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Psychosocial Issues in Adolescent and Young Adult Patients and Survivors

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Cancer in Adolescents and Young Adults

Part of the book series: Pediatric Oncology ((PEDIATRICO))

Abstract

This chapter focuses on the psychosocial impact of cancer on adolescents and young adults (AYAs) aged 15–39 years and provides an insight into therapeutic approaches. It examines unique developmental and psychosocial issues and subsequent needs of these young people as they occur throughout a continuum of survivorship, as well as approaches to address those needs. A diagnosis of cancer challenges young people’s views about their invulnerability, threatens their self-esteem, and compromises all aspects of quality of life. Long-term educational and career goals can be seriously compromised by hospitalization and health complications. These obstacles and roadblocks may derail normal development, interfere with transition into adulthood, and significantly impact on family life and financial stability.

There has been substantial progress in the understanding of the psychosocial aspects of AYA cancer in the past 5–10 years. In the long run, the majority of young adult cancer survivors appear to be psychologically well adjusted, even when acknowledging visible and limiting physical effects of treatments. Overall, these young people experience emotions and behave in ways that are normative for this age population. However, a substantial minority experience post-traumatic stress, a form of emotional and psychosocial disability requiring psychological counseling of some form. An important minority appears to experience post-traumatic growth and are able to transform their lives in ways that represent more positive outlooks and competencies that one would have expected prior to their diagnosis and treatment. Given the full range of these responses, including the possibility that some teenagers and young adults surviving cancer can exhibit signs of greater emotional stability and security, intervention programs that historically have focused on alleviating stress and preventing negative outcomes (such as post-traumatic stress symptoms) must be complemented by programs focusing on promoting successful achievement of age-appropriate developmental tasks and positive psychological and emotional growth.

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References

  1. Hobbie WL, Stuber M, Meeske K et al (2000) Symptoms of posttraumatic stress in young adult survivors of childhood cancer. J Clin Oncol 18:4060–4066

    Article  CAS  PubMed  Google Scholar 

  2. Ross JW (1978) Social work intervention with families of children with cancer: the changing critical phases. Soc Work Health Care 3:257–272

    Article  CAS  PubMed  Google Scholar 

  3. Ross JW (1982) The role of the social worker with long term survivors of childhood cancer and their families. Soc Work Health Care 7:1–13

    Article  CAS  PubMed  Google Scholar 

  4. List MA, Ritter-Sterr C, Lansky SB (1991) Cancer during adolescence. Pediatrician 18:32–36

    CAS  PubMed  Google Scholar 

  5. Kwak M, Zebrack BJ, Meeske KA et al (2013) Prevalence and predictors of post-traumatic stress symptoms in adolescent and young adult cancer survivors: a 1-year follow-up study. Psychooncology 22:1798–1806

    Article  PubMed  Google Scholar 

  6. Macpherson CF, Linder LA, Ameringer S et al (2014) Feasibility and acceptability of an iPad application to explore symptom clusters in adolescents and young adults with cancer. Pediatr Blood Cancer 61:1996–2003

    Article  PubMed  Google Scholar 

  7. Haase JE (1997) Hopeful teenagers with cancer: living courage. Reflections 23:20

    CAS  PubMed  Google Scholar 

  8. Baider L, De Nour AK (1989) Group therapy with adolescent cancer patients. J Adolesc Health Care 10:35–38

    Article  CAS  PubMed  Google Scholar 

  9. MacLean WE Jr, Foley GV, Ruccione K et al (1996) Transitions in the care of adolescent and young adult survivors of childhood cancer. Cancer 78:1340–1344

    Article  PubMed  Google Scholar 

  10. Evan EE, Zeltzer LK (2006) Psychosocial dimensions of cancer in adolescents and young adults. Cancer 107:1663–1671

    Article  PubMed  Google Scholar 

  11. Eiser C (2004) Children with cancer: the quality of life. Laurence Earlbaum Associates, Mahwah

    Google Scholar 

  12. Chesler M, Barbarin O (1987) Childhood cancer and the family. Brunner/Mazel, New York

    Google Scholar 

  13. Byrne CM, Stockwell M, Gudelis S (1984) Adolescent support groups in oncology. Oncol Nurs Forum 11:36–40

    Google Scholar 

  14. Heiney SP, Ruffin J, Ettinger RS et al (1988) The effects of group therapy on adolescents with cancer. J Assoc Pediatr Oncol Nurses 5:20–24

    Article  CAS  PubMed  Google Scholar 

  15. Roberts C, Piper L, Denny J et al (1997) A support group intervention to facilitate young adults’ adjustment to cancer. Health Soc Work 22:133–141

    Article  CAS  PubMed  Google Scholar 

  16. Zebrack B, Isaacson S (2012) Psychosocial care of adolescent and young adult patients with cancer and survivors. J Clin Oncol 30:1221–1226

    Article  PubMed  Google Scholar 

  17. Barlow JH, Ellard DR (2004) Psycho-educational interventions for children with chronic disease, parents and siblings: an overview of the research evidence base. Child Care Health Dev 30:637–645

    Article  CAS  PubMed  Google Scholar 

  18. Cain EN, Kohorn EI, Quinlan DM et al (1986) Psychosocial benefits of a cancer support group. Cancer 57:183–189

    Article  CAS  PubMed  Google Scholar 

  19. Sansom-Daly UM, Peate M, Wakefield CE et al (2012) A systematic review of psychological interventions for adolescents and young adults living with chronic illness. Health Psychol 31:380–393

