Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): A systematic review Journal Article


Authors: Barnett, M.; McDonnell, G.; DeRosa, A.; Schuler, T.; Philip, E.; Peterson, L.; Touza, K.; Jhanwar, S.; Atkinson, T. M.; Ford, J. S.
Article Title: Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): A systematic review
Abstract: Purpose: A cancer diagnosis during adolescence or young adulthood (AYA; defined as ages 15–39) generates unique medical and psychosocial needs as developmental milestones are simultaneously impacted. Past research highlights that AYAs’ experiences and psychosocial outcomes are different, and more research and attention is needed. We aimed to identify and synthesize literature regarding psychosocial outcomes, unique needs, and existing psychosocial interventions pertaining to individuals diagnosed with cancer exclusively during AYA, and to highlight areas for future research. Methods: A systematic literature search was conducted using MEDLINE (via PubMed), EMBASE, Cochrane, Web of Science, and PsycINFO (via OVID). Grey literature was searched using key term variations and combinations. Overall, 15,301 records were assessed by two independent reviewers, with 38 studies meeting inclusion criteria. Results: Data synthesis of the 38 articles was organized by four main themes based on quality of life and survivorship: physical well-being (7 studies), psychological well-being (8 studies), social well-being (9 studies), and survivorship care (14 studies). The paucity of studies for such broad inclusion criteria highlights that this population is often combined or subsumed under other age groups, missing needs unique to these AYAs. Conclusions: AYA cancer survivors’ experiences are nuanced, with interacting variables contributing to post-treatment outcomes. AYAs require age-appropriate and flexible care, informational needs and treatment-related education that foster autonomy for long-term survivorship, as well as improved follow-up care and psychological outcomes. Implications for Cancer Survivors: By incorporating these findings into practice, the informational and unmet needs of AYAs can be addressed effectively. Education and programming is lacking specific and general subject matter specific to AYAs, incorporating ranging needs at different treatment stages. © 2016, Springer Science+Business Media New York.
Keywords: adolescent; treatment outcome; young adult; follow up; neoplasms; quality of life; cancer survivor; education; systematic review; diagnosis; medline; psychological well being; literature review; human experiment; embase; adolescence; adulthood; cancer survivorship; psycinfo; data synthesis; human; web of science
Journal Title: Journal of Cancer Survivorship
Volume: 10
Issue: 5
ISSN: 1932-2259
Publisher: Springer  
Date Published: 2016-10-01
Start Page: 814
End Page: 831
Language: English
DOI: 10.1007/s11764-016-0527-6
PROVIDER: scopus
PMCID: PMC5001943
PUBMED: 26920873
DOI/URL:
Notes: Review -- Export Date: 3 October 2016 -- Source: Scopus
Altmetric Score
MSK Authors
  1. Jennifer S Ford
    57 Ford
  2. Sabrina M Jhanwar
    17 Jhanwar
  3. Tammy Ann Schuler
    27 Schuler
  4. Antonio P DeRosa
    32 DeRosa