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Psychological Support and Social Care

  • Lucy Holland
  • Kate ThompsonEmail author
Chapter

Abstract

Experiencing a cancer diagnosis and its treatment during the adolescent and young adult (AYA) years has the potential to impact every realm of human functioning. It can significantly disrupt the developmental trajectory of a young person. However, it can also provide opportunities for positive adolescent development and growth. The spectrum of impacts that accompany a cancer experience during the AYA years, from the time of diagnosis, throughout treatment and into future years, are increasingly well understood. However, approaches to care that have developed over time to best support young people’s psychological and social wellbeing vary significantly. This chapter focuses on psychological support and social care for young people diagnosed with cancer. With recognition of the myriad of impacts of a cancer diagnosis during the AYA years, significant international variation in models of care and key principles of youth friendly healthcare, this chapter aims to provide a practical approach to the delivery of developmentally appropriate psychological and social care. This chapter specifically: examines the unique developmental and psychosocial issues experienced by young people; discusses the foundations required to provide youth friendly psychosocial cancer care and; offers a practical approach to care based on the accumulated experience of those working in the field and relevant literature.

Keywords

Adolescent Young adult Youth Psychological Social Family 

References

  1. 1.
    National Institute for Health and Clinical Excellence, Guidance on Cancer Services: Improving Outcomes in Children and Young People with Cancer. The manual. London: National Institute for Health and Clinical Excellence (NICE); 2005.Google Scholar
  2. 2.
    Abrams AN, Hazen EP, Penson RT. Psychosocial issues in adolescents with cancer. Cancer Treat Rev. 2007;33(7):622–30.PubMedCrossRefGoogle Scholar
  3. 3.
    Docherty SL, et al. The adolescent and young adult with cancer: a developmental life course perspective. Semin Oncol Nurs. 2015;31(3):186–96.PubMedCrossRefGoogle Scholar
  4. 4.
    Harvey N, Finch A. Supportive care of adolescents and young adults during cancer treatment. In: Kelly D, Gibson F, editors. Cancer care for adolescents and young adults. Victoria: Blackwell Publishing; 2008.Google Scholar
  5. 5.
    Sawyer SM, et al. Fulfilling the vision of youth friendly cancer care: a study protocol. J Adolesc Young Adult Oncol. 2016;5(3):267–77.PubMedCrossRefGoogle Scholar
  6. 6.
    Bolte S, Zebrack BJ. Sexual issues in special populations: adolescents and young adults. Semin Oncol Nurs. 2006;24(2):5.3.Google Scholar
  7. 7.
    Carpentier MY, et al. Prevalence of multiple health related behaviors in adolescents with cancer. J Pediatr Hematol Oncol. 2008;30(12):902–7.PubMedCrossRefGoogle Scholar
  8. 8.
    McCarthy MC, et al. Psychological distress and posttraumatic stress symptoms in adolescents and young adults with cancer and their parents. J Adolesc Young Adult Oncol. 2016;5(4):322–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Murnane A, et al. Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences. Support Care Cancer. 2015;23(2):501–10.PubMedCrossRefGoogle Scholar
  10. 10.
    Seitz DC, Besier T, Goldbeck L. Psychosocial interventions for adolescent cancer patients: a systematic review of the literature. Psychooncology. 2009;18(7):683–90.PubMedCrossRefGoogle Scholar
  11. 11.
    Shnorhavorian M, et al. Fertility preservation knowledge, counselling, and actions among adolescent and young adult patients with cancer: a Population-Based Study. Cancer. 2015;121(19):3499–506.PubMedPubMedCentralCrossRefGoogle Scholar
  12. 12.
    Zebrack BJ. Information and service needs for young adult cancer survivors. Support Care Cancer. 2009;17(4):349–57.PubMedCrossRefGoogle Scholar
  13. 13.
    Barr RD. Common cancers in adolescents. Cancer Treat Rev. 2007;33(7):597–602.PubMedCrossRefGoogle Scholar
  14. 14.
    Bleyer A, et al. The distinctive biology of cancer in adolescents and young adults. Nat Rev Cancer. 2008;8(4):288–98.PubMedCrossRefGoogle Scholar
  15. 15.
    Australian Institute of Health and Welfare, Cancer in adolescents and young adults in Australia. Cancer series no. 62. 2011, Canberra: AIHW.Google Scholar
  16. 16.
