Details:

Alternative Title:
Support Care Cancer
Personal Author:
Fischer, Caitlin M. ; Hamilton, Ann S. ; Slaughter, Rhona I. ; Milam, Joel ;
Fischer, Caitlin M. ; Hamilton, Ann S. ; Slaughter, Rhona I. ; Milam, Joel ; Less -
Description:
Purpose As childhood cancer survivors (CCS) age, they face numerous long-term consequences, or late effects, from their cancer treatments. Late effects may be mitigated by health promoting behaviors, including the avoidance of substance use. CCS with greater depression symptomology have reported greater substance use, but whether their habits are associated with the mental health of their caregivers is unknown. The aim of this study was to examine caregiver psychosocial correlates of CCS substance use. Methods This study utilizes data from the Project Forward pilot study, which collected data from 129 CCS-caregiver dyads (CCS mean age =19.43, SD= 2.78; years since diagnosis = 7.62, SD= 2.06) from two large hospitals in Los Angeles County. CCS provided self-reported information on substance use, while caregivers self-reported on posttraumatic stress symptomatology (PTSS) associated with their child’s cancer and current depressive symptoms. Results Among CCS, prior 30-day tobacco, marijuana, binge drinking and polysubstance use were 12.50%, 14.17%, 13.18% and 12.40%. In multivariable logistic regression models, caregiver PTSS was independently positively associated with CCS tobacco use. No other significant relationships between caregiver mental health (PTSS or depressive symptoms) and CCS substance use were observed. Conclusion These findings suggest that caregiver PTSS is partially associated with CCS behavioral health. Survivorship care may improve tobacco use prevention efforts by incorporating family or caregiver mental health needs. Future research should examine the potential mediating effect of CCS mental health, including depressive symptoms, on this relationship.
Subject:
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Article
Caregiver And CCS Mental Health
CCS Follow-up Care
Childhood Cancer Survivors
Childhood Cancer Survivorship
Substance Use

Source:
Support Care Cancer. 29(7):3649-3656 ;
Pubmed ID:
33180201
Pubmed Central ID:
PMC8113356
Document Type:
Journal Article ;
Funding:
R01 MD007801/MD/NIMHD NIH HHS/United States ; HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035C/CA/NCI NIH HHS/United States ; T32 CA009492/CA/NCI NIH HHS/United States ; 28IR-0052/The Regents of the University of California, Research Grants Program Office/ ; ... More +
R01 MD007801/MD/NIMHD NIH HHS/United States ; HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035C/CA/NCI NIH HHS/United States ; T32 CA009492/CA/NCI NIH HHS/United States ; 28IR-0052/The Regents of the University of California, Research Grants Program Office/ ; R01MD007801/MD/NIMHD NIH HHS/United States ; T32CA009492/National Cancer Institute of the National Institutes of Health/ ; P30 CA014089/CA/NCI NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201000034C/CA/NCI NIH HHS/United States ; U58 DP003862/DP/NCCDPHP CDC HHS/United States ; P30CA014089/National Cancer Institute of the National Institutes of Health/ ; R01MD007801/MD/NIMHD NIH HHS/United States ; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
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urn:sha256:ffc1a15c7e52f97ea4c13b4a00dd1639a74227cc734fee2cc41a3eaf06a6b12c
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