Factors associated with the specific worries of childhood cancer survivors: Cross‐sectional survey in Japan

Ishida, Yasushi; Hatori, Takashi; Hayashi, Mitsue; Inoue, Fumiko; Ozawa, Miwa

doi:10.1111/ped.12940

Cited by 8 publications

(22 citation statements)

References 24 publications

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“…Many survivors have reported worries about their future health and possible late effects after the cancer and its treatment . They also often worry about vocational possibilities, fertility problems, and the health of their future children . This applies especially to adolescents and young adults who have experienced a premature confrontation with mortality, changes in physical appearance, and disruptions in social life, and their life perspectives may have changed as a result of their cancer experience .…”

Section: Discussionmentioning

confidence: 99%

“…These survivors had in general received an intensive, multimodal treatment, including chemotherapy, radiotherapy, and surgery and are at increased risk of developing late effects. The presence of late effects among CAYACS has been shown to increase the risk of worrying …”

Section: Discussionmentioning

confidence: 99%

“…[29][30][31] They also often worry about vocational possibilities, fertility problems, and the health of their future children. [32][33][34][35][36] This applies especially to adolescents and young adults who have experienced a premature confrontation with mortality, changes in physical appearance, and disruptions in social life, and their life perspectives may have changed as a result of their cancer experience. 3,35 Constant worry can negatively affect both psychological and physical well-being of CAYACS.…”

Section: Discussionmentioning

confidence: 99%

“…37 It can precipitate lower self- has been shown to increase the risk of worrying. 31,33 Survivors of gastrointestinal tumors, leukemias, and soft-tissue cancers had the highest risk estimates of prescriptions of hypnotics.…”

Section: Discussionmentioning

confidence: 99%

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Increased prescription rates of anxiolytics and hypnotics to survivors of cancer in childhood, adolescence, and young adulthood—A population‐based study

Johannsdottir

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Kiserud

et al. 2017

Pediatric Blood & Cancer

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Increased prescription rates of anxiolytics and hypnotics to survivors of cancer in childhood, adolescence, and young adulthood—A population‐based study

Johannsdottir

Loge

Kiserud

et al. 2017

Pediatric Blood & Cancer

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“…Some adult survivors of childhood cancer experience long‐term physical late effects related to their disease and its treatment, such as endocrine, bone and muscle, hepatic, and skin dysfunctions . Physical late effects are likely to negatively influence occupational outcomes such as employment status and worries about employment among childhood cancer survivors …”

Section: Introductionmentioning

confidence: 99%

Do childhood cancer and physical late effects increase worries about future employment in adulthood?

et al. 2019

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Background: Experiences of childhood cancer and physical late effects can potentially increase various components of worries about employment among unemployed adult survivors of childhood cancer, but the nature of these effects on worries is unknown. Aims:This study aimed to describe worries about employment among unemployed adult survivors of childhood cancer through a comparison with those among the unemployed general population and to clarify the components of worries about employment affected by physical late effects. Method and results: Worries about employment were assessed using nine items in the International Survey of Youth Attitude conducted by the Japanese Cabinet Office. Physical late effects among unemployed survivors were evaluated by their attending physicians. Data from the unemployed general population were extracted from the International Survey of Youth Attitude. We used propensity score and multiple regression analysis to estimate the impact of childhood cancer and physical late effects on worries about employment. We surveyed 48 unemployed survivors and 286 members of the unemployed general population. Unemployed survivors reported significantly higher score of worries about health and physical well-being than did the unemployed general population (Cohen's f 2 = 0.007). Meanwhile, unemployed survivors reported significantly lower scores of worries about work ability, interpersonal relationships at workplaces, age until which they can work, layoffs, income, job transfers, and possibility and continuity of employment than did the unemployed general population (Cohen's f 2 = 0.002-0.018). Unemployed survivors with physical late effects reported significantly higher scores on all components of worries about employment than did those without physical late effects (Cohen's f 2 = 0.137-1.304). Conclusion: Physical late effects rather than experiences of childhood cancer have large impacts on various worries about employment among unemployed survivors. It would be valuable to understand and assess systematically the impact of physical late effects on employment in unemployed survivors.

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Positive and negative survivor-specific psychosocial consequences of childhood cancer: the DCCSS-LATER 2 psycho-oncology study

Maas,

Maurice-Stam,

van der Aa-van Delden

et al. 2023

J Cancer Surviv

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Purpose Numerous studies investigated generic psychosocial outcomes in survivors of childhood cancer (CCS). The present study aimed to describe survivor-specific psychosocial consequences in CCS, and to identify socio-demographic and medical associated factors. Methods CCS from the Dutch Childhood Cancer Survivor Study (DCCSS)-LATER cohort (diagnosed 1963–2001) part 2 (age ≥ 18 years, diagnosed < 18 years, ≥ 5 years since diagnosis) completed the Benefit & Burden Scale (BBSC) and the Impact of Cancer–Childhood Cancer (IOC-CS). Items were scored on a 5-point Likert scale (range 1–5). We examined outcomes with descriptive statistics, and socio-demographic and medical associated factors with regression analyses, corrected for multiple testing (p < 0.004). Results CCS, N = 1713, age mean (M) 36 years, 49% female, ≥ 15 years since diagnosis, participated. On average, CCS reported ‘somewhat’ Benefit (M = 2.9), and ‘not at all’ to ‘a little’ Burden (M = 1.5) of childhood cancer. Average scores on IOC-CS’ positive impact scales ranged from 2.5 (Personal Growth) to 4.1 (Socializing), and on the negative impact scales from 1.4 (Financial Problems) to 2.4 (Thinking/Memory). Apart from cognitive problems, CCS reported challenges as worries about relationship status, fertility, and how cancer had affected siblings. Female sex was associated with more Personal Growth, and more negative impact. CCS more highly educated, partnered, and employed had higher positive and lower negative impact. CCS older at diagnosis reported more positive impact. CNS tumor survivors and those who had head/cranium radiotherapy had higher negative impact. CNS tumor survivors reported less positive impact. Conclusion and implications The majority of CCS reported positive impact of cancer while most CCS reported little negative impact. While this may indicate resiliency in most CCS, health care providers should be aware that they can also experience survivor-specific challenges that warrant monitoring/screening, information provision and psychosocial support.

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Factors associated with the specific worries of childhood cancer survivors: Cross‐sectional survey in Japan

Abstract: The CCS worries were strongly affected by the presence of late effects. No significant association was noted between CCS worries and gender, age at diagnosis or follow up, or educational achievements. Economic status and disability qualification were associated with some worries.

Cited by 8 publications

References 24 publications

Increased prescription rates of anxiolytics and hypnotics to survivors of cancer in childhood, adolescence, and young adulthood—A population‐based study

Increased prescription rates of anxiolytics and hypnotics to survivors of cancer in childhood, adolescence, and young adulthood—A population‐based study

Do childhood cancer and physical late effects increase worries about future employment in adulthood?

Positive and negative survivor-specific psychosocial consequences of childhood cancer: the DCCSS-LATER 2 psycho-oncology study

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