Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview‐based longitudinal study in Sweden. Issue 11 (15th April 2014)

• Record Type: Journal Article
• Authors: Lehmann, Vicky; Grönqvist, Helena; Engvall, Gunn; Ander, Malin; Tuinman, Marrit A.; Hagedoorn, Mariët; Sanderman, Robbert; Mattsson, Elisabet; von Essen, Louise
• Is Part Of: Psycho-oncology. Volume 23:Issue 11(2014)
• Page Start: 1229
• Page End: 1235
• Publication Date: 2014-04-15
• Subjects: Cancer -- Psychological aspects -- Periodicals; Cancer -- Social aspects -- Periodicals; Neoplasms -- psychology -- Periodicals; 616.9940019
• DOI: 10.1002/pon.3549
• Languages: English
• ISSNs: 1057-9249

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="pon3549-sec-0001" sec-type="section"> <title>Objective</title> <p>The aim of this study was to provide insight into survivor‐reported negative and positive consequences of cancer during adolescence 10 years after diagnosis and compare these with consequences reported 3 and 4 years after diagnosis.</p> </sec> <sec id="pon3549-sec-0002" sec-type="section"> <title>Methods</title> <p>Three, 4, and 10 years after diagnosis, survivors of adolescent cancer were interviewed about negative and positive consequences due to their cancer experience. Manifest content analysis was used to identify categories of reported consequences. Categories of consequences 10 years after diagnosis were compared with consequences reported 3 and 4 years after diagnosis.</p> </sec> <sec id="pon3549-sec-0003" sec-type="section"> <title>Results</title> <p>Seven categories of negative consequences were identified: <italic>bodily concerns</italic>, <italic>existential thoughts about loss and life</italic> (new at 10 years), <italic>psychological problems</italic>, <italic>difficulties interacting with others</italic>, <italic>health worries</italic> (new), <italic>fertility concerns</italic> (new), and <italic>frustrations about health care</italic> (new); and six categories of positive consequences: <italic>positive view of life</italic>, <italic>positive view of self</italic>, <italic>compassion for others</italic> (new), <italic>close relationships</italic>, <italic>gained knowledge about disease and health care</italic>, and <italic>financial gains</italic>. Consistent with previous time points, <italic>bodily concerns</italic> were reported most often. The majority of survivors (<italic>n</italic> = 22) reported both negative and positive consequences of their former disease. Few reported only negative (<italic>n</italic> = 2) or only positive consequences (<italic>n</italic> = 4).</p> </sec> <sec id="pon3549-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Ten years after diagnosis, most survivors reported both negative and positive consequences. New themes, relevant to young adulthood and long‐term survival, were identified. Health care professionals treating young adult survivors may anticipate and address problems regarding physical health, fertility, and health care but may also reinforce positive affect by addressing survivors' positive views of life, sense of self, and close relationships. © 2014 The Authors. <italic>Psycho‐Oncology</italic> published by John Wiley & Sons, Ltd.</p> </sec> </abstract>