    World Health Organisation. Adolescent friendly health services: an agenda for change. Geneva: World Health Organization; 2002.Google Scholar
  17. 17.
    Sawyer S, Aroni RA. Self-management in adolescents with chronic illness: what does it mean and how can it be achieved? Med J Aust. 2005;138(8):405–9.Google Scholar
  18. 18.
    Sawyer S, et al. Adolescents with a chronic condition: challenges living, challenges treating. Lancet. 2007;369(9571):1481–9.PubMedCrossRefGoogle Scholar
  19. 19.
    Hofmann AD, Greydanus DE. Adolescent medicine. Stamford: Appleton & Lange; 1997.Google Scholar
  20. 20.
    Sawyer SM, et al. Adolescence: a foundation for future health. Lancet. 2012;6736(12):1630–40.CrossRefGoogle Scholar
  21. 21.
    American Psychological Association. Developing adolescents: a reference for professionals. Washington, DC: American Psychological Association; 2002.Google Scholar
  22. 22.
    Patton G, Viner R. Pubertal transitions in health. Lancet. 2007;369(9567):1130–9.PubMedCrossRefGoogle Scholar
  23. 23.
    Casey BJ, Jones RM. Neurobiology of the adolescent brain and behaviour. J Am Acad Child Adolesc Psychatry. 2010;49(12):1189–285.Google Scholar
  24. 24.
    Johnson SB, Blum RW, Giedd JN. Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy. J Adolesc Health. 2009;45(3):216–21.PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Erikson EH. Identity: Youth and Crisis. New York: Norton; 1968.Google Scholar
  26. 26.
    Harter S. Self and identity development. In: Feldman SS, Elliot GR, editors. At the threshold: the developing adolescent. Cambridge: Harvard University Press; 1990.Google Scholar
  27. 27.
    Green H, et al. Mental health of children and young people in the Great Britain 2004. Norwich: Palgrave Macmillan; 2005.CrossRefGoogle Scholar
  28. 28.
    Australian Institute of Health and Welfare. Young Australians: their Health and Wellbeing. Canberra: AIHW; 2011.Google Scholar
  29. 29.
    Department of Health and Aging. The Mental Health of Australians 2: report on the 2007 National Survey of Mental Health and Wellbeing. Canberra: Department of Health and Ageing; 2009.Google Scholar
  30. 30.
    Institute for Health Metrics and Evaluation. Global Burden of Disease Study: results by cause 1990–2010—country level. Seattle: Institute for Health Metrics and Evaluation (IHME); 2010.Google Scholar
  31. 31.
    Robinson E. Young people and their parents: supporting families through changes that occur in adolescence, In AFRC Briefing No.1. Melbourne: Australian Family Relations Clearinghouse, Australian Institute of Family Studies; 2006.Google Scholar
  32. 32.
    Gardener M, Steinberg L. Peer influence on risk-taking, risk preference and risky decision-making in adolescence and adulthood: an experimental study. Dev Psychol. 2005;41(1):625–35.CrossRefGoogle Scholar
  33. 33.
    Micucci JA. The adolescent in family therapy: breaking the cycle of conflict and control. New York: Guilford; 1998.Google Scholar
  34. 34.
    Gravestock H, McDowell K, Mazzini M. No teenager with cancer left out, the impact on young peoples’ secondary education. London: CLIC Sargent—Cancer Support for the Young; 2013.Google Scholar
  35. 35.
    Palmer S. Improving care for AYA patients treated within adult hospitals: what can be done right now? Cancer Forum. 2009;33(1):22–5.Google Scholar
  36. 36.
    Donnan BM, et al. What about school? Educational challenges for children and adolescents with cancer. Aust Educ Dev Psychol. 2015;23(32):23–40.CrossRefGoogle Scholar
  37. 37.
    Perry CL. Preadolescent and adolescent influences on health. In: Smedley BD, Syme LS, editors. Promoting health: intervention strategies from social and behavioral research. Washington, DC: National Academy Press; 2000.Google Scholar
  38. 38.
    McNeil SB. Spirituality in adolescents and young adults with cancer: a review of the literature. J Paediatr Oncol Nurs. 2016;33(1):55–63.CrossRefGoogle Scholar
  39. 39.
    Zebrack B, Isaacson S. Psychosocial care of adolescent and young adult patients with cancer and survivors. J Clin Oncol. 2012;30(11):1221–6.PubMedCrossRefGoogle Scholar
  40. 40.
