Department of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, PO Box 4466, Lucerne 6002, Switzerland.
Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 735, Memphis, TN 38105, USA; Department of Psychology, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 740, Memphis, TN 38105, USA. Electronic address: https://twitter.com/tara_brinkman.
Pediatr Clin North Am. 2020 Dec;67(6):1103-1134. doi: 10.1016/j.pcl.2020.07.005. Epub 2020 Sep 23.
Childhood cancer disrupts the lives of patients and their families and affects acute and long-term psychological health. This article summarizes (1) psychological challenges, including depression, anxiety, worries, and posttraumatic stress, as well as positive outcomes such as benefit finding and posttraumatic growth in young survivors and parents; (2) health-related quality of life; (3) interventions to support survivors and parents with psychological difficulties; and (4) neurocognitive problems and interventions to help alleviate them. Although many survivors and parents fare well in the long term, many survivors may benefit from interventions. Interventions should be further evaluated and integrated into routine clinical care.
儿童癌症扰乱了患者及其家庭的生活,影响了他们的急性和长期心理健康。本文总结了(1)儿童癌症幸存者及其父母所面临的心理挑战,包括抑郁、焦虑、担忧和创伤后应激,以及获益感和创伤后成长等积极结果;(2)与健康相关的生活质量;(3)支持癌症幸存者和父母应对心理困难的干预措施;(4)神经认知问题和缓解这些问题的干预措施。尽管许多幸存者和父母在长期内表现良好,但许多幸存者可能会受益于干预措施。这些干预措施应进一步评估,并整合到常规临床护理中。