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Cited by 660Childhood Cancer Survivors' Quality of LifeCancer survivorship and careFamily Support in Illness

The DOI matches its Crossref record; 64 of the 67 references it cites were found in a registry or an index.

Psychological Status in Childhood Cancer Survivors: A Report From the Childhood Cancer Survivor Study

Open access
Zeltzer, Lonnie K., Recklitis, Christopher, Buchbinder, David, Zebrack, Bradley, Casillas, Jacqueline, Tsao, Jennie C.I., Lu, Qian, Krull, Kevin·2009·Journal of Clinical Oncology
DOI 10.1200/jco.2008.21.1433PMC PMC2677925
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Abstract

Psychological quality of life (QOL), health-related QOL (HRQOL), and life satisfaction outcomes and their associated risk factors are reviewed for the large cohort of survivors and siblings in the Childhood Cancer Survivor Study (CCSS). This review includes previously published manuscripts that used CCSS data focused on psychological outcome measures, including the Brief Symptom Inventory (BSI-18), the Medical Outcomes Survey Short Form-36 (SF-36), the Cantril Ladder of Life, and other self-report questionnaires. Comparisons and contrasts are made between siblings and survivors, and to normative data when available, in light of demographic/health information and abstracted data from the medical record. These studies demonstrate that a significant proportion of survivors report more symptoms of global distress and poorer physical, but not emotional, domains of HRQOL. Other than brain tumor survivors, most survivors report both good present and expected future life satisfaction. Risk factors for psychological distress and poor HRQOL are female sex, lower educational attainment, unmarried status, annual household income less than $20,000, unemployment, lack of health insurance, presence of a major medical condition, and treatment with cranial radiation and/or surgery. Cranial irradiation impacted neurocognitive outcomes, especially in brain tumor survivors. Psychological distress also predicted poor health behaviors, including smoking, alcohol use, fatigue, and altered sleep. Psychological distress and pain predicted use of complementary and alternative medicine. Overall, most survivors are psychologically healthy and report satisfaction with their lives. However, certain groups of childhood cancer survivors are at high risk for psychological distress, neurocognitive dysfunction, and poor HRQOL, especially in physical domains. These findings suggest targeting interventions for groups at highest risk for adverse outcomes and examining the positive growth that remains despite the trauma of childhood cancer.

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Crossref · 10.1200/jco.2008.21.1433

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  1. Derogatis LR, 2000, Brief Symptom Inventory (BSI): Administration, scoring, and procedures manual
  2. Sugarbaker PH, 1982, Surgery, 91, 17
  3. 10.1002/1097-0142(19930515)71:10+<3463::AID-CNCR2820711753>3.0.CO;2-B · DOI
  4. 10.1002/(SICI)1099-1611(199811/12)7:6<470::AID-PON325>3.0.CO;2-Z · DOI

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Metadata

Authors
Zeltzer, L. K., Recklitis, C., Buchbinder, D., Zebrack, B., Casillas, J., Tsao, J. C. I., Lu, Q., & Krull, K.
Affiliations
  • St. Jude Children's Research Hospital (US)
  • From the Department of Pediatrics and Division of Cancer Prevention and Control Research, David Geffen School of Medicine at University of California–Los Angeles (UCLA) and UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA; Dana Farber Cancer Institute, Boston, MA; School of Social Work, University of Michigan, Ann Arbor, MI; Department of Psychology, University of Houston, Houston, TX; and Department of Epidemiology and Cancer Control, St Jude Children's Research Hospital, Memphis, TN.
ORCID
Venue
Journal of Clinical Oncology
Publisher
American Society of Clinical Oncology (ASCO)
Published
2009-05-10
Volume
27
Issue
14
Pages
2396-2404
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
DOI
10.1200/jco.2008.21.1433
PMC
PMC2677925
OpenAlex
W2155429113
Cited by
660
References
67
Citations by year
2026: 19 · 2025: 25 · 2024: 41 · 2023: 28 · 2022: 41 · 2021: 47 · 2020: 42 · 2019: 44 · 2018: 39 · 2017: 36 · 2016: 43 · 2015: 60 · 2014: 37 · 2013: 55 · 2012: 33
FWCI
4.60
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Oncology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (U24-CA-55727, U24CA055727)
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 › Family Support in Illness
Keywords
childhood cancer survivors, psychological distress, health-related quality of life, life satisfaction, siblings of cancer patients, risk factors, cranial irradiation, neurocognitive impairment, brain tumor survivors, health behavior, complementary and alternative medicine, socioeconomic factors
MeSH terms
Adolescent, Adult, Bone Neoplasms, Brain Neoplasms, Child, Female, Health Promotion, Health Status, Humans, Kidney Neoplasms, Leukemia, Lymphoma, Male, Neoplasms, Wilms Tumor, Neuroblastoma, Psychological Tests, Quality of Life, United States, Health Behavior, Treatment Outcome, Survivors, Young Adult

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