    Arnett JJ. Suffering, selfish, slackers? Myths and reality about emerging adults. J Youth Adolesc. 2007;36(1):23–9.CrossRefGoogle Scholar
  41. 41.
    Piaget J. Intellectual evolution from adolescence to adulthood. In: Learner R, Jovanovic J, editors. Cognitive and moral development and academic achievement in adolescence. New York: Garland Publishing, Inc.; 1999.Google Scholar
  42. 42.
    World Health Organisation. The health of young people: a challenge and a promise. Geneva: World Health Organisation (WHO); 1993.Google Scholar
  43. 43.
    Carlson C, Uppal S, Prosser EC. Ethnic differences in processes contributing to the self-esteem of early adolescent girls. J Early Adolesc. 2000;20(1):44–68.CrossRefGoogle Scholar
  44. 44.
    Roberts DM. Media and youth: access, exposure, and privatization. J Adolesc Health. 2000;27(Suppl):8–14.PubMedCrossRefGoogle Scholar
  45. 45.
    Bennett DL, Chown P, Kang MS. Cultural diversity in adolescent health care. Med J Aust. 2005;183(8):436–8.PubMedGoogle Scholar
  46. 46.
    Turner-Sack AM, et al. Posttraumatic growth, coping strategies and psychological distress in adolescent survivors of cancer. Pediatric Oncol Nurs. 2012;29(2):70–9.CrossRefGoogle Scholar
  47. 47.
    Bellizzi KM, et al. Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer. 2012;118(20):5155–62.PubMedCrossRefGoogle Scholar
  48. 48.
    Osborn M, et al. Youth cancer services in Australia: development and implementation. International perspectives on AYAO, Part 3. J Adolesc Young Adult Oncol. 2012;2(3):1–8.Google Scholar
  49. 49.
    American Psychological Association. Glossary of psychological terms. 2016.Google Scholar
  50. 50.
    Cancer Australia. National service delivery framework for adolescents and young adults with cancer. Canberra: Commonwealth of Australia; 2008.Google Scholar
  51. 51.
    National Cancer Institute. NCI dictionary of cancer terms: psychosocial. 2012. https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=648685.
  52. 52.
    Fernandez C, et al. Principles and recommendations for the provision of healthcare in Canada to adolescent and young adult–aged cancer patients and survivors. J Adolesc Young Adult Oncol. 2011;1(1):6.CrossRefGoogle Scholar
  53. 53.
    Clinical Oncology Society of Australia. Psychosocial management of AYAs diagnosed with cancer: Guidance for health professionals. 2014.Google Scholar
  54. 54.
    Sacks D, Westwood M. An approach to interviewing adolescents. Paediatr Child Health. 2003;8(9):554–6.PubMedPubMedCentralGoogle Scholar
  55. 55.
    Health, C.F.A. Clinical practice guideline: engaging with the adolescent patient. 2012.Google Scholar
  56. 56.
    Robinson E, Miller R. Adolescents and their families: best interests case practice model and specialist practice resource. Melbourne: The Victorian Government Department of Human Services; 2012.Google Scholar
  57. 57.
    Duncan R, Young MA. Tricky teens: are they really tricky or do genetic health professionals simply require more training in adolescent health? Pers Med. 2013;10(6):589–600.CrossRefGoogle Scholar
  58. 58.
    Zebrack B, Chesler MA, Kaplan S. To foster healing among adolescents and young adults with cancer: what helps? What hurts? Support Care Cancer. 2010;18(1):131–5.PubMedCrossRefGoogle Scholar
  59. 59.
    Coupey SM. Interviewing adolescents. Pediatr Clin North Am. 1997;44(6):1349–64.PubMedCrossRefGoogle Scholar
  60. 60.
    Eccles JS, et al. Development during adolescence: the impact of stage-environment fit on young adolescents’ experiences in schools and in families. Am Psychol. 1993;48(1):90–101.PubMedCrossRefGoogle Scholar
  61. 61.
    English A, Ford C. More evidence supports the needs to protect confidentiality in adolescent healthcare. J Adolesc Health. 2007;40(1):199–200.PubMedCrossRefGoogle Scholar
  62. 62.
    English A, et al. Health care reform for adolescents—an agenda for the lifespan: a position paper of the Society for Adolescent Medicine. J Adolesc Health. 2009;6(1):1–6.Google Scholar
  63. 63.