    Article  PubMed  Google Scholar 

  20. Treadgold CL, Kuperberg A (2010) Been there, done that, wrote the blog: the choices and challenges of supporting adolescents and young adults with cancer. J Clin Oncol 28:4842–4849

    Article  PubMed  Google Scholar 

  21. Kellerman J, Zeltzer L, Ellenberg L et al (1980) Psychological effects of illness in adolescence. I. Anxiety, self-esteem, and perception of control. J Pediatr 97:126–131

    Article  CAS  PubMed  Google Scholar 

  22. Zebrack B, Chesler MA, Kaplan S (2010) To foster healing among adolescents and young adults with cancer: what helps? What hurts? Support Care Cancer 18:131–135

    Article  PubMed  Google Scholar 

  23. Young M, Dixon-Woods M, Windridge KC et al (2003) Managing communication with young people who have a potentially life threatening chronic illness: qualitative study of patients and parents. Br Med J 326:305–309

    Article  Google Scholar 

  24. Last B, Veldhuizen V (1996) Information about diagnosis and prognosis related to anxiety and depression in children with cancer aged 8–16 years. Eur J Cancer 32A:290–294

    Article  CAS  PubMed  Google Scholar 

  25. Zebrack B, Kent EE, Keegan TH et al (2014) “Cancer sucks,” and other ponderings by adolescent and young adult cancer survivors. J Psychosoc Oncol 32:1–15

    Article  PubMed  PubMed Central  Google Scholar 

  26. Butow P, Palmer S, Pai A et al (2010) Review of adherence-related issues in adolescents and young adults with cancer. J Clin Oncol 28:4800–4809

    Article  PubMed  Google Scholar 

  27. Lansky SB, Smith SD, Cairns NU et al (1983) Psychological correlates of compliance. Am J Pediatr Hematol Oncol 5:87–92

    CAS  PubMed  Google Scholar 

  28. Jamison RN, Lewis S, Burish TG (1986) Psychological impact of cancer on adolescents: self-image, locus of control, perception of illness and knowledge of cancer. J Chronic Dis 39:609–617

    Article  CAS  PubMed  Google Scholar 

  29. Ljungman G, McGrath PJ, Cooper E et al (2003) Psychosocial needs of families with a child with cancer. J Pediatr Hematol Oncol 25:223–231

    Article  PubMed  Google Scholar 

  30. Orr DP, Hoffmans MA, Bennetts G (1984) Adolescents with cancer report their psychosocial needs. J Psychosoc Oncol 2:47–59

    Article  Google Scholar 

  31. Zebrack BJ, Block R, Hayes-Lattin B et al (2013) Psychosocial service use and unmet need among recently diagnosed adolescent and young adult cancer patients. Cancer 119:201–214

    Article  PubMed  Google Scholar 

  32. Oeffinger KC, Mertens AC, Hudson MM et al (2004) Health care of young adult survivors of childhood cancer: a report from the childhood cancer survivor study. Ann Fam Med 2:61–70

    Article  PubMed  PubMed Central  Google Scholar 

  33. Hudson MM, Tyc VL, Jayawardene DA et al (1999) Feasibility of implementing health promotion interventions to improve health-related quality of life. Int J Cancer 12:138–142

    Article  CAS  Google Scholar 

  34. Kyngas H, Mikkonen R, Nousiainen EM et al (2001) Coping with the onset of cancer: coping strategies and resources of young people with cancer. Eur J Cancer Care (Engl) 10:6–11

    Article  CAS  Google Scholar 

  35. Lozowski SL (1993) Views of childhood cancer survivors. Cancer 15:3354–3357

    Article  Google Scholar 

  36. Zebrack BJ, Chesler MA (2000) Managed care: the new context for social work in health care – implications for survivors of childhood cancer and their families. Soc Work Health Care 31:89–104

    Article  CAS  PubMed  Google Scholar 

  37. Kadan-Lottick NS, Robison LL, Gurney JG et al (2002) Childhood cancer survivors’ knowledge about their past diagnosis and treatment: childhood cancer survivor study. JAMA 287:1832–1839

    Article  PubMed  Google Scholar 

  38. Enskar K, Carlsson M, Golsater M et al (1997) Symptom distress and life situation in adolescents with cancer. Cancer Nurs 20:23–33

    Article  CAS  PubMed  Google Scholar 

  39. Mertens AC, Cotter KL, Foster BM et al (2004) Improving health care for adult survivors of childhood cancer: recommendations from a Delphi panel of health policy experts. Health Policy 69:169–178

    Article  PubMed  Google Scholar 

  40. D’Agostino NM, Penney A, Zebrack B (2011) Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer 117:2329–2334

    Article  PubMed  Google Scholar 

  41. Bass SB, Ruzek SB, Gordon TF et al (2006) Relationship of Internet health information use with patient behavior and self-efficacy: experiences of newly diagnosed cancer patients who contact the National Cancer Institute’s Cancer Information Service. J Health Commun 11:219–236

    Article  PubMed  Google Scholar 

  42. Burns DS, Robb SL, Haase JE (2009) Exploring the feasibility of a therapeutic music video intervention in adolescents and young adults during stem-cell transplantation. Cancer Nurs 32:E8–E16

    Article  PubMed  Google Scholar 

  43. Judge Santacroce S, Asmus K, Kadan-Lottick N et al (2010) Feasibility and preliminary outcomes from a pilot study of coping skills training for adolescent – young adult survivors of childhood cancer and their parents. J Pediatr Oncol Nurs 27:10–20

