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. 2014 Nov;23(11):1229-35.
doi: 10.1002/pon.3549. Epub 2014 Apr 15.

Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden

Vicky Lehmann  1 , Helena Grönqvist, Gunn Engvall, Malin Ander, Marrit A Tuinman, Mariët Hagedoorn, Robbert Sanderman, Elisabet Mattsson, Louise von Essen
Affiliations
Free PMC article

Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden

Vicky Lehmann et al. Psychooncology. 2014 Nov.
Free PMC article

Abstract

Objective: The aim of this study was to provide insight into survivor-reported negative and positive consequences of cancer during adolescence 10 years after diagnosis and compare these with consequences reported 3 and 4 years after diagnosis.

Methods: Three, 4, and 10 years after diagnosis, survivors of adolescent cancer were interviewed about negative and positive consequences due to their cancer experience. Manifest content analysis was used to identify categories of reported consequences. Categories of consequences 10 years after diagnosis were compared with consequences reported 3 and 4 years after diagnosis.

Results: Seven categories of negative consequences were identified: bodily concerns, existential thoughts about loss and life (new at 10 years), psychological problems, difficulties interacting with others, health worries (new), fertility concerns (new), and frustrations about health care (new); and six categories of positive consequences: positive view of life, positive view of self, compassion for others (new), close relationships, gained knowledge about disease and health care, and financial gains. Consistent with previous time points, bodily concerns were reported most often. The majority of survivors (n = 22) reported both negative and positive consequences of their former disease. Few reported only negative (n = 2) or only positive consequences (n = 4).

Conclusions: Ten years after diagnosis, most survivors reported both negative and positive consequences. New themes, relevant to young adulthood and long-term survival, were identified. Health care professionals treating young adult survivors may anticipate and address problems regarding physical health, fertility, and health care but may also reinforce positive affect by addressing survivors' positive views of life, sense of self, and close relationships.

Keywords: adolescence; cancer; consequences; longitudinal; oncology; survivors.

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References

    1. Eiser C, Hill JJ, Vance YH. Examining the psychological consequences of surviving childhood cancer: systematic review as a research method in pediatric psychology. J Pediatr Psychol. 2000;25:449–460. - PubMed
    1. Lund LW, Schmiegelow K, Rechnitzer C, Johansen C. A systematic review of studies on psychosocial late effects of childhood cancer: structures of society and methodological pitfalls may challenge the conclusions. Pediatr Blood Cancer. 2011;56:532–543. - PubMed
    1. Langeveld NE, Stam H, Grootenhuis MA, Last BF. Quality of life in young adult survivors of childhood cancer. Support Care Cancer. 2002;10:579–600. - PubMed
    1. Quinn GP, Huang IC, Murphy D, Zidonik-Eddelton K, Krull KR. Missing content from health-related quality of life instruments: interviews with young adult survivors of childhood cancer. Qual Lif Res. 2012;22:111–118. - PMC - PubMed
    1. Engvall G, Cernvall M, Larsson G, von Essen L, Mattsson E. Cancer during adolescence: negative and positive consequences reported three and four years after diagnosis. PLoS ONE. 2011;6(12):e29001. - PMC - PubMed

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