Psychological Distress in Young Adults with Acute Myeloid Leukemia Undergoing Induction Chemotherapy

被引:3
作者
Lockwood, Bethany J. [1 ]
El-Jawahri, Areej [2 ]
Walker, Alison R. [3 ]
Ehrman, Sarah [1 ]
Russell, Deborah [1 ]
Kale, Sachin S. [1 ]
Gustin, Jillian [1 ]
Bose-Brill, Seuli [4 ]
LeBlanc, Thomas W. [5 ]
Luger, Selina M. [6 ]
Lustberg, Maryam [7 ,8 ]
Bhatnagar, Bhavana [3 ,9 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Div Palliat Med, 1581 Dodd Dr McCampbell Hall 5th Floor, Columbus, OH 43210 USA
[2] Harvard Med Sch, Massachusetts Gen Hosp, Div Hematol & Oncol, Boston, MA 02115 USA
[3] Ohio State Univ, Comprehens Canc Ctr, Div Hematol, Columbus, OH 43210 USA
[4] Ohio State Univ, Wexner Med Ctr, Div Gen Internal Med & Pediat, Columbus, OH 43210 USA
[5] Duke Univ, Sch Med, Div Hematol Malignancies & Cellular Therapy, Durham, NC USA
[6] Univ Penn, Perelman Sch Med, Div Hematol Oncol, Philadelphia, PA 19104 USA
[7] Ohio State Univ, Comprehens Canc Ctr, Div Med Oncol, Columbus, OH 43210 USA
[8] Yale Sch Med, Div Med Oncol, New Haven, CT USA
[9] West Virginia Univ, Canc Inst, Sect Hematol Oncol, Wheeling, WV USA
关键词
acute myeloid leukemia; induction chemotherapy; psychological distress; anxiety; post-traumatic stress disorder; EARLY PALLIATIVE CARE; QUALITY-OF-LIFE; CANCER SURVIVORS; OUTCOMES; ADOLESCENTS; ISSUES; LUNG; AYA;
D O I
10.1089/jayao.2022.0082
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Young adults (YAs), aged 18-39 years, with acute myeloid leukemia (AML) navigate life disruptions amid an unpredictable illness trajectory. We conducted a secondary analysis of patient-reported outcomes for hospitalized YAs with high-risk AML receiving intensive chemotherapy, collected during a multisite randomized clinical trial. Of the 160 patients, 14 (8.8%) were YAs. At week 2 of hospitalization, YAs demonstrated significant worse quality of life (beta = -18.27; p = 0.036), higher anxiety (beta = 2.72; p = 0.048), and higher post-traumatic stress disorder (PTSD; beta = 10.34; p = 0.007) compared with older adults. Our analysis demonstrated a longitudinal presence of anxiety and PTSD, suggesting persistent unmet psychological needs for YAs with AML.
引用
收藏
页码:592 / 598
页数:7
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