    Article  PubMed  Google Scholar 

  44. Kato PM, Cole SW, Bradlyn AS et al (2008) A video game improves behavioral outcomes in adolescents and young adults with cancer: a randomized trial. Pediatrics 122:e305–e317

    Article  PubMed  Google Scholar 

  45. Kameny RR, Bearison DJ (2002) Cancer narratives of adolescents and young adults: a quantitative and qualitative analysis. Child Health Care 31:143–173

    Article  Google Scholar 

  46. Odo R, Potter C (2009) Understanding the needs of young adult cancer survivors: a clinical perspective. Oncology (Williston Park) 23:23–27, 33

    Google Scholar 

  47. Deasy-Spinetta P (1993) School issues and the child with cancer. Cancer 71:3261–3264

    Article  CAS  PubMed  Google Scholar 

  48. Die-Trill M, Stuber ML (1998) Psychological problems of curative cancer treatment. In: Holland JC (ed) Psycho-oncology. Oxford University Press, New York, pp 897–906

    Google Scholar 

  49. Searle NS, Askins M, Bleyer WA (2003) Homebound schooling is the least favorable option for continued education of adolescent cancer patients: a preliminary report. Med Pediatr Oncol 40:380–384

    Article  PubMed  Google Scholar 

  50. Strauser DR, Wagner S, Wong AW (2012) Enhancing psychosocial outcomes for young adult childhood CNS cancer survivors: importance of addressing vocational identity and community integration. Int J Rehabil Res 35:311–316

    Article  PubMed  Google Scholar 

  51. Zeltzer LK, Recklitis C, Buchbinder D et al (2009) Psychological status in childhood cancer survivors: a report from the Childhood Cancer Survivor Study. J Clin Oncol 27:2396–2404

    Article  PubMed  PubMed Central  Google Scholar 

  52. Brophy P, Kazak AE (1994) Schooling. In: Johnson FL, O’Donnell EL (eds) The candlelighters guide to bone marrow transplants in children. Candlelighters Childhood Cancer Foundation, Bethesda, pp 68–73

    Google Scholar 

  53. Green DM, Zevon MA, Hall B (1991) Achievement of life goals by adult survivors of modern treatment for childhood cancer. Cancer 67:206–213

    Article  CAS  PubMed  Google Scholar 

  54. Nicholson HS, Mulvihill JJ, Byrne J (1992) Late effects of therapy in adult survivors of osteosarcoma and Ewing’s sarcoma. Pediatr Oncol 20:6–12

    Article  CAS  Google Scholar 

  55. Moe PJ, Holen A, Glomstein A et al (1997) Long-term survival and quality of life in patients treated with a national ALL protocol 15–20 years earlier: IDM/HDM and late effects? Pediatr Hematol Oncol 14:513–524

    Article  CAS  PubMed  Google Scholar 

  56. Dolgin MJ, Somer E, Buchvald E et al (1999) Quality of life in adult survivors of childhood cancer. Soc Work Health Care 28:31–43

    Article  CAS  PubMed  Google Scholar 

  57. Evans SE, Radford M (1995) Current lifestyle of young adults treated for cancer in childhood. Arch Dis Child 72:423–426

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Jacobson Vann JC, Biddle AK, Daeschner CW et al (1995) Health insurance access to young adult survivors of childhood cancer in North Carolina. Med Pediatr Oncol 25:389–395

    Article  Google Scholar 

  59. Jankovic M, Van Dongen-Melman JE, Vasilatou-Kosmidis H et al (1999) Improving the quality of life for children with cancer. Eur Sch Oncol Advis Group 85:273–279

    CAS  Google Scholar 

  60. Bloom JR, Hoppe RT, Fobair P, Cox RS et al (1988) Effects of treatment on the work experiences of long-term survivors of Hodgkin’s disease. J Psychosoc Oncol 6:65–80

    Article  Google Scholar 

  61. Somerfield MR, Curbow B, Wingard JR et al (1996) Coping with the physical and psychosocial sequelae of bone marrow transplantation among long-term survivors. J Behav Med 19:163–184

    Article  CAS  PubMed  Google Scholar 

  62. Gurney JG, Krull KR, Kadan-Lottick N et al (2009) Social outcomes in the childhood cancer survivor study cohort. J Clin Oncol 27:2390–2395

    Article  PubMed  PubMed Central  Google Scholar 

  63. Parsons HM, Harlan LC, Lynch CF et al (2012) Impact of cancer on work and education among adolescent and young adult cancer survivors. J Clin Oncol 30:2393–2400

    Article  PubMed  PubMed Central  Google Scholar 

  64. Kornblith AB, Anderson J, Cella DF et al (1992) Hodgkin’s disease survivors at increased risk for problems in psychosocial adaptation. Cancer 70:2214–2224

    Article  CAS  PubMed  Google Scholar 

  65. Persson L, Hallberg IR, Ohlsson O (1997) Survivors of acute leukemia and highly malignant lymphoma – retrospective views of daily life problems during treatment and when in remission. J Adv Nurs 25:68–78

    Article  CAS  PubMed  Google Scholar 

  66. Keegan TH, Tao L, DeRouen MC et al (2014) Medical care in adolescents and young adult cancer survivors: what are the biggest access-related barriers? J Cancer Surviv 8:282–292

    Article  PubMed  PubMed Central  Google Scholar 

  67. Novakovic B, Fears TR, Horowitz ME et al (1997) Late effects of therapy in survivors of Ewing’s sarcoma family tumors. J Pediatr Hematol Oncol 19:220–225

