title: Physical and psychological outcome in long-term survivors of childhood malignant solid tumor in Japan.
abstract: OBJECTIVE
  Few studies have assessed physical and psychological status in long-term survivors of childhood solid tumors in Japan. For children with such diseases diagnosed and treated in our hospital, our purpose was to clarify the physical and psychological status of long-term survivors and their parents.
  
  
  METHODS
  Subjects were 56 patients who were diagnosed at our institution as having a childhood malignant solid tumor between 1982 and 2005 and had been alive for at least 5 years after treatment. Surveys were sent and returned by mail.
  
  
  RESULTS
  Of the 56 patients surveyed, 32 responded. The current health condition and psychosocial status of survivors were evaluated as good by their parents. However, psychological tests revealed psychosocial problems in 28.1% of the children. Severe posttraumatic stress associated with the child's disease and its treatment was present in 15.6% of the parents.
  
  
  CONCLUSIONS
  Physical status of long-term survivors of childhood malignant solid tumors was good in general. However, psychological tests revealed psychosocial problems in some of the children and posttraumatic stress in the parents. Considering the diversity of both the diseases and their clinical course, a qualitative study is warranted for further analysis.
authors.affiliation: Department of Psychiatry, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan. nami47@med.tohoku.ac.jp
authors.forename: Nami
authors.initials: N
authors.lastname: Honda
authors.forename: Shunichi
authors.initials: S
authors.lastname: Funakoshi
authors.forename: Hideo
authors.initials: H
authors.lastname: Ambo
authors.forename: Masaki
authors.initials: M
authors.lastname: Nio
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Hiroo
authors.initials: H
authors.lastname: Matsuoka
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D011594:Psychometrics / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate / Q000639:trends; D017741:Survivors / Q000706:statistics & numerical data*; D013997:Time Factors