Health-Related Quality of Life, Depression, Anxiety, and Self-Image in Acute Lymphocytic Leukemia Survivors.
OBJECTIVE
With increasing survival rates in childhood acute lymphocytic leukemia (ALL), the long-term side effects of treatment have become important. Our aim was to investigate health-related quality of life, depression, anxiety, and self-image among ALL survivors.


METHODS
Fifty patients diagnosed with ALL and their siblings were enrolled. The Kovacs Children's Depression Inventory, State-Trait Anxiety Inventory, Offer Self-Image Questionnaire, and Pediatric Quality of Life InventoryTM were used for collecting data. ANOVA tests were used to determine if there were any significant differences between groups.


RESULTS
ALL survivors had higher depression, more anxiety symptoms, lower quality of life, and more negative self-image when compared to their siblings.


CONCLUSIONS
Continuous diagnostic and interventional mental health services might be necessary for possible emotional side effects of treatment during and after the treatment. Rehabilitation and follow-up programs should be implemented for children during and after treatment for ALL.
Uludağ University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Hematology, Bursa, Turkey, Phone: +90 224 295 06 03, E-mail: baytanbirol@yahoo.com.
Birol
B
Baytan
Çiğdem
Ç
Aşut
Arzu
A
Çırpan Kantarcıoğlu
Melike
M
Sezgin Evim
Adalet Meral
AM
Güneş
D000293:Adolescent; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology*; D016022:Case-Control Studies; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D011788:Quality of Life; D012649:Self Concept; D035781:Siblings; D014421:Turkey / Q000453:epidemiology