    Article  CAS  PubMed  Google Scholar 

  68. Langeveld NE, Grootenhuis MA, Voute PA et al (2003) No excess fatigue in young adult survivors of childhood cancer. Eur J Cancer 39:204–214

    Article  CAS  PubMed  Google Scholar 

  69. Zeltzer LK, Chen E, Weiss R et al (1997) Comparison of psychologic outcome in adult survivors of childhood acute lymphoblastic leukemia versus sibling controls: a cooperative children’s cancer group and national institutes of health study. J Clin Oncol 15:547–556

    Article  CAS  PubMed  Google Scholar 

  70. Kingma A, Rammeloo LA, Der Doew-Van Den Berg A et al (2000) Academic career after treatment for acute lymphoblastic leukemia. Arch Dis Child 82:353–357

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Mostow EN, Byrne J, Connelly RR et al (1991) Quality of life in long-term survivors of CNS tumors of childhood and adolescence. J Clin Oncol 9:592–599

    Article  CAS  PubMed  Google Scholar 

  72. Mitby PA, Robison LL, Whitton JA et al (2003) Utilization of special education services and educational attainment among long-term survivors of childhood cancer. Cancer 97:1115–1126

    Article  PubMed  Google Scholar 

  73. Zebrack B, Chesler M, Orbuch T et al (2002) Mothers of survivors of childhood cancer: their worries and concerns. J Psychosoc Oncol 20:1–26

    Article  Google Scholar 

  74. Stuber M, Gonzalez S, Benjamin H, Golant M (1995) Fighting for recovery: group interventions for adolescents with cancer and their parents. J Psychother Pract Res 4:286–296

    Google Scholar 

  75. Hollis R, Morgan S (2001) The adolescent with cancer – at the edge of no-man’s land. Lancet Oncol 2:43–48

    Article  CAS  PubMed  Google Scholar 

  76. Mackie E, Hill J, Kondryn H et al (2000) Adult psychosocial outcomes in long-term survivors of acute lymphoblastic leukaemia and Wihms’ tumour: a controlled study. Lancet 355:1310–1314

    Article  CAS  PubMed  Google Scholar 

  77. Gray RE (1992) Persons with cancer speak out: reflections of an important trend in Canadian health care. J Palliat Care 8:30–37

    CAS  PubMed  Google Scholar 

  78. Chesler M, Barbarin O (1984) Difficulties of providing help in a crisis: relationships between parents of children with cancer and their friends. J Soc Issues 40:113–134

    Article  Google Scholar 

  79. Tanner J, Arnett J (2009) The emergence of ‘emerging adulthood’ the new life stage between adolescence and young adulthood. In: Furlong A (ed) Handbook of youth and young adulthood. Routledge, New York, pp 39–45

    Google Scholar 

  80. Robinson L, Miedema B, Easley J (2014) Young adult cancer survivors and the challenges of intimacy. J Psychosoc Oncol 32:447–462

    Article  PubMed  Google Scholar 

  81. Noll R, Bukowski W, Davies W et al (1993) Adjustment in the peer system of adolescents with cancer. J Pediatr Psychol 18:351–364

    Article  CAS  PubMed  Google Scholar 

  82. Dunlop JG (1982) Critical problems facing young adults with cancer. Oncol Nurs Forum 9:33–38

    CAS  PubMed  Google Scholar 

  83. Schultz Adams H (2003) Young adults with cancer. Cure Summer Issue 2:36–41

    Google Scholar 

  84. Chesler MA, Weigers M, Lawther T (1992) How am I different? Perspectives for childhood cancer survivors on change and growth. In: Green DM, D’Angio G (eds) Late effects of treatment for childhood cancer. Wiley, New York

    Google Scholar 

  85. Heiney SP (1989) Adolescents with cancer: sexual and reproductive issues. Cancer Nurs 12:95–101

    Article  CAS  PubMed  Google Scholar 

  86. Thaler-Demers D (2001) Intimacy issues: sexuality, fertility, and relationships. Semin Oncol Nurs 17:255–262

    Article  CAS  PubMed  Google Scholar 

  87. Schover LR, Rybicki LA, Martin BA et al (1999) Having children after cancer: a pilot survey of survivors’ attitudes and experiences. Cancer 86:697–709

    Article  CAS  PubMed  Google Scholar 

  88. Weaver KE, Rowland JH, Alfano CM et al (2010) Parental cancer and the family: a population-based estimate of the number of US cancer survivors residing with their minor children. Cancer 116:4395–4401

    Article  PubMed  PubMed Central  Google Scholar 

  89. Scott JT, Harmsen M, Prictor MJ et al (2003) Interventions for improving communication with children and adolescents about their cancer. Cochrane Database Syst Rev. CD002969

    Google Scholar 

  90. Semple CJ, McCance T (2010) Experience of parents with head and neck cancer who are caring for young children. J Adv Nurs 66:1280–1290

    Article  PubMed  Google Scholar 

  91. Billhult A, Segesten K (2003) Strength of motherhood: nonrecurrent breast cancer as experienced by mothers with dependent children. Scand J Caring Sci 17:122–128

    Article  PubMed  Google Scholar 

  92. Osborn T (2007) The psychosocial impact of parental cancer on children and adolescents: a systematic review. Psychooncology 16:101–126

