Pain and Intolerance of Uncertainty among Adolescent and Young Adult Cancer Survivors

Tanna, Vivek; Cunningham, Sarah J.; Simon, P.; Spunt, Sheri L.; Schapira, Lidia; Simons, Laura E.; Heathcote, Lauren C.

doi:10.1016/j.jpain.2021.03.132

Cited by 2 publications

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“…In addition, we found that around 14.22% of the AYA patients reported being in current pain. A previous study revealed that about 81.8% of the AYA cancer survivors reported some pain, 45 while another study reported that 36.2% of the AYA cancer survivors reported pain. 46 The difference in results could be partially explained by the difference in study sample, patient’s sociocultural background, cancer type, and the use of various measurement tools and cutoff values.…”

Section: Discussionmentioning

confidence: 95%

Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach

Li¹,

Xu²,

Luo³

et al. 2022

NDT

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Anxiety, depression, and pain are highly interactive with each other in adolescent and young adult (AYA) cancer patients. This study aims to map out the connectivity between anxiety, depression and pain symptoms amongst Chinese AYA cancer patients from the perspective of a network model. Methods: Two hundred and eighteen AYA patients, aged between 15 and 39 years at diagnosis; completed the Patient Health Questionnaire (PHQ), Generalized Anxiety Disorder (GAD), and McGill Pain Questionnaire-Visual Analogue Scale (MPQ-VAS). Network analyses were performed. Results: In all, 38.07% (95% CI = 31.58-44.57%) of the participants reported depression, 30.73% (95% CI = 24.56-36.91%) reported anxiety, and 14.22% (95% CI = 9.55-18.89%) reported current pain. The generated network illustrated that anxiety, depression and pain community were well connected. In the network, "having trouble relaxing" (GAD4, node strength = 1.182), "uncontrollable worry" (GAD2, node strength = 1.165), and "sad mood" (PHQ2, node strength = 1.144) were identified as the most central symptoms, while "uncontrollable worry" (GAD2, bridge strength = 0.645), "guilty" (PHQ6, bridge strength = 0.545), and "restlessness" (GAD5, bridge strength = 0.414) were the key bridging symptoms that connected different communities. Conclusion: Anxiety, depression and pain symptoms are highly interactive with each other. Alleviating AYA cancer patient's excessive worries might be helpful in improving the patient's co-occurring anxiety, depression and pain symptoms.

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Section: Discussionmentioning

confidence: 95%

Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach

Li¹,

Xu²,

Luo³

et al. 2022

NDT

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“…Parents (or primary caregivers, herein referred to as parents) had to have a child meeting the above criteria and be able to read and understand English. Further information on the larger studies is outlined elsewhere 17–19 . All children and parents provided written informed consent or assent prior to participation.…”

Section: Methodsmentioning

confidence: 99%

“…Further information on the larger studies is outlined elsewhere. [17][18][19] All children and parents provided written informed consent or assent prior to participation. Ethics approval was obtained at all sites (IWK: #1023720, Alberta Children's Hospital: #HREBA.CC-17-0059, and Stanford University School of Medicine: #44463).…”

Section: Participants and Proceduresmentioning

confidence: 99%

Measuring fear of cancer recurrence in survivors of childhood cancer: Development and preliminary validation of the Fear of Cancer Recurrence Inventory (FCRI)‐Child and Parent versions

et al. 2022

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Objective Fear of cancer recurrence (FCR) is a common and distressing psychosocial concern for adult cancer survivors. Data on this construct in child survivors is limited and there are no validated measures for this population. This study aimed to adapt the Fear of Cancer Recurrence Inventory‐Short Form (FCRI‐SF) for survivors of childhood cancer aged 8–18 years (Fear of Cancer Recurrence Inventory—Child version [FCRI‐C]) and their parents (Fear of Cancer Recurrence Inventory—Parent version [FCRI‐P]) to self‐report on their own FCR and to examine the initial psychometric properties. Methods The FCRI‐SF was adapted through expert panel input and cognitive interviews with child survivors <18 years. The factor structure, internal consistency and construct and criterion validity of the FCRI‐C and FCRI‐P were examined in 124 survivors of childhood cancer (43% female; Mage = 14.58 years, SD = 2.90) and 106 parents (90% mothers). Results All FCRI‐SF items were retained for the FCRI‐C with simplified language. The internal consistencies of the FCRI‐C (α = 0.88) and FCRI‐P (α = 0.83) were good. Exploratory factor analyses yielded one‐factor structures for both measures. Higher scores on the FCRI‐C and FCRI‐P were associated with greater intolerance of uncertainty and pain catastrophizing. Higher child FCR was also related to more hypervigilance to bodily symptoms. Parents with higher FCR reported contacting their child's doctors and nurses and scheduling medical appointments for their child more frequently. Children reported significantly lower FCR compared to parents. Conclusions The FCRI‐C and FCRI‐P demonstrated strong reliability and preliminary validity. This study offers preliminary data to support the use of the FCRI‐C and FCRI‐P to measure FCR in survivors of childhood cancer aged 8–18 years and their parents.

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Pain and Intolerance of Uncertainty among Adolescent and Young Adult Cancer Survivors

Cited by 2 publications

References 0 publications

Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach

Alleviating Excessive Worries Improves Co-Occurring Depression and Pain in Adolescent and Young Adult Cancer Patients: A Network Approach

Measuring fear of cancer recurrence in survivors of childhood cancer: Development and preliminary validation of the Fear of Cancer Recurrence Inventory (FCRI)‐Child and Parent versions

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