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Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden.

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Title: Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden.
Authors: Lehmann, Vicky, Grönqvist, Helena, Engvall, Gunn, Ander, Malin, Tuinman, Marrit A., Hagedoorn, Mariët, Sanderman, Robbert, Mattsson, Elisabet, Essen, Louise
Source: Psycho-Oncology. Nov2014, Vol. 23 Issue 11, p1229-1235. 7p. 2 Charts.
Subjects: Cancer diagnosis, Fertility, Medical care, Medical screening
Geographic Terms: Sweden
Abstract: Objective 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. Methods 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. Results Seven categories of negative consequences were identified: bodily concerns, existential thoughts about loss and life (new at 10 years), psychological problems, difficulties interacting with others, health worries (new), fertility concerns (new), and frustrations about health care (new); and six categories of positive consequences: positive view of life, positive view of self, compassion for others (new), close relationships, gained knowledge about disease and health care, and financial gains. Consistent with previous time points, bodily concerns were reported most often. The majority of survivors ( n = 22) reported both negative and positive consequences of their former disease. Few reported only negative ( n = 2) or only positive consequences ( n = 4). Conclusions 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. Psycho-Oncology published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Negative and positive consequences of adolescent cancer 10 years after diagnosis: an interview-based longitudinal study in Sweden.
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  Data: <searchLink fieldCode="AR" term="%22Lehmann%2C+Vicky%22">Lehmann, Vicky</searchLink><br /><searchLink fieldCode="AR" term="%22Grönqvist%2C+Helena%22">Grönqvist, Helena</searchLink><br /><searchLink fieldCode="AR" term="%22Engvall%2C+Gunn%22">Engvall, Gunn</searchLink><br /><searchLink fieldCode="AR" term="%22Ander%2C+Malin%22">Ander, Malin</searchLink><br /><searchLink fieldCode="AR" term="%22Tuinman%2C+Marrit+A%2E%22">Tuinman, Marrit A.</searchLink><br /><searchLink fieldCode="AR" term="%22Hagedoorn%2C+Mariët%22">Hagedoorn, Mariët</searchLink><br /><searchLink fieldCode="AR" term="%22Sanderman%2C+Robbert%22">Sanderman, Robbert</searchLink><br /><searchLink fieldCode="AR" term="%22Mattsson%2C+Elisabet%22">Mattsson, Elisabet</searchLink><br /><searchLink fieldCode="AR" term="%22Essen%2C+Louise%22">Essen, Louise</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Nov2014, Vol. 23 Issue 11, p1229-1235. 7p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+diagnosis%22">Cancer diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Fertility%22">Fertility</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink>
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  Data: Objective 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. Methods 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. Results Seven categories of negative consequences were identified: bodily concerns, existential thoughts about loss and life (new at 10 years), psychological problems, difficulties interacting with others, health worries (new), fertility concerns (new), and frustrations about health care (new); and six categories of positive consequences: positive view of life, positive view of self, compassion for others (new), close relationships, gained knowledge about disease and health care, and financial gains. Consistent with previous time points, bodily concerns were reported most often. The majority of survivors ( n = 22) reported both negative and positive consequences of their former disease. Few reported only negative ( n = 2) or only positive consequences ( n = 4). Conclusions 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. Psycho-Oncology published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Nov2014
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