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 accessAbstract
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“Compared to their siblings, adolescents and young adults with cancer have reported poorer overall mental health [5] and are twice as likely to report clinical levels of emotional distress [6-8].”
Citations
Cites
(1992) · PubMed · Cited by 33,716
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033
SF-36 health survey: Manual and interpretation guide
Ware, J. (2003) · Medical Entomology and Zoology · Cited by 11,424
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650
Cantril, H. (1965) · Cited by 2,273
Principles and Practice of Pediatric Oncology
(1990) · Annals of Internal Medicine · doi:10.7326/0003-4819-112-8-636_3 · Cited by 2,034
TEST REVIEW behavior rating inventory of executive function.
Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000) · Child Neuropsychology · doi:10.1076/chin.6.3.235.3152 · Cited by 1,925
Behavior Rating Inventory for Executive Function
Gioia, G. A., Isquith, P. Κ., & Roth, R. M. (2017) · Springer eBooks · doi:10.1007/978-3-319-56782-2_1881-2 · Cited by 1,571
Zubaida, S. D., & Cantril, H. (1967) · The British Journal of Sociology · doi:10.2307/588624 · Cited by 1,496
Exercise for the management of cancer-related fatigue in adults
Cramp, F., & Byron-Daniel, J. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006145.pub3 · Cited by 1,096
Research works printed but not linked: 4
Cited by
Sorted by citations
Items 601–659 of 659
Ernst, I., & Eich, H. T. (2013) · Strahlentherapie und Onkologie
Tan, B. W. Z., Teo, L. L., Tong, J. W. K., & Chan, M. Y. (2022) · Singapore Medical Journal · doi:10.11622/smedj.2022050
Sleep in Children With Cancer and Other Chronic Diseases☆
Crabtree, V. M. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-809324-5.01098-1
Rp, K. (2010) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-7834-0_7
Ruble, K. (2018) · Springer eBooks · doi:10.1007/978-3-319-98414-8_25
The Cost Incurred for the Treatment among the Cancer Patients in Coimbatore
Sangamithra, A., & Vishnu, S. (2021) · Shanlax International Journal of Economics · doi:10.34293/economics.v9i4.4218
The Psychological Consequences of the COVID-19 Pandemic in Adults Treated for Childhood Cancer
Janah, A., Haddy, N., Goldschmidt, C. D., Bougas, N., Clavel, J., Poulalhon, C., Lacour, B., Souchard, V., Jackson, A., Casagranda, L., et al. (2022) · Current Oncology · doi:10.3390/curroncol29060327
Self-Disclosure by Childhood Cancer Survivors and Its Psychological Effects
Mashiko, N., & Sumiyoshi, T. (2022) · Global Journal of Health Science · doi:10.5539/gjhs.v14n6p57 · Cited by 1
The Role of Policies in Cancer Pain, Health Disparities, and Substance UsePreprint
Calvert, C. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4142495
Cetin, N. (2022) · PDXScholar (Portland State University) · doi:10.15760/etd.7974
Psychosocial challenges of childhood cancer survivorship
van Erp, L. M. E. (2022) · doi:10.33540/1519
Nasehi, S., Malek, A., Meshkini, A., Shafiee‐Kandjani, A. R., Amiri, S., Salehpoor, F., Mirzaei, F., Shahrokhi, H., Dastgiri, S., & Farhang, S. (2022) · Iranian journal of child neurology. · doi:10.22037/ijcn.v16i1.31457
Kulisch, L. K., Herrmann, J., Herzog, K., Einsiedel, H. G., Kamm‐Thonwart, R., Hoffmann, R., Jäschke, Y., Martini, J., & Schepper, F. (2022) · doi:10.31234/osf.io/qw5tj
INGETROKKEN HOOFDSTUK: Kinderen en jongvolwassenen
de Winter, D. T. C., Mud, M. S., Neggers, S. J. C. M. M., & van den Heuvel‐Eibrink, M. M. (2024) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2853-6_28
الذكاء الاجتماعي وعلاقته بالأمل لدى عينة من المراهقين المصابين بسرطان الدم
حمد, أ. م. (2023) · Mağallaẗ Al-Dirāsāt Al-Insāniyyah wal-Adabiyyah /Mağallaẗ Al-Dirāsāt Al-Insāni yyaẗ wa Al-Adabiyyaẗ · doi:10.21608/shak.2024.240097.1522
Grand manuel de psycho-oncologie
Longaud, A., & Barrault, Z. (2023) · Dunod eBooks · doi:10.3917/dunod.vande.2023.01.0255