    Appelbaum PS, Grisso T. Assessing patients’ capacity to consent to treatment. N Engl J Med. 1998;319(1):1635–8.Google Scholar
  64. 64.
    Bellhouse J, et al. Decision-making capacity in adults: its assessment in clinical practice. Adv Psychiatr Treat. 2001;7(1):294–301.CrossRefGoogle Scholar
  65. 65.
    Royal Australian College of Physicians. Routine adolescent health psychosocial assessment - position statement. Sydney: Royal Australian College of Physicians (RACP); 2008.Google Scholar
  66. 66.
    Kuther TL. Medical decision-making and minors: issues of consent and assent. Adolescence. 2003;38(150):343–58.PubMedGoogle Scholar
  67. 67.
    Shaw M. Competence and consent to treatment in children and adolescents. Adv Psychiatr Treat. 2001;7(2):150–9.CrossRefGoogle Scholar
  68. 68.
    Palmer S, Thomas DA. A practice framework for working with 15–25 year-old cancer patients treated within the adult health sector. Melbourne: ONTrac@PeterMac Victorian Adolescent & Young Adult Cancer Service; 2008.Google Scholar
  69. 69.
    Yeo MS, Sawyer SM. Psychosocial assessment for adolescents and young adults with cancer. Cancer Forum. 2009;33(1)Google Scholar
  70. 70.
    Ford C, English A, Sigman G. Confidential healthcare for adolescents: position paper for the society of adolescent medicine. J Adolesc Health. 2004;35(1):1–8.CrossRefGoogle Scholar
  71. 71.
    Sasse RA, et al. Confidential consultations with adolescents: an exploration of Australian parents’ perspectives. J Adolesc Health. 2013;52(6):786–91.PubMedCrossRefGoogle Scholar
  72. 72.
    Palmer S, Patterson P, Thompson K. A national approach to improving adolescent and young adult (AYA) oncology psychosocial care: the development of AYA-specific psychosocial assessment and care tools. Palliat Support Care. 2014;12(3):183–8.PubMedCrossRefGoogle Scholar
  73. 73.
    CanTeen Australia. Adolescent and young adult oncology psychosocial care manual. Sydney: sCanTeen Australia; 2011.Google Scholar
  74. 74.
    Parker A, Hetrick S, Percell R. Psychosocial assessment of young people: refining and evaluating a youth friendly assessment interview. Aust Fam Physician. 2010;39(8):585–8.PubMedGoogle Scholar
  75. 75.
    Recklitis CJ, Blackmon JE, Chang G. Screening young adult cancer survivors for distress with the distress thermometer: comparisons with a structured clinical diagnostic interview. Cancer. 2016;122(2):296–303.PubMedCrossRefGoogle Scholar
  76. 76.
    Goldenring J, Cohen E. Getting into adolescents heads. Contemp Pediatr. 1988;5(1):75–90.Google Scholar
  77. 77.
    Goldenring J, Rosen D. Getting into adolescents heads: an essential update. Contemp Pediatr. 2004;21(1):64–90.Google Scholar
  78. 78.
    Hollis R, Morgan S. The adolescent with cancer—at the edge of no-man’s land. Lancet Oncol. 2001;2(1):43–8.PubMedCrossRefGoogle Scholar
  79. 79.
    Hutton A. Consumer perspectives in adolescent ward design. J Clin Nurs. 2005;15(5):537–45.CrossRefGoogle Scholar
  80. 80.
    Morgan S, et al. Sex, drugs, and rock ‘n’ roll: caring for adolescents and young adults with cancer. J Clin Oncol. 2010;28(32):4825–30.PubMedCrossRefGoogle Scholar
  81. 81.
    Sturrock T, Steinbeck K. Adolescents and youth in adult hospitals: psychosocial assessment n admission—an evaluation of the youth care plan. Aust J Adv Nurs. 2011;31(1):28–35.Google Scholar
  82. 82.
    D’Agostino NM, Penney A, Zebrack B. Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer. 2011;117(Supp 10):2329–34.PubMedCrossRefGoogle Scholar
  83. 83.
    Kang M, et al. Better practice in youth health. In: SW Centre for the Advancement of Adolescent Health, The Children’s Hospital at Westmead, in association with the Department of General Practice. Sydney: The University of Sydney at Westmead Hospital; 2005.Google Scholar
  84. 84.
