Psychosocial outcomes in long-term survivors of high-grade osteosarcoma: a Japanese single-center experience.
OBJECTIVE
The psychosocial outcomes in long-term survivors of osteosarcoma were investigated.


METHODS
A questionnaire concerning the psychosocial status was completed by 30 long-term survivors of osteosarcoma. The family APGAR was employed for the evaluation of family function, social support questionnaire (SSQ) for social support, impact of event scale-revised (IES-R) for posttraumatic stress symptoms (PTSS), and posttraumatic growth inventory (PTGI) for posttraumatic growth (PTG).


RESULTS
The family APGAR and SSQ scores were comparable to those of controls. The IES-R score was low, showing a low incidence of PTSS. The PTGI score was high, revealing marked PTG. On multiple regression analysis regarding the IES-R as a dependent variable, the family APGAR was associated with the IES-R. On multiple regression analysis regarding the PTGI as a dependent variable, the age at diagnosis, state of the affected limb and SSQ were associated with the PTGI.


CONCLUSIONS
The incidence of PTSS was low, and PTG was marked in the long-term survivors of osteosarcoma. A high age at onset and amputation of the affected limb were associated with PTG. Support of the family function reduces PTSS, and the strengthening of social support facilitates PTG.
Division of Orthopaedic Surgery, Chiba Cancer Center, 666-2, Nitona-cho, Chuo-ku, Chiba, 260-8717, Japan. tyonemot@chiba-cc.jp
Tsukasa
T
Yonemoto
Kiyoko
K
Kamibeppu
Takeshi
T
Ishii
Shintaro
S
Iwata
Yoko
Y
Hagiwara
Shin-ichiro
S
Tatezaki
D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000473:pathology / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D012516:Osteosarcoma / Q000473:pathology / Q000523:psychology*; D011584:Psychology; D011788:Quality of Life; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D055815:Young Adult