Grand manuel de psycho-oncologie
Haegen, M. V., & Chantrain, C. F. (2023) · Dunod eBooks · doi:10.3917/dunod.vande.2023.01.0539
Boushabi, A., Benali, A. H., & Shimi, M. (2024) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2024.109421
Özbay, İ., Kabak, V. Y., & Uysal, S. A. (2024) · Journal of Exercise Therapy and Rehabilitation · doi:10.15437/jetr.1126114
de Winter, D. T. C., Mud, M. S., Neggers, S. J. C. M. M., & van den Heuvel‐Eibrink, M. M. (2024) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-3023-2_37
Becker, A., Paris, C., Roganović, J., Bustos, C., Rosas, A., Contreras, P., Zepeda-Ortega, A., & Bárdi, E. (2021) · Research Square · doi:10.21203/rs.3.rs-869039/v1
Psychological distress in adults after pediatric kidney replacement therapy
Laube, N., Mader, L., Heinzelmann, M.-A., Hunziker, S., Michel, G., Kuehni, C. E., & Laube, G. F. (2024) · Pediatric Nephrology · doi:10.1007/s00467-024-06571-7
Schaefer, M. R., Wojtowicz, A., Gardner, M., Patel, P., Sutherland-Foggio, M. S., Kenney, A. E., Himelhoch, A. C., Humphrey, L. H., Olshefski, R. S., Skeens, M. A., et al. (2024) · Journal of Palliative Medicine · doi:10.1089/jpm.2024.0307
Polysomnography analysis of sleep in a cohort of children treated for brain tumour
Pilotto, C., Vidoni, M., Francesco, T., Toniutti, M., Vincenzo, P., Cogo, P. E., & Liguoro, I. (2025) · Child s Nervous System · doi:10.1007/s00381-025-06828-y
Shajan, S., Srinivasan, H. N., Joseph, L. L., Boddu, D., John, R. R., Mathew, L. G., & Totadri, S. (2025) · Indian Journal of Cancer · doi:10.4103/ijc.ijc_893_21
Williams, A. M., Rodday, A. M., Renfro, L. A., Wu, Y., Henderson, T. O., Keller, F. G., Punnett, A., Hodgson, D. C., Kelly, K. M., Castellino, S. M., et al. (2025) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djaf197
Pediatric Cancer Survivorship: A Review
Foerst, E., Cendan, V., Gandhi, B., Schwartz, L. F., & Suntum, T. K. (2025) · Pediatric Annals · doi:10.3928/19382359-20250909-03
Coping with a childhood brain tumour: A qualitative analysis of parents’ experiences
Lurie, P. (2014) · UCL Discovery (University College London)
Recent Publications on Medications and Pharmacy
Sterling, J. A. (2008) · Hospital Pharmacy · doi:10.1310/hpj4312-1024
Szabados, M., Kolumbán, E., Agócs, G., Kiss‐Dala, S., Engh, M. A., Hernádfői, M., Takács, K., Tuboly, E., Párniczky, A., Hegyi, P., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26633319
Bouwman, E., Stollman, I., Wilbers, J., Claessens, J. J. M., van Spronsen, D. J., Bongaerts, A., Breij, D., Blijlevens, N. M. A., Knoop, H., Hermens, R. P. M. G., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26019742
Bouwman, E., Stollman, I., Wilbers, J., Claessens, J. J. M., van Spronsen, D. J., Bongaerts, A., Breij, D., Blijlevens, N. M. A., Knoop, H., Hermens, R. P. M. G., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26732632
Szabados, M., Kolumbán, E., Agócs, G., Kiss‐Dala, S., Engh, M. A., Hernádfői, M., Takács, K., Tuboly, E., Párniczky, A., Hegyi, P., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26633313
Bouwman, E., Stollman, I., Wilbers, J., Claessens, J. J. M., van Spronsen, D. J., Bongaerts, A., Breij, D., Blijlevens, N. M. A., Knoop, H., Hermens, R. P. M. G., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26019628
Bouwman, E., Stollman, I., Wilbers, J., Claessens, J. J. M., van Spronsen, D. J., Bongaerts, A., Breij, D., Blijlevens, N. M. A., Knoop, H., Hermens, R. P. M. G., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26732635
Szabados, M., Kolumbán, E., Agócs, G., Kiss‐Dala, S., Engh, M. A., Hernádfői, M., Takács, K., Tuboly, E., Párniczky, A., Hegyi, P., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26633322
Bouwman, E., Stollman, I., Wilbers, J., Claessens, J. J. M., van Spronsen, D. J., Bongaerts, A., Breij, D., Blijlevens, N. M. A., Knoop, H., Hermens, R. P. M. G., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26732629
