Evidence map›Paper›PMID 40699439›Full record

ArticleJournal of cancer survivorship : research and practice2025

Intolerance of uncertainty, psychological symptoms, and pain in long-term childhood cancer survivors: a report from the Childhood Cancer Survivor Study.

Nicole M Alberts, Kayla L Stratton, Wendy M Leisenring, Alex Pizzo, Élisabeth Lamoureux, Kevin Alschuler, Jessica Flynn, Kevin R Krull, Lindsay A Jibb, Paul C Nathan and 3 more

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nicole M AlbertsDepartment of Psychology, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, H4B 1R6, Canada. nicole.alberts@concordia.ca.
Kayla L StrattonFred Hutchinson Cancer Center, Clinical Research Division, Seattle, USA.
Wendy M LeisenringFred Hutchinson Cancer Center, Clinical Research Division, Seattle, USA.
Alex PizzoDepartment of Psychology, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, H4B 1R6, Canada.
Élisabeth LamoureuxDepartment of Psychology, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, H4B 1R6, Canada.
Kevin AlschulerDepartment of Rehabilitation Medicine, University of Washington, Seattle, USA.
Jessica FlynnDepartment of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, USA.
Kevin R KrullDepartment of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, USA.
Lindsay A JibbHospital for Sick Children, Toronto, Canada.
Paul C NathanHospital for Sick Children, Toronto, Canada.
Jeffrey E OlginDepartment of Medicine, University of California, San Francisco, USA.
Jennifer N StinsonHospital for Sick Children, Toronto, Canada.
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, USA.

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Shondra Michelle Miller · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
The Health ePeople Resource for Mobilized ResearchU2CEB021881 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARCUS, GREGORY M, OLGIN, JEFFREY E · 2015 to 2020
$10.3M
NCI NIH HHS CA55727NCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727NIBIB NIH HHS U2C EB021881NIH HHS U2CEB021881
6 · The paper itself

Abstract

purposeIntolerance of uncertainty is central to many psychological disorders and may contribute to pain. Despite the uncertainty inherent in childhood cancer survivorship, little is known about intolerance of uncertainty in this population. This study aimed to characterize intolerance of uncertainty, its risk factors, and its associations with psychological symptoms and pain in childhood cancer survivors.

methodsSurvivors from the Childhood Cancer Survivor Study completed psychosocial measures via online survey, including the Intolerance of Uncertainty Scale-12 (score range = 12-60). Cancer and treatment variables were abstracted from medical records. Multivariable regression models with 95% confidence intervals (CI) adjusted for age and sex examined the effects of demographic, disease, treatment, pain, and psychological variables on intolerance of uncertainty.

resultsParticipants included 228 adult survivors of childhood cancer (mean age = 39.6 years, 50.4% female, n = 93 chronic pain). Mean level of intolerance of uncertainty among survivors was 26.2 (SD = 10.0, 95% CI 24.9 to 27.5). Intolerance of uncertainty was associated with female sex (β [95% CI]; 2.7 [0.2-5.3]), unemployment (5.2 [1.9-8.5]), neurologic (4.1 [0.5-7.7]) and cardiovascular (5.0 [2.2-7.8]) chronic health conditions, elevated anxiety (10.9 [8.1-13.7]), and perceived poor health status (4.5 [1.4-7.6]). Higher levels of intolerance of uncertainty were observed in survivors with chronic pain (LS mean = 29.2) compared to survivors without (LS mean = 23.5; p < 0.01).

conclusionsMean levels of intolerance of uncertainty in childhood cancer survivors are comparable to the general population and associated with psychological symptoms and chronic pain. IMPLICATIONS FOR CANCER SURVIVORS: Intolerance of uncertainty may be a modifiable target for transdiagnostic interventions in survivorship care.

Indexed as

AnxietyChildhood cancer survivorshipChronic painDepressionDistressIntolerance of uncertaintyPainPediatric cancerPsychological symptoms

Identifiers

PMID40699439
PMCPMC12487467

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.