Psychosocial Outcomes in Young Adults with Cancer: Emotional Distress, Quality of Life and Personal Growth

Monteiro, Sara; Torres, Ana; Morgadinho, R.; Pereira, Anabela

doi:10.1016/j.apnu.2013.08.003

Cited by 21 publications

(47 citation statements)

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“…Young adults were the focus of 6 studies [25–30] and again these were heterogeneous in terms of age range of inclusion with the lowest age of 20 used for 3 studies [26, 29, 30] and 47 years representing the oldest age [28]. Adolescents were described as the focus of 14 studies [31–44] with the age for inclusion ranging between 10 years [39, 40, 43] and 23 years [36].…”

Section: Resultsmentioning

confidence: 99%

“…PROMS selected also varied according to their intended age group. Some studies asked AYAs with cancer to complete measures designed for adult respondents, for example, the EORTC core generic cancer quality of life questionnaire (EORTC-QLQ-C30) [63] was used in four of the studies reviewed [22, 26, 45, 55]. Indeed, Trevino et al [30] noted that as psychological well-being and distress scales have not been validated with young adults, they had to look for measures validated in other populations (i.e.…”

Section: Resultsmentioning

confidence: 99%

“…Note Roper used two questions from the IOC social and relationship scale, Health Utilities Index (HUI) [96], Psychological Wellbeing Scale (PWBS) [98]. Monteiro et al [26] used only the personal growth subscale of the PWBS, Psychological General Wellbeing Index (PGWB) [100], McGill Quality of Life Questionnaire [101] Trevino et al [30] used only the psychological well-being and existential subscales, Beck Depression Inventory [102], State Trait Anxiety Scale (STAI) [103], Hospital Anxiety and Depression Scale (HADS) [104], Functional Assessment of Cancer Treatment (FACT-G) [105], The MOS 36-Item Short-Form Health Survey (SF-36) [106] …”

Section: Resultsmentioning

confidence: 99%

“…The Adolescent Quality of Life Instrument evaluates the meaning of being ill. Spirituality is covered by the CAYA-T and is the focus of the Spiritual Quality of Life Questionnaire used in Kamper et al’s interviews [60]. Personal growth amongst young adults with cancer was evaluated by Monteiro et al [26] by using the Personal growth subscale of the Psychological Well-Being Scale [98]. The MMQL assessment also provides an insight into outlook on life.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of the health-related quality of life issues facing adolescents and young adults with cancer

et al. 2017

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PurposeFor adolescents and young adults (AYAs), the impact of a cancer diagnosis and subsequent treatment is likely to be distinct from other age groups given the unique and complex psychosocial challenges of this developmental phase. In this review of the literature, we report the health-related quality of life (HRQoL) issues experienced by AYAs diagnosed with cancer and undergoing treatment.MethodsMEDLINE, EMBASE, CINAHL, PsychINFO and the Cochrane Library Databases were searched for publications reporting HRQoL of AYAs. Issues generated from interviews with AYAs or from responses to patient reported outcome measures (PROMs) were extracted.Results166 papers were reviewed in full and comprised 72 papers covering 69 primary studies, 49 measurement development or evaluation papers and 45 reviews. Of the 69 studies reviewed, 11 (16%) used interviews to elicit AYAs’ descriptions of HRQoL issues. The majority of the PROMs used in the studies represent adaptations of paediatric or adult measures. HRQoL issues were organised into the following categories: physical, cognitive, restricted activities, relationships with others, fertility, emotions, body image and spirituality/outlook on life.ConclusionThe HRQoL issues presented within this review are likely to be informative to health care professionals and AYAs. The extensive list of issues suggests that the impact of a cancer diagnosis and treatment during adolescence and young adulthood is widespread and reflects the complexities of this developmental phase.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review of the health-related quality of life issues facing adolescents and young adults with cancer

et al. 2017

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“…Eight cohort studies, all with a cross-sectional design, 18,[29][30][31][32][33][34][35] and two intervention studies were included in this review. 36,37 Measures Different questionnaires were used to assess PTG and resilience.…”

Section: Quantitative Studiesmentioning

confidence: 99%

Post-Traumatic Growth and Resilience in Adolescent and Young Adult Cancer Patients: An Overview

