Lebenszufriedenheit langzeitüberlebender onkologischer Patienten mit Erkrankung in der Adoleszenz
Objectives: The aim of this study was to investigate the life satisfaction of German long-term survivors of cancer during adolescence and to identify predicting factors. Methods: Survivors of cancer during adolescence (n = 820; age at onset: M = 15.8, SD = 0.9, age at follow-up: M = 30.4, SD = 6.0 years) completed the Questions on Life Satisfaction (FLZM), a multidimensional instrument measuring the subjective satisfaction with the general and health-related life satisfaction. Data were compared with an age-matched German representative sample as well as with another group of chronic ill patients (cystic fibrosis). In addition, different predicting factors were investigated by means of several other questionnaires. Results: Survivors were significantly less satisfied with both their general (M = 53.6, SD = 35.5) as well as their health-related life satisfaction (M = 69.6, SD = 38.2) than the representative comparison group (M = 66.7, SD = 37.8; M = 87.9, SD = 39.1; p < .001, d = - 0.35). Important predicting factors were the cancer late-effects, mental health problems, and subjective quality of life. The type of cancer, however, was not significantly associated with the life satisfaction of the former patients. In comparison to the cystic fibrosis group there were no significant differences in the general and in the health-related module. Conclusions: Even years after successful medical treatment survivors of adolescent cancer experience a negative impact on their life satisfaction which is mostly affected by long-term health problems and psychological distress. The results therefore indicate that regularly long-term routine-follow up visits are necessary to identify lasting health effects as well as psychopathologies in order to restore and maintain life satisfaction.
Subject HeadingsErwachsenwerden [GND]
Neoplasms; In adolescence [MeSH]
Survivors; Psychology [MeSH]