Positive and Negative Psychosocial Impact of Being Diagnosed With Cancer as an Adolescent or Young Adult

被引:289
作者
Bellizzi, Keith M. [1 ]
Smith, Ashley [2 ]
Schmidt, Steven [1 ]
Keegan, Theresa H. M. [3 ,4 ]
Zebrack, Brad [5 ]
Lynch, Charles F. [6 ]
Deapen, Dennis [7 ]
Shnorhavorian, Margarett [8 ]
Tompkins, Bradley J. [9 ]
Simon, Michael [10 ]
机构
[1] Univ Connecticut, Dept Human Dev & Family Studies, Storrs, CT 06269 USA
[2] NCI, Outcomes Res Branch, Bethesda, MD 20892 USA
[3] Canc Prevent Inst Calif, Fremont, CA USA
[4] Stanford Univ, Sch Med, Dept Hlth Res & Policy, Stanford, CA 94305 USA
[5] Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA
[6] Univ Iowa, Dept Epidemiol, Iowa City, IA USA
[7] Univ So Calif, Dept Prevent Med, Los Angeles, CA USA
[8] Seattle Childrens Hosp, Seattle, WA USA
[9] Vermont Dept Hlth, Burlington, VT 05402 USA
[10] Barbara Ann Karmanos Canc Inst, Detroit, MI USA
关键词
adolescent and young adult cancer; psychosocial impact; oncology; quality of life; QUALITY-OF-LIFE; BREAST-CANCER; POSTTRAUMATIC GROWTH; CHILDHOOD-CANCER; BODY-IMAGE; LONG-TERM; FERTILITY PRESERVATION; PHYSICAL-ACTIVITY; SURVIVORS; OUTCOMES;
D O I
10.1002/cncr.27512
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: The objective of this study was to explore the psychosocial impact of cancer on newly diagnosed adolescent and young adult (AYA) cancer patients. METHODS: This was a population-based, multicenter study of 523 newly diagnosed AYA survivors (ages 15-39 years) of germ cell cancer (n = 204), non-Hodgkin lymphoma (n = 131), Hodgkin lymphoma (n = 142), acute lymphocytic leukemia (n = 21), or sarcoma (n = 25) from 7 National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) registries. Age at diagnosis was categorized into 3 groups (ages 15-20 years, 21-29 years, and 30-39 years). RESULTS: Respondents (43% response rate), on average (+/- standard deviation), were aged 29 +/- 6.7 years, and most patients (80.1%) were not receiving treatment at the time the completed the survey. With modest differences between the age groups, the most prevalent areas of life impacted in a negative way were financial, body image, control over life, work plans, relationship with spouse/significant other, and plans for having children. Endorsement of positive life impact items also was evident across the 3 age groups, particularly with regard to relationships, future plans/goals, and health competence. CONCLUSIONS: The current results indicated that there will be future need for interventions targeting financial assistance, body image issues, relationships, and helping AYAs to attain their education objectives. Cancer 2012;118:5155-62. (C) 2012 American Cancer Society.
引用
收藏
页码:5155 / 5162
页数:8
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