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Screening for Psychological Late Effects in Childhood, Adolescent and Young Adult Cancer Survivors: A Systematic Review
Long-term Follow-up CareAllPublicationEU-CAYAS-NET

Screening for Psychological Late Effects in Childhood, Adolescent and Young Adult Cancer Survivors: A Systematic Review

In the past years, many new studies indicated that many childhood cancer survivors suffer from psychological distress long after treatment ended. However, there is a lack of psychosocial support during the follow-up stages. The authors review the available literature and upon that suggest the implementation of screening tools for psychosocial distress to improve quality of follow-up care.

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This publication was inspired by increasing evidence in the past years, indicating that many childhood cancer survivors suffer from psychological distress long after treatment ended. However, psychosocial issues are often neglected during follow-up care. Including screening for psychological distress before follow-up appointments might help address the topic in survivors who need support. The aim of this publication was to systematically review the available evidence on screening for psychological distress in childhood cancer survivors.

The authors found eight studies that investigated different screening tools for their utility in detecting psychological distress in childhood cancer survivors. The Brief Symptom Inventory-18 with an adapted cutoff score for childhood cancer survivors, and the newly developed short form of the Beck Depression Index were both shown to be of potential benefit as brief screening tools in follow-up care.

As a conclusion, the authors identified promising screening tools to be used to detect psychological distress in childhood cancer survivors. However, there is still a lack of studies addressing applicability and effectiveness when screening is routinely implemented into follow-up care. To improve the quality of follow-up care, and identify and treat survivors with psychological distress, screening tools should now be implemented and their adequacy further tested in day-to-day clinic life.

This article provides informational support only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for medical decisions.

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This content was created during the EU-CAYAS-NET project, co-funded under the EU4Health Programme in 2022-2025 (Grant Agreement No. 101056918).

Continue reading · Long-term Follow-up CareRecommendations for the Surveillance of Cancer-Related Fatigue in Childhood, Adolescent, and Young Adult Cancer SurvivorsA report from the International Late Effects of Childhood Cancer Guideline Harmonization Group

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