title: [Late effects, social adjustment, and quality of life in adolescent survivors of childhood leukemia].
abstract: OBJECTIVE
  This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents.
  
  
  METHODS
  Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child's physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS.
  
  
  RESULTS
  Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects.
  
  
  CONCLUSIONS
  The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.
authors.affiliation: Graduate School, The Catholic University of Korea, Seoul, Korea.
authors.forename: Sung Sil
authors.initials: SS
authors.lastname: Hong
authors.affiliation: College of Nursing, The Catholic University of Korea, Seoul, Korea. hrpark@catholic.ac.kr.
authors.forename: Ho Ran
authors.initials: HR
authors.lastname: Park
authors.affiliation: BMT Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
authors.forename: Kwang Sung
authors.initials: KS
authors.lastname: Kim
authors.affiliation: BMT Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
authors.forename: Sun Hee
authors.initials: SH
authors.lastname: Choi
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D007938:Leukemia / Q000523:psychology*; D010290:Parents / Q000523:psychology; D011788:Quality of Life; D012917:Social Adjustment; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D013997:Time Factors; D014175:Translating
keywords: Late effect; Leukemia; Quality of life; Social adjustment; Survivors