The Elephant in the Room is Cancer. Tea is the Relief Conversation Provides.

Session #8 – Understanding and Addressing the Psychosocial Needs of AYA Patients

Presented by John M. Salsman, PhD

AYAs with cancer experience multiple, significant disruptions in many aspects of their lives. Anxiety, depression, and loneliness can be common experiences both during and after treatment. This session will focus on: (1) describing the prevalence of some of these common psychosocial needs and, (2) discussing strategies for providing effective support to those AYAs who most need our care. Ultimately, we hope to reduce the adverse psychosocial impact of cancer and enhance psychosocial wellbeing so that AYAs and their families can live richer, fuller lives.

Landmark Articles

McGrady ME, Willard VW, Williams AM, Brinkman TM. Psychological Outcomes in Adolescent and Young Adult Cancer Survivors. J Clin Oncol. 2024;42(6):707-716. doi:10.1200/JCO.23.01465

Kwak M, Zebrack BJ, Meeske KA, 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):2160-2166. doi:10.1200/JCO.2012.45.9222

Osmani V, Hörner L, Klug SJ, Tanaka LF. Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta-analysis. Cancer Med. 2023;12(17):18354-18367. doi:10.1002/cam4.6435

Fox RS, Armstrong GE, Gaumond JS, et al. Social isolation and social connectedness among young adult cancer survivors: A systematic review. Cancer. 2023;129(19):2946-2965. doi:10.1002/cncr.34934

Roth ME, Parsons SK, Ganz PA, et al. Inclusion of a core patient-reported outcomes battery in adolescent and young adult cancer clinical trials. J Natl Cancer Inst. 2023;115(1):21-28. doi:10.1093/jnci/djac166

Patterson P, D’Agostino NM, McDonald FEJ, et al. Screening for distress and needs: Findings from a multinational validation of the Adolescent and Young Adult Psycho-Oncology Screening Tool with newly diagnosed patients. Psychooncology. 2021;30(11):1849-1858. doi:10.1002/pon.5757

Haines ER, Lux L, Smitherman AB, et al. An actionable needs assessment for adolescents and young adults with cancer: the AYA Needs Assessment & Service Bridge (NA-SB). Support Care Cancer. 2021;29(8):4693-4704. doi:10.1007/s00520-021-06024-z

Bhatia S, Pappo AS, Acquazzino M, et al. Adolescent and Young Adult (AYA) Oncology, Version 2.2024, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2023;21(8):851-880. doi:10.6004/jnccn.2023.0040

Salsman JM, Rosenberg AR. Fostering resilience in adolescence and young adulthood: Considerations for evidence-based, patient-centered oncology care. Cancer. 2024;130(7):1031-1040. doi:10.1002/cncr.35182

Rosenberg AR, Salsman JM. Resilience in adolescent and young adult oncology: Problems and prospects. Cancer. 2024;130(7):1015-1018. doi:10.1002/cncr.35180