The psychosocial impact of completing childhood cancer treatment: a systematic review of the literature

J Pediatr Psychol. 2010 Apr;35(3):262-74. doi: 10.1093/jpepsy/jsp056. Epub 2009 Jul 3.

Abstract

Objective: To review the results of any published research study examining the psychosocial functioning of children who have recently completed cancer treatment.

Methods: Five electronic databases were searched (from 1978 to 2008). Of 1,734 identified articles, 19 met all inclusion criteria. Four articles utilized a qualitative methodology, thirteen utilized a quantitative methodology, and two used mixed methods.

Results: Children may experience positive psychosocial outcomes on treatment completion, including high self-worth, good behavioral conduct, and improved mental health and social behavior. However, they may also experience significant negative outcomes, including lower levels of psychological well-being, mood, liveliness, self-esteem, and motor and physical functioning, as well as increased anxiety, problem behaviors, and sleeping difficulties.

Conclusions: Completing treatment can be a psychologically complex time for children as they wait to make the transition from "cancer patient" to long-term "cancer survivor." Further high-quality research targeting the needs of these children is warranted.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Child
  • Humans
  • Neoplasms / therapy*
  • Psychology