Attitudes After Childhood Cancer

Although adults who have survived pediatric cancer often have lingering health problems, they tend to believe their lives are back to normal, finds a study released in the September issue of Journal of American Medical Association.

Although 44 percent of the adult survivors reported having at least one kind of physical or mental difficulty, only 11 percent of survivors said they were in fair or poor health. Some 17 percent had mental health difficulties such as depression, anxiety or insomnia. Others admitted having chronic pain and trouble with everyday tasks or recreational activities.

Allison Ross, a New York-based psychologist who specializes in cancer patients, comments that survivors may be de-emphasizing the trauma they experienced as children.

"The illusion of healthfulness is in fact a positive defense mechanism," says Ross. "Many survivors of cancer utilize minimization to more forward in their lives."

Still, coping mechanisms may have limited effect. Those who reported fair or poor health were more likely to have been through an intensive cancer treatment. Survivors of bone and central nervous system tumors--which can involve intensive surgery, radiation and chemotherapy--had worse long-term health.

Those who say they feel healthy after a bout of cancer should be commended, says Ross: "Any way these adults can come out of such childhood trauma with such an optimistic overview of their health--both mental and physical--is a triumph.”

The research was lead by a team from St. Jude Children's Research Hospital.

Tags: adult survivors, american medical association, cancer patients, cancer treatment, central nervous system, childhood trauma, defense mechanism, depression, everyday tasks, long term health, mental health difficulties, poor health, recreational activities, september issue