期刊
CANCER
卷 118, 期 20, 页码 5155-5162出版社
WILEY
DOI: 10.1002/cncr.27512
关键词
adolescent and young adult cancer; psychosocial impact; oncology; quality of life
类别
资金
- University of Iowa [N01PC-2010-00032]
- Cancer Prevention Institute of California [N01PC-2010-00140]
- Public Health Institute [N01PC-2010-00034]
- University of Southern California [N01PC-2010-00035]
- Fred Hutchinson Cancer Research Center [N01PC-2010-00029]
- Wayne State University [N01PC-2010-00028]
- Louisiana State University Health Sciences Center [N01PC-2010-00030]
BACKGROUND: The objective of this study was to explore the psychosocial impact of cancer on newly diagnosed adolescent and young adult (AYA) cancer patients. METHODS: This was a population-based, multicenter study of 523 newly diagnosed AYA survivors (ages 15-39 years) of germ cell cancer (n = 204), non-Hodgkin lymphoma (n = 131), Hodgkin lymphoma (n = 142), acute lymphocytic leukemia (n = 21), or sarcoma (n = 25) from 7 National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) registries. Age at diagnosis was categorized into 3 groups (ages 15-20 years, 21-29 years, and 30-39 years). RESULTS: Respondents (43% response rate), on average (+/- standard deviation), were aged 29 +/- 6.7 years, and most patients (80.1%) were not receiving treatment at the time the completed the survey. With modest differences between the age groups, the most prevalent areas of life impacted in a negative way were financial, body image, control over life, work plans, relationship with spouse/significant other, and plans for having children. Endorsement of positive life impact items also was evident across the 3 age groups, particularly with regard to relationships, future plans/goals, and health competence. CONCLUSIONS: The current results indicated that there will be future need for interventions targeting financial assistance, body image issues, relationships, and helping AYAs to attain their education objectives. Cancer 2012;118:5155-62. (C) 2012 American Cancer Society.
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