Cancer in adolescents and young adults: Who remains at risk of poor social functioning over time?

Husson, Olga; Zebrack, Bradley; Aguilar, Christine; Hayes‐Lattin, Brandon; Cole, Steve W.

doi:10.1002/cncr.30656

Cited by 73 publications

(77 citation statements)

References 30 publications

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“…Adolescence and young adulthood are stages in life with increased vulnerability to stress. This vulnerability results in even greater psychosocial needs among AYA with a history of cancer, [46][47][48][49] with studies reporting poorer mental health, 47 health-related quality of life [50][51][52] and social functioning, 53 as well as 2.5 times more fatigue. 54 These challenges, which occur throughout the cancer care continuum (ie, from diagnosis to survivorship or end of life), span several domains of stress and coping, 55 and post-traumatic stress disorder (PTSD) [68][69][70] have also been noted in this population.…”

Section: Psychosocial Outcomesmentioning

confidence: 99%

Challenges and opportunities in the care of survivors of adolescent and young adult cancers

Fidler

Frobisher

Hawkins

et al. 2019

Pediatric Blood & Cancer

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Adolescents and young adults (AYA) with cancer are an understudied group. Much of what is known about long‐term outcomes after AYA cancer has been derived from cohorts of childhood cancer survivors, which seldom include patients at the older end of the AYA age spectrum. In general, AYA cancer survivors have a lower risk for premature mortality, subsequent primary neoplasms and chronic health conditions than childhood cancer survivors. However, AYA cancer survivors are vulnerable to psychosocial challenges, concerns about fertility and relationships and financial toxicity. No single model is optimal for the care of these survivors, but it is generally agreed that all survivors require a survivor care plan that promotes their adherence to evidence‐based surveillance guidelines. There is a need to create survivor cohorts that include the full range of AYA ages and diagnoses to be able to address the many pressing questions that remain unanswered in this vulnerable population.

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Section: Psychosocial Outcomesmentioning

confidence: 99%

Challenges and opportunities in the care of survivors of adolescent and young adult cancers

Fidler

Frobisher

Hawkins

et al. 2019

Pediatric Blood & Cancer

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“…AYAs with cancer frequently report difficulties in maintaining or making new social relationships because of the long-term effects of treatment or feeling anxious concerning fitting into their peer group again [26,27]. Husson et al [28] found that AYAs with cancer who had low social functioning reported more physical symptoms and higher levels of distress, and they perceived themselves to receive less social support. We also found that single patients and patients who don't have any children had more unmet needs in several items of psychological needs, physical and daily living needs, and health system and information needs.…”

Section: Discussionmentioning

confidence: 99%

Unmet supportive care needs and associated factors among young adult cancer patients in Japan

Okamura¹,

Fujimori²,

Sato³

et al. 2020

Preprint

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Background: Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors.Methods: In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs.Results: A total of 206 patients (180 female) with a mean age of 33.7 years (SD=4.3, range: 22-39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL.Conclusions: More than 70% of young adult cancer survivors reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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“…4 Recent research examining the social functioning of AYAs over time suggests that improvements in social functioning usually take place within the first year post-diagnosis and that on average no significant additional improvements occur between 12 and 24 months. 5 AYA cancer survivors who consistently scored low on measures of social functioning reported more physical symptoms and higher levels of psychological distress. 5 Research examining the links between sociodemographic and medical factors and AYA cancer survivor outcomes suggests that female gender, the diagnosis of a hematological disorder, hematopoietic stem cell transplantation, and a shorter off-treatment period are risk variables for poorer health-related quality of life and social functioning among AYA cancer survivors.…”

Section: Introductionmentioning

confidence: 95%

“…5 AYA cancer survivors who consistently scored low on measures of social functioning reported more physical symptoms and higher levels of psychological distress. 5 Research examining the links between sociodemographic and medical factors and AYA cancer survivor outcomes suggests that female gender, the diagnosis of a hematological disorder, hematopoietic stem cell transplantation, and a shorter off-treatment period are risk variables for poorer health-related quality of life and social functioning among AYA cancer survivors. 6 During the transition to survivorship care, there are unique challenges, including redefining ''normalcy,'' reconnecting with family and peers, and managing fear and uncertainty associated with follow-up procedures and risk of cancer recurrence.…”

Section: Introductionmentioning

confidence: 95%

Shifting Needs and Preferences: Supporting Young Adult Cancer Patients During the Transition from Active Treatment to Survivorship Care

Walsh

Currin‐McCulloch

Simon

et al. 2019

Journal of Adolescent and Young Adult Oncology

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This study was designed to identify and explore the social support needs and preferences of young adult cancer patients during the transition process from active treatment to survivorship care. Methods: Semi-structured qualitative interviews were conducted with study participants (n = 13, ages 17-25 at the time of cancer diagnosis) within *6 months of completion of active treatment and again 3 months later. Participants completed a sociodemographic questionnaire at the first study visit. Applied thematic analysis was used to identify themes from participant interviews. Results: Six key themes and 12 subthemes emerged regarding participant interactions with their support system (''Being there,'' ''Staying strong,'' and ''Treat me the same'') and health care team (''Connection and relationship building'' and ''Seeking knowledge and engaging in advocacy''), as well as treatment effects (''Uncertainty, Loss, & Changes in Identity'' and ''Ups & Downs of Physical Symptoms''), coping strategies (''Keep busy'' and ''Keep a positive vibe''), support resources (''Support needs change over time''), and post-treatment experiences (''Trying new things to cope with losses'' and ''Managing expectations with realities''). Conclusion: Study findings suggest that supportive care needs can change during the transition process from active treatment to survivorship care. Young adult life transitions, such as finding employment and making new friendships, are more stressful when complicated by ongoing physical and psychological treatment effects. Social stressors and potential barriers to participation in supportive care services should be discussed openly with patients and caregivers, especially prior to transitions in care.

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Cancer in adolescents and young adults: Who remains at risk of poor social functioning over time?

Cited by 73 publications

References 30 publications

Challenges and opportunities in the care of survivors of adolescent and young adult cancers

Challenges and opportunities in the care of survivors of adolescent and young adult cancers

Unmet supportive care needs and associated factors among young adult cancer patients in Japan

Shifting Needs and Preferences: Supporting Young Adult Cancer Patients During the Transition from Active Treatment to Survivorship Care

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