[Quality of life of adolescents surviving childhood acute lymphoblastic leukemia].
OBJECTIVE
To evaluate how adolescents and young adults cured of acute lymphoblastic leukemia (ALL) treated during childhood have integrated the disease, and possible death related to cancer. Particularly, we have focused on experiences related to diagnosis announcement, hospitalisation and treatments and consequences on their social, psychological and somatic behaviour.


METHODS
Forty-one patients cured of ALL have been enrolled in the study and answered one interview with clinical psychologist or research nurse.


RESULTS
Although 60% of the patients argued that they think rarely of their disease, 10% thought about it every day. Traumatic evidence was detectable in most of them. Physical pain was the most reported stress, mainly during hospitalisation (93%), as well as psychological suffering (83%). Afterwards, the mostly often-reported stress was psychological pain (61%). Sixty-six percent declared that they still experience psychological and health consequences at the time of the interview, in some cases reported as a handicap in their life. In 83% of the cases they considered themselves as cured, nevertheless fear of relapse persisted in 1/3. Ninety percent said they have a pleasant life, 56% did not like to talk about leukaemia and 70% thought they could have died. For 85%, disease has been the most important event of their life and 75% testify to repercussions of the disease on their family (family relationship changes, overprotection, siblings difficulties).


CONCLUSIONS
Most of these patients declared to be 'as the others' and developed life projects, but overcoming the pain experience of the disease remained difficult. This study emphasized the need for long-term continuous information and reinforces the importance of addressing treatment psychological and physical pain mainly after the initial hospitalisation period.
Vaudre
G
G
Service d'hématologie et d'oncologie pédiatrique, hôpital d'enfants Armand-Trousseau, Assistance publique-hôpitaux de Paris, 75012 Paris, France. genevieve.vaudre@trs.ap-hop-paris.fr
Trocmé
N
N
Landman-Parker
J
J
Maout
F
F
Tabone
M D
MD
Tourniaire
B
B
Gouraud
F
F
Dollfus
C
C
Auvrignon
A
A
Leverger
G
G
D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D002675:Child, Preschool; D005195:Family Relations; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D010146:Pain / Q000523:psychology; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D011379:Prognosis; D011788:Quality of Life; D013315:Stress, Psychological; D017741:Survivors / Q000523:psychology*