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Cancer-related stress in childhood cancer survivorship: Prevalence and associations with perceptions of health risks and quality of life.
Himelhoch, Alexandra C; Olsavsky, Anna L; Darow, Eva L; Lipak, Keagan G; Kenney, Ansley E; Fisher, Rachel S; Prussien, Kemar V; Vannatta, Kathryn A; Compas, Bruce E; Gerhardt, Cynthia A.
Afiliación
  • Himelhoch AC; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Olsavsky AL; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Darow EL; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Lipak KG; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Kenney AE; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Fisher RS; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Prussien KV; Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA.
  • Vannatta KA; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
  • Compas BE; Department of Pediatrics and Psychology, The Ohio State University, Columbus, Ohio, USA.
  • Gerhardt CA; Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA.
Psychooncology ; 33(1): e6253, 2024 Jan.
Article en En | MEDLINE | ID: mdl-38009605
ABSTRACT

OBJECTIVE:

Limited research has characterized cancer-related stress (CRS) among families of childhood cancer survivors. We examined the prevalence of CRS among survivors and caregivers, as well as its association with health risk perceptions (i.e., prognosis, risk for diminished quality of life) and views of survivor quality of life (QoL).

METHODS:

At five years post-diagnosis or relapse, survivors (n = 100; Mage  = 15.84 years; 89% White), mothers (n = 127), and fathers (n = 59) reported their CRS. Perceived prognosis and risk for diminished QoL were rated on a 0%-100% visual analogue scale, while the PedsQL assessed QoL.

RESULTS:

CRS was low (M = 1.6-1.8, scale 1-4); mothers reported greater stress than survivors, p = 0.038, d = 0.25. There was an indirect effect of survivors' perceived prognosis on their QoL through CRS, CI = 0.04 to 0.25, R2  = 0.32. Among mothers, there was an indirect effect of perceived prognosis/risk for diminished QoL on their reports of survivor QoL through CRS, CI = 0.03 to 0.23 and -0.15 to -0.03, R2  = 0.28 and 0.32, respectively. There were no indirect effects among fathers.

CONCLUSIONS:

CRS may be an important, modifiable factor that could improve survivors' QoL. Research is needed to examine how CRS changes over time to assess the utility of interventions among female survivors, mothers, and those with lower prognosis estimates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Supervivientes de Cáncer / Neoplasias Límite: Adolescent / Child / Female / Humans Idioma: En Revista: Psychooncology Asunto de la revista: NEOPLASIAS / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Supervivientes de Cáncer / Neoplasias Límite: Adolescent / Child / Female / Humans Idioma: En Revista: Psychooncology Asunto de la revista: NEOPLASIAS / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos