Emotional distress among survivors of adolescent and young adult cancer or adult cancer

Boakye, Eric Adjei; Polednik, Katherine M.; Deshields, Teresa L.; Sharma, Aarushi; Molina, Yamilé; Schapira, Lidia; Barnes, Justin M.; Osazuwa‐Peters, Nosayaba

doi:10.1016/j.annepidem.2022.03.014

Cited by 8 publications

(22 citation statements)

References 36 publications

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“…The study characteristics are summarized in Table 1 and eTable 3. The majority of the studies were conducted in North America (45.6%) 22–52 and Europe (26.5%) 53–70 . Fifty‐two studies 22–25,27,30–36,38–44,46–48,50,51,54,56–59,62,63,65,67–86 were cross‐sectional and 16 longitudinal 26,28,29,37,45,49,52,53,55,60,61,64,66,87–89 .…”

Section: Resultsmentioning

confidence: 99%

“…22,33,43 The only study reporting RRs found no differences in the distress risk between AYA-CS and older survivors or cancer-free controls (eFigure 13). 25 Three of four studies comparing AYA-CS with older cancer survivors reported elevated odds of anxiety (at least 1.6 fold) among AYA-CS (eTable 6, eFigure 14). 39,42,70 Similarly, the odds of anxiety were higher among AYAs in comparison with cancer-free peers 39 and siblings.…”

Section: Risk Of Developing Psychological Distress Anxiety and Depres...mentioning

confidence: 99%

“…The majority of the studies were conducted in North America (45.6%) and Europe (26.5%). [53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70] Fiftytwo studies [22][23][24][25]27,[30][31][32][33][34][35][36][38][39][40][41][42][43][44][46][47][48]50,51,54,[56][57][58][59]62,63,65,[67][68]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…As for treatment status, 38.2% of the studies recruited participants who were off treatment at the assessment time. 24,25,27,30,[32][33][34][35][36]39,[42][43][44]46,47,50,53,57,60,61,65,67,68,70,79,85 Regarding study quality, only four (5.9%) 53,59,64,88 were considered of very good and 17 (25.9%) 22,25,33,38,[42][43][44]50,52,57,62,66,68,71,72,81,90 of good quality. The rest of the studies were rated as satisfactory (47%) or unsatisfactory (22.1%) (Table 1 and eTable 4).…”

Section: Study Characteristicsmentioning

confidence: 99%

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Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Osmani,

Hörner,

Klug

et al. 2023

Cancer Medicine

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BackgroundAdolescent and young adult (AYA) cancer survivors (CS) face unique psychosocial challenges, which may affect their mental health. However, there are inconsistencies in AYA definitions and varying prevalence data on psychological distress, anxiety, and depression. We aimed to synthesize published literature on prevalence, risk, longitudinal changes, and predictors for these outcomes and estimate pooled prevalences.MethodsWe searched for observational studies published in English before June 1 2022, in PubMed, PsycINFO, Scopus, and Web of Science. Two researchers extracted independently information on study characteristics, prevalence, and risk. The pooled prevalence (PP) of psychological distress, anxiety, and depression was estimated using random‐effects models. Geographical region, treatment status, and assessment instruments were considered in stratified meta‐analyses.ResultsSixty‐eight studies were included in the systematic review and 57 in the meta‐analyses. We estimated an overall prevalence of 32% (n = 30; 4226/15,213 AYAs; 95% CI, 23%–42%; I2 = 99%) for psychological distress, 29% for anxiety (n = 24; 2828/8751 AYAs; 95% CI, 23%–36%; I2 = 98%), and 24% (n = 35; 3428/16,638 AYAs; 95% CI, 18%–31%; I2 = 98%) for depression. The range of PP of psychological distress varied across geographical regions, treatment status, and assessment instruments. The PP of anxiety varied significantly across continents, while no variations were seen for depression. Studies found higher risks for psychological distress, anxiety, and depression in AYAs compared to older cancer survivors or cancer‐free peers.ConclusionsOur research found that one in three AYA‐CS experience psychological distress or anxiety and one in four are affected by depression, highlighting the need for specialized psychological services for AYA‐CS in oncology settings and AYA‐focused interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Risk Of Developing Psychological Distress Anxiety and Depres...mentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Osmani,

