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Psychosocial, behavioral, and pain outcomes in long-term survivors of childhood cancer

Progress in the treatment of malignancies diagnosed during childhood has pressed researchers and clinicians to consider the quality of life of young people who have successfully completed treatment.

Recent research suggests most survivors of childhood cancer are resilient and do not experience psychological distress; however, certain subsets of childhood cancer survivors are vulnerable to a variety of psychosocial problems and challenges. The purpose of this work is to further our understanding of the prevalence, characteristics and predictors of the psychosocial health status, health risk behaviors, and pain sequelae among long-term survivors of childhood cancer.

The aims of this study are:

1. To examine and compare quality of life, psychological distress (depression, somatic distress, anxiety), health behaviors (tobacco and alcohol use, exercise, medical care utilization, self-screening), and pain/physical distress outcomes in childhood cancer survivors and a sibling control group.

2. To examine the relationship of medical (diagnosis, intensity of treatment, general health status), sociodemographic (age, gender, race/ethnicity, education, employment), and psychosocial variables (social support, personality characteristics, mood, significant life events) to quality of life in survivors of childhood cancer.

This study is an initial step towards determining the current psychosocial and behavioral health needs of young adult survivors of childhood cancer. Information derived from this work will guide the development of pilot programs/interventions aimed at enhancing quality of life and promoting positive health behaviors for this population.


Updated 7/2/2002