Greup

Kaal²,

Jansen³

et al. 2018

Journal of Adolescent and Young Adult Oncology

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The aim of this study was to provide an overview of the literature on post-traumatic growth (PTG) and resilience among adolescent and young adult (AYA) cancer patients. A literature search in Embase, PsychInfo, PubMed, Web of Science, Cochrane Library, and Cinahl was carried out. Thirteen articles met the pre-defined inclusion criteria. Qualitative interview studies showed that AYA cancer patients report PTG and resilience: PTG is described by AYA cancer patients in terms of benefit finding, including changing view of life and feeling stronger and more confident, whereas resilience is described as a balance of several factors, including stress and coping, goals, optimism, finding meaning, connection, and belonging. Quantitative studies showed that sociodemographic and clinical characteristics were not associated with PTG. Enduring stress was negatively, and social support positively, associated with PTG. Symptom distress and defensive coping were negatively and adaptive cognitive coping was positively associated with resilience. Both PTG and resilience were positively associated with satisfaction with life and health-related quality of life (HRQoL). Resilience was found to be a mediator in the relationship between symptom distress and HRQoL. Two interventions aiming to promote resilience, a stress management and a therapeutic music video-intervention, were not successful in significantly increasing overall resilience. Most AYA cancer patients report at least some PTG or resilience. Correlates of PTG and resilience, including symptom distress, stress, coping, social support, and physical activity, provide further insight to improve the effectiveness of interventions aimed at promoting these positive outcomes and potentially buffer negative outcomes.

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Lifetime Burden of Psychological Symptoms, Disorders, and Suicide Due to Cancer in Childhood, Adolescent, and Young Adult Years

et al. 2023

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ImportanceA cancer diagnosis and treatment may result in highly traumatic periods with lasting psychological consequences for children, adolescent, and young adult patients with cancer (CYACs). Early identification and management may prevent long-term psychological morbidity and suicide.ObjectiveTo analyze risk, severity, and risk factors for depression, anxiety, psychotic disorders, and suicide in CYACs and noncancer comparators.Data SourcesLiterature search of PubMed, MEDLINE, Embase, PsycINFO, CINAHL, and PubMed Central from January 1, 2000, to November 18, 2022.Study SelectionFull-length articles in peer-reviewed journals that measured and reported risk and/or severity of depression, anxiety, psychotic disorders, and suicide mortality in CYACs and a noncancer comparator group.Data Extraction and SynthesisPreferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines were followed with prospective PROSPERO registration.Main Outcomes and MeasuresRisk ratios (RRs) were used for dichotomous outcomes, and standardized mean differences (SMDs) were used for continuous outcomes. SMDs were defined as follows: 0.2, small; 0.5, medium; and 0.8, large. Sources of heterogeneity and risk factors were investigated using sensitivity, subgroup, and meta-regression analyses.ResultsFrom 7319 records, 52 studies were included. Meta-analyses revealed that CYACs were at increased lifetime risk of severe symptoms or a disorder of depression (RR, 1.57; 95% CI, 1.29-1.92), anxiety (RR, 1.29; 95% CI, 1.14-1.47), and psychotic disorders (RR, 1.56; 95% CI, 1.36-1.80) relative to both matched controls and their siblings. Overall suicide mortality was not significantly elevated (RR, 1.63; 95% CI, 0.78-3.40). The mean severity of depression was found to be elevated in CYACs receiving treatment (SMD, 0.44; 95% CI, 0.13-0.74) and long-term survivors (SMD, 0.18; 95% CI, 0.02-0.33). The mean severity of anxiety was found to be elevated only during treatment (SMD, 0.16; 95% CI, 0.03-0.20).Conclusions and RelevanceFindings of this systematic review and meta-analysis suggest that CYACs may experience lasting psychological burden long into survivorship. Timely identification, preventive efforts, and psycho-oncological intervention for psychological comorbidity are recommended.

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Psychosocial Outcomes in Young Adults with Cancer: Emotional Distress, Quality of Life and Personal Growth

Cited by 21 publications

References 50 publications

Systematic review of the health-related quality of life issues facing adolescents and young adults with cancer

Systematic review of the health-related quality of life issues facing adolescents and young adults with cancer

Post-Traumatic Growth and Resilience in Adolescent and Young Adult Cancer Patients: An Overview

Lifetime Burden of Psychological Symptoms, Disorders, and Suicide Due to Cancer in Childhood, Adolescent, and Young Adult Years

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