    Article  PubMed  Google Scholar 

  93. Visser A, Huizinga GA, van der Graaf WT et al (2004) The impact of parental cancer on children and the family: a review of the literature. Cancer Treat Rev 30:683–694

    Article  PubMed  Google Scholar 

  94. Moller B, Barkmann C, Krattenmacher T et al (2014) Children of cancer patients: prevalence and predictors of emotional and behavioral problems. Cancer 120:2361–2370

    Article  PubMed  Google Scholar 

  95. Semple CJ, McCance T (2010) Parents’ experience of cancer who have young children: a literature review. Cancer Nurs 33:110–118

    Article  PubMed  Google Scholar 

  96. Semple CJ, McCaughan E (2013) Family life when a parent is diagnosed with cancer: impact of a psychosocial intervention for young children. Eur J Cancer Care (Engl) 22:219–231

    Article  CAS  Google Scholar 

  97. Dyson GJ, Thompson K, Palmer S et al (2012) The relationship between unmet needs and distress amongst young people with cancer. Support Care Cancer 20:75–85

    Article  PubMed  Google Scholar 

  98. Keegan TH, Lichtensztajn DY, Kato I et al (2012) Unmet adolescent and young adult cancer survivors information and service needs: a population-based cancer registry study. J Cancer Surviv 6:239–250

    Article  PubMed  PubMed Central  Google Scholar 

  99. Forsythe LP, Kent EE, Weaver KE et al (2013) Receipt of psychosocial care among cancer survivors in the United States. J Clin Oncol 31:1961–1969

    Article  PubMed  PubMed Central  Google Scholar 

  100. Hedstrom M, Ljungman G, von Essen L (2005) Perceptions of distress among adolescents recently diagnosed with cancer. J Pediatr Hematol Oncol 27:15–22

    Article  PubMed  Google Scholar 

  101. Kwak M, Zebrack BJ, Meeske KA et al (2013) Trajectories of psychological distress in adolescent and young adult patients with cancer: a 1-year longitudinal study. J Clin Oncol 31:2160–2166

    Article  PubMed  Google Scholar 

  102. Zabora J, BrintzenhofeSzoc K, Curbow B et al (2001) The prevalence of psychological distress by cancer site. Psychooncology 10:19–28

    Article  CAS  PubMed  Google Scholar 

  103. Zebrack BJ, Corbett V, Embry L et al (2014) Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology 23:1267–1275

    Article  PubMed  Google Scholar 

  104. Reeves WC, Strine TW, Pratt LA, Thompson W, Ahluwalia I, Dhingra SS, McKnight-Eily LR, Harrison L, D’Angelo DV, Williams L, Morrow B, Gould D, Safran MA, Centers for Disease Control and Prevention (2011) Mental illness surveillance among adults in the United States. MMWR 60(Suppl):1–32

    Google Scholar 

  105. Bellizzi KM, Smith A, Schmidt S et al (2012) Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer 118:5155–5162

    Article  PubMed  Google Scholar 

  106. Zebrack B, Gurney JG, Oeffinger KC et al (2004) Psychological outcomes in long-term survivors of childhood brain cancer: a report from the Childhood Cancer Survivor Study. J Clin Oncol 22:999–1006

    Article  PubMed  Google Scholar 

  107. Gray RE, Doan BD, Schermer P et al (1992) Psychologic adaptation of survivors of childhood cancer. Cancer 70:2713–2721

    Article  CAS  PubMed  Google Scholar 

  108. Calaminus G, Weinspach S, Teske C et al (2000) Quality of life in children and adolescents with cancer: first results of an evaluation of 49 patients with the PEDQOL questionnaire. Klin Pediatr 212:211–215

    Article  CAS  Google Scholar 

  109. Crom DB, Chathaway DK, Tolley EA et al (1999) Health status and health-related quality of life in long-term survivors of pediatric solid tumors. Int J Cancer 12(Supplement):25–31

    Article  CAS  Google Scholar 

  110. Eiser C, Hill JJ, Vance YH (2000) Examining the psychological consequences of surviving childhood cancer: systematic review as a research method in pediatric psychology. J Pediatr Psychol 25:449–460

    Article  CAS  PubMed  Google Scholar 

  111. Spirito A, Stark L, Cobiella C et al (1990) Social adjustment of children successfully treated for cancer. J Pediatr Psychol 15:359–371

    Article  CAS  PubMed  Google Scholar 

  112. Wasserman AL, Thompson EI, Wilimas JA et al (1987) The psychological status of survivors of childhood/adolescent Hodgkin’s disease. Am J Dis Child 141:626–631

    CAS  PubMed  Google Scholar 

  113. Apajasalo M, Sintonen H, Siimes M et al (1996) Health-related quality of life of adults surviving malignancies in childhood. Eur J Cancer 32A:1354–1358

    Article  CAS  PubMed  Google Scholar 

  114. Greenberg DB, Kornblith AB, Herndon JE et al (1997) Quality of life for adult leukemia survivors treated on clinical trials of cancer and leukemia group-B during the period 1971–1988 – predictors for later psychologic distress. Cancer 80:1936–1944

    Article  CAS  PubMed  Google Scholar 

  115. Norum J, Wist E (1996) Psychological distress in survivors of Hodgkin’s disease. Support Care Cancer 4:191–195

    Article  CAS  PubMed  Google Scholar 

  116. Norum J, Wist E (1996) Quality of life in survivors of Hodgkin’s disease. Qual Life Res 5:367–374

    Article  CAS  PubMed  Google Scholar 

  117. Maggiolini A, Grassi R, Adamoli L et al (2000) Self-image of adolescent survivors of long-term childhood leukemia. J Pediatr Hematol Oncol 22:417–421

