title: Prevalence and predictors of distress in posttreatment adult leukemia and lymphoma survivors.
abstract: This paper examines predictors of cancer-specific distress among posttreatment adult leukemia and lymphoma survivors (LLS). Using a survey mailed to LLS in the Colorado Central Cancer Registry (N = 477), the authors developed a multivariable risk profile for distress. Thirty one percent of LLS reported indicators of distress. Significantly higher distress was associated with younger age (p < 0.001) in bivariate analyses. The risk profile included fear of recurrence, financial burden, and younger age. Distress did not attenuate based on time since treatment completion and may persist up to 4 years posttreatment, suggesting a need for intervention, particularly among high-risk LLS.
authors.affiliation: a Colorado School of Public Health, University of Colorado Denver , Aurora , CO , USA.
authors.forename: Whitney C
authors.initials: WC
authors.lastname: Jones
authors.forename: Carly
authors.initials: C
authors.lastname: Parry
authors.forename: Sharon
authors.initials: S
authors.lastname: Devine
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Main
authors.forename: Sonia
authors.initials: S
authors.lastname: Okuyama
authors.forename: Zung Vu
authors.initials: ZV
authors.lastname: Tran
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003120:Colorado / Q000453:epidemiology; D005260:Female; D006801:Humans; D007938:Leukemia / Q000523:psychology* / Q000628:therapy; D008223:Lymphoma / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012042:Registries; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: cancer; cancer survivorship; distress; fear of recurrence; hematologic malignancies; psychosocial; quality of life; young adult