FWCI
- 7.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service
- 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 › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- post-traumatic stress disorder, childhood cancer survivors, young adults, anxiety, psychological distress, intrusion symptoms, avoidance symptoms, perceived life threat, treatment intensity, late effects of cancer treatment, developmental milestones
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Manifest Anxiety Scale, Neoplasms, Psychological Tests, Stress Disorders, Post-Traumatic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