Hörner,

Klug

et al. 2023

Cancer Medicine

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“…[4][5][6] YACS often have a higher risk of long-term effects than child, middle-aged and older cancer survivors. [7][8][9] In addition, YACS differ markedly from other cancer age groups because cancer strikes during a critical developmental phase of their lives when they are often establishing relationships and a family, finishing education and are in the early stages of gaining employment and developing a career. 5 Although YACS comprise around only 5% of the total cancer population, adequate age-specific rehabilitation for YACS is needed addressing their unique and complex biopsychosocial challenges.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation interventions for young adult cancer survivors: A scoping review

et al. 2023

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Objective To map existing research concerning rehabilitation interventions for young adult cancer survivors (YACS) that address at least one factor from the biopsychosocial health model. Design Scoping review. Data sources Searches were performed in EMBASE, MEDLINE, PsycINFO, CINAHL and Cochrane in January 2022 and updated in March 2023, and grey literature between February and April 2022. Methods The review followed Joanna Briggs Institute's methodology for scoping reviews. Quantitative, qualitative and mixed methods studies evaluating interventions for YACS of any cancer who had completed primary treatment and were between 18 and 39 years old at diagnosis were included. Two authors independently screened studies for eligibility, and standardised forms were used for data extraction. Descriptive statistics, narrative summaries and thematic analysis were used to analyse the data. Results The search revealed 5706 records, of which 70 were full-text screened. The 20 included studies represented a heterogeneous group of 444 young adults with different cancer types, mean age above 25, and an overrepresentation of females. Most studies were feasibility and pilot studies. The 20 studies consisted of 14 unique interventions focusing primarily on one dimension of the biopsychosocial health model like biological or psychological factors. In the 14 interventions, the most frequent intervention element was peer-to-peer support ( n = 12). The interventions were often delivered online ( n = 9), lasting 3–12 months ( n = 8). A wide variety of theories, providers and outcome measures were used. Conclusion The results show that current research on multicomponent, biopsychosocial and age-specific rehabilitation for YACS remains at an early stage.

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Psychological distress and mental health care utilization among Black survivors of adolescent and young adult cancer

Choi,

Berkman,

Battle

et al. 2024

Cancer

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BackgroundSurvivors of adolescent and young adult (AYA) cancer experience significant psychological distress and encounter barriers to accessing mental health care. Few studies have investigated racial/ethnic disparities in psychological health outcomes among AYA survivors, and none have compared outcomes within a racially minoritized population.MethodsNational Health Interview Survey data (2010–2018) were analyzed that identified non‐Hispanic Black (hereafter, Black) survivors of AYA cancer and age‐ and sex‐matched Black noncancer controls. Sociodemographic factors, chronic health conditions, modifiable behaviors (smoking and alcohol use), and psychological outcomes were assessed with χ2 tests. Logistic regression models, adjusted for survey weights, were used to evaluate the odds of psychological distress by cancer status after adjusting for covariates. Interactions between variables and cancer status were investigated.ResultsThe study included 334 Black survivors of AYA cancer and 3340 Black controls. Compared to controls, survivors were more likely to report moderate/severe distress (odds ratio [OR], 1.64; p < .001), use mental health care (OR, 1.53; p = .027), report an inability to afford mental health care (OR, 3.82; p < .001), and use medication for anxiety and/or depression (OR, 2.16; p = .001). Forty‐one percent of survivors reported moderate/severe distress, and only 15% used mental health care. Among survivors, ages 18–39 years (vs. 40–64 years) and current smoking (vs. never smoking) were associated with the presence of moderate/severe distress. Among survivors with distress, high poverty status was associated with reduced utilization of mental health care.ConclusionsA cancer diagnosis for a Black AYA is associated with greater psychological distress within an already vulnerable population.

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Emotional distress among survivors of adolescent and young adult cancer or adult cancer

Cited by 8 publications

References 36 publications

Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Rehabilitation interventions for young adult cancer survivors: A scoping review

Psychological distress and mental health care utilization among Black survivors of adolescent and young adult cancer

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