    Kyngäs H. Patient education: perspective of adolescents with a chronic disease. J Clin Nurs. 2003;15(5):744–51.CrossRefGoogle Scholar
  85. 85.
    Mulhall A, Kell D, Pearce A. Qualitative evaluation of an adolescent cancer unit. Eur J Cancer Care. 2004;13(1):16–22.CrossRefGoogle Scholar
  86. 86.
    Corey AL, et al. Social support and symptom distress in adolescent/young adults with cancer. J Paediatr Nurs. 2008;25(5):275–84.Google Scholar
  87. 87.
    Kwak M, et al. Trajectories of psychological distress in adolescent and young adult patients with cancer: a 1-year longitudinal study. J Clin Oncol. 2013;31(17):2160–6.PubMedCrossRefGoogle Scholar
  88. 88.
    Park EM, Rosenstein DL. Depression in adolescents and young adults with cancer. Dialogues Clin Neurosci. 2015;17(2):171–80.PubMedPubMedCentralGoogle Scholar
  89. 89.
    Smith AW, Bellizzi KM, Keegan TH. Health-related quality of life of adolescent and young adult patients with cancer in the United States: the adolescent and young adult health outcomes and patient experience study. J Clin Oncol. 2013;31(17):2136–45.PubMedPubMedCentralCrossRefGoogle Scholar
  90. 90.
    Xie J, et al. A prevalence study of psychosocial distress in adolescents and young adults with cancer. Cancer Nurs. 2017;40(3):217–23.PubMedCrossRefGoogle Scholar
  91. 91.
    World Health Organisation. Mental health: a State of Wellbeing. Geneva: World Health Organisation; 2014.Google Scholar
  92. 92.
    Dyson GJ, et al. The relationship between unmet needs and distress amongst young people with cancer. Support Care Cancer. 2012;20(1):75–85.PubMedCrossRefGoogle Scholar
  93. 93.
    Yeo MS, Sawyer SM. ABC of adolescence. Chronic illness and disability. Br Med J. 2005;330(7493):721–3.CrossRefGoogle Scholar
  94. 94.
    Zebrack B, et al. Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology. 2014;23(11):1267–75.PubMedCrossRefGoogle Scholar
  95. 95.
    Shay LA, Carpentier MY, Vernon SW. Prevalence and correlates of fear of recurrence among adolescent and young adult versus older adult post-treatment cancer survivors. Support Care Cancer. 2016;24(11):4689–96.PubMedPubMedCentralCrossRefGoogle Scholar
  96. 96.
    Lauer AL. Treatment of anxiety and depression in adolescents and young adults with cancer. J Pediatr Oncol Nurs. 2015;32(5):278–83.PubMedCrossRefGoogle Scholar
  97. 97.
    Kwak M, et al. Prevalence and predictors of post-traumatic stress symptoms in AYA cancer survivors: a 1 year follow up study. Psychooncology. 2013;2(8):1798–806.CrossRefGoogle Scholar
  98. 98.
    Ramphal R, et al. Adolescent and young adult cancer: principles of care. Curr Oncol. 2016;23(3):204–9.PubMedPubMedCentralCrossRefGoogle Scholar
  99. 99.
    Lynam J. Supporting one another: the nature of family work when a young adult has cancer. J Adv Nurs. 1995;22(1):116–25.PubMedCrossRefGoogle Scholar
  100. 100.
    Zebrack B, Chesler MA, Penn A. Psychosocial support. In: Bleyer MA, Barr RD, editors. Cancer in adolescents and young adults. Heidelberg: Springer Verlag; 2007.Google Scholar
  101. 101.
    Price J. Information needs of the child with cancer and their family. Cancer Nurs Pract. 2003;2(7):35–8.CrossRefGoogle Scholar
  102. 102.
    Trask P, et al. Parent and adolescent adjustment to paediatric cancer: associations with coping, social support and family function. J Paediatr Oncol Nurs. 2003;20(1):36–47.CrossRefGoogle Scholar
  103. 103.
    Alderfer MA, et al. Psychosocial adjustment of siblings of children with cancer: a systematic review. Psychooncology. 2010;19(8):789–805.PubMedCrossRefGoogle Scholar
  104. 104.
    Spinetta J, et al. Guidelines for assiatcne to siblings of children with cancer: report for the SIOP working committee on psychosocial issues in paediatric oncology. Med Paediat Oncol. 1999;33(4):395–8.Google Scholar
  105. 105.
