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Journal of Pediatric Oncology Nursing
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*Cancer
*Cancer--Living with Cancer
*Post-Traumatic Stress Disorder
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Posttraumatic Stress Disorder: Understanding the Psychosocial Impact of Surviving Childhood Cancer Into Young Adulthood

Mary T. Rourke, PhD

Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, Department of Psychiatry and Behavioral Sciences, University of California Los Angeles School of Medicine, Los Angeles, CA, Pediatric Oncology Nurse Practitioner Program, the University of Pennsylvania, School of Nursing, Philadelphia, PA, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA

Margaret L. Stuber, MD

, Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, Department of Psychiatry and Behavioral Sciences, University of California Los Angeles School of Medicine, Los Angeles, CA, Pediatric Oncology Nurse Practitioner Program, the University of Pennsylvania, School of Nursing, Philadelphia, PA, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA

Wendy L. Hobbie, MSN, RN, CRNP

, Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, Department of Psychiatry and Behavioral Sciences, University of California Los Angeles School of Medicine, Los Angeles, CA, Pediatric Oncology Nurse Practitioner Program, the University of Pennsylvania, School of Nursing, Philadelphia, PA, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA

Anne E. Kazak, PhD

Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, Department of Psychiatry and Behavioral Sciences, University of California Los Angeles School of Medicine, Los Angeles, CA, Pediatric Oncology Nurse Practitioner Program, the University of Pennsylvania, School of Nursing, Philadelphia, PA, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA

Little research has been done to explore how the psychological symptoms of child and adolescent cancer survivors change in the decades following successful treatment. This article examines these changes with a focus on the utility of a posttraumatic stress framework for understanding the long-term coping issues that individuals face as they mature and make transitions to young adulthood. First, the literature supporting the use of a posttraumatic stress framework in child and adolescent survivors is reviewed. Developmental contributions to changes and increases in posttraumatic symptomatology during young adulthood are then discussed and posttraumatic symptoms most often seen in this group are presented. Preliminary research with young adult survivors is also reviewed and discussed as support for a posttraumatic stress framework with this population. Ongoing research efforts aimed at elaborating on this framework are described. Finally, clinical implications for health care providers are explored, and guidelines for assessing the impact of posttraumatic stress on young adults' use of health care resources are offered.

Journal of Pediatric Oncology Nursing, Vol. 16, No. 3, 126-135 (1999)
DOI: 10.1177/104345429901600303


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