Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult

Keith M Bellizzi; Ashley Smith; Steven Schmidt; Theresa H M Keegan; Brad Zebrack; Charles F Lynch; Dennis Deapen; Margarett Shnorhavorian; Bradley J Tompkins; Michael Simon

doi:10.1002/cncr.27512

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Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult

Journal article

Open access

Peer reviewed

Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult

Keith M Bellizzi, Ashley Smith, Steven Schmidt, Theresa H M Keegan, Brad Zebrack, Charles F Lynch, Dennis Deapen, Margarett Shnorhavorian, Bradley J Tompkins and Michael Simon

Cancer, Vol.118(20), pp.5155-5162

10/15/2012

DOI: 10.1002/cncr.27512

PMID: 22415815

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Abstract

The objective of this study was to explore the psychosocial impact of cancer on newly diagnosed adolescent and young adult (AYA) cancer patients. 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). 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. 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.

Quality of Life

Neoplasms - economics

Humans

Social Support

Body Image

Male

Neoplasms - psychology

Socioeconomic Factors

Young Adult

Adolescent

Psychology, Adolescent

Adult

Female

Survivors - psychology

Goals

Interpersonal Relations

Population Surveillance

Details

Title: Subtitle: Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult
Creators: Keith M Bellizzi - Department of Human Development and Family Studies, University of Connecticut, Storrs, CT 06269, USA. keith.m.bellizzi@uconn.edu
Ashley Smith
Steven Schmidt
Theresa H M Keegan
Brad Zebrack
Charles F Lynch
Dennis Deapen
Margarett Shnorhavorian
Bradley J Tompkins
Michael Simon
Contributors: Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) Study Collaborative Group (Author)
Resource Type: Journal article
Publication Details: Cancer, Vol.118(20), pp.5155-5162
DOI: 10.1002/cncr.27512
PMID: 22415815
NLM abbreviation: Cancer
ISSN: 0008-543X
eISSN: 1097-0142
Publisher: United States
Language: English
Date published: 10/15/2012
Academic Unit: Epidemiology
Record Identifier: 9983995104002771

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