ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2014
Posttraumatic stress and psychological growth in children with cancer: has the traumatic impact of cancer been overestimated?
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.
- Psychosocial Follow-Up in Survivorship as a Standard of Care in Pediatric Oncology.Pediatric blood & cancer · 2015Pooled it
- Standards of Psychosocial Care for Parents of Children With Cancer.Pediatric blood & cancer · 2015Pooled it
- The impact of hearing loss on cognitive outcomes among children treated with radiation therapy for ependymoma.Neuro-oncology · 2026Trial
- Assessment of the Promoting Resilience in Stress Management Intervention for Adolescent and Young Adult Survivors of Cancer at 2 Years: Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2021Trial
- Post-Traumatic Stress, depression and anxiety symptoms among childhood cancer survivors and their parents.Pediatric research · 2026Article
- Mapping the palliative care needs of children with cancer: a scoping review through the bio-psycho-socio-spiritual lens.Pediatric research · 2026Review
- Neurobiological and psychological indicators of post-traumatic stress symptoms in children and adolescents treated for a posterior fossa brain tumour.Neuroimage. Reports · 2026Article
- Four perspectives for oncological children support: the play-based approach as an integrative framework.Frontiers in psychology · 2026Article
- Psychological and Psychosocial Effects of Cancer on Young Patients and Survivors in Italy: A Mixed-Methods Study on the Challenges and Meaning-Making Factors.Diseases (Basel, Switzerland) · 2025Article
- Stress and influencing factor among children diagnosed with cancer at hospitals in Nepal: a cross-sectional study.BMC pediatrics · 2025Article
- Article
- Fostering the psychological wellbeing of children diagnosed with cancer: multidisciplinary insights in pediatric oncology.Frontiers in psychology · 2025Article
- Disrupted Life Meaning: Humanistic Psychology and Autoethnographic Analysis of Hospital Clown Interventions with an Adolescent with Cancer.Clinical medicine insights. Pediatrics · 2025Article
- Post-traumatic stress disorder and symptoms in paediatric cancer survivors and their family nucleus: systematic review, meta-analysis and meta-regression.BJPsych open · 2024Review
- Prevalence and associated factors of post-traumatic stress symptoms in hospitalised children with cancer and their parents in South China: A multicentred cross-sectional study.Asia-Pacific journal of oncology nursing · 2024Article
- Profiles of Posttraumatic Growth and Posttraumatic Stress Symptoms in Childhood Cancer Survivors.Journal of child & adolescent trauma · 2024Article
- Post-Traumatic Stress Symptoms in Adolescent Hodgkin Lymphoma Survivors: A Report from Children's Oncology Group AHOD0031.Journal of adolescent and young adult oncology · 2023Article
- Emotional Well-Being of Pediatric Brain Tumor Survivors and Comparison Peers: Perspectives From Children and Their Parents.Journal of pediatric psychology · 2023Article
- Examination of the Social Emotional Assets and Resilience Scales (SEARS) Youth Report: Factor Structure, Measurement Invariance, and Validity.Assessment · 2022Article
- Behavioral and Emotional Functioning of Children and Adolescents at the End of Treatment for Acute Lymphoblastic Leukemia Compared to Healthy Peers.Journal of clinical psychology in medical settings · 2022Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
purposeTo examine posttraumatic stress disorder and posttraumatic stress symptoms (PTSD/PTSS) in children with cancer using methods that minimize focusing effects and allow for direct comparison to peers without a history of cancer. PATIENTS AND
methodsChildren with cancer (n = 255) stratified by time since diagnosis, and demographically matched peers (n = 101) were assessed for PTSD using structured diagnostic interviews by both child and parent reports, and survey measures of PTSS and psychological benefit/growth by child report.
resultsCancer was identified as a traumatic event by 52.6% of children with cancer, declining to 23.8% in those ≥ 5 years from diagnosis. By diagnostic interview, 0.4% of children with cancer met criteria for current PTSD, and 2.8% met lifetime criteria by self-report. By parent report, 1.6% of children with cancer met current criteria and 5.9% met lifetime criteria for PTSD. These rates did not differ from controls (all Ps >.1). PTSS levels were descriptively lower in children with cancer but did not differ from controls when all were referring to their most traumatic event (P = .067). However, when referring specifically to cancer-related events, PTSS in the cancer group were significantly lower than in controls (P = .002). In contrast, perceived growth was significantly higher in the cancer group when referring to cancer (P < .001).
conclusionThese findings suggest no evidence of increased PTSD or PTSS in youths with cancer. Although childhood cancer remains a significant and challenging event, these findings highlight the capacity of children to adjust, and even thrive, in the face of such challenge.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.