Perceived cancer-related pain and fatigue, information needs, and fear of cancer recurrence among adult survivors of childhood cancer.
Adult
Adult Survivors of Child Adverse Events
/ psychology
Anxiety
/ psychology
Australia
/ epidemiology
Cancer Pain
/ psychology
Cancer Survivors
/ psychology
Child
Fatigue
/ psychology
Fear
/ psychology
Female
Health Services Needs and Demand
/ statistics & numerical data
Humans
Male
Middle Aged
Needs Assessment
Neoplasm Recurrence, Local
/ psychology
Neoplasms
/ pathology
New Zealand
/ epidemiology
Quality of Life
/ psychology
Surveys and Questionnaires
Childhood cancer
Fatigue
Fear of cancer recurrence
Information needs
Pain
Journal
Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
18
12
2018
revised:
24
06
2019
accepted:
25
06
2019
pubmed:
2
7
2019
medline:
23
9
2020
entrez:
2
7
2019
Statut:
ppublish
Résumé
Pain and fatigue are under-researched late effects of childhood cancer and its treatment, and may be interpreted by survivors as indicating cancer recurrence. Moreover, unmet information needs for managing pain and fatigue may be related to fear of cancer recurrence. We investigated the complex relationships between perceived cancer-related pain and fatigue, unmet information needs for managing pain and fatigue, and fear of cancer recurrence. We surveyed 404 adult survivors of any form of childhood cancer (M = 16.82 years since treatment completion). Many survivors reported perceived cancer-related pain (28.7%) and fatigue (40.3%), and anticipated future pain (19.3%) and fatigue (26.2%). These symptomologies were all related to unmet information needs for managing pain (18.8%) and fatigue (32.2%; all p's<.001). Survivors reporting unmet information needs for managing pain (B = .48, 95% CI = 0.19-0.76, p = .001) and fatigue (B = .32, 95% CI = 0.06-0.52, p = .015) reported higher fear of cancer recurrence than survivors reporting no information needs. Survivors often have unmet information needs for managing pain and fatigue, and these unmet needs are related to fear of cancer recurrence. Long-term follow-up clinics should assess pain and fatigue. Information provision about pain and fatigue may be an important tool to help manage fear of cancer recurrence.
Identifiants
pubmed: 31257099
pii: S0738-3991(19)30255-1
doi: 10.1016/j.pec.2019.06.022
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
2270-2278Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.