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URL http://www.rockymountainbmt.com/news/Adolescent-survivors-of-childhood-acute-lymphoblastic-leukemia-ALL-reported-difficulties-in-overcoming-psychological-and-physical-pain-1087.html

Adolescent survivors of childhood acute lymphoblastic leukemia (ALL) reported difficulties in overcoming psychological and physical pain

06-20-2006

Researchers from France conducted a study "to evaluate how adolescents and young adults cured of ALL treated during childhood have integrated the disease, and possible death related to cancer. Particularly, we have focused on experiences related to diagnosis announcement, hospitalization and treatments and consequences on their social, psychological and somatic behavior. Forty-one patients cured of ALL have been enrolled in the study and answered one interview with clinical psychologist or research nurse. Although 60% of the patients argued that they think rarely of their disease, 10% thought about it every day."

"Traumatic evidence was detectable in most of them. Physical pain was the most reported stress, mainly during hospitalization (93%), as well as psychological suffering (83%). Afterwards, the mostly often-reported stress was psychological pain (61%). Sixty-six percent declared that they still experience psychological and health consequences at the time of the interview, in some cases reported as a handicap in their life," explained G. Vaudre and colleagues, Hopital Paris.

"In 83% of the cases they considered themselves as cured, nevertheless fear of relapse persisted in 1/3. Ninety percent said they have a pleasant life, 56% did not like to talk about leukemia and 70% thought they could have died. For 85%, disease has been the most important event of their life and 75% testify to repercussions of the disease on their family (family relationship changes, overprotection, and sibling difficulties). Most of these patients declared to be 'as the others' and developed life projects, but overcoming the pain experience of the disease remained difficult."

The researchers concluded, "This study emphasized the need for long-term continuous information and reinforces the importance of addressing treatment psychological and physical pain mainly after the initial hospitalization period."

Vaudre and colleagues published their study in Archives de Pediatrie (Quality of life of adolescents surviving childhood acute lymphoblastic leukemia. Arch Pediatr, 2005;12(11):1591-1599).

For more information, contact G. Vaudre, Hopital Paris, Hopital Enfants Armand Trousseau, Service Hematology & Oncology Pediatrics, F-75012 Paris, France.

Publisher contact information for the journal Archives de Pediatrie is: Elsevier France-Editions Scientifiques Medicales Elsevier, 23 Rue Linois, 75724 Paris, France.

This article was prepared by Pain & Central Nervous System Week editors from staff and other reports. Copyright 2006, Pain & Central Nervous System Week via NewsRx.com.