    Article  CAS  PubMed  Google Scholar 

  118. Jacobsen PB, Shibata D, Siegel EM et al (2009) Initial evaluation of quality indicators for psychosocial care of adults with cancer. Cancer Control 16:328–334

    PubMed  Google Scholar 

  119. Salsman JM, Garcia SF, Yanez B et al (2014) Physical, emotional, and social health differences between posttreatment young adults with cancer and matched healthy controls. Cancer 120:2247–2254

    Article  PubMed  PubMed Central  Google Scholar 

  120. Weekes DP, Kagan SH (1994) Adolescent completing cancer therapy: meaning, perception, and coping. Oncol Nurs Forum 21:663–670

    CAS  PubMed  Google Scholar 

  121. Stuber ML, Kazak AE, Meeske K et al (1998) Is posttraumatic stress a viable model for understanding responses to childhood cancer. Child Adolesc Psychiatr Clin N Am 7:169–182

    CAS  PubMed  Google Scholar 

  122. Erickson SJ, Steiner H (2001) Trauma and personality correlates in long term pediatric cancer survivors. Child Psychiatry Hum Dev 31:195–213

    Article  CAS  PubMed  Google Scholar 

  123. Schwartz L, Drotar D (2006) Posttraumatic stress and related impairment in survivors of childhood cancer in early adulthood compared to healthy peers. J Pediatr Psychol 31:356–366

    Article  PubMed  Google Scholar 

  124. Lee YL, Santacroce SJ (2007) Posttraumatic stress in long-term young adult survivors of childhood cancer: a questionnaire survey. Int J Nurs Stud 44:1406–1417

    Article  PubMed  Google Scholar 

  125. Rourke MT, Hobbie WL, Schwartz L et al (2007) Posttraumatic stress disorder (PTSD) in young adult survivors of childhood cancer. Pediatr Blood Cancer 49:177–182

    Article  PubMed  Google Scholar 

  126. Stuber ML, Meeske KA, Krull KR et al (2010) Prevalence and predictors of posttraumatic stress disorder in adult survivors of childhood cancer. Pediatrics 125:e1124–e1134

    Article  PubMed  PubMed Central  Google Scholar 

  127. Kazak AE, Alderfer M, Rourke MT et al (2004) Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors. J Pediatr Psychol 29:211–219

    Article  PubMed  Google Scholar 

  128. Ozono S, Saeki T, Mantani T et al (2007) Factors related to posttraumatic stress in adolescent survivors of childhood cancer and their parents. Support Care Cancer 15:309–317

    Article  PubMed  Google Scholar 

  129. Taieb O, Moro MR, Baubet T et al (2003) Posttraumatic stress symptoms after childhood cancer. Eur Child Adolesc Psychiatry 12:255–264

    Article  PubMed  Google Scholar 

  130. Seitz DC, Knaevelsrud C, Duran G et al (2014) Efficacy of an internet-based cognitive-behavioral intervention for long-term survivors of pediatric cancer: a pilot study. Support Care Cancer 22:2075–2083

    Article  PubMed  Google Scholar 

  131. Carver CS (1998) Resilience and thriving: issues, models, and linkages. J Soc Issues 54:245–266

    Article  Google Scholar 

  132. Harvey M (1996) An ecological view of psychological trauma and trauma recovery. J Trauma Stress 9:3–23

    Article  CAS  PubMed  Google Scholar 

  133. Parry C, Chesler MA (2005) Thematic evidence of psychosocial thriving in childhood cancer survivors. Qual Health Res 15:1055–1073

    Article  PubMed  Google Scholar 

  134. Stanton AL, Bower JE, Low CA (2006) Posttraumatic growth after cancer. In: Calhoun LT, Tedeschi R (eds) Handbook of posttraumatic growth: research and practice. Lawrence Erlbaum Associates, Mahwah, pp 138–175

    Google Scholar 

  135. Folkman S, Greer S (2000) Promoting psychological well-being in the face of serious illness: when theory, research and practice inform one another. Psychooncology 9:11–19

    Article  CAS  PubMed  Google Scholar 

  136. Paterson B, Thorne S, Crawford J et al (1999) Living with diabetes as a transformational experience. Qual Health Res 9:786–802

    Article  CAS  PubMed  Google Scholar 

  137. Arnholt U, Fritz G, Keener M (1993) Self-concept in survivors of childhood and adolescent cancer. J Psychosoc Oncol 11:1–16

    Article  Google Scholar 

  138. Elkin TD, Phipps S, Mulhern PK et al (1997) Psychological functioning of adolescent and young adult survivors of pediatric malignancy. Med Pediatr Oncol 29:582–588

    Article  CAS  PubMed  Google Scholar 

  139. Meadows A, Black B, Nesbit M et al (1993) Long-term survival: clinical care, research and education. Cancer 71:3213–3215

    Article  CAS  PubMed  Google Scholar 

  140. Zeltzer L (1993) Cancer in adolescents and young adults. Cancer 71:3463–3468

    Article  CAS  PubMed  Google Scholar 

  141. Weigers ME, Chesler MA, Zebrack BJ et al (1998) Self-reported worries among long-term survivors of childhood cancer and their peers. J Psychosoc Oncol 16:1–24

