Quality of Life Research

, Volume 23, Issue 9, pp 2603–2612 | Cite as

Impact of psychological and cancer-related factors on HRQoL for Korean childhood cancer survivors

  • Myung Ah Rhee
  • Kyong Mee ChungEmail author
  • Yuri Lee
  • Hana K. Choi
  • Jung Woo Han
  • Hyo Sun Kim
  • Sun Hee Kim
  • Yoon Jung Shin
  • Chuhl Joo LyuEmail author



The purposes of this study were (1) to compare health-related quality of life (HRQoL) between Korean childhood cancer survivors and healthy controls and (2) to examine the impact of demographic, diagnosis/treatment, and psychological variables on physical and psychosocial health in survivors.


The HRQoL (PedsQL), Self-Concept Inventory, and Child Behavior Checklist were administered to childhood cancer survivors, age/gender-matched healthy counterparts, and their parents. Independent-samples t tests and hierarchical multiple regression analyses were conducted.


Compared with healthy controls, childhood cancer survivors reported significantly lower scores across physical and psychosocial HRQoL. For survivors, demographic, diagnosis/treatment, current health status, and psychological variables explained more than 50 % of the variance in both subscales of HRQoL. Especially, self-concept, a psychological variable, explained a significant portion of the variance in physical and psychosocial HRQoL after controlling for cancer-related factors. Several cancer-related factors including time since treatment completion, having a history of allogeneic hematopoietic stem cell transplantation, multiple treatment modalities, and suffering from severe late effects also associated with specific dimension of HRQoL.


Childhood cancer survivors do experience lower level of QoL and psychological factors, especially self-concept, should be considered when supporting the well-being of childhood cancer survivors.


Childhood cancer Survivors Health-related quality of life Self-concept 


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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Myung Ah Rhee
    • 1
  • Kyong Mee Chung
    • 1
    Email author
  • Yuri Lee
    • 2
  • Hana K. Choi
    • 3
  • Jung Woo Han
    • 4
  • Hyo Sun Kim
    • 4
  • Sun Hee Kim
    • 5
  • Yoon Jung Shin
    • 5
  • Chuhl Joo Lyu
    • 4
    Email author
  1. 1.Department of PsychologyYonsei UniversitySeoulKorea
  2. 2.Department of Psychiatry and Behavioral SciencesNorthwestern University Feinberg School of MedicineChicagoUSA
  3. 3.Roswell Park Cancer InstituteNew YorkUSA
  4. 4.Department of Pediatric Hematology and Oncology, Yonsei Cancer CenterYonsei University Health SystemSeoulKorea
  5. 5.Nursing Department, Yonsei Cancer CenterYonsei University Health SystemSeoulKorea

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