Cited by 357Childhood Cancer Survivors' Quality of LifeCancer survivorship and carePosttraumatic Stress Disorder Research

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Symptoms of Posttraumatic Stress in Young Adult Survivors of Childhood Cancer

Hobbie, Wendy L., Stuber, Margaret, Meeske, Kathleen, Wissler, Kathryn, Rourke, Mary T., Ruccione, Kathy, Hinkle, Andrea, Kazak, Anne E.·2000·Journal of Clinical Oncology

DOI 10.1200/jco.2000.18.24.4060

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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.

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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)
ORCID: Hobbie, Wendy L.
Stuber, Margaret
Kazak, Anne E.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2000-12-15
Volume: 18
Issue: 24
Pages: 4060-4066
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2000.18.24.4060
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

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Symptoms of Posttraumatic Stress in Young Adult Survivors of Childhood Cancer

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