    Article  Google Scholar 

  142. Merluzzi TV, Nairn RC, Hegde K et al (2001) Self-efficacy for coping with cancer: revision of the Cancer Behavior Inventory (version 2.0). Psychooncology 10:206–217

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  143. Zebrack BJ, Chesler MA (2002) Quality of life in long-term survivors of childhood cancer. Psychooncology 11:132–141

    Article  PubMed  Google Scholar 

  144. Zeltzer LK, Kellerman J, Ellenberg L et al (1980) Psychologic effects of illness in adolescence: II. Impact of illness in adolescents – crucial issues and coping styles. J Pediatr 97:132–138

    Article  CAS  PubMed  Google Scholar 

  145. Phipps S, Srivastava D (1997) Repressive adaptation in children with cancer. Health Psychol 16:521–528

    Article  CAS  PubMed  Google Scholar 

  146. Zebrack BJ, Chesler MA (2001) Health-related worries, self-image, and life outlooks of long-term survivors of childhood cancer. Health Soc Work 26:245–256

    Article  CAS  PubMed  Google Scholar 

  147. Sansom-Daly UM, Wakefield CE, Bryant RA et al (2012) Online group-based cognitive-behavioural therapy for adolescents and young adults after cancer treatment: a multicenter randomised controlled trial of Recapture Life-AYA. BMC Cancer 12:339

    Article  PubMed  PubMed Central  Google Scholar 

  148. Rosenberg AR, Yi-Frazier JP, Eaton L et al (2015) Promoting resilience in stress management: a pilot study of a novel resilience-promoting intervention for adolescents and young adults with serious illness. J Pediatr Psychol 40:992

    Article  PubMed  PubMed Central  Google Scholar 

  149. Trask PC, Paterson AG, Trask CL et al (2003) Parent and adolescent adjustment to pediatric cancer: associations with coping, social support, and family function. J Pediatr Oncol Nurs 20:36–47

    Article  PubMed  Google Scholar 

  150. Brunet J, Love C, Ramphal R et al (2014) Stress and physical activity in young adults treated for cancer: the moderating role of social support. Support Care Cancer 22:689–695

    Article  PubMed  Google Scholar 

  151. Zebrack B, Bleyer A, Albritton K et al (2006) Assessing the health care needs of adolescent and young adult cancer patients and survivors. Cancer 107:2915–2923

    Article  PubMed  Google Scholar 

  152. Newby WL, Brown RT, Pawletko TM et al (2000) Social skills and psychological adjustment of child and adolescent cancer survivors. Psychooncology 9:113–126

    Article  Google Scholar 

  153. Hill JM, Kornblith AB, Jones D et al (1998) A comparative study of the long term psychosocial functioning of childhood acute lymphoblastic leukemia survivors treated by intrathecal methotrexate with or without cranial radiation. Cancer 82:208–218

    Article  CAS  PubMed  Google Scholar 

  154. Juth V, Silver RC, Sender L (2015) The shared experience of adolescent and young adult cancer patients and their caregivers. Psychooncology 24:1746

    Article  PubMed  PubMed Central  Google Scholar 

  155. Kazak AE, Boeving CA, Alderfer MA et al (2005) Posttraumatic stress symptoms during treatment in parents of children with cancer. J Clin Oncol 23:7405–7410

    Article  PubMed  Google Scholar 

  156. Lynam MJ (1995) Supporting one another: the nature of family work when a young adult has cancer. J Adv Nurs 22:116–125

    Article  CAS  PubMed  Google Scholar 

  157. Davison KP, Pennebaker JW, Dickerson SS (2000) Who talks? The social psychology of illness support groups. Am Psychol 55:205–217

    Article  CAS  PubMed  Google Scholar 

  158. Clark HB, Ichinose CK, Meseck-Bushey S et al (1992) Peer support group for adolescents with chronic illness. Child Health Care 21:233–238

    Article  CAS  PubMed  Google Scholar 

  159. Zebrack BJ (2011) Psychological, social, and behavioral issues for young adults with cancer. Cancer 117:2289–2294

    Article  PubMed  Google Scholar 

  160. Meijer SA, Sinnema G, Bijstra JO et al (2002) Coping styles and locus of control and predictors for psychological adjustment of adolescents with a chronic illness. Soc Sci Med 54:1453–1461

    Article  PubMed  Google Scholar 

  161. Stegenga K (2014) Impact of a teen weekend on the social support needs of adolescents with cancer. J Pediatr Oncol Nurs 31:293–297

    Article  PubMed  Google Scholar 

  162. Barrera M, Damore-Petingola S, Fleming C et al (2006) Support and intervention groups for adolescents with cancer in two Ontario communities. Cancer 107:1680–1685

    Article  PubMed  Google Scholar 

  163. Kuperberg AL (1996) The relationship between perceived social support, family behavior, self-esteem, and hope on adolescent’s strategies for coping with cancer. Diss Abstr Int A Humanit Soc Sci 56:3744

    Google Scholar 

  164. Kent EE, Smith AW, Keegan TH et al (2013) Talking about cancer and meeting peer survivors: social information needs of adolescents and young adults diagnosed with cancer. J Adolesc Young Adult Oncol 2:44–52

    Article  PubMed  PubMed Central  Google Scholar 

  165. Benson PJ (1987) The relationship between self-concept and a summer camping program for children and adolescents who have cancer. J Assoc Pediatr Oncol Nurses 4:42–43

    CAS  PubMed  Google Scholar 

  166. Bluebond-Langner M, Perkel D, Goertzel T et al (1990) Children’s knowledge of cancer and its treatment: impact of an oncology camp experience. J Pediatr 116:207–213

