Influence of childhood cancer on adult life: Quality of life, health status, sexual function and sense of coherence among long-term survivors
Author: Sundberg, Kay
Date: 2010-12-10
Location: Sal H2 Grön, Zanderska huset, Alfred Nobels Allé 23, Huddinge
Time: 13.00
Department: Inst för neurobiologi, vårdvetenskap och samhälle / Dept of Neurobiology, Care Sciences and Society
Abstract
Treatment related health problems are widely acknowledged in the growing population
of long-term survivors of childhood cancer. The overall aim was to investigate the
influence of childhood cancer on quality of life and health in long-term survivors to
increase the understanding for their needs for support in adulthood. The four studies
used a cross-sectional design and were based on interview data and self-completed
questionnaires. The survivor sample consisted of 246 ≥18 years old long-term survivors
(>5 years beyond diagnosis), diagnosed at ages 0-18 during the period 1985-1999 in the
greater Stockholm area. In Study I, consequences due to the cancer experience were
investigated through telephone interviews based on the Swedish version of the
Schedule for the Evaluation of Individual Quality of Life-Direct Weighting. In Study
II-IV, a comparison group consisting of 296 persons randomly selected from the
general population was included. Two standardized instruments were used assessing
health status (Short Form Health Survey, SF-36), and coping capacity (Sense of
Coherence, SOC), as well as a questionnaire evaluating sexual function and experience.
The survivors described and rated quality of life and health status similar to the
comparison group. Nearly one third of the survivors reported no negative impact on life
due to the cancer experience, and half of the survivors described a positive view of life
and self. The most frequently reported negative consequences include a variety of physical impairments and activity limitations. The survivors differed from the comparison group on one of eight health scales reflecting problems with daily activities owing to physical health. Male survivors reported sexual dysfunctions more often than men in the comparison group did. The sexual dysfunctions were associated with being single and diagnosed with central nervous system tumour. There were differences regarding sexual experience but not regarding sexual function among the women. There was no significant difference in the mean SOC score between the survivors and the comparison group. The 20% of the survivors who reported a current need for support also reported a significantly lower mean SOC score. A low SOC score and having received combined cancer treatment were strong predictors of having a need for support. The results reveal both positive and negative aspects of the disease and treatment. At the group level, the survivors reported few health problems and overall good quality of life. Sexual difficulties were not frequently reported by the survivors. The results indicate however, that childhood cancer had some impact on self-reported sexual function among men and in sexual experience among women. Overall, the survivors appear to have the resources needed to cope with stressful situations in life to the same degree as people in general. However, a lower SOC was associated with having a need for support. Furthermore, the findings show that the influence of childhood cancer varies between different subgroups of survivors, why it is important to identify problems and needs for each individual. Understanding how long-term survivors of childhood cancer perceive adult life is important to the practice of nursing because it will offer the possibility to provide guidance and support for patients and their families during and after treatment.
List of papers:
I. Sundberg, K., Lampic, C., Björk, O., Arvidson, J., Wettergren, L. Positive and negative consequences of childhood cancer influencing the lives of young adults. European Journal of Oncology Nursing, 2009: 13, 164-170.
Fulltext (DOI)
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II. Sundberg, K., Doukkali, E., Lampic, C., Eriksson, LE., Arvidson, J., Wettergren, L. Long-term survivors of childhood cancer report quality of life and health status in parity with a comparison group. Journal of Pediatric Blood & Cancer, 2010: 55, 337-343.
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III. Sundberg, K., Lampic, C., Arvidson, J., Helström, L., Wettergren, L. Sexual function and experience among long-term survivors of childhood cancer. European Journal of Cancer, 2010 Oct 27. (Epub ahead of print).
Fulltext (DOI)
Pubmed
IV. Sundberg, K., Lampic, C., Arvidson, J., Wettergren, L. Sense of coherence and need for support among long-term survivors of childhood cancer. (Manuscript).
I. Sundberg, K., Lampic, C., Björk, O., Arvidson, J., Wettergren, L. Positive and negative consequences of childhood cancer influencing the lives of young adults. European Journal of Oncology Nursing, 2009: 13, 164-170.
Fulltext (DOI)
Pubmed
View record in Web of Science®
II. Sundberg, K., Doukkali, E., Lampic, C., Eriksson, LE., Arvidson, J., Wettergren, L. Long-term survivors of childhood cancer report quality of life and health status in parity with a comparison group. Journal of Pediatric Blood & Cancer, 2010: 55, 337-343.
Fulltext (DOI)
Pubmed
View record in Web of Science®
III. Sundberg, K., Lampic, C., Arvidson, J., Helström, L., Wettergren, L. Sexual function and experience among long-term survivors of childhood cancer. European Journal of Cancer, 2010 Oct 27. (Epub ahead of print).
Fulltext (DOI)
Pubmed
IV. Sundberg, K., Lampic, C., Arvidson, J., Wettergren, L. Sense of coherence and need for support among long-term survivors of childhood cancer. (Manuscript).
Institution: Karolinska Institutet
Issue date: 2010-11-18
Publication year: 2010
ISBN: 978-91-7457-040-3
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