    CanTeen Australia. Supporting adolescent and young adult siblings of cancer patients: the family context. Sydney: CanTeen Australia; 2011.Google Scholar
  106. 106.
    Patterson P, Medlow S, McDonald F. Recent developments in supporting adolescent & young adult siblings of cancer patients. Supportive Care. 2015;27(4):311–15.Google Scholar
  107. 107.
    Robertson E, Sansom-Daly UM, Wakefield CE, et al. Sexual and Romantic Relationships: Experience of Adolescnet & Young Adult Cancer Survivors. J Adolesc Young Adult Oncol. 2016;5(3):286–91.Google Scholar
  108. 108.
    Longo CJ. Financial and family burden associated with cancer treatment in Ontario, Canada. Support Care Cancer. 2006;14(11):1077–85.PubMedCrossRefGoogle Scholar
  109. 109.
    Choquette A, Rennick J, Lee V. Back to school after cancer treatment. Cancer Nurs. 2016;39(5):393–401.PubMedCrossRefGoogle Scholar
  110. 110.
    Pini S, Hugh-Jones S, Gardner PH. What effect does a cancer diagnosis have on the educational engagement and school life of teenagers? A systematic review. Psychooncology. 2011;21(7):685–94.PubMedCrossRefGoogle Scholar
  111. 111.
    Zebrack BJ. Psychological, social, and behavioral issues for young adults with cancer. Cancer. 2011;117(10):2289–94.PubMedCrossRefGoogle Scholar
  112. 112.
    Gurney JG. Social outcomes of the childhood cancer survivor study cohort. J Clin Oncol. 2009;27(14):2390–5.PubMedPubMedCentralCrossRefGoogle Scholar
  113. 113.
    Searle NS. Homebound schooling is the least favourable option for continued education of adolescent cancer patients: a preliminary report. Med Paediatr Oncol. 2003;40(6):380–4.CrossRefGoogle Scholar
  114. 114.
    Jaffe ML. Adolescence. New York: Wiley; 1998.Google Scholar
  115. 115.
    Manaster GJ. Adolescent development and the life tasks. Boston: Allyn & Bacon, Inc.; 1977.Google Scholar
  116. 116.
    Taylor E, et al. Spirituality and spiritual care in adolescents and young adults with cancer. Sem Oncol Nurs. 2015;3(3):227–41.CrossRefGoogle Scholar
  117. 117.
    Wein S, Pery S, Zer A. Role of palliative care in adolescent and young adult oncology. J Clin Oncol. 2010;28(32):4819–24.PubMedCrossRefGoogle Scholar
  118. 118.
    Casillas J, et al. Transitioning childhood cancer survivors to adult-centred health care: insights from parents, adolescent young adult survivors. Psychooncology. 2010;19(2):982–90.PubMedCrossRefGoogle Scholar
  119. 119.
    Doug M, et al. Transition to adult services for children and young people with palliative care needs: a systematic review. Arch Dis Child. 2011;96(1):78–84.PubMedCrossRefGoogle Scholar
  120. 120.
    Mulder RL, et al. Transition guidelines: an important step in the future care for childhood cancer survivors. A comprehensive definition as groundwork. Eur J Cancer. 2016;54(1):64–8.PubMedCrossRefGoogle Scholar
  121. 121.
    Nathan PC, et al. Critical issues in transition and survivorship for adolescents and young adults with cancers. Cancer. 2011;117(10 Suppl):2335–41.PubMedCrossRefGoogle Scholar
  122. 122.
    Patterson P, et al. Emerging issues among adolescent and young adult cancer survivors. Semin Oncol Nurs. 2015;31(1):53–9.PubMedCrossRefGoogle Scholar
  123. 123.
    Freyer DR. Transition of care for young adult survivors of childhool and adolescent cancer: Rationale and approaches. J Clin Oncol. 2010;28(32):4810–8.PubMedPubMedCentralCrossRefGoogle Scholar
  124. 124.
    Kinahan KE, et al. Models of cancer survivorship care for adolescents and young adults. Semin Oncol Nurs. 2015;31(3):251–9.PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.The University of NewcastleNewcastleAustralia
  2. 2.Victorian Adolescent and Young Adult Cancer Service, Peter MacCallum Cancer CentreMelbourneAustralia

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