    Article  CAS  PubMed  Google Scholar 

  167. Bluebond-Langner M, Perkel D, Goetzel T (1991) Pediatric cancer patients’ peer relationships: the impact of an oncology camp experience. J Psychosoc Oncol 9:67–80

    Article  Google Scholar 

  168. Zebrack BJ, Oeffinger KC, Hou P et al (2006) Advocacy skills training for young adult cancer survivors: the young adult survivors conference at Camp Mak-a-Dream. Support Care Cancer 14:779–782

    Article  CAS  PubMed  Google Scholar 

  169. Crom DB (2009) “I think you are pretty; i don’t know why everyone can’t see that”: reflections from a young adult brain tumor survivor camp. J Clin Oncol 27:3259–3261

    Article  PubMed  Google Scholar 

  170. Stevens B, Kagan S, Yamada J et al (2004) Adventure therapy for adolescents with cancer. Pediatr Blood Cancer 43:278–284

    Article  PubMed  Google Scholar 

  171. Wagner A (2014) An examination of the benefits that adventure and wilderness therapy has on cancer fighters and ssurvivors. California Polytechnic State University

    Google Scholar 

  172. Elad P, Yagil Y, Cohen LH et al (2003) A jeep trip with young adult cancer survivors: lessons to be learned. Support Care Cancer 11:201–206

    Article  CAS  PubMed  Google Scholar 

  173. Collie K, Kreshka MA, Ferrier S et al (2007) Videoconferencing for delivery of breast cancer support groups to women living in rural communities: a pilot study. Psychooncology 16:778–782

    Article  PubMed  Google Scholar 

  174. Battles HB, Wiener LS (2002) STARBRIGHT world: effects of an electronic network on the social environment of children with life-threatening illnesses. Child Health Care 31:47–68

    Article  Google Scholar 

  175. White M, Dorman SM (2001) Receiving social support online: implications for health education. Health Educ Res 16:693–707

    Article  CAS  PubMed  Google Scholar 

  176. Finfgeld DL (2000) Therapeutic groups online: the good, the bad, and the unknown. Issues Ment Health Nurs 21:241–255

    Article  CAS  PubMed  Google Scholar 

  177. King R, Bambling M, Lloyd C et al (2006) Online counselling: the motives and experiences of young people who choose the internet instead of face to face or telephone counselling. Couns Psychother Res 6:169–174

    Article  Google Scholar 

  178. Owen JE, Bantum EO, Golant M (2009) Benefits and challenges experienced by professional facilitators of online support groups for cancer survivors. Psychooncology 18:144–155

    Article  PubMed  Google Scholar 

  179. Winzelberg AJ, Classen C, Alpers GW et al (2003) Evaluation of an internet support group for women with primary breast cancer. Cancer 97:1164–1173

    Article  PubMed  Google Scholar 

  180. Woodgate RL, Degner LF (2002) “Nothing is carved in stone!”: uncertainty in children with cancer and their families. Eur J Oncol Nurs 6:191–202

    Article  PubMed  Google Scholar 

  181. Parry C (2003) Embracing uncertainty: an exploration of the experiences of childhood cancer survivors. Qual Health Res 13:227–246

    Article  PubMed  Google Scholar 

  182. Nichols ML (1995) Social support and coping in young adolescents with cancer. Pediatr Nurs 21:235–240

    CAS  PubMed  Google Scholar 

  183. Hinds PS (2000) Fostering coping by adolescents with newly diagnosed cancer. Semin Oncol Nurs 16:317–327

    Article  CAS  PubMed  Google Scholar 

  184. Ritchie MA (2001) Sources of emotional support for adolescents with cancer. J Pediatr Oncol Nurs 18:105–110

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Paediatric Oncology / Haematology, Royal Manchester Children’s Hospital, Oxford Road, Manchester, M13 9WL, UK

    Anthony Penn PhD, MBBCh, MRCPCH

  2. Survivorship and Supportive Care Program, Hope Behavioral Health, Neuropsychology and Educational Services, Children’s Center for Cancer and Blood Diseases, Children’s Hospital Los Angeles, 4650 Sunset Blvd, Mailstop ~99, Los Angeles, CA, 90027, USA

    Aura Kuperberg PhD, LCSW

  3. School of Social Work, University of Michigan, 1080 S. University, Ann Arbor, MI, 48109-1106, USA

    Brad J. Zebrack PhD, MSW, MPH

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  1. Anthony Penn PhD, MBBCh, MRCPCH
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  2. Aura Kuperberg PhD, LCSW
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  3. Brad J. Zebrack PhD, MSW, MPH
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Correspondence to Anthony Penn PhD, MBBCh, MRCPCH .

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  1. Bend, Oregon, USA

    Archie Bleyer

  2. McMaster University, Hamilton, Ontario, Canada

    Ronald Barr

  3. RiesSearch LLC, Rockville, Maryland, USA

    Lynn Ries

  4. University College Hospital, London, United Kingdom

    Jeremy Whelan

  5. Pediatric Oncology Unit, National Tumor Institute, Milano, Italy

    Andrea Ferrari

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Penn, A., Kuperberg, A., Zebrack, B.J. (2017). Psychosocial Issues in Adolescent and Young Adult Patients and Survivors. In: Bleyer, A., Barr, R., Ries, L., Whelan, J., Ferrari, A. (eds) Cancer in Adolescents and Young Adults. Pediatric Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-33679-4_23

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