Mental health patient-reported outcomes among adolescents and young adult cancer survivors: A systematic review.


Journal

Cancer medicine
ISSN: 2045-7634
Titre abrégé: Cancer Med
Pays: United States
ID NLM: 101595310

Informations de publication

Date de publication:
09 2023
Historique:
revised: 27 07 2023
received: 08 03 2023
accepted: 02 08 2023
medline: 4 10 2023
pubmed: 19 8 2023
entrez: 19 8 2023
Statut: ppublish

Résumé

Adolescent and young adult (AYA) cancer patients and survivors face significant mental health challenges throughout their cancer journey that are different to those faced by children and older adults. Patient-reported outcome measures (PROMs) can be used to explore the experiences of AYAs, and to identify important issues and areas for potential improvement in quality of life. We aimed to compare patient reported mental health outcomes between AYAs diagnosed with cancer and non-cancer controls. We built on a larger systematic review of AYA cancer PROMs which searched PubMed, EMBASE, CINAHL and PsychINFO. This review identified 175 articles, which were filtered to those reporting on mental health and including a non-cancer control group. We identified 12 eligible studies. Seven studies (58%) found those diagnosed with cancer reported poorer mental health than the non-cancer controls. The remaining five (42%) studies found no significant difference in severity or prevalence of mental health between the AYA cancer cohort and the healthy control group. Most (83%) were cross-sectional studies, highlighting the need for further longitudinal assessment of this group throughout their journey. The mental health outcomes feature conflicting results and illustrate the need for larger studies to characterise discrepancies.

Sections du résumé

BACKGROUND
Adolescent and young adult (AYA) cancer patients and survivors face significant mental health challenges throughout their cancer journey that are different to those faced by children and older adults. Patient-reported outcome measures (PROMs) can be used to explore the experiences of AYAs, and to identify important issues and areas for potential improvement in quality of life.
OBJECTIVE
We aimed to compare patient reported mental health outcomes between AYAs diagnosed with cancer and non-cancer controls.
METHOD
We built on a larger systematic review of AYA cancer PROMs which searched PubMed, EMBASE, CINAHL and PsychINFO. This review identified 175 articles, which were filtered to those reporting on mental health and including a non-cancer control group.
RESULTS
We identified 12 eligible studies. Seven studies (58%) found those diagnosed with cancer reported poorer mental health than the non-cancer controls. The remaining five (42%) studies found no significant difference in severity or prevalence of mental health between the AYA cancer cohort and the healthy control group. Most (83%) were cross-sectional studies, highlighting the need for further longitudinal assessment of this group throughout their journey.
CONCLUSIONS
The mental health outcomes feature conflicting results and illustrate the need for larger studies to characterise discrepancies.

Identifiants

pubmed: 37596768
doi: 10.1002/cam4.6444
pmc: PMC10524059
doi:

Types de publication

Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

18381-18393

Informations de copyright

© 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

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Auteurs

Sarah Tanner (S)

Centre for Health Services Research, The University of Queensland, Herston, Queensland, Australia.

Teyl Engstrom (T)

Centre for Health Services Research, The University of Queensland, Herston, Queensland, Australia.

Wen Ray Lee (WR)

Centre for Health Services Research, The University of Queensland, Herston, Queensland, Australia.

Cheryl Forbes (C)

Centre for Health Services Research, The University of Queensland, Herston, Queensland, Australia.

Rick Walker (R)

School of Medicine, The University of Queensland, Herston, Queensland, Australia.
Queensland Children's Hospital, Brisbane, Queensland, Australia.
Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Natalie Bradford (N)

Cancer and Palliative Care Outcomes Centre at Centre for Children's Health Research, Queensland University of Technology, Brisbane, Queensland, Australia.

Jason D Pole (JD)

Centre for Health Services Research, The University of Queensland, Herston, Queensland, Australia.
Dalla Lana School of Public Health, The University of Toronto, Toronto, Ontario, Canada.

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Classifications MeSH