ArticleCancer2023
Emotional, behavioral, and physical health consequences of loneliness in young adult survivors of childhood cancer: Results from the Childhood Cancer Survivor Study.
Article in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- Listening to children's voices: Psychosocial and behavioral experiences and identity-related changes during the cancer trajectory.Asia-Pacific journal of oncology nursing · 2026Article
- Exploring the Social and Stigma-Related Lived Experiences of Pediatric Cancer Survivors in a Canadian Province.Current oncology (Toronto, Ont.) · 2026Article
- The role of adult romantic attachment in long-term childhood cancer survivors' social relationships and help-seeking.Scientific reports · 2026Article
- Implementing health promotion interventions in a pediatric oncology setting: A qualitative study among families impacted by cancer and healthcare professionals.Journal of child health care : for professionals working with children in the hospital and community · 2026Article
- Disparities in Psychosocial Outcomes Among Pediatric Cancer Survivors Living in Rural and Appalachian Areas.Pediatric blood & cancer · 2026Article
- Social information processing in survivors of pediatric brain tumors.Journal of cancer survivorship : research and practice · 2026Article
- The association between loneliness and quality of life in cancer survivors: All of Us research program.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Article
- Assessing the effect of virtual navigation interventions to improve health insurance literacy and decrease financial burden in cancer survivors: The HINT II study protocol.Contemporary clinical trials · 2025Article
- Suicide Ideation, Attempt and Mortality in Childhood Cancer Survivors a Scoping Review of the Literature.Psycho-oncology · 2025Article
- Prevalence and characteristics for mental health disorder before and after childhood cancer diagnosis-a statewide population-based study among Medicaid beneficiaries.Frontiers in psychology · 2025Article
- Metabolic Implications of Childhood Cancer.Current pediatrics reports · 2025Article
- Social and Emotional Functioning of Pediatric Brain Tumor Survivors and Typically Developing Youth Following the Onset of the Pandemic.Current oncology (Toronto, Ont.) · 2024Article
- Perception of Korean healthy adolescents on cancer and adolescent cancer survivors: a cross-sectional survey.BMC public health · 2024Article
- Social impairment in survivors of pediatric brain tumors via reduced social attention and emotion-specific facial expression recognition.Pediatric blood & cancer · 2024Article
- Factors Influencing Social Isolation among Cancer Patients: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
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Authors and funding
15 authors at 8 institutions in 2 countries.
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Abstract
backgroundYoung adults in the general population are at risk of experiencing loneliness, which has been associated with physical and mental health morbidities. The prevalence and consequences of loneliness in young adult survivors of childhood cancer remain unknown.
methodsA total of 9664 young adult survivors of childhood cancer (median age at diagnosis 10.5 years [interquartile range (IQR), 5-15], 27.1 years at baseline [IQR, 23-32]) and 2221 siblings enrolled in the Childhood Cancer Survivor Study completed a self-reported survey question assessing loneliness on the Brief Symptom Inventory-18 at baseline and follow-up (median follow-up, 6.6 years). Multivariable models evaluated the prevalence of loneliness at baseline only, follow-up only, and baseline + follow-up, and its associations with emotional distress, health behaviors, and chronic conditions at follow-up.
resultsSurvivors were more likely than siblings to report loneliness at baseline + follow-up (prevalence ratio [PR] 2.2; 95% confidence interval [CI], 1.7-3.0) and at follow-up only (PR, 1.4; 95% CI, 1.1-1.7). Loneliness at baseline + follow-up was associated with elevated risk of anxiety (relative risk [RR], 9.8; 95% CI, 7.5-12.7), depression (RR, 17.9; 95% CI, 14.1-22.7), and current smoking (odds ratio [OR], 1.7; 95% CI, 1.3-2.3) at follow-up. Loneliness at follow-up only was associated with suicidal ideation (RR, 1.5; 95% CI, 1.1-2.1), heavy/risky alcohol consumption (RR, 1.3; 95% CI, 1.1-1.5), and new-onset grade 2-4 chronic conditions (RR, 1.3; 95% CI, 1.0-1.7).
conclusionsYoung adult survivors of childhood cancer have elevated risk of experiencing loneliness, which is associated with future emotional distress, risky health behaviors, and new-onset chronic conditions.
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