Bouwman, E., Stollman, I., Wilbers, J., Claessens, J. J. M., van Spronsen, D. J., Bongaerts, A., Breij, D., Blijlevens, N. M. A., Knoop, H., Hermens, R. P. M. G., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26732638
Szabados, M., Kolumbán, E., Agócs, G., Kiss‐Dala, S., Engh, M. A., Hernádfői, M., Takács, K., Tuboly, E., Párniczky, A., Hegyi, P., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26633316
Cetin, N., Lee, J. K., Klawetter, S., Lindemulder, S., Donlan, W., Fellure, R., & Witte, S. S. (2026) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2026.2622330
Lei, F., McLouth, L. E. S., Durbin, E. B., Tucker, T. C., Villano, J. L., & Huang, B. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1680382
Sharma, A., Chahal, A., Rai, R. H., Urazbaeva, D., Qushnazarova, U., & Sharma, N. (2026) · Journal of Pediatric Neurosciences · doi:10.4103/jpn.jpn_130_25
Hayek, S., Miller, K. A., Roth, M. E., Hildebrandt, M. A. T., Freyer, D. R., & Milam, J. E. (2026) · Scientific Reports · doi:10.1038/s41598-026-41160-8
Sanaeipoor, S., & Miller, A. (2026) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3791801
Ram, B. M., Loecher, N., Browne, E. K., Jones, S. C., Barnwell, E. A., Jones, A. M., Brinkman, T. M., Russell, K., Feibelman, S., & Tillery, R. (2026) · Pediatric Blood & Cancer · doi:10.1002/1545-5017.70351
Nigro, O., Adduci, A., Bergamaschi, L., Gattuso, G., Sironi, G., Giovanetti, M., Massimino, M., & Grampa, P. (2026) · Tumori Journal · doi:10.1177/03008916261438276
Pawłowski, P., Banasik, M., Barłóg, M., Kwissa‐Gajewska, Z., Jeżak, M., Kościołek, A., Samardakiewicz-Kirol, E., Mitura-Lesiuk, M., & Samardakiewicz, M. (2026) · Cancers · doi:10.3390/cancers18111782
Health-related quality of life in young pediatric cancer survivors: The role of sarcopenia
Mármol-Pérez, A., Ubago‐Guisado, E., Cadenas‐Sánchez, C., Rodríguez-Solana, A., Llorente‐Cantarero, F. J., Pascual-Gázquez, J. F., Moreira‐Gonçalves, D., Mota, J., Ness, K. K., Ruiz, J. R., et al. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10888-4
Liu, T., Saif, S., Tang, M., & Mo, L. (2026) · doi:10.2196/preprints.104881
Louro, J., Mogensen, H., Erdmann, F., Kampitsi, C., Kenborg, L., Heinävaara, S. H., Hjalgrim, H., Ljung, R., Heyman, M. M., Hasle, H., et al. (2026) · EJC Paediatric Oncology · doi:10.1016/j.ejcped.2026.100536
Grampa, P., Adduci, A., Contro, L., Nigro, O., Biassoni, V., Schiavello, E., Terenziani, M., Massimino, M., & Barretta, F. (2026) · Children · doi:10.3390/children13070943
van der Hoek, H., Maurice‐Stam, H., Beek, L. R., van Dijk, J., Langemeijer, M. E. M., Slooff, R., Delden, A. M. V. D. A., Westerweel, A., van Gorp, M., Schreuder, H. W. B., et al. (2026) · Pediatric Blood & Cancer · doi:10.1002/1545-5017.70487
Liu, T., Saif, S., Tang, M., & Mo, L. (2026) · Journal of Medical Internet Research · doi:10.2196/104881
Mutluer, T., Morey, A. Ö., Karaturhan, P., Genç, H. A., Markaroğlu, R., Erbey, F., Eker, N., Küpesiz, A., Küpesiz, F. T., Guler, E., et al. (2026) · Pediatric Blood & Cancer · doi:10.1002/1545-5017.70721
O’Loughlin, R. J., Semendric, I., Pope, K. J., Hobbs, D., & Collins‐Praino, L. E. (2026) · Children · doi:10.3390/children13101397
Sexual inactivity in young adult survivors of childhood cancer: a Project REACH study
Chevalier, L., Burgers, D. E., Chordas, C. A., Recklitis, C. J., & Bober, S. L. (2026) · Journal of Cancer Survivorship · doi:10.1007/s11764-026-02142-x
Self-citationYoga for Pediatric Cancer Out-Patients
Wurz, A. J. (2013) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/28727
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.
- Venue
- Journal of Clinical Oncology
- Published
- 2009-05-10
- Volume
- 27
- Issue
- 14
- Pages
- 2396-2404
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- 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
- green
- www.ncbi.nlm.nih.gov
- 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
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