Cited by 290Childhood Cancer Survivors' Quality of LifeCancer survivorship and careFamily Support in Illness

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Psychological Outcomes and Health Beliefs in Adolescent and Young Adult Survivors of Childhood Cancer and Controls

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Kazak, Anne E., DeRosa, Branlyn Werba, Schwartz, Lisa A., Hobbie, Wendy, Carlson, Claire, Ittenbach, Richard F., Mao, Jun J., Ginsberg, Jill P.·2010·Journal of Clinical Oncology

DOI 10.1200/jco.2009.25.9564PMC PMC2860405

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Abstract

Purpose: The purpose of this study was to compare adolescent and young adult (AYA) pediatric cancer survivors and peers without a history of serious illness on psychological distress, health-related quality of life (HRQOL), health beliefs; examine age at diagnosis and cancer treatment intensity on these outcomes; and examine relationships between number of health problems and the outcomes. Patients and Methods: AYA cancer survivors (n = 167) and controls (n = 170), recruited during visits to a cancer survivorship clinic and primary care, completed self-report questionnaires of distress, health problems, and health beliefs. For survivors, providers rated treatment intensity and health problems. Results: There were no statistically significant differences between survivors and controls in psychological distress or HRQOL. Cancer survivors had less positive health beliefs. Survivors diagnosed as adolescents had significantly greater psychological distress and fewer positive health beliefs than those diagnosed earlier. Survivors with the highest level of treatment intensity had greater anxiety and fewer positive health beliefs than those with less intense treatments. Provider report of current health problems related to survivors' beliefs and mental HRQOL only, whereas patient report of health problems correlated significantly with most psychosocial outcomes and beliefs. Conclusion: AYA cancer survivors did not differ from peers in psychological adjustment but did endorse less adaptive health beliefs. Survivors diagnosed during adolescence and who had more intensive cancer treatments evidenced poorer psychosocial outcomes. Beliefs about health may be identified and targeted for intervention to improve quality of life, particularly when patient perceptions of current health problems are considered.

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Authors: Kazak, A. E., DeRosa, B. W., Schwartz, L. A., Hobbie, W., Carlson, C., Ittenbach, R. F., Mao, J. J., & Ginsberg, J. P.
Affiliations: Children's Hospital of Philadelphia (US)
Corresponding author: Kazak, Anne E.
ORCID: Kazak, Anne E.
DeRosa, Branlyn Werba
Schwartz, Lisa A.
Hobbie, Wendy
Carlson, Claire
Ittenbach, Richard F.
Mao, Jun J.
Ginsberg, Jill P.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2010-04-20
Volume: 28
Issue: 12
Pages: 2002-2007
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2009.25.9564
PMC: PMC2860405
OpenAlex: W2156212268
Cited by: 290
References: 31
Citations by year: 2026: 10 · 2025: 8 · 2024: 11 · 2023: 11 · 2022: 36 · 2021: 17 · 2020: 16 · 2019: 23 · 2018: 18 · 2017: 14 · 2016: 17 · 2015: 26 · 2014: 18 · 2013: 25 · 2012: 16
FWCI: 18.54
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Clinical Oncology (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Cancer Institute (CA106928, R01CA106928)
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, adolescent and young adult cancer survivors, psychological distress, health-related quality of life, health beliefs, age at diagnosis, anxiety, psychosocial adjustment, health problems, patient-reported outcomes
MeSH terms: Adaptation, Psychological, Adolescent, Adolescent Behavior, Psychology, Adolescent, Adult, Age Factors, Anxiety, Culture, Depression, Drug Therapy, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Neoplasms, Perception, Quality of Life, Surveys and Questionnaires, Radiotherapy, Risk Factors, Stress, Psychological, Surgical Procedures, Operative, Health Behavior, Case-Control Studies, Survivors, Risk Assessment, Young Adult

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