Does age matter? Comparing post‐treatment psychosocial outcomes in young adult and older adult cancer survivors with their cancer‐free peers

Lang, Michael; Giese‐Davis, Janine; Patton, Scott B.; Campbell, David J.T.

doi:10.1002/pon.4490

Cited by 65 publications

(71 citation statements)

References 28 publications

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“…Other studies in AYA cancer survivors have reported higher psychological distress compared with cancer-free persons. [11][12][13] Reasons for similar levels of distress in Swiss AYA cancer survivors compared with controls might be the well-functioning health-care system in Switzerland providing survivors with needed support to function well psychologically and an in general good (re-) integration into work and social life after having been cured from cancer as indicated by another study in the same sample of Swiss AYA cancer survivors where we have found no significant differences for employment and marital status. 29 In our sample, survivors with migration background were more likely to report overall distress compared with survivors without migration background.…”

Section: Discussionmentioning

confidence: 59%

“…Recent studies found that AYA cancer survivors reported poorer psychological health compared with cancer‐free persons and compared with persons diagnosed at a younger or older age . More than a quarter of AYA cancer patients and survivors reported psychological distress, and more than 80% of AYA cancer survivors had not spoken to a health‐care professional about their problems .…”

Section: Introductionmentioning

confidence: 99%

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The long‐term impact of cancer: Evaluating psychological distress in adolescent and young adult cancer survivors in Switzerland

et al. 2019

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Objectives Adolescents and young adults (AYAs) are diagnosed with cancer during a critical life period full of psychosocial challenges. They may experience a significant impact of the cancer diagnosis on their psychological health, also in the long term. We aimed to (a) evaluate psychological distress in AYA cancer survivors and compare levels of distress with controls and (b) describe socio‐demographic and cancer‐related characteristics associated with psychological distress. Methods We sent a questionnaire to AYA cancer survivors (aged 16‐25 y at diagnosis, survived ≥5 y) registered in the Cancer Registry Zurich and Zug, Switzerland. Psychological distress was measured using the Brief Symptom Inventory‐18 (BSI‐18) assessing anxiety, depression, and somatization and a global severity index (GSI) (cutoff score indicating psychological distress: T ≥ 57). Distress levels were compared between survivors and controls. We used logistic regression to determine associations of socio‐demographic and cancer‐related characteristics with distress. Results Of 160 AYA cancer survivors, 34 (21%) reported being distressed (27% in women, 17% in men; P = 0.129). Compared with controls, survivors did not report higher levels of distress (all P values > 0.05). Survivors with migration background and survivors with late effects reported higher levels on GSI, somatization, and anxiety. Higher levels of depression were associated with being female, not being in a partnership, and having late effects. Conclusions A substantial subgroup of AYA cancer survivors reported psychological distress. Systematically screening for distress and providing psychological follow‐up for survivors at risk may help to provide adequate psychological support.

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Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

The long‐term impact of cancer: Evaluating psychological distress in adolescent and young adult cancer survivors in Switzerland

et al. 2019

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“…AYAs have emerged as a unique group in the clinical setting that requires specialized and cautious care and practice guidelines when facing the specific challenge of cancer diagnosis [17,18]. The previously limited amount of studies on AYAs has recently been increasing, examining not only their HRQoL and health behaviors, but also psychosocial outcomes [19,20]. HRQoL in AYAs has already been studied in Germany [21], the United Kingdom [22] and the United States [23].…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in adolescent and young adult cancer survivors

Harju

Roser

Dehler

et al. 2018

Support Care Cancer

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“…As such, AYAs diagnosed with cancer during adolescence appear at an increased risk of problems related to their mental health. Indeed, studies have demonstrated that AYA survivors of cancer during adolescence report elevated levels of psychological distress in comparison to matched cancer-free controls (Seitz et al, 2010), those diagnosed during childhood (Kazak et al, 2010) and adulthood respectively (Lang et al, 2018). Further, research indicates that receiving a cancer diagnosis prior to age 25 leads to a higher risk of suicide (Gunnes et al, 2017) and being prescribed anxiolytics and hypnotics (Johannsdottir et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Heeding the psychological concerns of young cancer survivors: a single-arm feasibility trial of CBT and a cognitive behavioral conceptualization of distress

Hagström

Ander

Cernvall

et al. 2020

PeerJ

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Background.A subgroup of adolescent and young adult (AYA) survivors of cancer during adolescence report high levels of psychological distress. To date, evidence-based psychological interventions tailored to the cancer-related concerns experienced by this population are lacking. The present study aimed to (1) examine the feasibility and preliminary efficacy of an individualized cognitive behavioral therapy (CBT) intervention for AYA survivors of cancer during adolescence; and (2) identify and conceptualize cancer-related concerns as well as maintaining factors using cognitivebehavioral theory. Methods. A single-arm trial, whereby AYA survivors of cancer during adolescence (aged 17-25 years) were provided individualized face-to-face CBT at a maximum of 15 sessions. Clinical outcomes were assessed at baseline, post-intervention, and three-month follow-up. Intervention uptake, retention, intervention delivery, and reliable change index scores were examined. An embedded qualitative study consisted of two unstructured interviews with each participant pre-intervention. Along with individual behavioral case formulations developed to guide the intervention, interview data was analyzed to identify and conceptualize cancer-related concerns and potential maintaining factors. Results. Ten out of 213 potential participants invited into the study were included, resulting in an overall participation rate of 4.7%. Nine participants completed the intervention, with respectively seven and eight participants completing the postintervention and three month follow-up assessment. The majority of reported cancerrelated concerns and maintaining factors were conceptualized into four themes: social avoidance, fear of emotions and bodily symptoms, imbalance in activity, and worry and rumination. Conclusions. Given significant recruitment difficulties, further research is required to examine barriers to help-seeking in the AYA cancer survivor population. However, the conceptualization of cancer-related concerns and maintaining factors experienced by the population may represent an important first step in the development of psychological support tailored toward AYA cancer survivors' unique needs. How to cite this article Hagström J, Ander M, Cernvall M, Ljótsson B, Wiman HW, von Essen L, Woodford J. 2020. Heeding the psychological concerns of young cancer survivors: a single-arm feasibility trial of CBT and a cognitive behavioral conceptualization of distress. PeerJ 8:e8714 http://doi.org/10.7717/peerj.8714 Ander M, Thorsell Cederberg J, Von Essen L, Hovén E. 2018. Exploration of psychological distress experienced by survivors of adolescent cancer reporting a need for psychological support. PLOS ONE 13(4):e0195899

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Does age matter? Comparing post‐treatment psychosocial outcomes in young adult and older adult cancer survivors with their cancer‐free peers

Abstract: AYA cancer survivors experience a significantly higher risk of psychosocial distress than both their cancer-free peers and OA survivors.

Cited by 65 publications

References 28 publications

The long‐term impact of cancer: Evaluating psychological distress in adolescent and young adult cancer survivors in Switzerland

The long‐term impact of cancer: Evaluating psychological distress in adolescent and young adult cancer survivors in Switzerland

Health-related quality of life in adolescent and young adult cancer survivors

Heeding the psychological concerns of young cancer survivors: a single-arm feasibility trial of CBT and a cognitive behavioral conceptualization of distress

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